Family Nurse Practitioner health history taking and physical examination skills

• Write substantive response of 200-250 words to the question below and include in-text citation. APA format.
• References and citations should conform to the APA 6th edition.

Discuss at least two ways you will continue to perfect your health history taking and physical examination skills as a Family Nurse Practitioner. Give specific strategies and examples on how you will pursue this knowledge and skills in these areas. Support your strategies from the professional literature. Discuss your strengths and weaknesses in health history taking and physical examination skills. Give at least two of each.Use APA format.

Part B.

Respond to other student’s responses with substantive comments. Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.The postings should be at least one paragraph (approximately 100 words) and include references.

1. References and citations should conform to the APA 6th edition.
2. Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.Plagiarism is never acceptable – give credit when credit is due – cite your sources

Brooke ’s response

While determining how I will continue to perfect my health history and physical examination skills, several things come to mind. For one, practice makes perfect is a motto I’ve always believed in. I think that continuing to use the skill I have learned will assist me in getting better at the way I perform my exams, as well as helping me to be quicker with doing the exam. I also think it’s important to seek out opportunities that present a challenge or are not typically seen every day. We’re fortunate that technology is at our fingertips now a days and allows us to expand our knowledge in areas where we may not be extremely proficient. Keeping up with the current literature and treatment trends will also assist with proficiency (Scott, 2017).

A strength I possess in taking a health history is that I’m very thorough. I’m a good listener and pay attention to detail and feel I know when to dig deeper into what the patient is saying. I’m also fairly confident with the lung assessment as I’ve been a nurse for many years and have lots of experience with determining a variety of lung sounds.

Two areas I feel I need to work on are the cranial nerve assessments and the neurological exam in general. I just need more practice with the cranial nerve assessments and remembering exactly what is being tested and why. I have always found the neurological exam to be tricky because much of it is based on how the patient responds. I feel that many things can influence responses including medications. I have no doubts I will get better with both of these things as I progress in this field. It’s also important to have the appropriate tools available so the assessments are accurate (“What You Need to Know About Neurological Exams”, 2018).

References

Scott, M. (2017). The 5 things that matter most from your physical. Retrieved from

https://www.onemedical.com/live-well/physical/

What You Need to Know About Neurological Exams. (2018). Retrieved from

https://www.hopkinsmedicine.org/healthlibrary/cond…

urological_examination_85,P00780

Hollie’s Response

My transition into a nurse practitioner role has highlighted many of my strengths and weaknesses. My history as a PICU nurse has definitely influenced my health history and physical examination skills. For so long, I have worked with children, some of whom because of their age or development delays cannot speak and share their concerns, and others who present in emergency situations or are sedated. In these cases, it can be difficult to explore the patient’s health history with many details. However, in other ways, these situations have forced attention to small details and thorough physical examination skills. When in clinical this semester, I have definitely noticed a tendency to struggle with asking questions to obtain a thorough health history, though I often find the right questions to ask while performing a physical examination. I know with practice, these skills will continue to develop.

Two ways I will continue to perfect my health history taking and physical examination skills include: practice and expanding my knowledge. Studies are showing the physical exam skills among physicians are declining, in part, because of reliance on laboratory investigation and imaging (Asif, Mohiuddin, Hasan, & Pauly, 2017). This, however, is a threat to the patient’s safety. By becoming knowledgeable on the various assessment tools that can be used and putting them into practice, I will gain the confidence I need to use these skills appropriately in each client situation. Bickley (2016) also states: “with practice, you will meet the challenge of integrating the essential elements of clinical care” (p. 3). Practice in the field is essential to perfecting skills.

References

Asif, T., Mohiuddin, A., Hasan, B., & Pauly, R. (2017). Importance of thorough physical examination: A lost art. Cureus, 9(5), 1-5. doi: 10.7759/cureus.1212

Bickley, L. S. (2016). Bates’ Guide to Physical Examination and History Taking, 12th Edition[VitalSource Bookshelf version]. Retrieved from https://bookshelf.vitalsource.com/books/9781496354…

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