NURS 3020 Health Assessment Week 5 Discussion

Week 5 Discussion-Patient-Centered Care—At First Contact

Nurses and patient-centered care (PCC) go hand-in-hand. Nurses enjoy taking care of patients in a holistic, personalized, relationship-based way that honors the patients’ preferences, needs, and values. In its landmark book, Crossing the Quality Chasm (2001, p. 40), the Institute of Medicine (IOM) defined patient-centered care as “…providing care that is respectful and responsive to individual patient preferences, needs, and values—ensuring that patient values guide all clinical decisions.”

This is the last week in which we are reviewing health assessment techniques. We end by covering cognitive assessments and musculoskeletal and neurological examinations. The purpose of this discussion is for you to reflect on your relationships with your patients and to identify ways that you can strengthen your PCC approaches beyond health interviews and assessments.

As you move forward in the program, you will learn more about encouraging patients to be engaged at every level of care design and implementation within the health care system. After all, PCC is connected to improved quality and patient outcomes, and you will learn more about that too!

ORDER NOW FOR AN ORIGINAL PAPER!!!Week 5 Discussion-Patient-Centered Care—At First Contact 

To Prepare

Review the Week 5 Discussion Rubric provided in the Course Information area.

Review Chapters 5, 22, and 23 in the course text.

Choose two of the six dimensions of patient-centered care (PCC), listed below, on which to focus for this Discussion.

Think about how you might implement the two dimensions you selected into your health interview and assessment process in order to improve quality in patient collaboration and outcomes.

Respect for patients’ values, preferences, and expressed needs

Coordination and integration of care through collaboration and teamwork

Accessibility and free flow of information, communication, and education

Physical comfort

Sensitivity to non-medical and the spiritual dimension of care (emotional support)

Involvement of family and friends

By Day 3

Post a substantive 3-paragraph response (at least 350 words) discussing the selected dimensions of patient-centered care.

Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Use the writing resources and the Discussion Rubric to develop your post.

Evidence

In-text citations

Essay-level

Transitional material

Organizational frames

Define the two dimensions of patient-centered care that you selected.

Describe how your implementation of the two dimensions in your health interview and assessment will improve quality in patient collaboration and outcomes.

By Day 7

Read two or more of your colleagues’ postings for the Discussion question.

Respond to at least two of your colleagues in one of the following ways:

Expand upon their Discussion.

Suggest an alternative to their viewpoint.

Ask a clarifying question about a colleague’s proposed technique or strategy.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights you have gained as a result of the comments your colleagues made.

Provide a Discussion entry on three different days of the week. See the Discussion Rubric for more information.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message. Week 5 Discussion-Patient-Centered Care—At First Contact

NURS 3020 Health Assessment Week 5 Quiz

• Question 1 A patient is being assessed for range-of-joint movement. The nurse asks him to move his arm in toward the center of his body. This movement is called:

Answers: a. Flexion.

b. Abduction.

c. Adduction.

d. Extension.

• Question 2 During an interview the patient states, “I can feel this bump on the top of both of my shoulders—it doesn’t hurt but I am curious about what it might be.” The nurse should tell the patient that it is his:

Answers:a. Subacromial bursa.

b. Acromion process.

c. Glenohumeral joint.

d. Greater tubercle of the humerus.

• Question 3 The nurse is checking the range of motion in a patient’s knee and knows that the knee is capable of which movement(s)?

Answers: a. Flexion and extension

b. Supination and pronation

c. Circumduction

d. Inversion and eversion

• Question 4 The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband’s personality and ability to understand. He also cries very easily and becomes angry. The nurse recalls that the cerebral lobe responsible for these behaviors is the __________ lobe.

Answers: a. Frontal

b. Parietal

c. Occipital

d. Temporal

• Question 5 Which statement concerning the areas of the brain is true?

Answers: a. The cerebellum is the center for speech and emotions.

b. The hypothalamus controls body temperature and regulates sleep.

c. The basal ganglia are responsible for controlling voluntary movements.

d. Motor pathways of the spinal cord and brainstem synapse in the thalamus.

Question 6 The nurse places a key in the hand of a patient and he identifies it as a penny. What term would the nurse use to describe this finding?

Answers: a. Extinction

b. Astereognosis

c. Graphesthesia

d. Tactile discrimination

• Question 7 Which of these tests would the nurse use to check the motor coordination of an 11-month-old infant?

Answers: a. Denver II

b. Stereognosis

c. Deep tendon reflexes

d. Rapid alternating movements

• Question 8 During an assessment of an 80-year-old patient, the nurse notices the following: an inability to identify vibrations at her ankle and to identify the position of her big toe, a slower and more deliberate gait, and a slightly impaired tactile sensation. All other neurologic findings are normal. The nurse should interpret that these findings indicate:

Answers: a. CN dysfunction.

b. Lesion in the cerebral cortex.

c. changes attributable to aging.

d. Demyelination of nerves attributable to a lesion.

• Question 9 A 70-year-old woman tells the nurse that every time she gets up in the morning or after she’s been sitting, she gets “really dizzy” and feels like she is going to fall over. The nurse’s best response would be:

Answers:a. “Have you been extremely tired lately?”

b. “You probably just need to drink more liquids.”

c. “I’ll refer you for a complete neurologic examination.”

d. “You need to get up slowly when you’ve been lying down or sitting.”

• Question 10 During the taking of the health history, a patient tells the nurse that “it feels like the room is spinning around me.” The nurse would document this finding as:

Answers: a. Vertigo.

b. Syncope.

c. Dizziness.

d. Seizure activity.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

 

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

• Communication is so very important. There are multiple ways to communicate with me: 
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.