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.
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 |
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Abnormal Findings |
Nurses Diagnosis |
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Developmental/age considerations:
Socioeconomic considerations:
Cross-cultural considerations:
Ethical considerations:
Additional info needed to formulate actual diagnosis:
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