Shadow Health Pediatric Physical Assessment Essay Assignment
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. Shadow Health Pediatric Physical Assessment Essay Assignment 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. Shadow Health Pediatric Physical Assessment Essay Assignment.
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Reason for visit: Patient presents complaining of coughing.
Students will have until Sunday at 11:59pm MT on Week 7 to complete this assignment.
NR 509 Week 6: Shadow Health Pediatric Physical Assessment Assignment Rubric
| NR 509 Week 6: Shadow Health Pediatric Physical Assessment Assignment Criteria | NR 509 Week 6: Shadow Health Pediatric Physical Assessment Assignment Ratings
Shadow Health Pediatric Physical Assessment Essay Assignment |
Pts | ||||
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This criterion is linked to a Learning OutcomeSubjective Data, Organization, Communication, and Summary (DCE Score or transcript) |
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25.0 pts
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This criterion is linked to a Learning OutcomeObjective Data, Physical Examination, Interpretation of Findings, Assessment, and Documentation |
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20.0 pts
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This criterion is linked to a Learning OutcomeSelf-Reflection |
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5.0 pts
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Total Points: 50.0
Shadow Health Pediatric Physical Assessment Essay Assignment
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NR 509 Week 6: Shadow Health Mental Health Physical Assessment Assignment
Pre Brief
Tina’s recent sleep disturbance has lasted a month. She states that her sleep is “shallow and not restful”. She complains of difficulty falling asleep at least 5 nights per week, but states that she is able to stay asleep without difficulty. On average she sleeps 4 or 5 hours per night and awakens at 8:00 AM daily. She does not take any prescription or over the counter sleep aids. This case study is an opportunity for you to ask probing interview questions and take a thorough history of the presenting complaint. Be sure to compile a list of positive and negative findings during the patient interview to support each potential differential diagnosis. Shadow Health Pediatric Physical Assessment Essay Assignment.
Reason for visit: Patient presents complaining of sleep problems and feelings of anxiety.
Students will have until Sunday at 11:59pm MT on Week 7 to complete this assignment.
Rubric
| Criteria | Ratings | Pts | ||||
|---|---|---|---|---|---|---|
|
This criterion is linked to a Learning OutcomeSubjective Data, Organization, Communication, and Summary (DCE Score or transcript) |
|
25.0 pts
|
||||
|
This criterion is linked to a Learning OutcomeObjective Data, Physical Examination, Interpretation of Findings, Assessment, and Documentation |
|
20.0 pts
|
||||
|
This criterion is linked to a Learning OutcomeSelf-Reflection |
|
5.0 pts
|
||||
|
Total Points: 50.0
Shadow Health Pediatric Physical Assessment Essay Assignment
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ORDER A PLAGIARISM-FREE SHADOW HEALTH PAPER HERE
| NR 509 Physical Examination Grading RubricA head to toe (cephalo-caudal), and anterior-posterior approach should be used when conducting the exam. Students should verbalize each exam step and also identify cranial nerves by name.
*Exam should be completed in 30 minutes or less. *No deductions given for exam steps out of order. |
| Introduce yourself to the patient. Have patient sit up |
| HEAD AND FACE |
| Inspects facial skin – note abnormal lesions |
| Inspect head for size, symmetry, midline position |
| Palpates lymph nodes of the head and neck:preauricular, postauricular, occipital, tonsillar, submandibular, submental, anterior cervical, posterior cervical, supraclavicular (verbalize these) |
| CN 5 (Trigeminal)Motor – palpate over the masseter muscle as patient clenches jaw
Sensory – light touch sensation to forehead, cheeks, chin, nose (patient closes eyes and identifies where they are being touched) Shadow Health Pediatric Physical Assessment Essay Assignment |
| CN 7 (Facial)Inspect for facial symmetry with smile, frown, raise eyebrows, puff cheeks, pucker lips |
| EAR |
| Inspect outer ear for shape and position |
| Inspect auditory canal and TM (using otoscope) |
| Palpate pinnae and tragus for masses and tenderness |
| CN 8 (Acoustic)Whisper Test (whisper words out of patient’s sight, and patient repeats words back) Test one ear at a time. |
| EYE |
| Inspects sclera and conjunctiva |
| CN 2 (Optic)Assess gross visual acuity and peripheral/central vision |
| CN 2 (Optic)Check pupillary response to light [PERRL] |
| CN 3, 4, 6 (Oculomotor, Trochlear, Abducens)Test for conjugate gaze with EOM. Shadow Health Pediatric Physical Assessment Essay Assignment. |
| NOSE |
| Inspect nose midline and straight |
| Assess nasal turbinates and septum (using light source) |
| Palpates frontal and maxillary sinuses |
| THROAT AND MOUTH |
| Inspect lips, teeth, gums, buccal mucosa, palate, tongue, the floor of the mouth (under the tongue), posterior pharynx, and tonsils (grade tonsils, if present) |
| CN 9 and 10 (Glossopharyngeal, Vagus)Say “Ahh” and soft palate and uvula rise symmetrically with phonation (CN 10)
* Gag reflex not tested for this exam (CN 9) |
| CN 12 (Hypoglossal)Stick out tongue and move it left to right |
| Palpate TMJ for any subluxation, tenderness, or crepitus |
| NECK |
| Inspect for obvious deformities and symmetry |
| Palpates trachea – midline |
| Palpates thyroid gland |
| Palpates carotid artery pulsation |
| Auscultate over the carotid for bruits |
| Test ROM – flexion, extension, lateral flexion,rotation |
| CN 11 (Spinal Accessory)Shrug shoulders against resistance |
| HEART |
| Auscultate in all 5 areas with the bell and diaphragm with the patient sitting (if stethoscope does not have a bell then verbalize you would use the bell)Verbalize Areas:
Aortic Pulmonic Erb’s point Tricuspid Mitral |
| ANTERIOR CHEST |
| Inspect for obvious deformities and symmetry |
| Auscultate lung sounds in anterior lung fields |
| POSTERIOR CHEST (BACK) |
| Auscultate posterior lung fields: Start above scapula alternating side-to-side in intercostal spaces. Go down into bases of lungs.Assess lateral lung fields (get right middle lobe). Shadow Health Pediatric Physical Assessment Essay Assignment. |
| UPPER EXTREMITIES |
| Inspect the joints of the hands – redness, swelling,deformities |
| Palpate for capillary refill |
| Assess radial pulses |
| Assess hand grips – 5/5 strength |
| Assess ROM of the elbows (flexion, extension) |
| Assess strength of biceps, triceps – flex/extend elbow againstresistance – 5/5 strength |
| Assess ROM of the shoulders (flexion, extension, internal rotation, external rotation, abduction, adduction) |
| Assess cerebellar coordination with rapid alternating movement:Serial finger opposition, hand flip-flop |
| Assess DTRs:Biceps, patellar, achilles |
| Have patient lie down |
| ABDOMEN. Shadow Health Pediatric Physical Assessment Essay Assignment |
| Inspect abdominal contours and symmetry |
| Auscultate for bowel sounds in all 4 quadrants |
| Auscultate for bruits (verbalize) – aorta, renal arteries, iliac arteries |
| Percuss in all 4 quadrants for tympany, dullness, flatness |
| Palpate in all 4 quadrants for tenderness and masses |
| Palpate liver and spleen (verbalize) |
| Perform Blumberg’s sign (verbalize) |
| LOWER EXTREMITIES |
| Inspect the skin integrity of lower extremities and assess for edema. |
| Assess ROM of hips (flexion, abduction, adduction, internal rotation, external rotation) *extension not tested for this exam |
| Assess ROM of the knees (flexion, extension) |
| Assess strength at the knees – flex/extend against resistance – 5/5 strength |
| Assess ROM of the ankles (dorsiflexion, plantar flexion, rotation) |
| Assess strength at ankles – dorsi/plantar flex against resistance – 5/5 strength. Shadow Health Pediatric Physical Assessment Essay Assignment. |
| Assess dorsalis pedis pulse |
| Have patient stand up |
| Inspect and palpate the spine – expected curvatures, alignment, tenderness |
| Assess ROM of the spine (flexion, extension, lateral flexion, and rotation) |
| Assess Romberg |
| Assess gait (just several steps) |