01 Oct Patient Case – Respiratory/Cardiac/Peripheral Vascular Systems
Advanced Health Assessment Nursing
Patient Case – Respiratory/Cardiac/Peripheral Vascular Systems
Please refer to the Grading Rubric for details on how this activity will be graded.
Initial Post
Report to the virtual clinic and select ONE of the occupied exam rooms. Build on the reported case. After the first initial post, review information already shared by your peers to continue building on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding.
Virtual Clinic Exam Rooms
Room 1: 69yo Ruby Regis reports worsening joint pain
Room 2: 15yo Rex Regis reports acute joint pain
Room 3: 75yo Randall Regis reports back pain
Provide scholarly support to discuss the physical assessment technique used to identify the objective finding. Compare and contrast characteristics of normal and abnormal findings. (See Response Post Instructions and Example before beginning the Discussion.)
Response PostsReturn to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis.
The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations.
Example Posts
Initial Post:
Room 1: 72yo Ralph Regis reports intermittent abdominal pain
Student 1:
HPI: 72yo Ralph Regis reports intermittent abdominal pain localized to the LLQ
PE: T-99.8; BP 148/86, P-84, R-16
Student 2:
HPI: 72yo Ralph Regis reports intermittent aching abdominal pain rated 5/10 localized to the LLQ
PE: T-99.8; BP 148/86, P-84, R-16
ABD: Bowel sounds active
Student 3:
HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. Pain started three days ago after eating popcorn.
PE: T-99.8; BP 148/86, P-84, R-16
ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ
Student 4:
HPI: 72yo Ralph Regis reports aching intermittent abdominal pain rated 5/10 localized to the LLQ. . Pain started three days ago after eating popcorn. Last BM two days ago.
PE: T-99.8; BP 148/86, P-84, R-16
ABD: Bowel sounds active; abdomen soft with tenderness to palpation in LLQ; LLQ dull to percussion
Your initial post should include evidence of review of the course material, websites, and literature through proper citations using APA format.
