What exam modifications can the Garcia expect for Virginia?
Sensory examinations are almost the same for adults, infants, young children, and aging adults. But due to different level of development, some aspects of the exams are being modified in other to meet the need of patients from every age group, and to help examiner acquire an accurate result. Garcia should expect some modifications when taking Virginia her two year old daughter for complete nursing assessments. The modification includes:
Hearing exam modifications:
During external ear examination, the examiner will examine Virginia’s external ear to confirm if the top of her pinna is in alignment with the imaginary line that comes from the corner of her eye (Jarvis, 2013, p. 335).
Otoscopic examination will be done towards the end of the exam because Virginia tends to lose cooperation afterwards this part of the examination (Jarvis, 2013, p. 335). Also, Garcia will be needed to stabilize child during examination in other to avoid injury.
Virginia’s pinna will be pulled down in other to align it with the ear canal slope when inserting the otoscope. (Jarvis, 2013, p. 335), and a pneumatic (inflated) bulb is attached to the otoscope which will allow examiner to direct air toward the inner ear in other to evaluate how well the air can respond to pressure. (Jarvis, 2013, p. 335)
Vision exam modifications
Allen test is used instead of the Sellen test. Allen test is used to screen young children from 11 months to 2½ years old, which is Virginia’s age group falls in. In this test, Virginia will be shown seven picture cards with familiar objects while the pictures are shown at distance of 15 feet, and close to her face. If she is able to identify three out of s...
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...had a hearing and eye examination, and it went really well. For the eye testing, I was asked to stand 20 feet away from a chart of different alphabets with different sizes, and I was asked to cover my right eye with my right hand while I read out the letters, while the same process was repeated for the left eye. Also, during the hearing test, I was asked to sit in a little quiet room where I was given an ear phone and a buzzer to press anytime I hear sounds through the ear phone. This process was repeated for about 10 minutes .
References
Giddens, J. (2013). Concepts for nursing practice. (1st ed.). St. Louis, Missouri: Mosby Elsevier. Retrieved from http://pageburstls.elsevier.com/
Jarvis, C. (2012). Physical examination and health assessment. (6th ed.). St. Louis, Missouri: Elsevier Saunders. Retrieved from http://pageburstls.elsevier.com/
Practice. In P. A. Potter, & A. G. (7th ed.) Perry, Fundamentals of Nursing (pp. 215-324). Saint Louis MO: Mosby-Elsevier.
Stethoscope functionality generally has not changed over the past few decades evolving from the monaural hollowed out wooden tube first invented in the early 1800’s by Rene Laennec to the more familiar long multi tubular version, improved upon by George Cammann 50 years later, we so typically see today. The core components of a modern stethoscope are comprised of ear tips, binaural piece, tubing and a diaphragm with a bell on the back. The bell transmits low frequency waves all the way up to the ear pieces, while the diaphragm is designed to carry the higher frequency sound. The two fathers of the stethoscope left little room for improvement on the near perfect design for just over a century until a Harvard Medical School professor by the name of David Littmann turned the simple listening device into the versatile diagnostic tool resting around almost every health care professional’s neck today.
Moreover, I will let the patient become familiar with any instruments such as a speculum, and demonstrate the tools that will be used to obtain tissue samples that would be used during the examination. Explaining the procedure is also a significant step; this will allow the patient have a sense of control during the examination as we ask and answer questions about their current state, that would help disseminate any concern they may have. Meanwhile, they can learn about what may happen, related to any body sensations or feelings they can experience during the procedure, all while the provider continues to develop rapport and patient’s trust
Taylor, C. (2011). Introduction to Nursing. Fundamentals of nursing: the art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Age-equivalent scored also do not represent children who scored extremely high and extremely low on the given test. Age-equivalent scores are not estimated for the extreme scores at either end of the spectrum. Children that fall within these ranges are given a generalized age-equivalent score of below the lowest age derived or above the highest age. This results in inadequate information for all individuals that scores are reflected on these parts of the
read by a trained health worker. If the skin around the prick israised and it
Roux, G., & Halstead, J. A. (2009). Issues and trends in nursing: essential knowledge for today and tomorrow. (p. 349). Sudbury, Massachusetts: Jones and Bartlett. Retrieved from http://wgu.coursesmart.com/9781449608347/1?CSTenantKey=wgu
Thorne, S. (2010). Theoretical Foundation of Nursing Practice. In P.A, Potter, A.G. Perry, J.C, Ross-Kerr, & M.J. Wood (Eds.). Canadian fundamentals of nursing (Revised 4th ed.). (pp.63-73). Toronto, ON: Elsevier.
Potter, P.A., Perry, A.G., Stocker, P.A., & Hall. (2017). Fundamentals of Nursing (9th ed.). St. Louis, MO:
Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Throughout this philosophy paper, I have explored what nursing is based on my personal values and beliefs as it relates to the body of work in nursing. I value the importance of holistic nursing and the care of patients being individualized for them and their family. Also, effectively collaborating among health care professionals to ensure quality care for patients. Additionally, the importance of health promotion as one of the main roles of nurses is being a teacher, since promoting health prevents illness and increases the level of health in clients. These principles will serve as a guide for my personal standards of nursing practice.
Assessment of a patient’s health status is the collection of data through nursing assessment techniques,
...telephone booth (body plethysmograph) while breathing in and out into a mouthpiece. Changes in pressure inside the box help determine the lung volume.
Assessing is the first phase of the nursing process, and it refers to the ones ability of identifying the ongoing nature of the condition. Assessment includes; the collecting of data from the patient or regarding the patient for examples one’s vital signs , the reviewing of the collected information , recognising of the patients problem , and also detecting of the significances among problems. Any information for patients assessment can be retrieved by observing, ques...
Assessment is the accurate collection of comprehensive data pertinent to the patient’s health or the situation (“American Nurses Association,” 2010). Assessment is the first step in the nursing process and the most important. Assessment is the accurate collection of the patient’s health date including both subjective and objective information. Subjective data includes information that can only be described or verified by the patient. This may include chest pain, headache, or body aches. Objective date is data that can be observed and measured. This type of data is obtained using inspection, palpation, percussion, and auscultation during the physical exam. Objective data can also be provided through diagnostic testing. This is important for proper diagnosis, planning, and intervention. Examples of this may include vital signs, warm and moist skin, and coughing up yellow colored sputum.