Instructions
For this 5–6-page assignment, you will conduct a focused health history and physical assessment based upon your Practice Experience work in Shadow Health. You will complete a focused assessment on Danny Rivera, a child who is complaining of a cough. Use the submission parameters and rubric to guide you in completion of this written assignment.
Submission Parameters
For this written assignment, please use the following guidelines and criteria. Please refer to the rubric for point allocation and assignment expectations. Please synthesize your assessment data rather than stating all the data in your written work. Your final written paper should be an APA formatted analysis of your assessment no more than 6 pages in length, excluding the title page & reference list.
Introduction (including purpose statement)
Focus of the assessment
Describe the focus of this assessment.
Subjective Component
Analyze the health history data accumulated, including, but not limited to the Review of Systems & Past Medical History.
Objective Component
Analyze the physical examination findings including techniques of examination
Documented evidence to support clinical reasoning (connecting the assessment data to the diagnoses)
Choose & list the differential diagnoses based upon the clinical evidence
Plan of care
Briefly describe the plan of care individualized to findings, lifespan stage of development with culturally specific considerations for the focused area of assessment.
Demonstration of Compliance with Ethical and Legal Standards of Professional Nursing Practice.
Conclusion
References
In regard to APA format, please use the following as a guide:
Include a title page
Include transitions in your paper (i.e. headings or subheadings)
Use in-text citations throughout the paper
Use double space, 12-point Times New Roman font
Apply appropriate spelling, grammar, and organization
Include a reference list)
Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)
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