NUR 643E Health Assessment Topic Reflection 1

Complete a 250‐word NUR 643E Health Assessment Topic Reflection 1 of what you learned during this topic. Include the following in your reflection:
1.Think about an experience you\’ve encountered when viewing or completing the particular assessment.
2.Discuss difficulties that could potentially arise or specific questions related to completing this type of assessment.
3.Include illustrative examples of potential strategies used to overcome the difficulties encountered when completing (the particular) assessment. NUR 643E Health Assessment Topic Reflection 1
4.Describe how the Christian worldview and compassion for all plays a role in this type of assessment.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. NUR 643E Health Assessment Topic Reflection 1

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Response

Physical examination and history taking for the head and neck are essential functions of medical personnel, but they can be particularly challenging. In fact, this is usually the first activity that medical personnel undertake upon coming into first contact with the patient since these regions have a concentration of nerves that could be overlooked if the client presents with a seemingly non-related issue. NUR 643E Health Assessment Topic Reflection 1. As part of providing compassionate care that is in line with the Christian worldview, conducting physical examination of the head and neck is considered a priority to ensure that potentially debilitating conditions are not overlooked. Conducted when the patient is in a seated position, the physical examination of the head and neck can be length although varied dependent on the patient’s presenting history and complaint (Kauffman, 2014). There are five activities that are typically conducted when conducting physical examinations to include examinations of the head, ears, eyes, neck, and nose and throat. Perhaps the most challenging aspect of the examinations is checking the ears, particularly auditory acuity tests involving the use of tuning fork instruments. The challenge is in the use and interpretation of the test results when hearing loss is suspected. Firstly, Weber (lateralization) test that checks for asymmetric, normal and bilateral hearing. It is subjective since the client is required to indicate sound loudness for the vibrating tuning fork as compared for the two ears. NUR 643E Health Assessment Topic Reflection 1. The subjective nature of the test makes it difficult to interpret the results. Secondly, Rinne test that checks for conductive hearing loss. It checks for bone and air conduction by placing a vibrating tuning fork on the ear’s mastoid process. The challenge is in the subjective nature of the test since the patient must indicate when he or she stopes hearing the tone from the vibrating tuning fork. The identified difficulties noted in the subjective nature of the two tests can be addressed through experience in using the tests, making the nurse more skilled in noting the typically overlooked subtle differences that have implications for test findings and interpretations (Bickley & Szilagyi, 2013; Kauffman, 2014). NUR 643E Health Assessment Topic Reflection 1.

References

Bickley, L. & Szilagyi, P. (2013). Bates’ guide to physical examination and history-taking (11th ed.). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins.

Kauffman, M. (2014). History and physical examination: a common sense approach. Burlington, MA: Jones & Bartlett Learning. NUR 643E Health Assessment Topic Reflection 1.

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