Identify and describe any risks and consider what further information you would need to gain a full understanding of the patient.

When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.Not only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process.
For this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.
The AssignmentAssignment (3–4 pages, not including title and reference pages):Assignment Option 1: Adult Assessment Tools or Diagnostic Tests:Include the following:A description of how the assessment tool or diagnostic test you were assigned is used in healthcare.What is its purpose?How is it conducted?What information does it gather?Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.
Case #2: 75-year-old non-English speaking female recently diagnosed with breast cancer (LAST NAMES beginning with letters Q through Z)3.Include the following:An explanation of the health issues and risks that are relevant to the assignment.Describe additional information you would need in order to further assess the health of this patient.Identify and describe any risks and consider what further information you would need to gain a full understanding of the patient. Think about how you could gather this information in a sensitive fashion.Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the patient to gather more information.Provide at least two strategies you could employ to encourage the parents and or/patient/caregivers to be proactive about the health of the patient.
-Thehealth risk assessment for this patient would definitely include her age. Theolder an individual is the harder it is for the body to fight and recover fromcancer. If a mastectomy is required there is also an increased risk forcomplications from surgery as an individual ages. Additional assessments shouldinclude physical activity level, drug, alcohol, and tobacco intake, and familyhistory.
Describeadditional information you would need in order to further assess thehealth of this patient.
-Taking into account the issues brought forthpreviously, there is more information for the APN to gather in order to get afull picture of the patient’s health, realizing that care is needed to be takento bridge the language gap.-Patients of this age tend to have greater visionimpairment that can lead to difficulty reading medications, taking incorrectdosages, and even taking the wrong medicines. Taking into consideration thatshe also is not able to efficiently read instructions in English, care must betaken to ascertain if medications/care instructions are in her native language.-The general level of compliance withmedication/treatment regimens for geriatric patients had a positive correlationwith both their educational status/awareness of the disease process/medicationsand whether the patient lived with family.-Functional impairments, regular appearances tofollow-up appointments, and whether adverse events were experienced also had alarge impact on treatment regimen adherence. These considerations, includingthe APN ensuring effective translation services,
Identify anddescribe any risks and consider what further information you would need togain a full understanding of the patient. Think about how you could gatherthis information in a sensitive fashion.
being able to ascertain a patient’s dietary habits,recent weight changes, changes in body proportions, and their body mass index(BMI), can have great influences in the patient’s overall health, and abilityto recover from various ailments
check for any changes to body fat proportions, weightgain/loss, and even any medications that may have had an impact on her abilityto eat or effectiveness of those medications.
Can patient afford adequate food, has transportationto acquire it, any poorly fitting dentures, ability to incorporate exercise,and even lack of social interactions that all may lead to poor health due todecreased dietary intake.Considering patient most likely adheres to morespecific cultural eating practices different from mainstream American diets,(non-English speaking), the APN should ensure an understanding is found toassess adequateness for health outcomes with her breast cancer
Taking intoaccount the parents’ and caregivers’ potential sensitivities, list atleast three specific questions you would ask about the patient to gathermore information.
What is the best way you are able to learn and retainnew information; such as you prefer reading, videos, demonstrations, or otherways?What are the general ways illnesses are treated accordingto your cultural background?What medications do you currently take; to includeones prescribed from your doctor, any over-the-counter medications, and anytraditional/herbal remedies you use?Can you describe a “normal day” for you in terms ofwhat you do, when you eat, what type of activities of a daily living you have,and typical social interactions?
Provide atleast two strategies you could employ to encourage the parents andor/patient/caregivers to be proactive about the health of the patient.
Considering the aforementioned correlation between apatient’s understanding of the illness, the treatment regimen, and theimportance/benefits of it directly affected the propensity to more closelyadhere to the treatment regimen, ensuring proper education and understandingwill be the number one goal.Audio recording, memory aid, daily journal, weeklymedication containerHaving the ability to repeatedly go over instructions in hernative language at her leisure will go a long way to support her learning, andthus increase her participation in her care.