NUR 643E Assignment: Health Assessment Topic Reflection 1

HEENT exam is conducted by inspecting and palpating the head, eyes, ears, nose, throat/neck, and lymph nodes and testing the cranial nerves that innervate the function of each HEENT organ. It includes assessing the HEENT for symmetry, hair distribution to scalp, eyebrows, and eyelashes; hydration status of the mucus membranes; the condition of teeth, palate structure, uvula placement, and color of lips and buccal membrane (Chen & Zeng, 2020). The purpose of this assignment is to reflect on my experience with HEENT assessment.

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Experience

I encountered a female patient who presented with sneezing, palate itching, rhinorrhea, nasal congestion, loss of smell, and red, teary eyes. The patient got my attention because she had an injected, swollen conjunctiva and excessive tearing. Consequently, I conducted a HEENT assessment and examined the nose using a nasal speculum. Positive findings included thin, watery secretions and a swollen nasal mucosa with a pale, bluish-gray color. I informed the physician of these findings, and after further assessment, the patient was diagnosed with Rhinitis.

Potential Difficulties

When completing the HEENT assessment, I asked the patient about the age of onset of symptoms and if these symptoms have occurred constantly since onset. I also inquired about the time pattern of symptoms and if the symptoms occur at a consistent level throughout the year or only in specific seasons (Nur Husna et al., 2022). In addition, asking the patient about the history of environmental exposures was important to identify specific allergic triggers.

Christian Worldview and Compassion

The Christian worldview supports the steps I took since I helped to alleviate the patient’s symptoms by assessing the patient and informing the physician. The patient was prescribed medications to alleviate the symptoms, which eased her discomfort. This demonstrates compassion since it improves her quality of life.

Conclusion

This experience taught me that the clinician should be organized and systematic in assessing the HEENT. I observed that one should ask relevant questions about symptoms in the head, eyes, ears, nose, throat, and neck. The nasal mucosa and septum should be inspected with an otoscope to assess for inflammation, deviation, or perforation.

References

Chen, G., & Zeng, R. (2020). Physical Examination of Head. In Handbook of Clinical Diagnostics (pp. 151-163). Springer, Singapore.

Nur Husna, S. M., Tan, H. T., Md Shukri, N., Mohd Ashari, N. S., & Wong, K. K. (2022). Allergic Rhinitis: A Clinical and Pathophysiological Overview. Frontiers in Medicine, 9, 874114. https://doi.org/10.3389/fmed.2022.874114

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Tittle: Health Assessment Topic Reflection 2

Assessment Description
Complete a written reflection (250-350 words) on what you learned during this topic. Include the following in your reflection, considered through the lens of a nurse educator.
1. Think about an experience you have encountered when viewing or completing the particular assessment.
2. Describe the steps you took when completing this particular assessment.
3. Discuss difficulties that could potentially arise or specific questions related to completing this type of assessment.
4. Include illustrative examples of potential strategies used to overcome the difficulties encountered when completing the particular assessment.
5. Describe how the Christian worldview and compassion for all play a role in this type of assessment.
APA style is not required, but solid academic writing is expected.
Use two resources.

RUBRIC
Reflection Experience
A description of the experience the student encountered when viewing the assessment is extremely thorough and includes substantial detail.

Difficulties
A discussion of the specific difficulties or questions that student has pertaining to the specific part of the assessment is extremely thorough and includes substantial detail.

Christian Worldview
A description of how the Christian worldview and compassion for all plays a role in this type of assessment is extremely thorough and includes substantial detail.