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NURS_6512
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History Assignment | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/4119094
History Assignment Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-October-2018
Return to Assignment
Your Results
Overview Information Processing : 28 of 40 (70.0%)
Transcript
Each relevant diagnosis is scored on a four-point scale:
Subjective Data Collection
Priority (1 point): the correct priority of the diagnosis was chosen
Objective Data Collection Evidence (up to 2 points): the strength of the patient cue(s) selected as evidence for the identified
diagnosis
Education & Empathy Required Evidence: selecting at least one cue that directly indicates the presence of a
problem or risk is worth 2 points
Documentation Supporting Evidence: selecting at least one cue that is a contributing factor or cause of a
problem or risk, without the presence of Required Evidence, is worth 1 point
Information Processing Planning (1 point): the plan proposed to address the diagnosis includes at least one correct
component
Health History Tips and Tricks
Self-Reflection
Relevant Diagnoses
1
Priority Pro Tip: Managing acute pain is an
1. Acute
Student pain of
Response: the foot
High 4 of 4
immediate high priority, because other health
Correct Priority: High concerns cannot be effectively addressed while a
patient experiences severe pain.
Priority
Evidence 2
Relevant
Evidence Pro Tip: Tina reports intense pain and
rates her pain on a numerical scale. She also reports
characteristics of the pain, including its duration of one
Irrelevant week; this timespan defines her pain as acute.
,History Assignment | Completed | Shadow Health https://chamberlain.shadowhealth.com/assignment_attempts/4119094
Relevant
Planning Pro Tip: Intervene to reduce the pain by
prescribing an appropriate analgesic and educating
the patient on its effective use and potential side
effects. Provide the patient with options for non-
pharmacological pain relief, such as RICE (rest, ice,
compression, elevation).
Irrelevant
(None provided)
1
Priority Pro Tip: Treating this infection is a high priority, as failure to
2. Local
Student infection of
Response: skin
High and subcutaneous tissue oftreat
thethe
foot 3 of 4
infection may lead to it spreading to surrounding tissues or
Correct Priority: High systemically. Treating the infection can prevent adverse events such as
osteomyelitis and bacteremia.
Priority
Evidence 1
Relevant
Evidence Pro Tip: Tina presents with an open wound on the plantar
surface of the foot. The wound is red, swollen, warm, and produces
purulent discharge. Tina reports that the appearance and level of
discomfort have worsened with time- all of these factors support a
Irrelevant diagnosis of acute infection.
(None provided)
Planning 1
Relevant
Planning Pro Tip: Assess the wound directly and obtain a culture so
that the infectious organism may be identified, then clean and re-dress
the wound. Regional lymph nodes may be swollen. Because the
infection is the root cause of Tina's other acute issues, prescribing an
anti-infective will begin to resolve the issues; after receiving culture
results, the specific anti-infective given may be changed. Ensure that
Tina understands how to treat the wound, use the anti-infective
effectively, and to report symptoms of a worsening infection. Foot care is
especially important for diabetics, so you should help Tina better
understand diabetes' impact on wound healing and the need to
proactively monitor her foot health.
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