May 30, | nursing, med, NURS, Paper
ANP-650 topic 1 dq 2 advanced practice rules for nurse practitioners
ANP-650 topic 1 dq 2 advanced practice rules for nurse practitioners
I have read and reviewed the nurse practice act for the State of Nevada, where I practice as a registered nurse, which can be found at https://www.leg.state.nv.us/NAC/NAC-632.html. Nevada became a full-practice state, and advanced practice nurses (APNs) are recognized as reimbursable up to 85% by third-party payors (Kleinpell et al., 2023; Phillips, 2021). However, under state law, APNs are not recognized as primary care providers, although they can admit and care for patients in the acute care setting (Phillips, 2021). Nevada’s Nurse Practice Act includes several professional codes and business practices pertaining to the advanced practice registered nurse (APRN; Nevada Administrative Code [NAC], 2019). For example, APRNs are required to maintain professional liability insurance (NAC, 2019). The APRN is also expected to maintain a professional portfolio which must contain a copy of each professional license they hold, proof of professional liability insurance, a list of all the locations the APRN currently practices in and has practiced in the two years proceeding the most recent application for license of renewal of a license as an APRN, evidence of any national certifications the APRN holds, proof of continuing education hours for the four years proceeding the most recent application for license or renewal, transcript copies from any institution of higher education the APRN attended, and an attestation that the APRN will not practice out of their scope or population of focus (NAC, 2019).
ORDER AN ESSAY HERE
In the State of Nevada, invasive procedure privileges are granted if they meet specific parameters, including if the procedure is certified to perform the act by an organization recognized by the board, it was taught in an educational program the APRN attended, has been individually approved by the board, or was taught to the APRN by a physician or other APRN and has been described as being performed by an APRN in two or more national nursing publications, national nursing practice guidelines, national standards for nursing (NAC, 2019). Authorization to issue written prescriptions for controlled substances, dangerous drugs, poisons, or devices requires that the APRN has applied for the privilege through the board, has attended a program of advanced pharmacotherapeutics or other courses that meets the board requirements and is intended for the APRN’s population of focus (NAC, 2019).
The Nevada Nurse Practice Act outlines several standards for APRNs. For example, the APRN is expected to effectively communicate and collaborate with other providers of care involved in their patient’s care (NAC, 2019). Another standard includes the expectation that the APRN will recognize, understand, and allow for patient choices relating to their social, cultural, and religious beliefs regarding their psychological and physiological health (NAC, 2019). Communication and collaboration are known strengths of the nursing profession, which add to the benefit of allowing APNs full practice (DeNisco, 2019). APNs can order medications and devices independently when they apply for a license in Nevada after practicing for 2000 hours or two years in another state (Nevada State Board of Nursing [NSBON], n.d.). If the APN is applying as newly certified, they must have a collaborative agreement with a physician for the first 1000 hours without prescribing privileges (NSBON, n.d.). In addition to regulation by the state board of nursing, the adult-gerontological acute care nurse practitioner is subject to other state regulatory body requirements, such as from the state board of medical examiners and state pharmacy boards, affecting scope and practices (DeNisco, 2019). Additionally, federal regulatory processes affect patient access to APRNs, reimbursement, and quality control (DeNisco, 2019).
References
DeNisco, S. M. (2019). Advanced practice nursing (4th ed.). Jones & Bartlett Learning.
Kleinpell, R., Myers, C. R., & Schorn, M. N. (2023). Addressing barriers to APRN practice: Policy and regulatory implications during COVID-19. Journal of Nursing Regulation, 14(1), 13–20. https://doi.org/10.1016/s2155-8256(23)00064-9
Nevada Administrative Code, Chapter 632-Nursing. (2019). https://www.leg.state.nv.us/NAC/NAC-632.html#NAC632Sec259
Nevada State Board of Nursing. (n.d.). APRN licensure-Frequently asked questions [PDF]. https://nevadanursingboard.org/wp-content/uploads/2019/12/APRN-FAQs.pdf
Phillips, S. J. (2021). 33rd Annual APRN Legislative Update. The Nurse Practitioner, 46(1), 27–55. https://doi.org/10.1097/01.npr.0000724504.39836.69
Topic 1 DQ 2
For California-based learners, review the advanced practice rules for nurse practitioners in California using the resource, “Board of Nursing Links by State,” located on the college page of the Student Success Center under the AGACNP tab.
In your response, acknowledge that you have read the Nurse Practice Act for California. Identify the professional codes and business practices regulated by the California Board of Nursing for nurse practitioners. Explain how standardized procedure guidelines are governed within California, detail at least two standards for nurse practitioners outlined by the California Board of Nursing, and discuss the regulations of furnishing and ordering medications, drugs, and devices within the state.ANP-650 topic 1 dq 2 advanced practice rules for nurse practitioners How do national, state, and local regulations affect the AGACNP scope and practices? Support your answer with a minimum of two APRN peer-reviewed resources.
For learners based in states other than California, review the advanced practice rules for nurse practitioners in your respective state using the resource, “Board of Nursing Links by State,” located on the college page of the Student Success Center under the AGACNP tab.
In your response, identify the state in which you practice and acknowledge that you have read your state’s Nurse Practice Act. Identify the professional codes and business practices regulated by the state for nurse practitioners and explain how invasive procedure privileges are granted within your state. Detail at least two standards for nurse practitioners within your state and discuss the regulations for ordering medications and devices within your state. How do national, state, and local regulations affect the AGACNP scope and practices? Support your answer with a minimum of two APRN peer-reviewed resources.
ANP-650 topic 1 dq 2 advanced practice rules for nurse practitioners
The Arizona Nurse practice act was developed to regulate and protect the general public from practitioners who are a potential risk to the safety and welfare of the citizens within the state (Arizona State Board of Nursing, n.d). This protection principle is accomplished by testing for complete competence during licensure through the board examination (Arizona State Board of Nursing, n.d) ANP-650 topic 1 dq 2 advanced practice rules for nurse practitioners. The board of nursing also implements mandatory annual education requirements to ensure they maintain adequate knowledge to act in the provider role (Arizona State Board of Nursing, n.d). An Arizona board practice test can also be administered to students or current providers that assess APRNs’ disciplinary process, professionalism, scope of practice, and other responsibilities (Arizona State Board of Nursing, n.d).
Medical professionals have established rules and regulations to ensure patient safety. For Advanced Practice Registered Nurses (APRNs), four regulatory methods are in place to prevent harm to the public: licensure, registration, certification, and recognition. Acquiring a license is crucial for APRNs, as it is the most important regulation to comply with. Without a license, performing any APRN tasks is illegal. Obtaining a license necessitates demonstrating competency in the relevant scope of practice and maintaining ongoing education throughout one’s career. Certification is also essential in the ACNP industry, representing the individual’s education, experience, and dedicated hours. In the United States, each state has the authority to establish laws governing professions. The nurse practice act further outlines the requirements for practicing as a nurse practitioner, including completing an ACNP education program, managing patients’ health, and conducting assessments. To provide clarity due to varying regulations across states, the NCSBN established a task force called the “Consensus Model for Regulation: Licensure, Accreditation, Certification, and Education (LACE).” This report proposed definitions of APRN practice, titling, and education requirements. As the ACNP field evolves, regulations will adapt accordingly, making it crucial to stay updated as they dictate an ACNP’s scope of practice ANP-650 topic 1 dq 2 advanced practice rules for nurse practitioners. A Registered Nurse Practitioner (RNP) in Arizona does not require physician oversight if the task falls within their knowledge and educational training. However, ACNPs in Arizona are limited to treating physiologically unstable patients. Once a patient is considered stable, an ACNP must transfer their care to a primary care provider, as it exceeds their scope of practice. Keeping up with these evolving regulations is vital for ACNPs to ensure public safety.
The COVID-19 pandemic highlighted the fact that more healthcare providers are optimally used. The consensus model was developed in 2008 and provided the framework for APRN regulation that aligns with state laws and would clear the way for an APRN compact allowing APRNs to practice across state borders similar to the compact RN license (Buck., 2021). Different regulatory bodies such as this model would help make the foundation for APRN scope of practice more concise and clear. Since the authority determining the scope of practice relies upon the state, it must be the state to help create uniformity. The confusion and widespread differences from state to state only hinder an APRN’s roles and scope of practice. It also creates concerns for current APRNs as they don’t know what part of their scope of practice will change, which can be frustrating and worrisome ANP-650 topic 1 dq 2 advanced practice rules for nurse practitioners.
References
Arizona State Board of Nursing. (n.d.). https://www.azbn.gov/laws-and-rules/statutes
Arizona State Board of Nursing (2021). APRN Questions & Answers. Retrieved
September 9, 2021, from
07/APRN%20Scope%20of%20Practice%20Q%26A%20FINAL.pdf.
Buck, M. (2021). An update on the consensus model for aprn regulation: More than a decade of progress. Journal of Nursing Regulation, 12(2), 23–33. https://doi.org/10.1016/s2155-8256(21)00053-3 ANP-650 topic 1 dq 2 advanced practice rules for nurse practitioners
May 30, | nursing, med, NURS, Paper
Focused exam: Cough shadow health answers
Transcript
Started: February 04, 2023 | Total Time: 170 min focused exam: cough shadow health answers
All Lines (173)Interview Questions (61)Statements (16)Exam Actions (96)
Hello!
Question
04/02/23 2:08 PM MDT
Hi. I’m Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this information as it will help guide your exam. At the end of this prebrief, you will answer a short question about the upcoming assignment. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript.
What is the situation?
Question
04/02/23 2:10 PM MDT
Your patient is Danny Rivera, an 8-year-old Puerto Rican boy presenting with a cough in the Shadowville Elementary nurse’s office. Your role in this simulation is that of a healthcare provider who will perform a focused history and physical examination in order to collect data, assess Danny’s condition, and transfer care. In this simulation, you will be able to perform procedures not always typical to a school setting so you can gather as much data as possible.
What are my objectives in this assessment?
ORDER SHADOW HEALTH HELP HERE
Question
04/02/23 2:11 PM MDT
Danny is very health literate and a good historian of his own health history; he can answer questions that not every child may be able to. In your interview with Danny, you will ask about the history of his presenting illness and the functioning of relevant systems in order to obtain subjective data related to his cough. If you discover any disease states, ask about symptoms and the patient’s experiences of them. Your questioning should cover a broad array of the symptoms’ characteristics. You will also inquire into the health history of Danny’s family so you can determine his genetic predisposition to any diseases. In addition to collecting subjective data, you will perform a physical exam on Danny to gather objective data about his health and physiology. Throughout the conversation, you should educate and empathize with Danny when appropriate to increase his health literacy and sense of well-being. While you should communicate with patients using accessible, everyday language, it is standard practice to use professional medical terminology everywhere else, such as in documenting physical findings and nursing notes. You may complete the exam activities in any order and move between them as needed.
What else will this exam involve?
Question
04/02/23 2:12 PM MDT
Because Danny is a pediatric patient, you will also be required to make a phone call to his guardian’s home to gather additional information. You can document your findings, including vital signs, in the Electronic Health Record. This record provides necessary information for healthcare professionals who will continue patient care. You will then move onto the Care Plan activity, in which you will synthesize your subjective and objective data to complete the nursing process. You will develop a nursing diagnosis for Mr. Rivera’s condition, identify a treatment goal, plan your interventions and evaluations, and finally assess if your goal was achieved. You may also need to call Danny’s guardian again to involve them in his treatments. The Care Plan is just as important as your assessment, and the patient’s well-being will be greatly affected by your diagnosis and interventions.
How will I be evaluated?
Question
04/02/23 2:12 PM MDT
The activities evaluated by the simulation are Subjective and Objective Data Collection, Education and Empathy, and the Care Plan activity. Nursing tasks and Documentation, while they provide valuable practice for their real-world counterparts, are not automatically evaluated by the simulation. The evaluation of your interview is dependent on how you word your questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and depth. The evaluation of your physical exam is based on how successfully you report on your physical findings by selecting among clinical terms in the Electronic Health Record. Your success in Education and Empathy is based on whether you promptly respond after identifying a moment worthy of therapeutic communication. Your success in the Care Plan activity is based on whether you accurately identify Mr. Rivera’s nursing diagnosis, select a goal most immediately beneficial to him, select and prioritize the most effective treatments, and accurately evaluate your results. The Care Plan will make up a signficant part of your grade, so be sure to carefully choose your answers based on evidence. This assignment takes on average between 80 and 100 minutes. You can pause and resume the assignment at any time; your work is always saved automatically.
How does this assignment prepare me for the real world?
Question
04/02/23 2:13 PM MDT
In this assessment, you will familiarize yourself with the structure and content of a cough focused exam so that with real-life patients, you can: º ask effective and comprehensive questions º obtain and assess objective data º educate and empathize with the patient º develop a nursing diagnosis º create an effective and expedient care plan º and evaluate your results to determine your goal’s achievement.
In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What strategies can you use to develop rapport with a pediatric patient?
Being friendly with the patient
Statement
04/02/23 2:15 PM MDT
Time to begin.
Hello. xxx interview and examine you.
Greet
04/02/23 2:18 PM MDT
Hi.
What is your name? (Clarified to What is your name?.)
Question
04/02/23 2:24 PM MDT
My name is Daniel Rivera, but I just go by Danny. (Clarified to what is my name.)
What brings you to the clinic today?
Question
04/02/23 2:24 PM MDT
My music teacher Mr. Hillman sent me here because he said I look sick. I have been coughing a lot. . . and I feel kinda tired.
Am sorry to hear that you are sick.
Empathize
04/02/23 2:25 PM MDT
That is nice of you.
Do you have a cough?
Question
04/02/23 2:26 PM MDT
I guess I’m kind of sick. . . I’ve been coughing a lot.
How long have you had a cough?
Question
04/02/23 2:27 PM MDT
I think the cough started two . . . No, it started three days ago.
Is your cough a wet or a dry one?
Question
04/02/23 2:27 PM MDT
My cough seems kind of gurgly and watery.
That sounds like a wet cough.
Empathize
04/02/23 2:28 PM MDT
Thanks for saying that.
Are you ever around cigarette smoke?
Question
04/02/23 2:28 PM MDT
Well . . . sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. I breathe it a little bit then, but it’s not all the time or anything. I don’t like how it smells, and I don’t like that he is hurting himself. He could get sick.
Am sorry about that, I understand your concerns
Empathize
04/02/23 2:29 PM MDT
Thank you.
What makes your cough worse?
Question
04/02/23 2:29 PM MDT
I don’t think anything makes my cough be worse.
Have you tried to treat your cough?
Question
04/02/23 2:31 PM MDT
My mom gave me some medicine this morning. . . that helped my cough a little. I don’t remember what it was called though, sorry.
What is the name of the medicine?
Question
04/02/23 2:32 PM MDT
I don’t know. It was the purple one.
Who gave you the medicine?
Question
04/02/23 2:32 PM MDT
My mom gave it to me.
How much medicine do you take?
Question
04/02/23 2:32 PM MDT
It was just a spoonful.
Thanks for saying that.
Washed hands.
Exam Action
04/02/23 3:08 PM MDT
Measured blood pressure
Exam Action
04/02/23 3:09 PM MDT
Measured heart rate
Exam Action
04/02/23 3:09 PM MDT
Measured pulse oximetry
Exam Action
04/02/23 3:09 PM MDT
Measured respiratory rate
Exam Action
04/02/23 3:09 PM MDT
Measured temperature
Exam Action
04/02/23 3:09 PM MDT
Tested lung capacity with spirometer: FEV1: 1.549 L, FVC 1.78 L (FEV1/FVC: 87%)
Exam Action
04/02/23 3:10 PM MDT
Inspected upper conjunctiva
Exam Action
04/02/23 3:10 PM MDT
Inspected right orbital area and sclera
Exam Action
04/02/23 3:10 PM MDT
Inspected left orbital area and sclera
Exam Action
04/02/23 3:10 PM MDT
Inspected lower conjunctiva
Exam Action
04/02/23 3:10 PM MDT
Performed otoscopic examination of right ear
Exam Action
04/02/23 3:11 PM MDT
Performed otoscopic examination of left ear
Exam Action
04/02/23 3:11 PM MDT
Performed otoscopic examination of right naris
Exam Action
04/02/23 3:11 PM MDT
Performed otoscopic examination of left naris
Exam Action
04/02/23 3:11 PM MDT
Inspected mouth
Exam Action
04/02/23 3:11 PM MDT
Inspected front of neck
Exam Action
04/02/23 3:11 PM MDT
Inspected right side of neck
Exam Action
04/02/23 3:11 PM MDT
Inspected back of neck
Exam Action
04/02/23 3:11 PM MDT
Inspected left side of neck
Exam Action
04/02/23 3:11 PM MDT
Inspected anterior chest wall
Exam Action
04/02/23 3:12 PM MDT
Inspected posterior chest wall
Exam Action
04/02/23 3:12 PM MDT
Palpated frontal sinuses: No tenderness reported
Exam Action
04/02/23 3:12 PM MDT
Palpated maxillary sinuses: No tenderness reported
Exam Action
04/02/23 3:12 PM MDT
Palpated lymph nodes of head and neck: Enlarged and reported tenderness on the right side
Exam Action
04/02/23 3:13 PM MDT
Palpated supraclavicular lymph nodes: Not palpable
Exam Action
04/02/23 3:13 PM MDT
Palpated axillary lymph nodes: Not palpable
Exam Action
04/02/23 3:13 PM MDT
Palpated fremitus in anterior upper chest wall: Present and equal bilaterally
Exam Action
04/02/23 3:14 PM MDT
Ninety-nine.
Palpated fremitus in anterior lower chest wall: Present and equal bilaterally
Exam Action
04/02/23 3:14 PM MDT
Ninety-nine.
Palpated fremitus in posterior upper chest wall: Present and equal bilaterally
Exam Action
04/02/23 3:14 PM MDT
Ninety-nine.
Palpated fremitus in posterior middle chest wall: Present and equal bilaterally
Exam Action
04/02/23 3:14 PM MDT
Ninety-nine.
Palpated fremitus in posterior lower chest wall: Present and equal bilaterally
Exam Action
04/02/23 3:14 PM MDT
Ninety-nine.
Palpated chest expansion: Both sides rise symmetrically
Exam Action
04/02/23 3:14 PM MDT
Auscultated breath sounds in anterior right upper lobe
Exam Action
04/02/23 3:15 PM MDT
Auscultated breath sounds in anterior left upper lobe
Exam Action
04/02/23 3:15 PM MDT
Auscultated breath sounds in anterior right upper lobe
Exam Action
04/02/23 3:15 PM MDT
Auscultated breath sounds in anterior left middle lobe
Exam Action
04/02/23 3:15 PM MDT
Auscultated breath sounds in anterior right middle lobe focused exam: cough shadow health answers
Exam Action
04/02/23 3:15 PM MDT
Auscultated breath sounds in anterior left middle lobe
Exam Action
04/02/23 3:15 PM MDT
Auscultated breath sounds in anterior right lower lobe
Exam Action
04/02/23 3:15 PM MDT
Auscultated breath sounds in anterior left lower lobe
Exam Action
04/02/23 3:15 PM MDT
Auscultated breath sounds in posterior left upper lobe
Exam Action
04/02/23 3:16 PM MDT
Auscultated breath sounds in posterior right upper lobe focused exam: cough shadow health answers
Exam Action
04/02/23 3:16 PM MDT
Auscultated breath sounds in posterior left mid-back (lower lobe)
Exam Action
04/02/23 3:16 PM MDT
Auscultated breath sounds in posterior right mid-back (lower lobe)
Exam Action
04/02/23 3:16 PM MDT
Auscultated breath sounds in posterior left lower lobe near spine
Exam Action
04/02/23 3:16 PM MDT
Auscultated breath sounds in posterior right lower lobe near spine
Exam Action
04/02/23 3:16 PM MDT
Auscultated breath sounds in posterior left lower lobe on side
Exam Action
04/02/23 3:16 PM MDT
Auscultated breath sounds in posterior left lower lobe
Exam Action
04/02/23 3:16 PM MDT
Auscultated breath sounds in posterior right lower lobe
Exam Action
04/02/23 3:16 PM MDT
Auscultated breath sounds in posterior right lower lobe on side
Exam Action
04/02/23 3:16 PM MDT
Auscultated voice sounds in anterior right upper lobe
Exam Action
04/02/23 3:16 PM MDT
Ninety-nine.
Ninety-nine.
Auscultated voice sounds in anterior left upper lobe
Exam Action
04/02/23 3:16 PM MDT
Ninety-nine.
Auscultated voice sounds in anterior right upper lobe
Exam Action
04/02/23 3:16 PM MDT
Ninety-nine.
Auscultated voice sounds in anterior left mid-chest (upper lobe)
Exam Action
04/02/23 3:16 PM MDT
Ninety-nine.
Auscultated voice sounds in anterior right middle lobe
Exam Action
04/02/23 3:17 PM MDT
Ninety-nine.
Auscultated voice sounds in anterior left mid-chest (upper lobe)
Exam Action
04/02/23 3:17 PM MDT
Ninety-nine.
Auscultated voice sounds in anterior right lower lobe
Exam Action
04/02/23 3:17 PM MDT
Ninety-nine.
Auscultated voice sounds in anterior left lower lobe
Exam Action
04/02/23 3:17 PM MDT
Auscultated voice sounds in posterior left upper lobe
Exam Action
04/02/23 3:17 PM MDT
Ninety-nine.
Ninety-nine.
Ninety-nine.
Auscultated voice sounds in posterior right upper lobe
Exam Action
04/02/23 3:17 PM MDT
Ninety-nine.
Ninety-nine.
Ninety-nine.
Auscultated voice sounds in posterior left mid-back (lower lobe)
Exam Action
04/02/23 3:17 PM MDT
Ninety-nine.
Auscultated voice sounds in posterior right mid-back (lower lobe)
Exam Action
04/02/23 3:17 PM MDT
Ninety-nine.
Auscultated voice sounds in posterior left lower lobe near spine
Exam Action
04/02/23 3:17 PM MDT
Ninety-nine.
Auscultated voice sounds in posterior right lower lobe near spine
Exam Action
04/02/23 3:17 PM MDT
Ninety-nine.
Auscultated voice sounds in posterior left lower lobe on side
Exam Action
04/02/23 3:17 PM MDT
Ninety-nine.
Auscultated voice sounds in posterior left lower lobe
Exam Action
04/02/23 3:17 PM MDT
Ninety-nine.
Auscultated voice sounds in posterior right lower lobe
Exam Action
04/02/23 3:17 PM MDT
Ninety-nine.
Ninety-nine.
Ninety-nine.
Auscultated aortic area with the bell
Exam Action
04/02/23 3:18 PM MDT
Auscultated pulmonic area with the bell
Exam Action
04/02/23 3:18 PM MDT
Auscultated Erb’s point with the bell
Exam Action
04/02/23 3:18 PM MDT
Auscultated tricuspid area with the bell
Exam Action
04/02/23 3:18 PM MDT
Auscultated mitral area with the bell
Exam Action
04/02/23 3:18 PM MDT
Auscultated mitral area with the diaphragm focused exam: cough shadow health answers
Exam Action
04/02/23 3:18 PM MDT
Auscultated aortic area with the diaphragm
Exam Action
04/02/23 3:18 PM MDT
Auscultated pulmonic area with the diaphragm
Exam Action
04/02/23 3:18 PM MDT
Auscultated Erb’s point with the diaphragm
Exam Action
04/02/23 3:18 PM MDT
Auscultated tricuspid area with the diaphragm
Exam Action
04/02/23 3:18 PM MDT
Auscultated mitral area with the diaphragm
Exam Action
04/02/23 3:18 PM MDT
Percussed anterior right upper lobe
Exam Action
04/02/23 3:23 PM MDT
Percussed anterior left upper lobe
Exam Action
04/02/23 3:23 PM MDT
Percussed anterior right middle lobe
Exam Action
04/02/23 3:23 PM MDT
Percussed anterior left mid-chest (upper lobe)
Exam Action
04/02/23 3:23 PM MDT
Percussed anterior right lower lobe
Exam Action
04/02/23 3:23 PM MDT
Percussed anterior left lower lobe
Exam Action
04/02/23 3:23 PM MDT
Percussed posterior left upper lobe
Exam Action
04/02/23 3:23 PM MDT
Percussed posterior right upper lobe
Exam Action
04/02/23 3:23 PM MDT
Percussed posterior left mid-back (lower lobe)
Exam Action
04/02/23 3:23 PM MDT
Percussed posterior right mid-back (lower lobe)
Exam Action
04/02/23 3:23 PM MDT
Percussed posterior left lower lobe
Exam Action
04/02/23 3:23 PM MDT
Percussed posterior right lower lobe
Exam Action
04/02/23 3:23 PM MDT
Percussed posterior left lower lobe on side
Exam Action
04/02/23 3:23 PM MDT
Percussed posterior left lower lobe near spine
Exam Action
04/02/23 3:23 PM MDT
Percussed posterior right lower lobe near spine
Exam Action
04/02/23 3:23 PM MDT
Percussed posterior left right lobe on side
ORDER SHADOW HEALTH HELP HERE
Exam Action
04/02/23 3:23 PM MDT
Measured diaphragmatic excursion: 3 cm
Exam Action
04/02/23 3:24 PM MDT
Danny, we want to make sure you dont develop an infection and become more sick by taking you through the different that can prevent that and the focus will be on your risk factors. Some of your risk factors include you being close to a sick friend, exposure to cigar smoke, having touches your face with uncleaned fingers. They may sound a lot but by working together and mitigating your risk factors can be easy and effective
Educate
04/02/23 4:43 PM MDT
OK. I get it!
To make sure you dont become sicker, I will talk to you and your father and what must e done. The three of us will collaborate and agree to your health goals. Then both of you will repeat what you have learnt to be sure you have understood all which should be done.
Educate
04/02/23 4:48 PM MDT
Alright.
Does the plan sound good to you?
Educate
04/02/23 4:49 PM MDT
We can do it! I love learning and I’m really a good learner.
If you don’t have any other question, we can start our discussion.
Educate
04/02/23 4:49 PM MDT
Okie dokie artichokey.
