As you learned in NR302, before any nursing plan of care or intervenTon can be implemented or evaluated, the nurse conducts an assessment, collecTng subjecTve and objecTve data from an individual. ±he data collected are used to determine areas of need or problems to be addressed by the nursing care plan. ±his assignment will focus on collecTng both subjecTve and objecTve data, synthesizing the data, and idenTfying health and wellness prioriTes for the person. ±he purpose of the assignment is twofold.• ±o recognize the interrelaTonships of subjecTve data (physiological, psychosocial, cultural and spiritual values, and developmental) and objecTve data (physical examinaTon Fndings) in planning and implemenTng nursing care• ±o re²ect on the interacTve process that takes place between the nurse and an individual while conducTng a health assessment and a physical examinaTon COURSE OUTCOMES CO 2: UTlize prior knowledge of theories and principles of nursing and related disciplines to integrate clinical judgment in professional decision-making and implementaTon of nursing process while obtaining a physical assessment. (POs 4 and 8) CO 3: Recognize the in²uence that developmental stages have on physical, psychosocial, cultural, and spiritual funcToning. (PO 1) CO 4: UTlize e³ecTve communicaTon when performing a health assessment. (PO 3) CO 6: IdenTfy teaching/learning needs from the health history of an individual. (POs 2 and 5) DUE DATEPlease see the Course Calendar.TOTAL POINTS POSSIBLE50 pointsPREPARING THE ASSIGNMENT±here are four graded parts to this assignment: (1) Obtain a health history and conduct a physical examinaTon on an individual of your choosing (not a paTent), (2) compile a health educaTon needs assessment, (3) self-re²ecTon, and (4) wriTng style and format.InstrucTons for each part follow.Health History Assessment and Physical Assessment (25 points)NR304 Health Assessment IIChamberlain College of NR304 RUA 0614 LS1
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Using the following subjecTve and objecTve components, as well as your textbook for explicit details about each category, complete a health history and physical examinaTon on an individual. You may choose to complete porTons of this assignment as you obtain the health history and perform the physical examinaTon associated with the body systems covered in NR304. Please be sure to avoid the use of any idenTFers in preparing the assignment. Students may seek input from the course instructor on securing an individual for this assignment. Keep notes on each part of the health history and physical examinaTon as you complete them so that you can refer to the notes as you write the paper.1.Subjectve DaTa—HealTh HisTory ComponenTs To Be Included•Demographic data •Reason for care (why they are in the facility) •Present illness (PQRS± of current illness) •PercepTon of health •Past medical history (including medicaTons, allergies, and vaccinaTons and immunizaTons) •²amily medical history •Review of systems •Developmental consideraTons •Cultural consideraTons •Psychosocial consideraTons•Presence or absence of collaboraTve resources (community, family, groups, and healthcare system) REMEMBER: Make noTes of The healTh hisTory Fndings, ensuring ThaT you have addressed all of The componenTs lisTed here. STudenTs are also encouraged To Take noTes abouT Their experiences while conductng The healTh hisTory for reference when creatng The assignmenT, partcularly The re±ecton secton.2. Objectve DaTa—Physical Exam ComponenTs To Be IncludedDuring the lab experiences, you will conduct a series of physical exams that includes the following systems.Keep notes on each part of the physical exam as you complete them to reference as you write the paper.Refer to the course textbook for detailed components of each system exam. Remember, assessment of the integumentary system is an integral part of the physical exam and should be included throughout each system.²rom NR302oHEEN± (head, eyes, ears, nose, and throat) oNeck (including thyroid and lymph chains
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