18 Oct Reflection on the Nurse’s Role in Health Assessment

Reflection on the Nurse’s Role in Health Assessment

Purpose

 

The purpose of this reflection is for learners to reflect on the nurse’s role in health assessment in various care settings.

 

Course Outcomes

 

This reflection enables the student to meet the following course outcomes:

 

CO 1: Demonstrate a head to toe physical assessment. (PO 1)

 

CO 3: Describe physical, psychosocial, cultural, and spiritual influences on an individual’s health status. (PO 1)

 

Directions

 

Reflection is an activity that involves your deep thought into your own experiences related to the concepts of the week. Answers should be detailed. In reflections students:

 

Demonstrate understanding of concepts for the week

 

Engage in meaningful dialogue with classmates and/or instructor

 

Express opinions clearly and logically, in a professional manner

 

Use the rubric on this page as you compose your answers.

 

Scholarly sources are NOT required for this reflection

 

Best Practices include:

 

Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.

 

Enter the reflection often during the week to read and learn from posts.

 

Select different classmates for your reply each week.

 

Reflection Questions

 

 Reflect on your current or prior practice setting.

 

Paragraph One: Briefly describe the type(s) of nursing health assessments you commonly perform.

 

Explain how your nursing health assessments are focused or comprehensive.

 

Provide examples of key subjective and objective data collected by nurses in this setting.

 

Paragraph Two: Describe the typical patient population in your practice setting.

 

What are some special considerations that you have used for obtaining an accurate health history and physical assessment in this patient population?

 

Examples may include age, lifestyle, financial status, health status, culture, religion, or spiritual practices.

 

NR305 Health Assessment for the Practicing RN

 

Week 3 Discussion

 

Debriefing of the Week 2 iHuman Wellness Assignment

 

Purpose

 

The purpose of this debriefing is to re-examine the experience completing the Week 2 iHuman wellness assessment assignment while engaging in dialogue with faculty and peers. In the debriefings, students:

 

Reflect on the simulation activity

 

Share what went well and consider alternative actions

 

Engage in meaningful dialogue with classmates

 

Express opinions clearly and logically, in a professional manner

 

Course Outcomes

 

This debriefing enables the student to meet the following course outcomes:

 

CO 2: Differentiate between normal and abnormal health assessment findings. (PO 4)

 

CO 3: Describe physical, psychosocial, cultural, and spiritual influences on an individual’s health status. (PO 4)

 

CO 4: Demonstrate effective communication skills during health assessment and documentation. (PO 3)

 

Directions

 

Debriefing is an activity that involves thinking critically about your own experiences related to the virtual simulation you completed. In debriefings students:

 

Demonstrate understanding of concepts for the week

 

Engage in meaningful dialogue with classmates and/or instructor

 

Express opinions clearly and logically, in a professional manner

 

Use the rubric on this page as you compose your answers.

 

Scholarly sources are NOT required for this debriefing

 

Best Practices include:

 

Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.

 

Enter the debriefing often during the week to read and learn from posts.

 

Select different classmates for your reply each week.

 

Debriefing

 

 Use the following format to reflect on the Week 2 iHuman Wellness Assessment. This was the Luciana Gonzalez case.

 

Paragraph One: What went well for you in the simulation? Provide examples of when you felt knowledgeable and confident in your skills. Do you feel the scenario was realistic? Why or why not?

 

Paragraph Two: What would you do differently next time if you were caring for a patient similar to Ms. Gonzalez? Describe at least one area you identified where improvements could be made, specific to Ms. Gonzalez’ assessment. Were you surprised by any of the feedback you were provided by iHuman? If yes, please explain.

 

Paragraph Three: What did you learn from this simulation that you could apply to nursing practice? Or, what did this simulation reinforce that you found valuable? Do you have any questions related to the scenario?

 

 

 

NR305 Health Assessment for the Practicing RN

 

Week 4 Discussion

 

Debriefing of Week 3 iHuman Cardiovascular Assessment

 

Purpose

 

The purpose of this debriefing is to re-examine the experience completing the Week 3 iHuman Cardiovascular Assessment assignment while engaging in dialogue with faculty and peers. In the debriefings, students:

 

Reflect on the simulation activity

 

Share what went well and consider alternative actions

 

Engage in meaningful dialogue with classmates

 

Express opinions clearly and logically, in a professional manner

 

Course Outcomes

 

This debriefing enables the student to meet the following course outcomes:

 

CO 2: Differentiate between normal and abnormal health assessment findings. (PO 4)

 

CO 3: Describe physical, psychosocial, cultural, and spiritual influences on an individual’s health status. (PO 1)

 

CO 4: Demonstrate effective communication skills during health assessment and documentation. (PO 3)

 

Directions

 

Debriefing is an activity that involves thinking critically about your own experiences related to the virtual simulation you completed. In debriefings students:

 

Demonstrate understanding of concepts for the week

 

Engage in meaningful dialogue with classmates and/or instructor

 

Express opinions clearly and logically, in a professional manner

 

Use the rubric on this page as you compose your answers.

 

Scholarly sources are NOT required for this debriefing

 

Best Practices include:

 

Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.

 

Enter the debriefing often during the week to read and learn from posts.

 

Select different classmates for your reply each week.

 

Debriefing

 

Use the following format to reflect on the Week 3 iHuman Cardiovascular Assessment. This was the Michael Granger case.

 

Paragraph One: What went well for you in the simulation? Provide examples of when you felt knowledgeable and confident in your skills. Do you feel the scenario was realistic? Why or why not?

 

Paragraph Two: What would you do differently next time if you were caring for a patient similar to Mr. Granger? Describe at least one area you identified where improvements could be made, specific to Mr. Granger’s assessment. Were you surprised by any of the feedback you were provided by iHuman? If yes, please explain.

 

Paragraph Three: What did you learn from this simulation that you could apply to nursing practice? Or, what did this simulation reinforce that you found valuable? Do you have any questions related to the scenario?

 

 

 

NR305 Health Assessment for the Practicing RN

 

Week 5 Discussion

 

Debriefing of Week 4 iHuman Neurovascular Assessment

 

Purpose

 

The purpose of this debriefing is to re-examine the experience completing the Week 4 iHuman Neurovascular Assessment assignment while engaging in dialogue with faculty and peers. In the debriefings, students:

 

Reflect on the simulation activity

 

Share what went well and consider alternative actions

 

Engage in meaningful dialogue with classmates

 

Express opinions clearly and logically, in a professional manner

 

Course Outcomes

 

This debriefing enables the student to meet the following course outcomes:

 

CO 2: Differentiate between normal and abnormal health assessment findings. (PO 4)

 

CO 3: Describe physical, psychosocial, cultural, and spiritual influences on an individual’s health status. (PO 1)

 

CO 4: Demonstrate effective communication skills during health assessment and documentation. (PO 3)

 

Directions

 

Debriefing is an activity that involves thinking critically about your own experiences related to the virtual simulation you completed. In debriefings students:

 

Demonstrate understanding of concepts for the week

 

Engage in meaningful dialogue with classmates and/or instructor

 

Express opinions clearly and logically, in a professional manner

 

Use the rubric on this page as you compose your answers.

 

Scholarly sources are NOT required for this debriefing

 

Best Practices include:

 

Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.

 

Enter the debriefing often during the week to read and learn from posts.

 

Select different classmates for your reply each week.

 

Debriefing

 

Use the following format to reflect on the Week 4 iHuman Neurovascular Assessment. This was the Athena Washington case.

 

Paragraph One: What went well for you in the simulation? Provide examples of when you felt knowledgeable and confident in your skills. Do you feel the scenario was realistic? Why or why not?

 

Paragraph Two: What would you do differently next time if you were caring for a patient similar to Ms. Washington? Describe at least one area you identified where improvements could be made, specific to Ms. Washington’s assessment. Were you surprised by any of the feedback you were provided by iHuman? If yes, please explain.

 

Paragraph Three: What did you learn from this simulation that you could apply to nursing practice? Or, what did this simulation reinforce that you found valuable? Do you have any questions related to the scenario?

 

 

 

NR305 Health Assessment for the Practicing RN

 

Week 6 Discussion

 

Reflection on Nursing Assessment for Violence

 

Purpose

 

The purpose of this reflection is for learners to reflect on the nurse’s role in health assessment in various care settings.

 

Course Outcomes

 

This reflection enables the student to meet the following course outcome:

 

CO 3: Describe physical, psychosocial, cultural, and spiritual influences on an individual’s health status. (PO 1)

 

Directions

 

Reflection is an activity that involves your deep thought into your own experiences related to the concepts of the week. Answers should be detailed. In reflections students:

 

Demonstrate understanding of concepts for the week

 

Engage in meaningful dialogue with classmates and/or instructor

 

Express opinions clearly and logically, in a professional manner

 

Use the rubric on this page as you compose your answers.

 

Scholarly sources are NOT required for this reflection

 

Best Practices include:

 

Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.

 

Enter the reflection often during the week to read and learn from posts.

 

Select different classmates for your reply each week.

 

Reflection Questions

 

 Reflect on your current or prior practice experiences.

 

Paragraph One

 

Patients of any age, gender, cultural background or socio-economic status can be victims of violence. Consider a patient population you are currently working with or have worked with in the past. For what type of violence might they be at risk? What are some related findings that might alert you to investigate further?

 

Paragraph Two

 

Screening for signs of violence and abuse is a part of patient health history assessments. Have you observed the questions being asked by nurses or have you asked them to patients? Do you believe these screenings are typically completed in detail? Explain your answer.

 

 

 

NR305 Health Assessment for the Practicing RN

 

Week 7 Discussion

 

Debriefing of Week 6 iHuman Mental Health Assessment

 

Purpose

 

The purpose of this debriefing is to re-examine the experience completing the Week 6 iHuman Mental Health Assessment assignment while engaging in dialogue with faculty and peers. In the debriefings, students:

 

Reflect on the simulation activity

 

Share what went well and consider alternative actions

 

Engage in meaningful dialogue with classmates

 

Express opinions clearly and logically, in a professional manner

 

Course Outcomes

 

This debriefing enables the student to meet the following course outcomes:

 

CO 2: Differentiate between normal and abnormal health assessment findings. (PO 4)

 

CO 3: Describe physical, psychosocial, cultural, and spiritual influences on an individual’s health status. (PO 1)

 

CO 4: Demonstrate effective communication skills during health assessment and documentation. (PO 3)

 

Directions

 

Debriefing is an activity that involves thinking critically about your own experiences related to the virtual simulation you completed. In debriefings students:

 

Demonstrate understanding of concepts for the week

 

Engage in meaningful dialogue with classmates and/or instructor

 

Express opinions clearly and logically, in a professional manner

 

Use the rubric on this page as you compose your answers.

 

Scholarly sources are NOT required for this debriefing

 

Best Practices include:

 

Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.

 

Enter the debriefing often during the week to read and learn from posts.

 

Select different classmates for your reply each week.

 

Debriefing

 

Use the following format to reflect on the Week 6 iHuman Neurovascular Assessment. This was the Amka Oxendine case.

 

Paragraph One: What went well for you in the simulation? Provide examples of when you felt knowledgeable and confident in your skills. Do you feel the scenario was realistic? Why or why not?

 

Paragraph Two: What would you do differently next time if you were caring for a patient similar to Ms. Oxendine? Describe at least one area you identified where improvements could be made, specific to Ms. Oxendine’s assessment. Were you surprised by any of the feedback you were provided by iHuman? If yes, please explain.

 

Paragraph Three: What did you learn from this simulation that you could apply to nursing practice? Or, what did this simulation reinforce that you found valuable? Do you have any questions related to the scenario?

 

 

 

NR305 Health Assessment for the Practicing RN

 

Week 8 Discussion

 

Reflection on End of Life Care

 

Purpose

 

The purpose of this reflection is for learners to apply this week’s lesson on assessment at end of life to past practice experiences, and to consider how knowledge gained this week might shape future practice.

 

Course Outcomes

 

This reflection enables the student to meet the following course outcomes:

 

CO 2: Differentiate between normal and abnormal health assessment findings. (PO 4)

 

CO 3: Describe physical, psychosocial, cultural, and spiritual influences on an individual’s health status. (PO 1)

 

CO 6: Demonstrate professional behavior and caring during patient interactions. (POs 6, 7)

 

Directions

 

Reflection is an activity that involves your deep thought into your own experiences related to the concepts of the week. Answers should be detailed. In reflections students:

 

Demonstrate understanding of concepts for the week

 

Engage in meaningful dialogue with classmates and/or instructor

 

Express opinions clearly and logically, in a professional manner

 

Use the rubric on this page as you compose your answers.

 

Scholarly sources are NOT required for this reflection

 

Best Practices include:

 

Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.

 

Enter the reflection often during the week to read and learn from posts.

 

Select different classmates for your reply each week.

 

Reflection

 

Share with your classmates a time when you cared for a patient at the end of their life. This may be a time when you assisted the patient (or their support system) with decisions related to end of life care; or a time when you were present for the death of a patient.

 

What were your observations related to this experience?

 

Do you believe it was a peaceful death?

 

What went well?

 

Can you think of anything that could have made the experience better for the patient and/or family?

 

 

 

NR305 Health Assessment for the Practicing RN

 

Week 1 Quiz  

 

Question 1I can access iHuman and view the Support Desk information.

 

True

 

False

 

Question 2I have located the iHuman Undergraduate Help section of the website.

 

True

 

False

 

 Question 3I have viewed the assigned videos.

 

True

 

False

 

Question 4What was Mr. Jones’ most recent creatinine level recorded in the EHR?

 

Question 5 What is Mr. Jones’ most recent blood pressure reading?

 

Question 6Why has Mr.  Jones been admitted to the hospital?

 

Question 7I have a question about iHuman for my instructor:  (optional – type question below)

 

 

 

NR305 Health Assessment for the Practicing RN

 

Week 2 I Human  

 

PATIENT NAME – Luciana Gonzalez

 

AGE – 32 YEARS 

 

HEIGHT – 5’4” (163 cm)

 

WEIGHT – 185.0 lb (84.1 Kg) 

 

CHIEF COMPLAINT – Comprehensive health assessment

 

 

 

NR305 Health Assessment for the Practicing RN

 

Week 3 I Human  

 

PATIENT NAME – Michael Granger

 

AGE – 69 YEARS 

 

HEIGHT – 5’9” (175 cm)

 

WEIGHT – 178.0 lb (80.9 Kg) 

 

CHIEF COMPLAINT – Heart failure exacerbation

 

 

 

NR305 Health Assessment for the Practicing RN

 

Week 4 I Human  

 

PATIENT NAME – Athena Washington

 

AGE – 48 YEARS 

 

HEIGHT – 5’6” (168 cm)

 

WEIGHT – 167.2 lb (76.0 Kg) 

 

CHIEF COMPLAINT – Neurological deficit

 

 

 

NR305 Health Assessment for the Practicing RN

 

Week 6 I Human  

 

PATIENT NAME – Amka Oxendine

 

AGE – 19 YEARS 

 

HEIGHT – 5’3” (160 cm)

 

WEIGHT – 127.6 lb (58.0 Kg) 

 

CHIEF COMPLAINT – Acute acetaminophen ingestion