Nursing Grand Rounds Part 1_Holistic Assessment
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NursingGrandRoundsPart1-HolisticAssessment.docx
NSG 3300 - Conc of Pathophys for Nsg
· Week 3 - Nursing Grand Rounds Part 1_Holistic Assessment
Assignment Overview:
The Week 3 Assignment is part of a scaffolded assignment and serves as the basis for creation of the Week 5 Assignment.
For the Week 3 Assignment: Nursing Grand Rounds Presentation Part 1: Holistic Assessment, you will meet with and assess a selected participant and complete the accompanying Holistic Assessment Form. In Week 5, you will complete the Nursing Grand Rounds Part 2: Presentation, which is a teaching presentation.
For the Week 5 Assignment, you will use the data collected in the Week 3 Assignment to create a PowerPoint presentation designed to educate your selected participant about an identified medical condition they are experiencing. The Week 3 Assignment data will be used as a foundation for creating the patient-centered teaching presentation due in Week 5.
Assignment Directions:
· Identify an participant known to you who has a current medical health condition. The participant must be 18 years or older and legally capable of consenting to participate in this activity. The participant CANNOT be a family member or a client you have cared for in your professional nursing practice. Using a client or patient who was assigned to receive care from you by an employer, agency, facility, or any organization will result in earning a score of zero (0) points for the assignment.
· Be sure the participant is diagnosed with a medical health condition that meets the assignment requirements. The participant’s medical health condition cannot be congenital (i.e., present at birth). Instead, the medical health condition must have a pathophysiology. The medical condition also must be a primary health alteration (e.g., cyclic vomiting syndrome), and not simply a sign or symptom that is a manifestation of a primary medical disorder (e.g., hyponatremia, dehydration, nausea, vomiting, etc.).
· Complete the Holistic Assessment Form attached for the selected participant, then upload the completed form to the Dropbox by the end of Week 3. The form should be typed. The course faculty will review and grade the form for completion and accuracy and will approve the participant/medical condition you have selected as the focus for the Week 5 Assignment. Be sure you have approval from course faculty before you begin working on the Week 5 Assignment: Nursing Grand Rounds Part 2: Presentation.
· After successfully completing the Week 3 Assignment and obtaining faculty approval of the selected participant/medical condition, follow the instructions for completing the Week 5 Assignment: Nursing Grand Rounds Part 2: Presentation.
Please be sure to view both the assignment instructions and the grading rubric prior to completing and submitting an assignment.
The Week 3 Assignment requires completion and upload of the following item to the assignment dropbox:
Here are some FAQs about the Weeks 3 and 5 Assignments:
Q1. Can my selected participant/patient for the Weeks 3 and 5 Assignments be a family member or friend?
Response 1: No, the participant who is the subject of your Weeks 3 and 5 Assignments cannot be a family member. However, the selected participant may be a friend. They must be 18 years or older and legally capable of giving consent to participate in the activity.
Q2: Can I choose an actual patient who is assigned to my care as part of my work?
Response 2: No, the patient cannot be someone who is assigned to your care as part of a work assignment/paid nursing assignment. To do so may constitute a HIPAA violation.
Q3: Can I complete my assignment while I am working for an employer?
Response 3: No. The assignment cannot be completed during work hours or during periods in which you are being paid by an employer or contractor.
Q4: What if some of the assessment questions (in the Week 3 Assignment) are not applicable to my chosen patient/participant? For example, what if my participant does not have tubes or drains?
Response 4: Not every item in the assessment forms will necessarily apply to your selected patient/participant. If the item does not apply, please add "N/A" (for "not applicable") next to the item. If any assessment is possible, please complete that item based on your assessment findings.
Q5: For my assignment, I am choosing to use a PDF version of the document. How do I type in/add text to a PDF document?
Response 5: First, download the PDF to your computer. Do not open the PDF document in a web browser and add information to it; if you do this, the content you enter will not be saved. Instead, download the PDF to your device and open it. Next, in the top navigation section, select "Sign." Finally, select "Fill and Sign." You can now type directly into the PDF document.
NursingGrandRoundsPresentationPart1.docx
Nursing Grand Rounds Presentation Part 1: Holistic Assessment Form
Part A: Student and Participant Data
1. Student name:
2. Participant assessed (initials only):
3. Participant’s age:
4. Participant's gender (select one): Male Female Nonbinary Other Prefer not to Disclose
5. Briefly explain how the student knows the participant:
Part B: Evaluating Medical History
6. Drug/medication allergy: Yes No If yes, please specify:
7. Food/material/environmental allergy: Yes No If yes, please specify:
8. Please complete the participant and family health history table below.
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Participant and Family Health History |
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Specify alterations/abnormal findings |
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Category |
Alterations (Yes/No) |
Participant |
Family members |
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Cardiovascular disorders |
Yes / No |
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Respiratory disorders |
Yes / No |
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Neurological disorders |
Yes / No |
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Musculoskeletal disorders |
Yes / No |
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Kidney disorders |
Yes / No |
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Liver disorders |
Yes / No |
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Gastrointestinal disorders |
Yes / No |
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Metabolic and endocrine disorders |
Yes / No |
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Genitourinary disorders |
Yes / No |
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Lymphatic/immune system disorders |
Yes / No |
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Infections/infectious disease |
Yes / No |
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Blood disorders |
Yes / No |
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Skin, hair, and nail disorders |
Yes / No |
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Sleep disorders |
Yes / No |
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Mental or behavioral health disorders |
Yes / No |
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Other significant health alterations |
Yes / No |
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9. Are vaccinations up to date? Yes No
10. Does the participant participate in any complementary or alternative therapies, such as acupuncture, aromatherapy, hydrotherapy, etc.? Yes No If yes, please specify:
Part C: Medication and Other History
1. Please list all current medications and supplements the participant is taking, including the dose and frequency.
2. Past surgeries? (Please specify and include year)
3. Date of last dental exam?
4. Date of last eye exam?
a. Does the participant wear glasses or contacts?
b. Does the participant report other visual concerns? Yes No
5. Has the participant recently experienced unplanned weight loss or gain?
6. Additional screenings completed in the last two years:
a. Mammogram Yes No Date:
b. PSA Yes No Date:
c. Colonoscopy Yes No Date:
d. Other (please specify)
e. N/A
Part D: Physical Assessment Findings
7. Initial vital signs:
a. Pulse
b. Blood pressure (may be reported by the participant from last check)
c. Respiratory rate
d. Temperature
e. Pulse oximetry (if available, may be reported by the participant from last check)
8. Orientation:
9. Pupils:
10. Head, ears, eyes, nose, and throat:
11. Pulses:
12. Heart rate and rhythm:
13. Pulse strength:
14. Capillary refill:
15. Respiratory rate and effort:
16. Lung sounds:
17. Abdominal assessment:
18. Bowel sounds:
19. Date of last bowel movement:
20. Urinary status:
21. Skin color and temperature:
22. Wounds or bruises?
23. Assessment of mucous membranes:
24. Extremity strength and ROM:
25. Gait:
26. Presence of tubes or drains:
27. Pain assessment:
Part D: Cultural and Spiritual Assessment
28. What culture does the participant identify with?
29. Sexual orientation of the participant?
30. How does the participant describe their faith or belief system?
31. Is the participant part of a religious community? Yes No
a. If so, which one?
b. Does the participant have personal spiritual beliefs that are independent of organized religion?
32. What aspects of spiritual care are important to the participant?
33. Has the participant ever experienced bias or exclusion based on race, faith, culture, or sexuality?
a. Describe how the participant handled these bias’s or exclusions and how it impacted their health.
Part E: Social History
34. Occupation:
35. What is the highest level of education completed by the participant?
36. Tobacco use (type and frequency):
37. Alcohol use (average number of drinks per week):
38. Recreational drug use (type):
39. Is the participant sexually active? Yes No
a. Birth control method:
b. History of sexually transmitted infections:
40. How often does the participant exercise? What type?
41. Does the participant feel supported or have family/friends they can turn to? Yes No
a. If no, describe how the participant responds to and copes with stressful events?
b. What resources does the participant utilize for support?
Part F: Additional Health Considerations
42. How would you rate your current health? (Excellent, Good, Fair, Poor)
43. What factors contributed to your personal health rating?
44. What (if any) are your health goals?
45. What health care topic(s) do you want to learn more about?
Part G: Selected Health Alteration
Please state the participant’s selected health alteration that will be the primary focus of the Week 5 Nursing Grand Rounds Presentation:
