Sample Nursing Paper on Patient Analysis: Auscultation

Interviewing skills for completing a comprehensive patient-centered head to toe assessment

The collection of patient data is a core step in the nursing process. It is always referred to as a nursing health assessment interview. A nurse should systematically collect the patient health information so that they receive the care they need. The appropriate skills include active listening, adaptive questioning, empathy, validation, reassurance, partnering and summarization. The adaptive questioning will help to encourage the patient to fully communicate without being interrupted and this will allow the quality flow of his narrative. Active listening will help to comprehend what the patient is communicating through both verbal and nonverbal cues. Empathy is key and it demonstrates that you understand and cares for the patient.

Data collection techniques

Auscultation is one of the techniques that can be used while doing body assessment and involves listening. I applied this on the lungs and the heart to assess the intensity and quality. Palpation is also another method which enables assessment of numerous parameters. It makes use of touch to check on characteristics of organs and tissues. This technique helped me check on the legs and the hand to check for any inflammations and also to establish whether there are some abnormal growths.

Why the data collection techniques applied were the most appropriate.

Auscultation is an important technique for diagnosing respiratory disorders. It helps in assessing the airflow through the trachea-bronchial tree. It makes the process of identifying abnormal respiratory sounds easy. The auscultation of the respiratory system is an inexpensive, noninvasive, safe, and easy to perform and one of the oldest diagnostic techniques used to diagnose various pulmonary diseases (Sarkar, Madabhavi and Niranjan 2015).

There is much information that is always stored in the tissues of the body and the only technique that can be used to retrieve it is palpation. It helps identify the paining parts by using touch and the nurse will be able to capture the information appropriately. This technique is key and can be developed if one applies it frequently and seek to understand what he feels under his hands. According to Gatt, Formosa, Cassar & Camilleri 2015, it has an advantage in quality assessment and completeness of the data collected from the technique.

Comparing the findings with established norms of healthy adults

During the lung assessment of the lungs and the heart rate, there was some abnormal purse rate and same to the breathing rate and this was due to the lifestyle of the patient. The patient was overweight and these also cause the inflammations on the feet. The feet were swollen and this was due to excess weight. This was not as normal as per healthy adult.

Analyze Health risk uncovered during the assessment

The excess weight on the patient showed unhealthy behaviour that the patient engaged in. The weight was due to overeating and unhealthy eating habit. The patient was also inactive and was not involved in any sporting activity which would help him burn the excess fats.

Analyze healthy behaviours the patient engages in that you discovered during the assessment.

The patient was not involved in any health practices and this is the reason his body is in bad shape affecting his breathing and the normal heartbeats. The patient by the assessment does not exercise and also his feeding habits are poor. There is a need for the patient to change his lifestyle to be safe and avoid other major complications that may arise due to this.

Recommended interventions that are appropriate for promoting the overall health of each system and quality of life.

After the assessment, the recommendation that will greatly help the patient improve on his heath is to develop quality feeding habits which will help the patient maintain a healthy weight. The patient should also get active and exercise his body and this will help a lot to gain back the normal heart rate and breathing rate. When he shed down weight the inflammation on the legs will be finished since the legs are able to carry the weight the patient has.

The overall plan of health based on the assessment finding.

Evidence-based practice is the use of clinical research to form best patient care. Based on my assessment the overall plan would start with first to assess the patient condition to establish the issue at hand. The advising will follow and this will include counselling of the patient on setting his goals and self-monitoring his weight. Weight management has been associated in helping to reduce blood pressure and also regaining the normal breathing rate. (Fitpatrick, Wischenka & Appelhans 2016). The other step will be to assist the patient in making healthy lifestyle changes which will help address the weight issue. The plan will also have a follow up which will help check on the progress and help build a team to maximize the patient’s success at weight management.

 

References

Fitzpatrick, S. L., Wischenka, D., Appelhans, B. M., Pbert, L., Wang, M., Wilson, D. K., & Pagoto, S. L. (2016). An evidence-based guide for obesity treatment in primary care. The American journal of medicine, 129(1), 115-e1.

Gatt, A., Formosa, C., Cassar, K., Camilleri, K. P., De Raffaele, C., Mizzi, A., … & Chockalingam, N. (2015). Thermographic patterns of the upper and lower limbs: baseline data. International journal of vascular medicine, 2015.

Sarkar, M., Madabhavi, I., Niranjan, N., & Dogra, M. (2015). Auscultation of the respiratory system. Annals of thoracic medicine, 10(3), 158.