Evaluate client indicators of therapeutic progress
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### **CASE STUDY 4 – Depression, Anxiety, Substance Use, and Chronic Pain** ### **Case Scenario** Ms. R.D. is a **45-year-old female** presenting with insomnia, fatigue, chronic low back pain, and mood changes. **History** – PMH: Chronic pain, prior opioid exposure – Reports alcohol use nightly – PH…
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Order on TutorsGallery →### **CASE STUDY 4 – Depression, Anxiety, Substance Use, and Chronic Pain**
### **Case Scenario**
Ms. R.D. is a **45-year-old female** presenting with insomnia, fatigue, chronic low back pain, and mood changes.
**History**
– PMH: Chronic pain, prior opioid exposure
– Reports alcohol use nightly
– PHQ-9: 17, GAD-7: 15
### **Student Assignment Requirements**
### **1. Pathophysiology (25%)**
– Neurobiology of depression and anxiety
– Substance use impact on CNS
– Pain–mood interaction
### **2. Mental Health Assessment (35%)**
– Diagnostic differentiation
– Suicide risk screening
– Substance use screening
– Safety planning
### **3. Pharmacology & Integrated Treatment (30%)**
– Antidepressant selection and titration
– Avoidance of high-risk medications
– Non-pharmacologic and referral planning
### **4. APA & Evidence Use (10%)**
### **RUBRIC – CASE STUDY 4 – Mental Health, Substance Use & Chronic Pain (100 Points)**
**2 PAGES**
**DUE DATE AUGUST 4, 2026**
**NO MORE THAN 10% PLAGIO OR AI TEXT, WILL BE SUBMITTED VIA TURNITIN**
**Discuss the importance and impact of common patient safety tools on recent trends with relevant examples [minimum 4].** **DUE DATE AUGUST 5** **CANT HAVE MORE THAN 10% PLAGIO OR AT TEXT** **3 PAGES** **REFERENCES WITHIN THE PAST 5 YEARS WITH IN-TEXT CITATIONS AND APA 7TH EDITION FORMAT** **CHECK…
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**DUE DATE AUGUST 5**
**CANT HAVE MORE THAN 10% PLAGIO OR AT TEXT**
**3 PAGES**
**REFERENCES WITHIN THE PAST 5 YEARS WITH IN-TEXT CITATIONS AND APA 7TH EDITION FORMAT**
**CHECK YOUR GRAMMAR AND SPELLING**
Every serious illness is a spiritual crisis because it is a confrontation with one’s own mortality. Every nurse, regardless of personal belief, must recognize that religion or spirituality or both are often an essential part of the lives of those entrusted to her or his care. To avoid these issues i…
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Order on TutorsGallery →Every serious illness is a spiritual crisis because it is a confrontation with one’s own mortality. Every nurse, regardless of personal belief, must recognize that religion or spirituality or both are often an essential part of the lives of those entrusted to her or his care. To avoid these issues is to fail to truly be a nurse healer because the nurse’s task is to address the physical, psychological, and spiritual needs of clients.” (Fontaine, 2019).
Your assignment is to: • 3 page discussing how nurses can incorporate faith and prayer in the care of clients, regardless of your own personal religious beliefs and worldviews. • Please use at least 4 references written within the last 5 years and submit the work in APA format. • Please refer to your book and use it as one of your references.
DUE DATE AUGUST 4, 2026
CANT HAVE MORE THAN 10% PLAGIARISM OR AI TEXT THIS ASSIGNMENT WILL BE SUBMITTED BY TURNITIN
NEED TO BE UNIQUE AND ORIGINAL WORK
CHECK GRAMMAR AND SPELLING, APPPLY APA 7TH EDITION FORMAT
DO THE BEST OF THE BEST AND BE UNIQUE ASSIGNMENT
Provide formal documentation of the history findings
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qualitative and quantitative research methods in supporting EBP.
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In-depth study guidance and analytical solution covering Evaluation.
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Order on TutorsGallery →Full assignment prompt and step-by-step guidance are included in the downloadable solution file.
In this assignment, _**you must identify an issue in your work environment that needs to change**_. _**Alternatively, you may use the situation below or create a hypothetical one.**_ The goal of the assignment is for you to apply a change model. Kotter's Eight-Step Plan for Integrating Change in Cha…
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Order on TutorsGallery →In this assignment, _**you must identify an issue in your work environment that needs to change**_. _**Alternatively, you may use the situation below or create a hypothetical one.**_ The goal of the assignment is for you to apply a change model. Kotter's Eight-Step Plan for Integrating Change in Chapter 3 of Grossman and Valiga (2021) is a solid change model that can walk you through each step of planning change. While it is not necessary to implement the change, in this assignment, you will identify the specific approaches you would take and how you would evaluate the effectiveness of the change. The (https://www.youtube.com/watch?v=8mVrDT9Atfc) may be helpful to you! Simply click on the blue underlined text in the previous sentence.
– [\
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Screenshot2026-08-04at1.06.49PM.png](https://www.sweetstudy.com/files/screenshot2026-08-04at1-06-49pm-png-10583337 "Screenshot2026-08-04at1.06.49PM.png")
– [\
\
Screenshot2026-08-04at1.07.09PM.png](https://www.sweetstudy.com/files/screenshot2026-08-04at1-07-09pm-png-10583339 "Screenshot2026-08-04at1.07.09PM.png")
– [\
\
Screenshot2026-08-04at1.06.36PM.png](https://www.sweetstudy.com/files/screenshot2026-08-04at1-06-36pm-png-10583341 "Screenshot2026-08-04at1.06.36PM.png")
– [\
\
Screenshot2026-08-04at1.19.39PM.png](https://www.sweetstudy.com/files/screenshot2026-08-04at1-19-39pm-png "Screenshot2026-08-04at1.19.39PM.png")
**files (2)** – ## Nu552Unit8Jornal.docx – ## NU552_Unit_8_Journal_Template.docx **## Nu552Unit8Jornal.docx** In this journal activity you will submit a Kaltura video and objective note, demonstrating your skill in completing an objective exam. You will use a live person volunteer, _not a patien…
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– ## Nu552Unit8Jornal.docx
– ## NU552_Unit_8_Journal_Template.docx
**## Nu552Unit8Jornal.docx**
In this journal activity you will submit a Kaltura video and objective note, demonstrating your skill in completing an objective exam.
You will use a live person volunteer,
_not a patient_, and conduct the physical examination as a professional medical provider.
During your examination you should verbalize for the evaluator what you are doing and why. “Assessing muscle strength.” “Assessing ROM.” “Assessing knee and meniscus” “Assessing for scoliosis.” Your comments are your choice, demonstrating your understanding of the assessment and the purpose.
I’m Using a 15y o boy with knee pain
Be sure to read the required readings and watch the videos assigned in the readings. Your final production video should be about 10 minutes. It should not exceed 14 minutes; so your preparation and succinctness in the process and moving the patient through the exam is important. Consider how you will divide your time as you begin to prepare and practice.
Include an appropriate musculoskeletal and peripheral vascular assessment for this specialty assessment.
Complete the Unit 8 Journal Documentation Template. There are two parts.
**Part I** is the physical assessment documentation you will complete. This is for your learning. See directions in the template for how to complete. Review the rubric.
**Part II** is the musculoskeletal and peripheral vascular video assessment with documentation. Be sure to use appropriate techniques addressed in the text.
You will have to practice several times to be sure your skills are honed, smooth, and that you are not looking at directions during assignment. Demonstrate professional communication with your patient.
· If your video does not include the required volunteer consent to participate and be videoed, or if it is over duration in length, or if the diagnostic reasoning scenario content is not completed, it will not be accepted. It is your responsibility to check this before you submit it.
· Complete the assessment and the documentation in a systematic way.
· Complete the questions at the end of the journal demonstrating clinical judgement and diagnostic reasoning.
See the
[**Journal Template**](https://kapextmediassl-a.akamaihd.net/nursing/NU552/NU552_2505A/NU552_Unit_8_Journal_Template.docx) for Unit 8. (attached)
In this assignment you will formulate a systematic and defendable approach to nursing practice decisions for a patient examination, based on individual patient needs such as in a sports physical and gain expanded knowledge on clinical judgement and diagnostic reasoning via specific scenarios per the journal.
**## NU552_Unit_8_Journal_Template.docx**
**NU552 Journal Templates**
**Unit 8 Journal.** Your documentation should align with the objective examination video for this specialty assessment. You should practice several times in preparation, memorizing steps and processes to present a smooth and accurate demonstration of skills in your submitted video. The student is to confirm volunteer verbal consent for video participation. Only adults are accepted as volunteers. Shirts on for the competency though in a clinical exam the patient would be draped and skin exposed.
Copy and paste your completed template into the text box along with embedding your Kaltura video. View the
[grading rubric](https://kapextmediassl-a.akamaihd.net/nursing/NU552/NU552_2505A/NU552_Unit_8_Journal_Rubric.docx).
| | | | | |
| — | — | — | — | — |
| **Unit 8 Journal NU552** |
| **Date Student Name:**<br>_Verbal consent for volunteer participation and video (adults only permitted), obtained by student and demonstrated on video. Yes ☐ No ☐_<br>**Complete patient information below.** |
| **Directions for Part I: Documentation Only**<br>_The patient History is normally completed on a form by the parent first, with the ROS; which is not a part of this journal exercise. It is not shown in this form. See required reading for examples. The provider would review with the parent/ patient._<br>· Complete the physical assessment <br>**documentation** per the sports physical journal. <br>**Part I is not performed** in the video submission but for your learning practice on sports physical documentation. <br> <br>· Place N in the Normal Column. Place AB in the Abnormal column with a comment if you choose. There does not need to be abnormal findings. If so, you must comment and act on it appropriately in the comment. <br>· You must add comments in the<br>**heart and genitalia sections (as if for a male).** This is for your learning. There is no video for this part. |
| **SYSTEM** | **Patient Name Sex M**<br>**HT 5/10 WT 190**<br>**T- 98 P-70 R-15 B/P110/7** | **N** | **AB** | **COMMENTS** |
| HEAD | Hair, scalp, masses, injuries | | | |
| EYES | Proptosis, conjunctivae, sclera, EOMI, pupillary size, reaction to light, peripheral vision, | | | |
| EARS | Gross hearing/ TMs/ Discharge | | | |
| NOSE | Septum, mucosa, sinuses | | | |
| THROAT/MOUTH | Teeth condition, tongue, tonsils, lesions | | | |
| NECK | Thyroid, vessels, range of motion, adenopathy, masses, voice abnormalities | | | |
| THORAX/LUNGS | Shape, expansion, deformities, rhonchi, wheezes, rales | | | |
| **HEART** | PMI, sounds, thrills, murmurs, gallops, | | | |
| LYMPHATICS | Cervical, axillary | | | |
| ABDOMEN | Organ enlargement (liver, spleen, etc.), masses, tenderness, hernias, scars | | | |
| **GENITALIA** | Scrotum, testicles, lesions, discharge, hernias<br>(Female is deferred)<br>(Some organizations waive this section based on the form required.) | | | |
| UPPER EXTREMITIES | Range of motion, joint stability, muscle strength, limitations, effusion, ecchymoses, atrophy, deformities, edema, clubbing, pulses, veins, injuries | | | |
| LOWER EXTREMITIES | Range of motion, joint stability, muscle strength, limitations, effusion, ecchymoses, atrophy, deformities, edema, clubbing, pulses, veins, injuries | | | |
| BACK | Flexion, extension, scoliosis, kyphosis, excessive lordosis, injuries | | | |
| NEUROLOGICAL | Cranial nerves, reflexes, motor, gait, balance, sensory | | | |
| SKIN | Texture, striae, rash, acne | | | |
| MENTAL STATUS | Affect, hostility, agitation | | | |
| **OBJECTIVE**<br>**Directions for Part II: Video**<br>As a full and more intensive approach to these 2 systems, complete the Musculoskeletal and Peripheral Vascular exam with documentation for this specialty exam. Test strength of muscle groups, ROM of joints and limb vascularity. <br>· Complete the Video for only the MS and PV exam then document.<br>· Complete the document approval section using the draw feature in Word or bold/type your name. |
| **Musculoskeletal**<br>**Peripheral Vascular** |
| Approved Y/ N Provider Signature Date <br>_(Bold or circle Y or N, and sign with draw feature)_<br>\_\_\______________________________________ __________________ |
| In this assignment based on individual patient needs, you formulated a systematic and defendable approach to nursing practice decisions for a patient sports physical examination. <br>· When would you not approve or give only pending approval for the sport activities? Provide 2-3 specific examples |
| |
| **Complete two (2) scenarios. Once from each section.**<br>_If you completed one of these in the discussion you may use that content for the related scenario and complete a new one from the other section below. Otherwise follow the directions and complete one from each group._<br>**Complete one of these scenarios.**<br>· Consider the chief complaint of knee pain<br>or <br>· Consider the chief complaint of shoulder pain <br>or<br>· Consider the chief complaint of radiating low back pain<br>**And then one of these scenarios.**<br>· Consider the chief complaint of fever in an 8-month-old.<br>or<br>· Consider the chief complaint of acne in a 15-year-old.<br>or<br>· Consider the chief complaint of nausea in a pregnant 17-year-old<br>**Demonstrate clinical judgment regarding the chief complaint by including this content:Complete one of the three scenarios:**<br>· What pertinent information collected from the history would impact your assessment?<br>· What other systems need assessment due to the symptoms of the patient?<br>· What would be pertinent positives or pertinent negatives found in the exam?<br>· Include at least three differentials.<br>· Include which diagnostics you would order based on your differentials and why. <br>· How might a final diagnosis be determined?<br>· Address a possible brief management plan<br>· Apply evidence-based support for your choices; including a clinical guideline for one of your differentials |
| |
**## NU552_Unit_8_Journal_Template.docx**
**NU552 Journal Templates**
**Unit 8 Journal.** Your documentation should align with the objective examination video for this specialty assessment. You should practice several times in preparation, memorizing steps and processes to present a smooth and accurate demonstration of skills in your submitted video. The student is to confirm volunteer verbal consent for video participation. Only adults are accepted as volunteers. Shirts on for the competency though in a clinical exam the patient would be draped and skin exposed.
Copy and paste your completed template into the text box along with embedding your Kaltura video. View the
[grading rubric](https://kapextmediassl-a.akamaihd.net/nursing/NU552/NU552_2505A/NU552_Unit_8_Journal_Rubric.docx).
| | | | | |
| — | — | — | — | — |
| **Unit 8 Journal NU552** |
| **Date Student Name:**<br>_Verbal consent for volunteer participation and video (adults only permitted), obtained by student and demonstrated on video. Yes ☐ No ☐_<br>**Complete patient information below.** |
| **Directions for Part I: Documentation Only**<br>_The patient History is normally completed on a form by the parent first, with the ROS; which is not a part of this journal exercise. It is not shown in this form. See required reading for examples. The provider would review with the parent/ patient._<br>· Complete the physical assessment <br>**documentation** per the sports physical journal. <br>**Part I is not performed** in the video submission but for your learning practice on sports physical documentation. <br> <br>· Place N in the Normal Column. Place AB in the Abnormal column with a comment if you choose. There does not need to be abnormal findings. If so, you must comment and act on it appropriately in the comment. <br>· You must add comments in the<br>**heart and genitalia sections (as if for a male).** This is for your learning. There is no video for this part. |
| **SYSTEM** | **Patient Name Sex M**<br>**HT 5/10 WT 190**<br>**T- 98 P-70 R-15 B/P110/7** | **N** | **AB** | **COMMENTS** |
| HEAD | Hair, scalp, masses, injuries | | | |
| EYES | Proptosis, conjunctivae, sclera, EOMI, pupillary size, reaction to light, peripheral vision, | | | |
| EARS | Gross hearing/ TMs/ Discharge | | | |
| NOSE | Septum, mucosa, sinuses | | | |
| THROAT/MOUTH | Teeth condition, tongue, tonsils, lesions | | | |
| NECK | Thyroid, vessels, range of motion, adenopathy, masses, voice abnormalities | | | |
| THORAX/LUNGS | Shape, expansion, deformities, rhonchi, wheezes, rales | | | |
| **HEART** | PMI, sounds, thrills, murmurs, gallops, | | | |
| LYMPHATICS | Cervical, axillary | | | |
| ABDOMEN | Organ enlargement (liver, spleen, etc.), masses, tenderness, hernias, scars | | | |
| **GENITALIA** | Scrotum, testicles, lesions, discharge, hernias<br>(Female is deferred)<br>(Some organizations waive this section based on the form required.) | | | |
| UPPER EXTREMITIES | Range of motion, joint stability, muscle strength, limitations, effusion, ecchymoses, atrophy, deformities, edema, clubbing, pulses, veins, injuries | | | |
| LOWER EXTREMITIES | Range of motion, joint stability, muscle strength, limitations, effusion, ecchymoses, atrophy, deformities, edema, clubbing, pulses, veins, injuries | | | |
| BACK | Flexion, extension, scoliosis, kyphosis, excessive lordosis, injuries | | | |
| NEUROLOGICAL | Cranial nerves, reflexes, motor, gait, balance, sensory | | | |
| SKIN | Texture, striae, rash, acne | | | |
| MENTAL STATUS | Affect, hostility, agitation | | | |
| **OBJECTIVE**<br>**Directions for Part II: Video**<br>As a full and more intensive approach to these 2 systems, complete the Musculoskeletal and Peripheral Vascular exam with documentation for this specialty exam. Test strength of muscle groups, ROM of joints and limb vascularity. <br>· Complete the Video for only the MS and PV exam then document.<br>· Complete the document approval section using the draw feature in Word or bold/type your name. |
| **Musculoskeletal**<br>**Peripheral Vascular** |
| Approved Y/ N Provider Signature Date <br>_(Bold or circle Y or N, and sign with draw feature)_<br>\_\_\______________________________________ __________________ |
| In this assignment based on individual patient needs, you formulated a systematic and defendable approach to nursing practice decisions for a patient sports physical examination. <br>· When would you not approve or give only pending approval for the sport activities? Provide 2-3 specific examples |
| |
| **Complete two (2) scenarios. Once from each section.**<br>_If you completed one of these in the discussion you may use that content for the related scenario and complete a new one from the other section below. Otherwise follow the directions and complete one from each group._<br>**Complete one of these scenarios.**<br>· Consider the chief complaint of knee pain<br>or <br>· Consider the chief complaint of shoulder pain <br>or<br>· Consider the chief complaint of radiating low back pain<br>**And then one of these scenarios.**<br>· Consider the chief complaint of fever in an 8-month-old.<br>or<br>· Consider the chief complaint of acne in a 15-year-old.<br>or<br>· Consider the chief complaint of nausea in a pregnant 17-year-old<br>**Demonstrate clinical judgment regarding the chief complaint by including this content:Complete one of the three scenarios:**<br>· What pertinent information collected from the history would impact your assessment?<br>· What other systems need assessment due to the symptoms of the patient?<br>· What would be pertinent positives or pertinent negatives found in the exam?<br>· Include at least three differentials.<br>· Include which diagnostics you would order based on your differentials and why. <br>· How might a final diagnosis be determined?<br>· Address a possible brief management plan<br>· Apply evidence-based support for your choices; including a clinical guideline for one of your differentials |
| |
**## Nu552Unit8Jornal.docx**
In this journal activity you will submit a Kaltura video and objective note, demonstrating your skill in completing an objective exam.
You will use a live person volunteer,
_not a patient_, and conduct the physical examination as a professional medical provider.
During your examination you should verbalize for the evaluator what you are doing and why. “Assessing muscle strength.” “Assessing ROM.” “Assessing knee and meniscus” “Assessing for scoliosis.” Your comments are your choice, demonstrating your understanding of the assessment and the purpose.
I’m Using a 15y o boy with knee pain
Be sure to read the required readings and watch the videos assigned in the readings. Your final production video should be about 10 minutes. It should not exceed 14 minutes; so your preparation and succinctness in the process and moving the patient through the exam is important. Consider how you will divide your time as you begin to prepare and practice.
Include an appropriate musculoskeletal and peripheral vascular assessment for this specialty assessment.
Complete the Unit 8 Journal Documentation Template. There are two parts.
**Part I** is the physical assessment documentation you will complete. This is for your learning. See directions in the template for how to complete. Review the rubric.
**Part II** is the musculoskeletal and peripheral vascular video assessment with documentation. Be sure to use appropriate techniques addressed in the text.
You will have to practice several times to be sure your skills are honed, smooth, and that you are not looking at directions during assignment. Demonstrate professional communication with your patient.
· If your video does not include the required volunteer consent to participate and be videoed, or if it is over duration in length, or if the diagnostic reasoning scenario content is not completed, it will not be accepted. It is your responsibility to check this before you submit it.
· Complete the assessment and the documentation in a systematic way.
· Complete the questions at the end of the journal demonstrating clinical judgement and diagnostic reasoning.
See the
[**Journal Template**](https://kapextmediassl-a.akamaihd.net/nursing/NU552/NU552_2505A/NU552_Unit_8_Journal_Template.docx) for Unit 8. (attached)
In this assignment you will formulate a systematic and defendable approach to nursing practice decisions for a patient examination, based on individual patient needs such as in a sports physical and gain expanded knowledge on clinical judgement and diagnostic reasoning via specific scenarios per the journal.
**## NU552_Unit_8_Journal_Template.docx**
**NU552 Journal Templates**
**Unit 8 Journal.** Your documentation should align with the objective examination video for this specialty assessment. You should practice several times in preparation, memorizing steps and processes to present a smooth and accurate demonstration of skills in your submitted video. The student is to confirm volunteer verbal consent for video participation. Only adults are accepted as volunteers. Shirts on for the competency though in a clinical exam the patient would be draped and skin exposed.
Copy and paste your completed template into the text box along with embedding your Kaltura video. View the
[grading rubric](https://kapextmediassl-a.akamaihd.net/nursing/NU552/NU552_2505A/NU552_Unit_8_Journal_Rubric.docx).
| | | | | |
| — | — | — | — | — |
| **Unit 8 Journal NU552** |
| **Date Student Name:**<br>_Verbal consent for volunteer participation and video (adults only permitted), obtained by student and demonstrated on video. Yes ☐ No ☐_<br>**Complete patient information below.** |
| **Directions for Part I: Documentation Only**<br>_The patient History is normally completed on a form by the parent first, with the ROS; which is not a part of this journal exercise. It is not shown in this form. See required reading for examples. The provider would review with the parent/ patient._<br>· Complete the physical assessment <br>**documentation** per the sports physical journal. <br>**Part I is not performed** in the video submission but for your learning practice on sports physical documentation. <br> <br>· Place N in the Normal Column. Place AB in the Abnormal column with a comment if you choose. There does not need to be abnormal findings. If so, you must comment and act on it appropriately in the comment. <br>· You must add comments in the<br>**heart and genitalia sections (as if for a male).** This is for your learning. There is no video for this part. |
| **SYSTEM** | **Patient Name Sex M**<br>**HT 5/10 WT 190**<br>**T- 98 P-70 R-15 B/P110/7** | **N** | **AB** | **COMMENTS** |
| HEAD | Hair, scalp, masses, injuries | | | |
| EYES | Proptosis, conjunctivae, sclera, EOMI, pupillary size, reaction to light, peripheral vision, | | | |
| EARS | Gross hearing/ TMs/ Discharge | | | |
| NOSE | Septum, mucosa, sinuses | | | |
| THROAT/MOUTH | Teeth condition, tongue, tonsils, lesions | | | |
| NECK | Thyroid, vessels, range of motion, adenopathy, masses, voice abnormalities | | | |
| THORAX/LUNGS | Shape, expansion, deformities, rhonchi, wheezes, rales | | | |
| **HEART** | PMI, sounds, thrills, murmurs, gallops, | | | |
| LYMPHATICS | Cervical, axillary | | | |
| ABDOMEN | Organ enlargement (liver, spleen, etc.), masses, tenderness, hernias, scars | | | |
| **GENITALIA** | Scrotum, testicles, lesions, discharge, hernias<br>(Female is deferred)<br>(Some organizations waive this section based on the form required.) | | | |
| UPPER EXTREMITIES | Range of motion, joint stability, muscle strength, limitations, effusion, ecchymoses, atrophy, deformities, edema, clubbing, pulses, veins, injuries | | | |
| LOWER EXTREMITIES | Range of motion, joint stability, muscle strength, limitations, effusion, ecchymoses, atrophy, deformities, edema, clubbing, pulses, veins, injuries | | | |
| BACK | Flexion, extension, scoliosis, kyphosis, excessive lordosis, injuries | | | |
| NEUROLOGICAL | Cranial nerves, reflexes, motor, gait, balance, sensory | | | |
| SKIN | Texture, striae, rash, acne | | | |
| MENTAL STATUS | Affect, hostility, agitation | | | |
| **OBJECTIVE**<br>**Directions for Part II: Video**<br>As a full and more intensive approach to these 2 systems, complete the Musculoskeletal and Peripheral Vascular exam with documentation for this specialty exam. Test strength of muscle groups, ROM of joints and limb vascularity. <br>· Complete the Video for only the MS and PV exam then document.<br>· Complete the document approval section using the draw feature in Word or bold/type your name. |
| **Musculoskeletal**<br>**Peripheral Vascular** |
| Approved Y/ N Provider Signature Date <br>_(Bold or circle Y or N, and sign with draw feature)_<br>\_\_\______________________________________ __________________ |
| In this assignment based on individual patient needs, you formulated a systematic and defendable approach to nursing practice decisions for a patient sports physical examination. <br>· When would you not approve or give only pending approval for the sport activities? Provide 2-3 specific examples |
| |
| **Complete two (2) scenarios. Once from each section.**<br>_If you completed one of these in the discussion you may use that content for the related scenario and complete a new one from the other section below. Otherwise follow the directions and complete one from each group._<br>**Complete one of these scenarios.**<br>· Consider the chief complaint of knee pain<br>or <br>· Consider the chief complaint of shoulder pain <br>or<br>· Consider the chief complaint of radiating low back pain<br>**And then one of these scenarios.**<br>· Consider the chief complaint of fever in an 8-month-old.<br>or<br>· Consider the chief complaint of acne in a 15-year-old.<br>or<br>· Consider the chief complaint of nausea in a pregnant 17-year-old<br>**Demonstrate clinical judgment regarding the chief complaint by including this content:Complete one of the three scenarios:**<br>· What pertinent information collected from the history would impact your assessment?<br>· What other systems need assessment due to the symptoms of the patient?<br>· What would be pertinent positives or pertinent negatives found in the exam?<br>· Include at least three differentials.<br>· Include which diagnostics you would order based on your differentials and why. <br>· How might a final diagnosis be determined?<br>· Address a possible brief management plan<br>· Apply evidence-based support for your choices; including a clinical guideline for one of your differentials |
| |
**## Nu552Unit8Jornal.docx**
In this journal activity you will submit a Kaltura video and objective note, demonstrating your skill in completing an objective exam.
You will use a live person volunteer,
_not a patient_, and conduct the physical examination as a professional medical provider.
During your examination you should verbalize for the evaluator what you are doing and why. “Assessing muscle strength.” “Assessing ROM.” “Assessing knee and meniscus” “Assessing for scoliosis.” Your comments are your choice, demonstrating your understanding of the assessment and the purpose.
I’m Using a 15y o boy with knee pain
Be sure to read the required readings and watch the videos assigned in the readings. Your final production video should be about 10 minutes. It should not exceed 14 minutes; so your preparation and succinctness in the process and moving the patient through the exam is important. Consider how you will divide your time as you begin to prepare and practice.
Include an appropriate musculoskeletal and peripheral vascular assessment for this specialty assessment.
Complete the Unit 8 Journal Documentation Template. There are two parts.
**Part I** is the physical assessment documentation you will complete. This is for your learning. See directions in the template for how to complete. Review the rubric.
**Part II** is the musculoskeletal and peripheral vascular video assessment with documentation. Be sure to use appropriate techniques addressed in the text.
You will have to practice several times to be sure your skills are honed, smooth, and that you are not looking at directions during assignment. Demonstrate professional communication with your patient.
· If your video does not include the required volunteer consent to participate and be videoed, or if it is over duration in length, or if the diagnostic reasoning scenario content is not completed, it will not be accepted. It is your responsibility to check this before you submit it.
· Complete the assessment and the documentation in a systematic way.
· Complete the questions at the end of the journal demonstrating clinical judgement and diagnostic reasoning.
See the
[**Journal Template**](https://kapextmediassl-a.akamaihd.net/nursing/NU552/NU552_2505A/NU552_Unit_8_Journal_Template.docx) for Unit 8. (attached)
In this assignment you will formulate a systematic and defendable approach to nursing practice decisions for a patient examination, based on individual patient needs such as in a sports physical and gain expanded knowledge on clinical judgement and diagnostic reasoning via specific scenarios per the journal.
**## NU552_Unit_8_Journal_Template.docx**
**NU552 Journal Templates**
**Unit 8 Journal.** Your documentation should align with the objective examination video for this specialty assessment. You should practice several times in preparation, memorizing steps and processes to present a smooth and accurate demonstration of skills in your submitted video. The student is to confirm volunteer verbal consent for video participation. Only adults are accepted as volunteers. Shirts on for the competency though in a clinical exam the patient would be draped and skin exposed.
Copy and paste your completed template into the text box along with embedding your Kaltura video. View the
[grading rubric](https://kapextmediassl-a.akamaihd.net/nursing/NU552/NU552_2505A/NU552_Unit_8_Journal_Rubric.docx).
| | | | | |
| — | — | — | — | — |
| **Unit 8 Journal NU552** |
| **Date Student Name:**<br>_Verbal consent for volunteer participation and video (adults only permitted), obtained by student and demonstrated on video. Yes ☐ No ☐_<br>**Complete patient information below.** |
| **Directions for Part I: Documentation Only**<br>_The patient History is normally completed on a form by the parent first, with the ROS; which is not a part of this journal exercise. It is not shown in this form. See required reading for examples. The provider would review with the parent/ patient._<br>· Complete the physical assessment <br>**documentation** per the sports physical journal. <br>**Part I is not performed** in the video submission but for your learning practice on sports physical documentation. <br> <br>· Place N in the Normal Column. Place AB in the Abnormal column with a comment if you choose. There does not need to be abnormal findings. If so, you must comment and act on it appropriately in the comment. <br>· You must add comments in the<br>**heart and genitalia sections (as if for a male).** This is for your learning. There is no video for this part. |
| **SYSTEM** | **Patient Name Sex M**<br>**HT 5/10 WT 190**<br>**T- 98 P-70 R-15 B/P110/7** | **N** | **AB** | **COMMENTS** |
| HEAD | Hair, scalp, masses, injuries | | | |
| EYES | Proptosis, conjunctivae, sclera, EOMI, pupillary size, reaction to light, peripheral vision, | | | |
| EARS | Gross hearing/ TMs/ Discharge | | | |
| NOSE | Septum, mucosa, sinuses | | | |
| THROAT/MOUTH | Teeth condition, tongue, tonsils, lesions | | | |
| NECK | Thyroid, vessels, range of motion, adenopathy, masses, voice abnormalities | | | |
| THORAX/LUNGS | Shape, expansion, deformities, rhonchi, wheezes, rales | | | |
| **HEART** | PMI, sounds, thrills, murmurs, gallops, | | | |
| LYMPHATICS | Cervical, axillary | | | |
| ABDOMEN | Organ enlargement (liver, spleen, etc.), masses, tenderness, hernias, scars | | | |
| **GENITALIA** | Scrotum, testicles, lesions, discharge, hernias<br>(Female is deferred)<br>(Some organizations waive this section based on the form required.) | | | |
| UPPER EXTREMITIES | Range of motion, joint stability, muscle strength, limitations, effusion, ecchymoses, atrophy, deformities, edema, clubbing, pulses, veins, injuries | | | |
| LOWER EXTREMITIES | Range of motion, joint stability, muscle strength, limitations, effusion, ecchymoses, atrophy, deformities, edema, clubbing, pulses, veins, injuries | | | |
| BACK | Flexion, extension, scoliosis, kyphosis, excessive lordosis, injuries | | | |
| NEUROLOGICAL | Cranial nerves, reflexes, motor, gait, balance, sensory | | | |
| SKIN | Texture, striae, rash, acne | | | |
| MENTAL STATUS | Affect, hostility, agitation | | | |
| **OBJECTIVE**<br>**Directions for Part II: Video**<br>As a full and more intensive approach to these 2 systems, complete the Musculoskeletal and Peripheral Vascular exam with documentation for this specialty exam. Test strength of muscle groups, ROM of joints and limb vascularity. <br>· Complete the Video for only the MS and PV exam then document.<br>· Complete the document approval section using the draw feature in Word or bold/type your name. |
| **Musculoskeletal**<br>**Peripheral Vascular** |
| Approved Y/ N Provider Signature Date <br>_(Bold or circle Y or N, and sign with draw feature)_<br>\_\_\______________________________________ __________________ |
| In this assignment based on individual patient needs, you formulated a systematic and defendable approach to nursing practice decisions for a patient sports physical examination. <br>· When would you not approve or give only pending approval for the sport activities? Provide 2-3 specific examples |
| |
| **Complete two (2) scenarios. Once from each section.**<br>_If you completed one of these in the discussion you may use that content for the related scenario and complete a new one from the other section below. Otherwise follow the directions and complete one from each group._<br>**Complete one of these scenarios.**<br>· Consider the chief complaint of knee pain<br>or <br>· Consider the chief complaint of shoulder pain <br>or<br>· Consider the chief complaint of radiating low back pain<br>**And then one of these scenarios.**<br>· Consider the chief complaint of fever in an 8-month-old.<br>or<br>· Consider the chief complaint of acne in a 15-year-old.<br>or<br>· Consider the chief complaint of nausea in a pregnant 17-year-old<br>**Demonstrate clinical judgment regarding the chief complaint by including this content:Complete one of the three scenarios:**<br>· What pertinent information collected from the history would impact your assessment?<br>· What other systems need assessment due to the symptoms of the patient?<br>· What would be pertinent positives or pertinent negatives found in the exam?<br>· Include at least three differentials.<br>· Include which diagnostics you would order based on your differentials and why. <br>· How might a final diagnosis be determined?<br>· Address a possible brief management plan<br>· Apply evidence-based support for your choices; including a clinical guideline for one of your differentials |
| |
**files (1)** – ## Assessment4.docx **## Assessment4.docx** Assessment 4 Complete the [Staffing and Budgeting Dilemmas in Health Care](https://media.capella.edu/CourseMedia/element240165/wrapper.asp) media activity using the [Financial Statement [XLSX]](https://courseroom.capella.edu/courses/67052…
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– ## Assessment4.docx
**## Assessment4.docx**
Assessment 4
Complete the
[Staffing and Budgeting Dilemmas in Health Care](https://media.capella.edu/CourseMedia/element240165/wrapper.asp) media activity using the
[Financial Statement [XLSX]](https://courseroom.capella.edu/courses/67052/files/13472768/download) document. The scenario in this media introduces you to your department heads and what their specific needs and concerns are regarding the budget. This should influence your decision about priorities and what you may want to avoid when cutting back. In addition, conduct individual research to see what the literature suggests to address this problem.
### **Instructions**
Use the
[Budget Reduction Proposal Template [DOCX[](https://courseroom.capella.edu/courses/67052/files/13472780/download) to complete your recommendations.
· Address the following in the introductory page for this request:
· Would you reduce each line item by 10 percent? Why is this the best approach? Also, how do you intend to handle fixed costs with this approach?
· Would you select specific line items to reduce by 10 percent? Why is this the best approach? If so, how would you pinpoint which line items to reduce?
· Would you put a freeze on all hiring, training, travel, and purchasing? Why is this the best approach?
· What other ideas do you have to cut your overall budget by 10 percent without affecting the care that you provide?
· Explain how the reduced operating budget aligns with an organization's target profit margin.
· Offer at least one solution to reduce the budget by 10 percent.
· These recommendations may include multiple line items and may overlap but should be a separate and distinct option for senior leadership to consider.
· For example, in one recommendation, you suggest cutting department heads, reducing food costs, and eliminating bonuses to get you to the magic number. In a separate recommendation, you may suggest reducing overall staffing, eliminating bonuses, and reducing food costs.
· Prior to making your recommendations, be sure to review the Staffing and Budgeting Dilemmas in Health Care media, introducing you to your department heads and what their specific needs and concerns are regarding the budget. This should influence your decision about priorities and what you may want to avoid when cutting back.
· Do some research to see what the literature is suggesting to address this problem.
Be sure to include references to at least two scholarly and/or authoritative sources in your operating budget proposal. Follow current APA guidelines for in-text citations and references.
### **Additional Requirements**
Your assessment should also meet the following requirements:
·
**Written communication:** Writing is clear, logical, succinct, and free of errors that detract from the overall message.
·
**Length:** 3–4 pages including introduction and summary. Provide 1–2 pages for each recommendation, plus a title page and reference pages.
·
**Font and font size:** Times New Roman, 12 point.
·
**Title page:** Include a title page in APA format as part of your operating budget proposal.
·
**Citations and references:** Include references to a
**minimum** of two current scholarly and/or authoritative sources. Current means no more than five years old.
·
**APA format:** Use APA format for the title page, proposal, citations, and references. For an APA refresher, review the
[Evidence and APA](https://lat.strategiced.com/redirect?linkid=1540) section of the
**## Assessment4.docx**
Assessment 4
Complete the
[Staffing and Budgeting Dilemmas in Health Care](https://media.capella.edu/CourseMedia/element240165/wrapper.asp) media activity using the
[Financial Statement [XLSX]](https://courseroom.capella.edu/courses/67052/files/13472768/download) document. The scenario in this media introduces you to your department heads and what their specific needs and concerns are regarding the budget. This should influence your decision about priorities and what you may want to avoid when cutting back. In addition, conduct individual research to see what the literature suggests to address this problem.
### **Instructions**
Use the
[Budget Reduction Proposal Template [DOCX[](https://courseroom.capella.edu/courses/67052/files/13472780/download) to complete your recommendations.
· Address the following in the introductory page for this request:
· Would you reduce each line item by 10 percent? Why is this the best approach? Also, how do you intend to handle fixed costs with this approach?
· Would you select specific line items to reduce by 10 percent? Why is this the best approach? If so, how would you pinpoint which line items to reduce?
· Would you put a freeze on all hiring, training, travel, and purchasing? Why is this the best approach?
· What other ideas do you have to cut your overall budget by 10 percent without affecting the care that you provide?
· Explain how the reduced operating budget aligns with an organization's target profit margin.
· Offer at least one solution to reduce the budget by 10 percent.
· These recommendations may include multiple line items and may overlap but should be a separate and distinct option for senior leadership to consider.
· For example, in one recommendation, you suggest cutting department heads, reducing food costs, and eliminating bonuses to get you to the magic number. In a separate recommendation, you may suggest reducing overall staffing, eliminating bonuses, and reducing food costs.
· Prior to making your recommendations, be sure to review the Staffing and Budgeting Dilemmas in Health Care media, introducing you to your department heads and what their specific needs and concerns are regarding the budget. This should influence your decision about priorities and what you may want to avoid when cutting back.
· Do some research to see what the literature is suggesting to address this problem.
Be sure to include references to at least two scholarly and/or authoritative sources in your operating budget proposal. Follow current APA guidelines for in-text citations and references.
### **Additional Requirements**
Your assessment should also meet the following requirements:
·
**Written communication:** Writing is clear, logical, succinct, and free of errors that detract from the overall message.
·
**Length:** 3–4 pages including introduction and summary. Provide 1–2 pages for each recommendation, plus a title page and reference pages.
·
**Font and font size:** Times New Roman, 12 point.
·
**Title page:** Include a title page in APA format as part of your operating budget proposal.
·
**Citations and references:** Include references to a
**minimum** of two current scholarly and/or authoritative sources. Current means no more than five years old.
·
**APA format:** Use APA format for the title page, proposal, citations, and references. For an APA refresher, review the
[Evidence and APA](https://lat.strategiced.com/redirect?linkid=1540) section of the