Sample Nursing Assessment Paper

This assignment will discuss and define the role of assessment as a vital tool in the provision of nursing care within the Nursing process. The author will describe sources of information which may inform the assessment process, identify a specific assessment tool used in my area of practice and identify ways of developing a positive professional relationship with the client, during the assessment process.

For this assignment, I was required to interview one of my professors, including questions that were specific to this assignment as well as questions that I wanted answers for. I chose to interview Professor Amy Edmison, my Adult Health 2 professor because I found out during lecture that she, like myself, had a passion for mentoring.

A key recommendation for transforming nursing practice from the IOM is improving quality of care. There is an ample amount of research that associates midwifery care as being of comparable or higher quality to obstetrician/gynecologists with increased patient satisfaction and lower cost (American College of Nurse Midwives, 2012). Midwives work to improve care outcomes through providing holistic, patient-centered care.

HPI: 45 year old G2P2 female presents to the office today for a routine gynecologic check including breast, external genital exam, and pelvic exam with no recent medical issues. Patient noted her menstrual cycle occurs every 30 days with bleeding lasting 7 days with associated symptoms. Denies dysmenorrhea, menorrhagia, dyspareunia, pelvic pain, vaginal discharge, itchiness or lesions on external genitalia. LMP 6/1/2017. Admits to abdominal bloating and fullness. States her daughter told her that her abdomen appears to be swollen and has increased in size. Denies any contraceptive use.

Hi Emad, Great post, as you noted self-assessment is very vital in education as well in workplace too. Self-assessment involves the exchange of educational and scientific paradigm. Judgments about learning of one’s own work or learning facilitate critical thinking in students and job. On the other side. The student escaper hinders the effectiveness of self-assessment in groups. The self-reflection facilitates the processes of metacognition. Doing self-assessment let the students understand themselves that they have invested the time and effort required. Self-assessment, reflection on practice and critical thinking in nursing

Nursing assessment that are important to complete are determining patients self-care ability, because it is often seen in right parietal lobe tumor that an individuals personality and change and their ability to take care of themselves by washing, eating, basic hygienic tasks. Not only should you assess self-care but also a general assessment of the patient’s mental aspect for any changes with memory or confusion. A second assessment important to conduct is a neurological assessment to determine functioning abilities. Such findings for the assessment are if the individual can determine what letters or numbers are traced on his hand or whether they can point out locations of body parts and differentiate between their right and left side. If

The nursing health assessment is an important tool nurse have in their skills. A thorough and skilled assessment allow the nurse to obtain descriptions of patient’s symptoms, how the symptoms started, and this helps in the development of differential diagnosis. The evaluation uses subjective and objective data: individual assessment is these that the patient reported, the aim is those that the nurse observed. Fair assessment data includes that which is observable and measurable (Jarvis, 2008).

Theory evaluation is necessary in our discipline to contribute nursing knowledge, understand the context in which the knowledge gained was produced, to direct nursing practice, to assure theories guide beneficial and promising outcomes, and to assure theories are applicable to the world of nursing and nursing care. Although all of the theory evaluations in chapter 5 have the similar criteria for analysis, I appreciate the criteria established by Walker and Avant. Walker and Avant clearly define their categories of analysis: origins, meaning (concept identification; conceptual and operational definitions), logical adequacy (proper context; predictive ability), usefulness (practical application; increasing knowledge; predictability), generalizability,

Mrs Banks was then taken back to the consulting room to be with her husband. From the health history and physical examination findings, a definite diagnosis was not obtained and it was explained that further investigation were needed to establish the cause of the pain and bleeding. Upon reviewing the differential diagnosis, the possibility of ectopic pregnancy was identified, this presents a major health problem for women of childbearing age. Without timely diagnosis and treatment ectopic pregnancy can be a life threatening situation (RCOG 2016).It is the leading cause of maternal death in the first trimester of pregnancy accounting for 10-15% of all pregnancy related deaths (National Institute for Health and clinical Excellence (NICE) 2015)

The purpose of education and learning is to gain awareness and insight about the society and get the knowledge about dealing with ups and downs of life. The best purpose of education and knowledge is achieved when it is used for the betterment of the community and the general public. I am of the view that the education of the person should make him/her a better human being and citizen, and the person should use his/ her education to provide more and more benefit to the humanity. Practical nursing is the field that allows the graduates to work for the betterment of the community as well as the general public, which is the main reason I have developed an increased interest in the nursing field and becoming a practical nurse. After realizing the field of interest and passion in life, the most important thing is to finalize the institute and organization that can play an important role

During this week’s clinical, I was assigned to care for a 7 year old female who presented

Melanie is an almost 34-year-old female here today to establish care. She would like to talk about her health history and has a primary care doctor. The patient tells me she is pregnant. She is a now G2, P1, with a 16-month-old son named Braden at home. She is being followed by Dr. Turer in Exeter. No issues thus far. She is having some nausea and some fatigue, but otherwise no new or unusual symptoms, including no belly pain, cramping, bleeding, or spotting.

A. BB called from home at 0600 to the L&D unit that she was having an intense contraction. Upon phone interview, the charged nurse asked her to come in. At 0730, BB came in with her husband and a six years old daughter, and she was admitted to the unit. She was placed on the monitor while the assigned nurse continued the assessment. At 0830, she had dilated to 10cm, and she delivered shortly after that. Delivery was successful without any complication. She was GA 39+1 weeks, G2P2002, GBS positive, and the baby’s weighed 6lb 14.1 oz.

This week of the clinical, I was assigned to Estes Park, at Harmony Foundation facility rehabilitation. I was looking forward to spending time with the patients, and learning more about them. I wanted to hear their stories. I wanted to hear what they have to say or share with us. My hope was that I will provide my ears to someone, so that they can just talk, and I hope that it will help, somehow.