Write ONE (1) paragraph discussing: (1.) how the interrelationships of physiological, developmental, cultural, and psychosocial considerations will influence, assist, or become barriers to the effectiveness of the proposed health education

Write ONE (1) paragraph discussing: (1.) how the interrelationships of physiological, developmental, cultural,
and psychosocial considerations will influence, assist, or become barriers to the effectiveness of the proposed
health education

As you learned in NR302, before any nursing plan of care or intervention can be implemented or evaluated, the nurse
conducts an assessment collecting subjective and objective data from an individual. The data collected are used to
determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting
both subjective and objective data, synthesizing the data, and on identifying health/wellness priorities for the person.
The purpose of the assignment is two‐fold:
• To recognize the interrelationships of subjective data (physiological, psychosocial, cultural/spiritual values, and
developmental) and objective data (physical examination findings) in planning and implementing nursing care;
and
• To reflect on the interactive process that takes place between the nurse and an individual while conducting a
health assessment and a physical examination.
COURSE OUTCOMES
CO 2 Utilize prior knowledge of theories and principles of nursing and related disciplines to
integrate clinical judgment in professional decision‐making and implementation of nursing
process while obtaining a physical assessment. (PO 4, 8)
CO 3 Recognize the influence that developmental stages have on physical, psychosocial, cultural,
and spiritual functioning (PO 1)
CO 4 Utilize effective communication when performing a health assessment. (PO 3)
CO 6 Identify teaching/learning needs from the health history of an individual. (PO 2, 5)
DUE DATE
Please see the Course Calendar.
TOTAL POINTS POSSIBLE
50 points
PREPARING THE ASSIGNMENT
There are four graded parts to this assignment: (1.) Obtain a Health History and Conduct a Physical Examination on an
individual of your choosing (not a patient); (2.) Compile a Health Education Needs Assessment; (3.) Self‐Reflection; and
(4.) Writing style and format.
Instructions for each part follow.
Health History Assessment and Physical Assessment (25 points)
 Using the following subjective and objective components, and your textbook for explicit details about each
category, complete a health history and physical examination on an individual. You may choose to complete
portions of this assignment as you obtain the health history and perform the physical examination associated
with the body systems covered in NR304. . Please be sure to avoid the use of any identifiers in preparing the
assignment. Students may seek input from the course instructor on securing an individual for this assignment.
Keep notes on each part of the health history and physical examination as you complete them so that you can
refer to the notes as you write the paper.
Chamberlain College of Nursing NR 304 Health Assessment II
NR304 RUA The Health History and Physical Examination for JUL16.docx Revised 06‐2016 2
1. Subjective data ‐‐ Health History components to be included:
• Demographic data
• Reason for care (why are they in the facility)
• Present illness (PQRST of current illness)
• Perception of health
• Past medical history (including medications, allergies, and vaccinations/immunizations)
• Family medical history
• Review of systems
• Developmental considerations
• Cultural considerations
• Psychosocial consideration
• Presence or absence of collaborative resources (Community, family, groups, and health care system)
REMEMBER: Make notes of the health history findings, ensuring that you have addressed all of the components listed
here. Students are also encouraged to take notes about their experience while conducting the health history
for reference when creating the assignment, particularly the reflection section.
2. Objective data ‐‐ Physical Exam components to be included:
 During the lab experiences, you will conduct a series of physical exams that includes the following systems.
 Keep notes on each part of the physical exam you complete them to reference as you write the paper.
Refer to the course textbook for detailed components of each system exam. Remember: assessment of the
integumentary system is an integral part of the physical exam and should be included throughout each system:
 From NR302
o HEENT (head, eyes, ears, nose, and throat)
o Neck (including thyroid and lymph chains)
o Respiratory system
o Cardiovascular system
 From NR304
o Neurological system
o Gastrointestinal system
o Musculoskeletal system
o Peripheral vascular system
REMEMBER: Make notes of the physical examination findings, ensuring that you have addressed all of the
components listed on the Return Demonstration Checklist. Students are also encouraged to take notes about
their experience while conducting the physical examination for reference when creating the assignment,
particularly the reflection section.
Chamberlain College of Nursing NR 304 Health Assessment II
NR304 RUA The Health History and Physical Examination for JUL16.docx Revised 06‐2016 3
Needs Assessment (10 points)
1. Based on the health history and physical examination findings, determine at least TWO (2) health education
needs for the individual. Remember, you may identify an educational topic that is focused on wellness.
2. Select TWO (2) peer‐reviewed journal articles that provide evidence–based support for the health teaching
needs you have identified.
Reflection (10 points)
Nurses use reflection to, mindfully and intentionally, examine our thought processes, actions, and behaviors in
order to better‐evaluate our patients’ outcomes. You have interviewed an individual, conducted a head to toe
physical assessment and identified at least two health teaching needs. You have also located within the
literature evidence‐based support for the teaching that will be used to address the individual’shealth education
needs. As you formulate your findings in writing within this assignment, it is time to turn your attention inward.
The final element of this assignment is to write a reflection that describes your experience.
1. Be sure your reflection addresses each of the following questions:
a. How did this assignment compare to what you’ve learned/expected?
b. What enablers or barriers to communication did you encounter when performing a health history
and physical exam? How could you overcome those barriers?
c. Were there any unanticipated challenges encountered during this assignment? ? What went well
with this assignment?
d. Was there information you wished you had available, but did not?
e. How will you alter your approach to a obtaining a health history and conducting a physical
examination the next time?
Writing Style and Format (5 points)
Your writing should reflect your synthesis of ideas based on prior knowledge, newly acquired information, and
appropriate writing skills. Scoring of your written communication is based on proper use of grammar, spelling,
and your use of APA 6th ed. formatting, as well as how clearly your thoughts and reasoning are expressed in
writing.
Documentation of Findings – or How to Write the Paper
Using Microsoft Word, create a double spaced document. The paper should be formatted according to
APA 6TH edition guidelines for the title page, running head, and reference page. The use of headings is
required for this paper. All portions of this assignment should be included within the paper including the
Reflection.
1. Begin by writing ONE to TWO (1‐2) paragraphs describing: the individual’s stated condition of health
medications, and allergies. Also, include any of the following information that may be pertinent demographic
data, perception of health, past medical history, vaccinations/immunizations, family medical history, review of
systems, developmental considerations, cultural considerations, psychosocial considerations, and the presence
or absence of resources from the community, family, groups, or the health care system.
2. Write ONE (1) paragraph describing: the physical assessment findings ensuring proper terminology is used to
describe any abnormal or unusual findings.
Chamberlain College of Nursing NR 304 Health Assessment II
NR304 RUA The Health History and Physical Examination for JUL16.docx Revised 06‐2016 4
3. Write ONE (1) paragraph discussing: (1.) the rationale for the selection of the health teaching topics; (2.) how
the findings in the scholarly articles (identified in the Needs Assessment portion of the assignment and properly
cited) were used to develop the health teaching topics to promote the individual’s health/wellness status.
4. Write ONE (1) paragraph discussing: (1.) how the interrelationships of physiological, developmental, cultural,
and psychosocial considerations will influence, assist, or become barriers to the effectiveness of the proposed
health education; and (2.) a description of the impact of the individual’s strengths (personal, family, and friends)
and collaborative resources (clinical, community, and health/wellness resources on the proposed teaching.
5. Write ONE (1) paragraph describing your reflection of this assignment from a holistic point of view. Consider
following areas: include the environment, your approach to the individual, time of day, and other features
relevant to therapeutic communication and to the interview process. You may find your textbook helpful in
providing a description of therapeutic communication and of the interview process. Be certain to address the
questions listed above in the Reflection instructions.
Chamberlain College of Nursing NR304 Health Assessment II
NR304 RUA The Health History and Physical Examination for JUL16.docx Revised 06‐2016