All Assignments NR509 Latest 2018 May

NR509 Week 1 Shadow Health History Assignment Latest 2018 May

Pre-brief

Obtaining an accurate history is the critical first step in determining the etiology of a patient's problem. A large percentage of the time, you will actually be able to make a diagnosis based on the history alone. The value of the history, of course, will depend on your ability to elicit relevant information. Your sense of what constitutes important data will grow exponentially as you practice your interviewing skills and through increased exposure to patients and illness. However, you are already in possession of the tools that will enable you to obtain a good history. Specifically, you must listen and ask appropriate questions to define the nature of a particular problem. In fact, seasoned clinicians occasionally lose sight of this important point, placing more reliance on the use of diagnostic testing rather than taking the time to listen to their patients. Interviewing patients is an art and should remain an essential skill for successful practice.

In this activity, you will interview Tina Jones to collect data to assess Ms. Jones' condition. You will also have the opportunity to educate and empathize with Tina to engage in effective therapeutic communication; create a problem listusing evidence from the data you collected; prioritize the identified problems to differentiate immediate from non-immediate care; plan how to best address the most important concern with further assessment, interventions, and patient education; and compare your documentation to model documentation.

Ms. Jones is a pleasant, 28-year-old obese African American single woman who presents to establish care and with a recent right foot injury. She is the primary source of the history. Ms. Jones offers information freely and without contradiction. Her speech is clear and coherent and she maintains eye contact throughout the interview.

NR509 Week 2 Shadow Health Respiratory Physical Assessment Assignment Latest 2018 May

Pre Brief

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.

NR509 Week 2 Shadow Health HEENT Physical Assessment Assignment Latest 2018 May

Pre-Brief

For the last week, Tina has experienced sore, itchy throat, itchy eyes, and runny nose. She states that these symptoms started spontaneously and have been constant in nature. She has treated her throat pain with occasional throat lozenges which has "helped a little". She states that her nose "runs all day" and has clear discharge. She denies cough and recent illness. She denies fevers, chills, and night sweats. This case study will allow you to use standard office equipment to physically examine the patient's eyes, ears, nose, and throat. You will need to document what you find in the Electronic Health Record (EHR). Be certain to use medically appropriate terminology, such as "erythematous" to describe redness of the skin, mucous membranes, or conjunctiva.

NR509 Week 3 Shadow Health Neurological Physical Assessment Assignment Latest 2018 May

Pre Brief

Two days after a minor, low-speed car accident in which Tina was a passenger, she noticed daily bilateral headaches along with neck stiffness. She reports that it hurts to move her neck, and she believes her neck might be swollen. She did not lose consciousness in the accident and denies changes in level of consciousness since that time. She states that she gets a headache every day that lasts approximately 1-2 hours. She occasionally takes 650 mg of over the counter Tylenol with relief of the pain. This case study will allow you the opportunity to examine the patient's optic nerve via use of the ophthalmoscope as well as assess her visual acuity. You will need to document your findings using appropriate medical terminology. Be sure to assess for foot neuropathy using the monofilament test.

Reason for visit: Patient presents complaining of headache.

NR509 Week 5 Shadow Health Gastrointestinal Physical Assessment Assignment Latest 2018 May

Pre Brief

For at least a month, Tina has been experiencing pain in her upper stomach after eating, which she describes as "kind of like heartburn, but sharper." She notices it a little every day, but 3-4 times a week it is very painful (5/10 on pain scale). She also notices burping after she eats. She denies cough, hoarseness, sore throat, dysphagia, and chest pain. Be sure to apply the supportive information learned in this week's concept lab to your critical thinking process in this case study.

Reason for visit: Patient presents complaining of recent recurrent stomach pain

NR509 Week 5 Shadow Health Abdominal Pain Physical Assessment Assignment Latest 2018 May

Pre Brief

Ms. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. She reports that the pain isn't severe, but that her daughter was concerned and brought her in. It is very important to determine whether or not the situation is an emergency and that the underlying cause of Esther's discomfort. Be sure to inquire about a variety of psychosocial factors related to the GI system, including her diet, toilet habits, immunizations, recent travel, etc. This case study will offer you the opportunity to take a complete surgical, reproductive, and current sexual history. During her physical examination, take particular note as to where Mrs. Park verbalizes pain during palpation so that you may synthesize verbal and non-verbal cues. Be sure to apply the supportive information learned in this week's concept lab to your critical thinking process in this case study.

Reason for Visit: Patient presents complaining of abdominal pain.

NR509 Week 6: Shadow Health Pediatric Physical Assessment AssignmentLatest 2018 May

Pre Brief

Daniel "Danny" Rivera is an 8-year-old boy who is brought to the clinic by a family member for a cough. It is important for you to determine whether or not Danny is in distress, explore the underlying cause of his cough, and look for related symptoms in other body systems. Ask about a variety of psychosocial factors related to home life, such as second-hand smoke exposure. Be sure to observe non-verbal cues as Danny presents with intermittent coughing and visible breathing difficulty. This case study will challenge you to differentiate his presenting symptoms and carefully listen as you auscultate his lungs. You will have the opportunity to also physically examine his eyes, ears, nose, and throat and document your findings using appropriate professional medical terminology. Apply the supportive informative learned in the respiratory concept lab to your critical thinking process in this case study.

Reason for visit: Patient presents complaining of coughing.

NR509 Week 7: Shadow Health Comprehensive Health History and Physical Assessment Assignment Latest 2018 May

Pre Brief

In this case study, you will complete the Plan My Exam activity to organize the exam procedures you will use into a sequence that moves smoothly from head to toe by mapping them to the region of the body where you will perform them. After you have planned your exam, you will enter the clinic room and conduct a Comprehensive Assessment by interviewing and examining your Digital Standardized Patient. When collecting information for the comprehensive assessment, be sure to include the following:

· Current Illnesses

· Past Illnesses

· Chronic Illnesses

· Past Medical History

· Injuries and Treatments

· Hospitalizations/Surgeries

· Environmental/Food/Drug Allergies

· Current Medications/Herbal Remedies/Health Supplements

· Past Medications

· Habits/Drug and Alcohol Use

· Family Medical History

· Psychosocial/Cultural/Spiritual History

· Sexual History

· Obstetric History

As you complete the case study this week, be cognizant of the time that it takes you to conduct the history and physical. In family practice, you are generally allocated a total of 15-minutes for an entire patient visit, which includes taking a history, performing a physical examination, and developing/implementing a treatment plan. You also need to incorporate health promotion into the visit when possible. Be certain to follow a systematic approach during your interview and inquire about each system on the ROS. During the physical exam, be sure to apply the examination skills that you have learned in this course to assess your virtual patient.

Ms. Tina Jones is a pleasant, 29-year-old African American single woman who presents for a pre-employment physical. She is the primary source of the history. Ms. Jones offers information freely and without contradiction. Speech is clear and coherent. She maintains eye contact throughout the interview.

NR509 Week 8: APEA 3P Exam Latest 2018 May

ACCESS: Using your APEA username and password, access the exam athttp://www.apeaotc.com/ (Links to an external site.)Links to an external site.

NOTE: If you have difficulty accessing the exam please contact your instructor.

SCORING: You must score a passing score (as determined by APEA) to receive 85 points (full credit) for the exam. If you take the exam and do not receive a passing score, then you will receive 0 points (no credit). If the exam is not taken, then you will receive 0 points (no credit). Retakes are not permitted, so please ensure you have a reliable Internet connection and a suitable amount of time to dedicate to the exam. The exam is approximately 75 questions, and it is timed at approximately 90 minutes (this may vary slightly).

IMPORTANT PLEASE READ: When you are finished taking the exam you must make a screenshot (or click the print screen option) of your final test scores and submit the results to the course.

DUE DATE: This exam will open on Sunday of Week 8 and must be completed by Wednesday 11:59 p.m. (MT) in Week 8. Late submissions or retakes will not be permitted, as exam access will be locked after the deadline. Please plan to take the exam as early in the week as possible.