Shadow Health: Focused Exam: Cough Results Danny Riviera

Model Documentation
Subjective Danny reports cough lasting two to three days. He described the cough as “watery and gurgly.” He reports the cough is worst at night and keeps him awake. He reported general tiredness because of sleep deprivation.He is experiencing mild soreness in his throat. He reports his mother gave him over-the-counter cough medicine, but it gave him temporal relieve from the cough .He reports frequent cold and runny nose, and states that he had frequent ear infections as a child. He reports a history of pneumonia in the past year. He reports normal bowel movements. He denies fever, headache, dizziness, ear pain nosebleed, trouble swallowing, sputum or phlegm, chest pain, trouble breathing and abdominal pain. He denies cough aggravation with activity.	Danny reports a cough lasting two to three days. He describes the cough as “watery and gurgly.” He reports the cough is worse at night and keeps him up. He reports general fatigue due to lack of sleep. He is experiencing mild soreness in his throat. He reports his mother treated his cough symptoms with over-the-counter medicine, but it was only temporarily effective. He reports frequent cold and runny nose, and he states that he had frequent ear infections as a child. He reports a history of pneumonia in the past year. He reports normal bowel movements. He denies fever, headache, dizziness, ear pain, trouble swallowing, nosebleed, phlegm or sputum, chest pain, trouble breathing and abdominal pain. He denies cough aggravation with activity.
Objective General Survey: Fatigued appearing young boy seated on nursing station bench. Appears stable. HEENT: Mucus membranes are moist, nasal discharge, and boggy turbinate. Fine bumps on the togue. Cobblestoning in the back of throat. Eyes are dull in appearance, pink Conjunctiva. Cardiovascular: Mild tarchycardia. S1, S2, no murmurs, gallops or rubs. Respiratory: Respiratory rate increased, but no acute distress. Able to speak full sentences. Breath sounds clear to auscultation.	• General Survey: Fatigued appearing young boy seated on nursing station bench. Appears stable. • HEENT: Mucus membranes are moist, nasal discharge, and boggy turbinate. Fine bumps on the tongue. Cobblestoning in the back of throat. Eyes are dull in appearance, pink conjunctiva. • Cardiovascular: Mild tachycardia. S1, S2, no murmurs, gallops or rubs. • Respiratory: Respiratory rate increased, but no acute distress. Able to speak in full sentences. Breath sounds clear to auscultation.

Model Documentation

Subjective

Danny reports cough lasting two to three days. He described the cough as “watery and gurgly.” He reports the cough is worst at night and keeps him awake. He reported general tiredness because of sleep deprivation.He is experiencing mild soreness in his throat. He reports his mother gave him over-the-counter cough medicine, but it gave him temporal relieve from the cough .He reports frequent cold and runny nose, and states that he had frequent ear infections as a child. He reports a history of pneumonia in the past year. He reports normal bowel movements. He denies fever, headache, dizziness, ear pain nosebleed, trouble swallowing, sputum or phlegm, chest pain, trouble breathing and abdominal pain. He denies cough aggravation with activity.

Danny reports a cough lasting two to three days. He describes the cough as “watery and gurgly.” He reports the cough is worse at night and keeps him up. He reports general fatigue due to lack of sleep. He is experiencing mild soreness in his throat. He reports his mother treated his cough symptoms with over-the-counter medicine, but it was only temporarily effective. He reports frequent cold and runny nose, and he states that he had frequent ear infections as a child. He reports a history of pneumonia in the past year. He reports normal bowel movements. He denies fever, headache, dizziness, ear pain, trouble swallowing, nosebleed, phlegm or sputum, chest pain, trouble breathing and abdominal pain. He denies cough aggravation with activity.

Objective

General Survey: Fatigued appearing young boy seated on nursing station bench. Appears stable. HEENT: Mucus membranes are moist, nasal discharge, and boggy turbinate. Fine bumps on the togue. Cobblestoning in the back of throat. Eyes are dull in appearance, pink Conjunctiva. Cardiovascular: Mild tarchycardia. S1, S2, no murmurs, gallops or rubs. Respiratory: Respiratory rate increased, but no acute distress. Able to speak full sentences. Breath sounds clear to auscultation.

• General Survey: Fatigued appearing young boy seated on nursing station bench. Appears stable. • HEENT: Mucus membranes are moist, nasal discharge, and boggy turbinate. Fine bumps on the tongue. Cobblestoning in the back of throat. Eyes are dull in appearance, pink conjunctiva. • Cardiovascular: Mild tachycardia. S1, S2, no murmurs, gallops or rubs. • Respiratory: Respiratory rate increased, but no acute distress. Able to speak in full sentences. Breath sounds clear to auscultation.

ORDER: Shadow Health: Focused Exam: Cough Results Danny Riviera

Within the Shadow Health platform, complete the Focused Exam: Cough Results. The estimated average time to complete this assignment each time is 1 hour and 15 minutes. Please note, this is an average time. Some students may need longer.

This clinical experience is a concentrated examination. Students must achieve the “Proficiency” level in the Shadow Health Digital Clinical Experience. Students have three chances to complete this assignment and earn a Proficiency level score. When finished, upload the lab pass to the assignment dropbox.

Assessment Description

Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.

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Adolescent pregnancy is seen as high-risk, as it causes serious risks for both mother and baby. Some of these risk factors include children being born pre-term, have lower birth weight, and higher neonatal mortality. Mothers tend to have greater rates of post-partum depression and are less likely to initiate breastfeeding [1, 2]. May 25, 2016. According to the CDC all sectors of the population communitywide should all make an effort to address teen pregnancy prevention. From 2010Campa to 2015, nine state-and community-based organizations and five national organizations were funded by cooperative agreement, Teen Pregnancy Prevention.

The state- and community-based grantees, in turn, provide training and technical assistance to youth-serving organizations and partners. National resource, National Campaign to Prevent Teen and Unplanned Pregnancy. Its mission is promoted through, Raising awareness through affiliation with the media, policy makers, and influential leaders. Promote discussion about prevention of teed and unplanned pregnancy and Develops and distributes materials including pamphlets and online information.

State resource, Human services help people find stability, and can include everything from providing for basic needs like food and shelter with the goal of promoting self-sufficiency. Over the last ten years, California’s females ages 15-19 increased by 15% between 2000 and 2016 the number of births in this population decreased by 61%. Although reasons for the decline are not totally clear, evidence suggests these declines are due to more teens abstaining from sexual activity, and more teens who are sexually active using birth control than in previous years.

References

https://parentology.com

Parenting in the digital age

https://WebMD.com

https://cdc,gov> teen pregnancy

Centers for Disease Control and Prevention

www.Urbanchildinstitute.org

WWW.Humanservicesedu.org

Topic 2 DQ 2

Nov 7–11, 2022

Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement.

The overall objective of doing a physical assessment for an adult as well as a child is similar, where the main goal is to often notice irregularities that can lead to potential diagnosis of problems that can correlate to successful treatment. However, the methodologies can often be quite different as adults are much more expressive about their problems compared to child. Sometimes a parent or guardian can provide some insight, but most of the time it is simply up to the nurse to make sense of the information coming from a child (Asif et al., 2017).

In adults, the instruction can be direct with focus on the proper performance of the instructions or questions. On the other hand, with children, there are more loose standards which allow the nurse the room to tailor the assessment to the needs of the client. In an adult, the communication should be open and honest, but with a child, it will need a lot more maneuvering to ensure that the child does not become stressed out from the process. In many cases, even adults become nervous with assessments, we can only imagine how a child must feel.

One strategy to use when assessing children is to be able to utilize a sense of trust with them. By doing that, it is possible to open up the child and share more relevant information. That also means that sometimes as nurses we have to let a child discuss topics that might not be relevant to the current assessment. However, if we discourage them or try to forcefully make them go back to the original point, it might mean that they will no longer communicate openly with the nurse (Horezco et al., 2012).

Therefore, a certain level of leeway is required. Another assessment strategy could be to ensure is to start with an area where the child feels comfortable with. For example, if a child wants to know about the heart, maybe begin the assessment with the heart. Let the child hear the sound of the heart before getting into the more nitty-gritty aspects of the assessments. A relaxed child will always make a much better client for assessment compared to a nervous or grumpy one.

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Asif, T., Mohiuddin, A., Hasan, B., & Pauly, R. R. (2017). Importance Of Thorough Physical Examination: A Lost Art. Cureus, 9(5), e1212.

Horeczko, T., Enriquez, B., McGrath, N. E., Gausche-Hill, M., & Lewis, R. J. (2012). The Pediatric Assessment Triangle: accuracy of its application by nurses in the triage of children. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association, 39(2), 182–189.

Shadow Health: Focused Exam: Cough Results Danny Riviera