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NR 509 Week 2: Shadow Health Respiratory Physical Assessment Assignment

  • mattBymatt
  • OnJuly 19, 2023
  • InCustom Essay, Homework, Nursing

NR 509 Week 2: Shadow Health Respiratory Physical Assessment Assignment

NR 509 Week 2: Shadow Health Respiratory Physical Assessment Assignment

Shadow Health Respiratory Assessment Pre Brief

NB: We have all the questions and documented answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT AND CARE PLAN format. All you need to do is ORDER NOW for an equivalent of 4 pages and score 100% in this assignment and all other Shadow Health Assignments. By placing this order, the only thing you will do is ask Tina the questions that we will give you and then use our documentation  to create yours!!! Shadow health respiratory assessment questions and transcript.

Tina had an asthma episode 2 days ago. At that time she used her albuterol inhaler and her symptoms decreased although they did not completely resolve. Since that incident she notes that she has had ten episodes of wheezing and has shortness of breath approximately every four hours. Tina presents with continued shortness of breath and wheezing. Be sure to ask pertinent questions during the interview about related body systems. This case study will provide the opportunity to carefully assess lung sounds during the physical examination. Be sure to appropriately document your findings using correct medical terminology.

Reason for visit: Patient presents complaining of a recent asthma episode that is not fully resolved.

APPROACH

Overview
| Transcript
| Subjective Data Collection
| Objective Data Collection
| Education & Empathy
| Documentation / Electronic Health Record
| Student Pre-Survey
| Lifespan Activity
| Review Questions
| Self-Reflection Activity

SAMPLE Shadow Health Respiratory Assessment

NR 509 Week 2: Shadow Health Respiratory Physical Assessment Assignment

 

Model Documentation

Subjective

Social History: She is not aware of any environmental exposures or irritants at her job or home……

Review of Systems:

  • General: Denies changes in…
  • Nose/Sinuses:
  • Gastrointestinal:
  • Respiratory:

Objective                   

  • General: Ms. Jones is a pleasant….
  • Respiratory: Chest expansion is….

Assessment                

  • Mild-persistent….

Plan

Diagnostics

  • Obtain office….

Education

  • Encourage Ms. Jones to continue t….

Referral/Consultation

  • Refer to…..

 Follow-up Planning

  • Order ….
  • Instruct Ms. Jones …..
  • Revisit….

place-order

  1. Tina’s second cousin was diagnosed with asthma at age 5. What would be included in your treatment plan? What factors might concern you related to compliance?

The treatment plan for this child would be to….

  1. Consider that Tina’s uncle is now 68 years old and has smoked heavily every day since he was fifteen. What would you expect to find in his respiratory assessment? How would this affect your oxygenation goals for this patient?

Common significant deviations of the chest for older adults include marked dorsal curvature, kyphosis, increased AP diameter of the chest (barrel chest), and diminished chest expansion (Hogstel & Curry, 2005). Bones become thinner, more rigid, and change shape, and muscles may become weakened. This results in a lower oxygen level with less carbon dioxide removed from the body, and decreased ability to cough. Osteoporosis causes decreased thoracic vertebrae height. Aging also causes the alveoli to lose their shape causing shortness of breath. Due to diminished cough reflex with decreased sensitivity, large amounts of particles that are more difficult to expectorate can collect in the lungs. In addition, the brain is less sensitive to hypoxia (low oxygen) and hypercapnea (higher than normal carbon dioxide) and higher residual volume. As a result of these changes, older persons are at increased risk for pneumonia and bronchitis (Minaker, 2011; Sharma & Goodwin, 2006). Shadow health respiratory assessment questions and transcript.

In the respiratory assessment of this patient, I expect to find marked dorsal curvature, increased AP diameter of the chest, diminished chest expansion, and kyphosis. The weakened muscles will result in lower oxygen levels and lower elimination of carbon dioxide leading to decreased coughing capacity. Alveoli will also will also lose their shape leading to dypnea. Therefore, oxygenation goals will have to take in cognizance these realities and advise the patient accordingly. Consequently, efforts to increase exercise tolerance, treat complication, and relieve symptoms will be initiated.

  1. If Tina had mentioned that she was just diagnosed with pneumonia, what would you have expected to find during percussion?
  2. If the results of Tina’s pulse oximetry had been 97%, which of the following would have been true?
  3. Suppose that, during your lung exam on Tina, you had heard bronchial breath sounds in the left lower lung posteriorly. What would you have suspected based on this finding?
  4. Suppose that while auscultating, you assessed a few scattered expiratory wheezes. Why would this be an expected finding for a patient with Tina’s history. Shadow health respiratory assessment questions and transcript.
  5. When you observe a patient like Tina throughout an exam, there are many ways to determine whether a patient is experiencing respiratory distress. Identify one indicator of respiratory distress that can be assessed through observation alone.

NR 509 Week 2: Shadow Health Respiratory Physical Assessment Assignment

  1. Describe how you would assess Tina for dyspnea

Dyspnea can be assessed both……

  1. Explicitly describe the tasks you undertook to complete this exam.

The examination…..

  1. Explain the clinical reasoning behind your decisions and tasks.
  2. Identify how your performance could be improved and how you can apply “lessons learned” within the assignment to your professional practice.

My performance could be improved by seeking more history from the patient…..

Rubric – NR 509 Week 2: Shadow Health Respiratory Physical Assessment Assignment

Can’t change a rubric once you’ve started using it. 

Find a Rubric

Title: Find Rubric

Shadow Health Physical Assessment Rubric

You’ve already rated students with this rubric. Any major changes could affect their assessment results.

Shadow Health Physical Assessment Rubric
Criteria Ratings Pts
Edit criterion descriptionDelete criterion row

This criterion is linked to a Learning OutcomeSubjective Data, Organization, Communication, and Summary (DCE Score or transcript) _9172

view longer description

Range

threshold: pts

Edit ratingDelete rating

25.0 to >21.0 pts

Above Average- DCE Score greater than or equal to 93; Comprehensive introduction with expectations of exam verbalized; questions worded in a non-judgmental way; professional language exercised; questions well-organized; appropriate closing with summary of findings verbalized to patient.

_7235

Edit ratingDelete rating

21.0 to >10.0 pts

Average- DCE Score greater than or equal to 86-92; Adequate introduction; some questions worded in a non-judgmental way; professional language mostly exercised; questions generally organized; somewhat complete closing.

_9258

Edit ratingDelete rating

10.0 to >0.0 pts

Below Average- DCE Score greater than or equal to 80-85; Incomplete introduction; many questions worded in a judgmental way; some professional language exercised; questions somewhat organized; incomplete closing.

_2206

Edit ratingDelete rating

0.0 to >0 pts

Unsatisfactory- DCE Score less than or equal to 79; Introduction missing; questions worded in a judgmental way; little professional language; questions unorganized; closing missing.

_4625

This area will be used by the assessor to leave comments related to this criterion.

pts

/ 25.0 pts

—

Edit criterion descriptionDelete criterion row

This criterion is linked to a Learning OutcomeObjective Data, Physical Examination, Interpretation of Findings, Assessment, and Documentation _5446

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Range

threshold: pts

Edit ratingDelete rating

20.0 to >16.0 pts

Above Average- Physical assessment documentation includes all relevant body systems; all pertinent normal and abnormal findings identified; documentation reflects professional language; treatment plan includes each of the following components: diagnostics, medication, education, consultation/referral, and follow-up planning.

_8504

Edit ratingDelete rating

16.0 to >8.0 pts

Average- Physical assessment documentation lacks sufficient details pertaining to one or two relevant body systems; or identifies ? 50% of the pertinent normal and abnormal findings; or documentation lacks professional language; or treatment plan lacks one or two components (diagnostics, medication, education, consultation/referral, or follow-up planning).

_9311

Edit ratingDelete rating

8.0 to >0.0 pts

Below Average- Physical assessment documentation lacks sufficient details pertaining to three or more relevant body systems; or identifies < 49% of the pertinent normal and abnormal findings; or documentation includes unprofessional language; or treatment plan lacks three or more components (diagnostics, medication, education, consultation/referral, or follow-up planning).

_1424

Edit ratingDelete rating

0.0 to >0 pts

Unsatisfactory- No physical assessment documentation or no treatment plan.

_224

This area will be used by the assessor to leave comments related to this criterion.

pts

/ 20.0 pts

—

Edit criterion descriptionDelete criterion row

This criterion is linked to a Learning OutcomeSelf-Reflection _3128

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Range

threshold: pts

Edit ratingDelete rating

5.0 to >3.0 pts

Above Average- Responds to three of the three reflection post questions; and provides analysis of performance; and reflection posts written using professional language; and reflection posts demonstrate insight.

_7104

Edit ratingDelete rating

3.0 to >2.0 pts

Average- Responds to two of the three reflection post questions; or provides limited self-analysis of performance; or reflection posts are somewhat unclear related to the assignment and the student’s experience; or reflection posts lack insight.

_9169

Edit ratingDelete rating

2.0 to >0.0 pts

Below Average- Responds to one of the three reflection post questions; or does not provide self-analysis of performance; or reflections are not related to the assignment and the student’s experience; or does not provide insight

_2706

Edit ratingDelete rating

0.0 to >0 pts

Unsatisfactory- No reflection posts for the assignment.

_6746

This area will be used by the assessor to leave comments related to this criterion.

pts

/ 5.0 pts

—

Edit criterion descriptionDelete criterion row

This criterion is linked to a Learning OutcomeDescription of criterion

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Range

threshold: 5 pts

Edit ratingDelete rating

5to >0 pts

Full Marks

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Edit ratingDelete rating

0to >0 pts

No Marks

blank_2

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pts

/ 5 pts

—

Total Points: 50.0 out of 50.0
Top of Form

I’ll write free-form comments when assessing students

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Rubric

   

Can’t change a rubric once you’ve started using it. 

Find a Rubric

Title: Find Rubric

Title

You’ve already rated students with this rubric. Any major changes could affect their assessment results.

Title
Criteria Ratings Pts
Edit criterion descriptionDelete criterion row

This criterion is linked to a Learning OutcomeDescription of criterion

view longer description

Range

threshold: 5 pts

Edit ratingDelete rating

5to >0 pts

Full Marks

blank

Edit ratingDelete rating

0to >0 pts

No Marks

blank_2

This area will be used by the assessor to leave comments related to this criterion.

pts

/ 5 pts

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Edit criterion descriptionDelete criterion row

This criterion is linked to a Learning OutcomeDescription of criterion

view longer description

Range

threshold: 5 pts

Edit ratingDelete rating

5to >0 pts

Full Marks

blank

Edit ratingDelete rating

0to >0 pts

No Marks

blank_2

This area will be used by the assessor to leave comments related to this criterion.

pts

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Total Points: 5 out of 5
Top of Form

I’ll write free-form comments when assessing students

Remove points from rubric

Don’t post Outcomes results to Learning Mastery Gradebook

Use this rubric for assignment grading

Hide score total for assessment results

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