NURS 612 N612 A11.2 Neuro notes (Assignment 11.2: Shadow Health Module)

Assignment 11.2: Shadow Health Module Submit Assignment ● Due Sunday by 9:59pm ● Points 5 ● Submitting a file upload Points: 5 points Due: Day 7 Directions 1. Use the link wi thin Module 1 titled Shadow Health Dashboard to complete your modules assigned this week. 2. Complete the Neurological Module in Shadow Health. 3. First document to upload: Your final score from Shadow Health for this assignment. 4. Second document to upload: Word document containing the following information: ○ Synopsis of the Shadow Health assignment. ○ Reflect on your work for this assignment, answering the following questions: ■ What did you learn? ■ How did you grow? ■ How do you plan to improve? Assignment Description: Assess the Neurological system of Tina Jones, a Digital Standardized Patient. Interview and examine the patient, document your findings, and complete post-exam activities. Students spend, on average, an hour and a half on this assignment. During the interview, you will be able to: • Use therapeutic communication to elicit a neurological history and review of system • Conduct a thorough assessment of the patient's neurological system: _ Assess psychological status _ Assess motor function _ Assess sensory function _ Conduct relevant tests • Provide patient education and empathy as appropriate throughout the exam • Report all objective findings in the EHR • Document subjective data in the Provider Notes • Synthesize objective data in the Provider Notes Fecal exam on Tina Jones who is returned to the clinic with a complaint of headaches it has been 11 months since Miss Jones first established Primary Care here at the shadow Health Clinic I miss you will demonstrate your clinical reasoning interview and examine Tina Jones to gather subjective and objective patient data collected condition educate and emphasize to engage in effective therapeutic communication document data accurately using professional terminology after you assess the patient you will answer post exam questions reflect on your experience and then view your results Tina Jones questions and conduct assessments to collect data and uncover findings which you'll report and document in the EHR you will receive a score for your performance and subjective data collection and an objective data collection in this patient exam you should interview the patient to elicit subjective health information about the neurological system select and use the appropriate procedures for a thorough neurological exam report all objective findings in the EHR document subjective data in the provider notes synthesize objective data in the provider notes and assess the patient's risk for disease infection injury and complications as you interview Miss Jones you will have opportunities to engage in therapeutic communication you will also receive a score for your ability to provide education and empathy can access a complete list of instructions at any time during the patient interview by clicking the instructions button located at the bottom of your screen Tina’s three-year-old neighbor presents to the clinic with fever, neck pain, headache, and confusion. He has no symptoms of an upper respiratory infection. The parents mention that they do not believe in immunizations. Based on the information given, what diagnosis is of the greatest concern? What is your next action? The greatest concern for Tina's three-year-old neighbor that presents to the clinic with fever, neck pain, headache, confusion is meningitis. It is likely that if his parents did not get immunization he is more at risk for other types of infections as well. The greatest concern for diagnosis would be meningitis in this case. The next action would be to perform further assessments such as checking for positive Kernig or Brudzinski sign indicates meningeal inflammation and is suggestive of meningitis but is present in a minority of patients. A rash is noted in 80% to 90% of patients, most commonly 4 to 18 hours after the initial symptoms of illness. Typically the rash is a nonblanching petechial or purpuric exanthem, but a minority of patients may initially have nonspecific erythematous macular or maculopapular lesions. Distinguishing between meningococcal infections and less serious conditions is difficult in the early phases of infection, and it may be necessary to begin empiric antibiotic therapy while awaiting results of diagnostic tests. Rapid tests are most useful when it is desirable to individually tailor antibiotic therapy or if identification of a meningococcal infection has immediate public health implications, such as the need to provide antibacterial prophylaxis to close contacts. Cerebrospinal fluid testing or CSF cultures should be considered in patients with signs and symptoms of meningitis. A lumbar puncture (LP) is contraindicated in patients with cardiovascular or respiratory instability, coagulopathy, or infection (including petechial or purpuric lesions) overlying the puncture site. Some experts recommend that LP be deferred in patients with classical presentations of meningococcal disease, as results of this test are unlikely to influence patient management. However, clinical judgment is involved. Deferring an LP is prudent in a critically ill patient with a coagulopathy, but the information obtained by LP in a patient with milder disease may be very helpful in management and outweighs potential risks. Other tests include, a chest radiograph, bone and joint radiography, focal infection tests, nasopharyngeal cultures, and diagnostic imaging like computed tomography (CT) of the head is commonly obtained prior to performing LP in patients with suspected bacterial meningitis (of any etiology) to exclude the presence of a focal intracranial lesion, although there is no conclusive evidence that LP increases the risk of cerebral herniation in this setting. Source: