How can you apply critical thinking and diagnostic reasoning during health assessment?

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puvpuv

Health Medical

advanced physcal examination and Health Assessment

Description

Please select one of the following case studies and complete the chart.

You are expected to role play the selected scenario with a family member to gather necessary data to complete the chart. For each person described in the following situations, discuss the developmental/age, socioeconomic, ethical considerations, and cross-cultural considerations that should be considered during the gathering of subjective and objective data, and the provision of health care. Discuss any additional information that might be needed before a judgment or diagnosis can be made.


  1. A. E. is a 35-year-old African American female, and is 5 months pregnant presenting to the office today for a routine prenatal visit. She complains that her neck feels swollen and that she has been feeling nervous and tired. She also complains about the heat, excessive sweating, and how she “can’t seem to get cool during these summer months.” She attributes all these complaints to her pregnancy.
  1. J. L. is a 55-year-old Caucasian female who had a CVA within the past week. J. L. is easily frustrated, anxious, fearful, and her speech is slurred. She needs verbal cuing for any task she is asked to carry out. She eats only food on the left side of the tray and responds only when approached from the left side.

Components of

assessment

Subjective

Diagnostic Reasoning

(list key questions — use PQRSTU pneumonic)

Objective

Normal vs.

abnormal findings

(must note pertinent body systems to be examined)

Differential

diagnoses

(list 3)

Nurses diagnosis (list 1)

List relevant labs and

diagnostic studies (if any)

Normal

Differential

Abnormal Findings

Nurses Diagnosis

Developmental/age considerations:

Socioeconomic considerations:

Cross-cultural considerations:

Ethical considerations:

Additional info needed to formulate actual diagnosis:



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Explanation & Answer

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Running head: CRITICAL THINKING & DIAGNOSTIC REASONING

Critical Thinking & Diagnostic Reasoning
Student Name
Institutional Affiliation
Instructor
Submission Date

1

CRITICAL THINKING & DIAGNOSTIC REASONING

2

Case Study I

Components of
assessment

Subjective

Objective

Diagnostic Reasoning Normal vs.

Differential
diagnoses

List relevant-labs
and

(list primary
abnormal findings

questions - use

(list 3)

Diagnostic-studies
(if any)

(must note pertinent

Nurses-diagnosis

PQRSTU
body-systems to be

pneumonic)

examined)

(list 1)

Normal

Differential

Normal – heart rate of
the fetus must be
examined.
Abnormal – the neck
must be examined for
any actual swellings

To ensure the baby
Not applicable
is developing
normally
To rule out abnormal No need as thorough
swelling
massage of the neck
will give an accurate
diagnosis
High blood pressure The blood pressure
could be the cause of check is sufficient
the nervous feeling.
It could also lead to
tiredness.
Increase in
Blood pressure...

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