NURS 680B Discussion Advanced Health/Physical Assessment

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, choice #2 19-year old male.

22-year old obese female with irregular menses reports she and her partner have been trying to get pregnant for 18 months without success.

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A 30-year old woman of 28 wks gestation reports inability to feel her baby move for the past 2 hours.

A 27-year old woman of 35 wks gestation with gestational diabetes reports having headache for the last day that will not go away.

For the case you have chosen, post to the discussion:

Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.

In SOAP format, list:

Pertinent positive and negative information

Differential and working diagnosis

Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

In your peer replies, please reply to at least one peer who chose a different case study.

NURS 580 Advanced Health/Physical Assessment

This course is designed to prepare the student to complete an accurate patient history, physical examination and utilize the diagnostic reasoning process to develop diagnoses as a foundation for advanced practice in primary and/or acute care settings. The course focus on physical examination and history taking contains foundational content to guide students’ approaches to history taking, interviewing, and other core assessment concepts, as well as fully illustrated, step-by-step techniques that outline correct performance in conducting physical examinations. Physical assessment is accomplished with the progression of critical thinking from data analysis through the routine head to toe examination to the progression of a targeted system work up leading to differential diagnosis.

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NURS 680B Discussion Advanced Health/Physical Assessment