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NR 509 Week 5 iHuman Case Reflection

Chamberlain University Nursing NR 509 Advanced Physical Assessment Laci Peterson 4 pages
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Week 5 iHuman Assignment Re昀氀ec琀椀on Worksheet Address the following statements and ques琀椀ons. Write on this template and include the following components: i. write 150-300 words in a Microso昀琀 Word document ii. demonstrate clinical judgment appropriate to the virtual pa琀椀ent scenario iii. cite at least one relevant scholarly source as de昀椀ned by program expecta琀椀ons iv. communicate with minimal errors in English grammar, spelling, syntax, and punctua琀椀on Some clinicians may 昀椀nd it di昀케cult to explain the logic behind their clinical thinking. As you gain experience, your clinical reasoning will begin at the outset of the pa琀椀ent encounter, not at the end. Re昀氀ect on the clinical reasoning you used during this virtual pa琀椀ent encounter. This encounter I struggled, and it is re昀氀ected in my physical assessment. I treated this pa琀椀ent for his hypertension when he hadn’t seen a physician in a long 琀椀me. I’m used to trea琀椀ng a pa琀椀ent for their problems and not a full comprehensive assessment. This pa琀椀ent should have been treated with a comprehensive assessment and not just a focused. He had mul琀椀ple problems presented and I only focused on the hypertension. I was focused on one aspect and should have looked at the bigger picture. Describe the steps taken to iden琀椀fy and interpret the key 昀椀ndings in this case. Star琀椀ng with the history, I was able to 昀椀nd the pa琀椀ent had mul琀椀ple problems that he was presen琀椀ng with. I was thorough with my history taking but lacked extremely on my physical assessment. I was caught up with the hypertension that I did not treat the pa琀椀ent with a comprehensive assessment. This could lead to other problems that could be missed and skimmed over in future visits. In an ar琀椀cle by Chen et al (2020), they state that competently performing this skill translates to appropriate pa琀椀ent management and be琀琀er pa琀椀ent outcomes. Once the physical assessment was complete, I was able to focus on a plan for the pa琀椀ent that outlined every aspect and educa琀椀on that I felt was appropriate. 0320 RB/KK References Chen, H.-C., Ignacio, J., & Yobas, P. (2020). Evaluation of the symptom-focused health assessment and empathy program for undergraduate nursing students: A randomized controlled trial. Nurse Education Today, 94, 104566. https://doi.org/10.1016/j.nedt.2020.104566 0320 RB/KK

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