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NR509 Wk1 Generalized Muscle Aches

NR509 Wk1 Generalized Muscle Aches

NR509 Wk1 Generalized Muscle Aches Patient Information:

JDS, 30, M, African American, Cigna

S.

CC: “I am here because I have had a fever, fatigue and muscle aches for the last two days”

HPI:    Onset: 2 days ago

Location: Generalized muscle aches

Duration: intermittent

Characteristics:  fever of 101.2 x 2 days, fatigue x 2 days, anorexia x 1 day, sweats, myalgia, sore throat, rhinorrhea x 2 days (Domino & Baldor, 2016)

Aggravating Factors: muscle pain worse when coughing

Relieving Factors: heat pads, rest, increase in fluids

Treatment: Ibuprofen 400mg PRN

Current Medications: None

Allergies:  Seasonal outdoor allergies.

PMHx:  …

Soc Hx:  …

Fam Hx:  …

ROS: (Jarvis, 2016)

CONSTITUTIONAL:  No weight loss or chills reported.  Reports fever of 101.2 F, fatigue and general muscle aches for the past 2 days.

HEENT: …

Head: Denies head injury, dizziness, syncope vertigo, severe or frequent headaches

Eyes:  Denies any difficulty, eye pain, inflammation, lesions, visual loss, blurred vision, double vision or yellow sclera, glaucoma, cataracts, and wears no corrective lenses.

Ears: Denies hearing loss, earaches, discharge, tinnitus or vertigo

Nose:  history of non-traumatic recurrent nose bleeds throughout life, has 2-3 colds per year, seasonal allergies, and current rhinorrhea x last 2 days

Throat:   …

SKIN:  …

CARDIOVASCULAR:  Denies cyanosis, chest pain, pressure or discomfort, palpitations or edema.

RESPIRATORY: Slight productive cough x last 2 days. Denies shortness of breath. Nonsmoker. Denies  history of lung disease

GASTROINTESTINAL:

GENITOURINARY:

NEUROLOGICAL:

MUSCULOSKELETAL:

HEMATOLOGIC:  Reports no history of intravenous drug use, blood transfusions, anemia, bleeding or irregular bruising.

LYMPHATICS:  States “his lymph nodes in neck feel swollen x last 2 days. No history of splenectomy.

PSYCHIATRIC:  Denies history of depression or anxiety.

ENDOCRINOLOGIC:  Intermittent sweats x past 2 days. Denies polyuria or polydipsia

ALLERGIES:  No report of history of asthma, hives, eczema. Seasonal outdoor allergies. Zyrtec PRN for symptom management.

…

 

References

Jarvis, C. (2016). Physical examination & health assessment (7th ed.). Retrieved from

http://bookshelf.vitalsource.com.

Domino, F. J., & Baldor, R. A. (2016). The 5-minute clinical consult 2017 (25th ed.).

Philadelphia, Pa.: Wolters Kluwer Health/Lippincott Williams & Wilkins.

Sautter, R. L. (2016). Best practices for influenza testing. MLO: Medical Laboratory Observer,

48(11), 12-16.

NR509 Wk1 Generalized Muscle Aches

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NR509 Alternative Writing Assignment

NR509 Alternative Writing Assignment : As a family nurse practitioner, you must possess excellent physical assessment skills. This alternative writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.

Course Outcomes

This assignment is guided by the following Course Outcomes (COs):

  1. Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations. (PO 1, 2)
  2. Differentiate normal and abnormal health history and physical examination findings. (PO 1, 2)
  3. Adapt health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient. (PO 1, 2)

The purposes of this assignment are to: (a) identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1), (b) differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2), and (c) adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4).

NOTE: You are to complete this alternative writing assignment ONLY if you had not participated or do not plan to participate in a debriefing session for the given week.

Due Date: This alternative written assignment is due no later than the Sunday of the week in which you did not attend the weekly debriefing session. For example, if you did not attend a debriefing session for Week 3, this written assignment is due the Sunday at 11:59 p.m. MT of Week 4.

The standard MSN Participation Late Assignment policy applies to this assignment (please see the course syllabus)

Total Points Possible: 25 Points

NR509 Alternative Writing Assignment Requirements:

  1. This paper will be graded on the quality of the information, inclusion of evidence-based scholarly resources, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details below).
  2. Submit to the appropriate location in Canvas by 11:59 p.m. MT on Sunday of the week due.
  3. The length of the paper is to be no less than 1,500 words, excluding title page and reference list.
  4. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
  5. APA format (6th edition) is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1 inch margins and double spacing. See the APA manual for details regarding proper citation. See resources under Course Resources, “Guidelines for Writing Professional Papers” for further clarification.
  6. Organize the headings and content of your paper using the outline below:
    1. Identify and briefly discuss the body system selected for the topic of this paper
    2. Discuss the physiology (structure and function) of the body system including details about the major organ systems (if applicable)
    3. Discuss relevant health history questions (subjective data) pertaining to the body system
    4. Discuss an overview of the objective data and expected normal physical examination findings for this body system
    5. Discuss special physical assessment examination techniques or procedures specific to assessing this body system
    6. Discuss how you might adapt your physical assessment skills or techniques to accommodate each of the following specific populations:
  1. Infant/pediatric
  2. Pregnancy
  • Geriatric
    1. Identify one major disease or disease process that may significantly impact this body system
    2. Discuss the expected abnormal physical examination findings that may be associated with this disease or disease process
    3. Summarize the key points

NR509 Alternative Writing Assignment  – Preparing the Paper:

  1. Select a focused body system from the weekly lesson which corresponds with the week of the written assignment.
  2. Carefully read and review the selected body system in your course textbooks.
  3. Incorporate at least one scholarly peer-reviewed journal article that relates to the body system. It may be useful to identify an article that relates to a disease that impacts the body system.
  4. The paper must clearly articulate the relevance of advanced physical assessment skills, techniques, application of advanced practice knowledge, and assessment modification (when necessary) to accommodate for specific patient populations.
  5. Provide concluding statements that should summarize key points of the overall assignment content.
  6. In-text citations and reference page(s) must be written using proper APA format (6th edition).

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NR509 Alternative Writing Assignment Rubric

Category Points % Description
Application of Knowledge, Analysis, and Clarity 10 40% Student demonstrates application of course knowledge consistent with the principles of advanced physical assessment; content is specific to the focus topic, organized, and clearly presented.
Adapted Physical Assessment Skills to Special Populations, Disease Process, and Summary 10 40% Discussed appropriate clinical reasoning and judgment as evidenced by: adaption of physical assessment skills or techniques to accommodate special populations;

identified one major disease or disease process and expected examination findings; and summarized key points
Writing Mechanics and Evidence-based Resources 5 20% Paper meets the minimum 1,500 word limit (not including the reference list); Paper is fully supported by evidence from appropriate Evidence-based, peer-reviewed resources published within the last 5 years; In-text citations and full references are provided using proper APA formatting.
Total  25 100 A quality assignment will meet or exceed all of the above requirements.

 

Grading Rubric

Assignment Criteria Satisfactory Unsatisfactory
10 POINTS 0 POINTS
Application of Knowledge, Analysis, and Clarity Student demonstrates knowledge consistent with the principles of advanced physical assessment; content is specific to the focus topic, organized, and clearly presented. Student did not demonstrate knowledge consistent with the principles of advanced physical assessment; content was missing, unorganized, and unclear.
  10 POINTS 0 POINTS
Adapted Physical Assessment Skills to Special Populations, Disease Process, and Summary Discussed how to adapt physical assessment skills or techniques to accommodate special populations; and

identified one major disease or disease process and expected examination findings; summarized key points.

 Student did not adapt physical assessment skills or techniques to accommodate special populations; and did not

identify one major disease or disease process and expected examination findings; did not summarize key points.
  5 POINTS 0 POINTS
Writing Mechanics and Evidence-based Resources Paper meets the minimum 1,500 word limit (not including the reference list); Paper is fully supported by evidence from appropriate sources published within the last 5 years; and Evidence-based, peer- reviewed journal article cited; In-text citations and full references are provided. Paper does not meet the minimum 1,500 word limit (not including the reference list)

 

Paper contains no evidence-based practice reference or citation.

 
Total Possible- Satisfactory = 25 Points 25 Points 0 Points