Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

NUR504- REPLY TO BEJAMIN

23/10/2020 Client: bingyanj Deadline: 2 Day

 


Case 3



  • 16-year-old white pregnant teenager living in an inner-city neighborhood.


What are the barriers to interpersonal communication?


            As a clinician, interpersonal communication barriers when dealing with a 16-year-old white pregnant teenager are many. They include fatigue, anxiety and embarrassment, age difference between clinician and patient, and the patient's values and beliefs (Bosworth, 2010). For one, pregnant adolescent patients might have a problem concentrating due to fatigue. Thus, gathering information from such a patient might be a difficult task for any clinician. When patients are not entirely concentrated on giving the correct information, accurately diagnosing and treating them will be a huge ask. Adolescent patients tend to be anxious or embarrassed about their condition, especially if it is an unplanned pregnancy. No one would feel comfortable getting undressed in front of a stranger, much less a teenage mom-to-be. Thus, anticipating embarrassment and finding a way to minimize it can help ease an uncomfortable situation.


            Also, everyone has their assumptions based on their culture or beliefs. A 16-year-old white pregnant teenager can genuinely believe that only a female nurse can attend to her and that men would not do a thorough job. The clinician should consider such assumptions before attending to the patient. This goes hand in hand with those adolescent patients who believe that junior staff can properly treat them. The age difference between the clinician and the patient can sometimes be an issue, especially if the patient feels she will not communicate comfortably with an older attendant. Lastly, a 16-year-old white pregnant teenager is most likely to be anxious or embarrassed about her condition. Teenagers may be hesitant to openly discuss their condition in the present of a parent, and my also feel guilty and worried about what their peers might think of them. Thus, the privacy and confidentiality of this interaction will be of utmost importance. 


What are the procedures and examination techniques that will be used during the physical exam of your patient?


            The 16-year-old white pregnant teenager will be taken through a geriatric assessment. However, since teenagers may hesitate to talk freely in the presence of their parent, the clinician should ask for permission on the patient’s behalf for the parents to be absent while the interview is being conducted. Also, the clinician should avoid any painful or intrusive procedures and do as much as possible with the patient still dressed and seated. The patient should also be asked if they prefer certain things done and whether there are specific movements they feel uncomfortable doing. For this patient, the first step will be to arrange for privacy, quiet, and any special needs since the physical examination will be affected by the environment's quality. It will also be essential to make sure the patient is calm, relaxed, and adequately draped or gowned. The next step will be to conduct a general inspection and check for vital signs, and an eye and ear examination will follow this. An ophthalmo-otoscopy will then be undertaken before connecting the otoscope to the nasal speculum and examining the nares. A mouth examination will then follow before evaluating the face to examine symmetry and other details concerning motor divisions of the V and VI cranial nerves. For a young mother, a complete examination may be easier if it is divided into multiple sessions rather than taking the patient through hours of exhaustive tasks. The procedure will yield a more relevant and complete list of psychosocial issues, functional problems, or medical problems. Results will be thoughtfully integrated with the patient's pathophysiology and history (Ball et al., 2015). 


Describe the Subjective, Objective, Assessment, Planning (S.O.A.P.) approach for documenting patient data and explain what they are.


           The Subjective, Objective, Assessment, and Plan (SOAP) is an acronym used in nursing to document patient's data in a structured way. It provides clinicians with a framework for evaluating patients' information. Also, it offers a cognitive outline that aids in clinical reasoning. Using the framework, nurses are able to assess, diagnose, and treat patients in an informed and reasoned manner. This paper aims to discuss S.O.A.P. approach in documenting patients' data. 


           The subjective (S) stands for the patent's experiences, personal views, and feelings. The component included here is chief complaint (CC), history of present illness (H.P.I.), and review of systems (R.O.S.). The patient chief complaint is a short statement of the patient purpose to visit the hospital. History of present illness describes the patient current situation or condition since the time that the symptoms for the disease started showing. It describes the condition in a narrative form. The review of systems compiles the pertinent and negative symptoms (Jenkins &David, 2019). 


           The Objective assessment (O) entails the documentation of information that the clinician observes from the current patients' condition. This documentation covers vital signs, physical evaluation findings, imaging results, laboratory information, and other diagnostics data. Simultaneously, the assessment section entails the synthesis of evidence documented in the 'subjective' and 'objective' sections. This section records the assessment of the patient's situation, how the problem behaves, and any changes in the condition. It is at this stage that the decision-making process is discussed in more in-depth details (Jenkins & David, 2019). Lastly, the plan (P) section documents what is supposed to address the patient's concerns. This includes things like doing ordering referrals, additional testing, and consultations with other health care providers. Also, it documents the goals therapy, drugs, and procedures performed on the patient (Jenkins & David, 2019).  


Reference


Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination . St. Louis, MO.


Bosworth, H. (Ed.). (2010). Improving patient treatment adherence: A clinician's guide. Springer Science & Business Media.


Jenkins, M. L., & Davis, A. (2019). Transforming Nursing Documentation. Studies in health technology and informatics264, 625-628.

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Instant Assignments
Financial Hub
Writer Writer Name Offer Chat
Instant Assignments

ONLINE

Instant Assignments

Good day dear client, I am a full-time freelance writer with years of experience. My strongest strengths are strong dedication to duty, reliability, quality and excellence. I am going to do an outstanding job for you, kindly PM me and let us commence. Thank you so much in anticipation of your positive response. Thank you very much.

$55 Chat With Writer
Financial Hub

ONLINE

Financial Hub

Hey, I have gone through your job posting and become very much interested in working with you.I can deliver professional content as per your requirements. I am a multi-skilled person with sound proficiency in the English language for being a native writer who worked on several similar projects of content writing and can deliver quality content to tight deadlines. I am available for both online and offline writing jobs with the promise of offering an incredibly responsive and supreme level of customer service. Thanks!

$55 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Gerald graff disliking books summary - In the "bad apple-bad barrel" analogy, the bad barrel refers to - From the part 1 standardization data calculate the molarity - Assigment 6 SBM - Film Review #2 - Prepare a horizontal analysis of the balance sheet - Who can have done today by 7 - William william henry stephen henry richard john lyrics - Make comparisons of thermoplastic and thermosetting polymers - Right total knee replacement icd 10 - Mercantile credit co v garrod - Discussion assignment - College students - John ortberg speaking fee - The trade war b/w US and China - Simbio virtual labs isle royale answers - Law 531 week 4 contract creation and management simulation - Assignment 2 - Headpiece filled with straw alas - Anz 24 hour service - Peter and rosemary grant finches worksheet answers - Wps prenhall com educational research - In cell e15 enter a formula - Lord of the flies war quotes - Formula for saponification value - Belbin team roles test questionnaire free - Is chick fil a publicly traded company - Aden veterans association membership - A four foot box - Scotts miracle gro the spreader sourcing decision - As3008 current carrying capacity table - Data Mining Discussion - Fridge magnets and pacemakers - Iab mobile rising stars - Stategic Plan 2020 - Writing assignment 3 - Rocker bogie suspension system - Indirect shear stress - Which spell causes objects to swell - Amway the cult of free enterprise pdf - Estefanía luis antonio fabián salomé josé maría juan antonio maría eugenia analú - Unit 1 assignment 2 business - Data Science - 2015 world population data sheet answers - Hada saudi fog fog song lyrics - Organizational Culture - Operational planning and policy - Lynx and hare relationship - Active italian volcano crossword - Cocolife accredited hospitals in cavite - Aphasia long term goals - A sociology experiment - Sunbeam 3 cup rice cooker coles - Unit of study outline - History - What are multivariate tests in spss - Should the family be financially compensated for the hela cells - Domestic companies facing competitive pressure from lower cost imports - Editing challenge 3 essentials of business communication - MC WK1 - Controlling bacterial growth lab conclusion - Leclerc loom tie up - Case Study - Pooled development fund act - Howard publishing company songs of faith and praise - How many mls in 5cl - "Hang the DJ” - Design options for a distribution network - Pa 28 161 checklist pdf - Sedimentary rock flow chart - Proposal Essay - IT SERVICES MANAGEMENT - Data driven decision making in education ppt - What is cash over and short - Video worksheet sicko answers - How to calculate the percentage error - How to play scene it dvd game - Mental Health - Www lk case com pages case4you - If a memory reference takes 200 nanoseconds, how long does a paged memory reference take? - A view from the bridge conflict essay - In deep nights i dig for you like treasure - Responsibility accounting and transfer pricing ppt - Iso 9001 management review meeting template - Gass and seiter model of persuasion - Indecent vineyard theatre - Eigrp k values explained - Experimental design template biology - Math internet scavenger hunt - Small town mentality in to kill a mockingbird - Population Health Management Patterns - Lawrie voutier demolition shop - Outline and essay - Mcq on segmentation targeting and positioning - Comprehensive medical report - Dsdm demands higher level of documentation - Victoria chemicals case solution excel - Love your sister 5c heart - Ieee 802.3 an 2006 - Swot analysis of ice cream industry - What is metadata which component of a dbms maintains metadata