NR 305 Week 2: Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
Chamberlain University NR 305 Week 2: Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 305 Week 2: Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded) assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 305 Week 2: Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
Whether one passes or fails an academic assignment such as the Chamberlain University NR 305 Week 2: Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded) depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 305 Week 2: Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
The introduction for the Chamberlain University NR 305 Week 2: Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded) is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NR 305 Week 2: Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
After the introduction, move into the main part of the NR 305 Week 2: Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded) assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 305 Week 2: Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 305 Week 2: Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NR 305 Week 2: Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
I work in on the Intermediate Care floor of my hospital. The process of my assessment can vary depending on the reason for admitting the patient. Most all assessments are head to toe assessments, but if the patient was admitted due to a stroke or head injury, we have to add in neuro checks. To start the assessment, I introduce myself to the patient and explain my role as their nurse and ask if I can begin the assessment. Then as I perform my assessment, I explain what I am doing and answer any questions they may have. I will ask them if they know what day it is, where they are, and why they were admitted to the hospital. When we get a new patient on the floor, every available nurse comes to help get the patient settled in. The patient is then washed down with chlorhexadine wash, dried, we apply telemetry pads to their chest and a pulse oximeter to their finger, a blood pressure cuff to the accessible limb, put them in a clean gown, and go over the orders from the doctor. Should the patient need any labs immediately, it is the nurses job to collect the specimen and send it to the lab via pneumatic tube. I will go over the health history with the patient and ask if there is anyone they would like for me to contact or if they have a Medical Power of Attorney. I then write that info on the whiteboard in the patient’s room along with my name, my title, the CNA’s name, the date, day of the week, and I ask the patient what is the most important question they have for the care team that day. I go over all of the patient’s medications and any OTCs they may be taking. I ask if the patient is having any pain and then check the MAR for medication for the pain, if any. Then I order the patient food if they are not NPO and let them settle in while I pull their meds and prepare to go through their chart to read about the patient diagnosis and what we are treating them for. That information will help me to adjust my assessment to to look for specific things. The majority of the population we see on outlr floor are older patients, although we may get some younger ones from time to time.
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Sample Answer 2 for NR 305 Week 2: Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
I currently work on a Geriatric Psych Floor at a State Facility. I complete full-body assessments on all patients on my unit. Typically, we have a census of 20-25 patients per floor. My home unit is the Men’s floor and I frequently complete body audits on all residents. I document everything I see down to the smallest freckle. Theses body audits help to identify any change from the resident’s baseline skin assessment from admission, forward. We typically see peer to peer aggression so new bruising or wounds are common.
When I arrive on shift to round on each Resident. I start with my skin assessments because these typically have the most medical needs and treatments. While I assess for pressure ulcers, rashes, skin tears, and signs of abuse; I am asking if they have any complaints of pain anywhere in the body. Once I have finished with my skin assessment I move on to checking the hair and head for any marks, bruising, injuries, and swelling. At this time I am able to feel if the Resident is febrile or has a headache complaint. From there I look into their mouth and feel their neck. Most times, I will find that they have a dry mucosa and need prescribed Biotene. I will then move on to their chest checking for symmetry, breathing patterns, and ensuring they are not having any complaints of shortness of breath or chest pain. The abdomen is next on my list where I can check the integrity of g-tubes if applicable and tenderness and rigidity. Constipation is a typical subjective complaint and I can listen for bowel sounds and ask questions about their bowel movements at this time. I then move on to their bottom and genitalia making sure I do not see any broken- down areas from the briefs and no signs of infection. I inspect the brief also, to see if there is a strong odor or any discoloration in urine possibly indicating UTI. I inspect their feet and nails, especially since most Residents have diabetes. I inspect their calves and knees looking for warm areas, open areas or pressure areas.
The most focused areas after the ABC’s are bony prominences and skin integrity. The special circumstances that I use when obtaining information on demographics and health history are to retrieve this information from the chart or to call the guardian directly. Many of the Residents on my unit suffer from severe schizophrenia and other mental health disorders and are not a good fit to be a reliable historian. My patients are a vulnerable population and most do not have family or finances. Most Residents are Ward of The State on my unit. As the Registered Nurse in charge of these patient’s I feel like I most be a strong advocate for them to ensure the physican and care team know immediately of any changes in status. I remind myself often that my interaction with each resident may be the only real-human interaction they see within the day. I try not to take anything personal and complete a thorough assessment. Each resident deserves at least that from the health team.
Sample Answer 3 for NR 305 Week 2: Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
Working in an inpatient/outpatient Endoscopy unit we perform a mix of focused and comprehensive assessments. The assessments are largely based on what procedure the patient is having and what symptoms they may present with that day. The most common type of procedures we handle in Endoscopy are colonoscopies, esophagogastroduodenoscopies (EGDs), and bronchoscopies. Several of our doctors perform a variety of specialty tests that can include endoscopic retrograde cholangiopancreatographies (ERCPs), endoscopic ultrasounds (EUS), and full or partial-thickness resection of the esophagus or colon. For any one of these procedures, we need to gain a brief health history of the patient because they will be under anesthesia for the test and just so we know what is going on with them in general. This includes information like what current health issues do they have, what are their current medications and when they took them last, have they been NPO since midnight, what allergies they have, have they ever or do they currently have an infectious disease, and for women, we need to know if they are still menstruating regularly and if they could potentially be pregnant. One of the first questions we ask them directly is why they are having the scope performed – what symptoms they are having that brought them in today. This is vital subjective data for the procedure staff, so that they know what they are looking for, taking a biopsy of, or trying to treat during the test. Examples of subjective data would be blood in the stool for a colonoscopy, persistent epigastric pain for EGDs, and jaundice coupled with abdominal pain for ERCPs. Our assessments become more focused depending on the scope that they are receiving. For example, if the patient is there for a colonoscopy, we need to know how their bowel cleanout went – what their last few bowel movements looked like – and if they finished all their bowel preparation. For bronchoscopies, we must make sure that we are listening to all areas of the lungs and documenting what we hear. Focused abdominal and skin assessments are important for EGDs and ERCPs.
The great thing about being in Endoscopy is that it is a specialty practice, so the patient population that we treat daily is varied. The majority of patients we see in the outpatient setting are aged 45 to about 75 who are there for routine colonoscopies. Most of the patients in this category are fairly healthy and do not require any special considerations when assessing them. In the outpatient setting, we also see a lot of younger or older adults who are there for symptoms that may have been plaguing them for a while. The inpatients that come to Endoscopy are normally there because there is a suspected gastrointestinal bleed, they are having trouble swallowing (new onset or after a stroke), or they have blockages in their liver or pancreas that require removal. Now that I am sitting here really pondering the patients we see daily we do treat people from all walks of life and of varying ages, lifestyles, cultures, and health statuses. We have had people from nursing homes that will come with a somewhat put-together chart, but a lot of the times we must contact the facility to speak with a nurse treating the patient to find out when they last had medications, something to eat or drink, and if their prep was completed. We see people from many different cultures who may not speak English, so we must use an interpreter over the phone or on our iPad in order to fully assess them and gain consent for the procedure they are having. Some of our inpatients are extremely ill and require special attention or monitoring while they are in our care. Whereas some of our inpatients may not be alert and oriented and we must rely on the family or POA to obtain a comprehensive health history for them. Endoscopy is a specialty unit, but it reminds me a lot of working on a nursing floor due to the varying populations of patients we do see.