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e-Folio--Essential IX
Anne Waskiewicz
culmination of a series of essential elements within a nursing program. The essential helps the
baccalaureate prepared nurse to organize and integrate the knowledge, skills, and attitudes
learned from the nursing program. The nurse applies the information of Essential IX to a best
evidence practice, as well as to focus on outcomes for various populations, individuals, families,
groups and communities. The nurse is the integral connection between the patient and a complex,
ever-changing healthcare system. Essential IX equips the professional nurse to care for patients
in a compassionate, proficient manner across a patients lifespan from birth to old age.
Exemplar
assessment. Nursing 401 has laid a solid foundation on how to perform the comprehensive
health assessment in an organized approach which includes the patients personal beliefs,
Reflection
(American Association of Colleges of Nursing [AACN] 2008). Essential IX is the link between
theory and practice, where the nurse takes the knowledge gained and applies it to her nursing
ESSENTIAL IX 3
practice. The Health Assessment that I had the opportunity to perform on a patient required that
I apply Essential IX, by taking the knowledge base gained through my nursing program and
apply it to a mock clinical assessment. The Health Assessment course has given me a solid
One important factor is to establish a trusting relationship between the patient and the
nurse. A relationship takes time to develop. I will discuss number 21, which states engage in
caring and healing techniques that promote a therapeutic nurse-patient relationship. (AACN,
2008) The relationship and examination of the patient began when the patient entered the room.
The textbook made several suggestions on how to make one comfortable. The assessment began
with eye contact, a smile and handshake (Estes, 2014). The first impression cannot be made on a
second visit. I discovered if I am relaxed and inviting it tends to put my patient a little more at
ease. The next step was a dialogue between each of us regarding the steps I would take to
perform the comprehensive health assessment. We would stop and answer questions, if they
arose, before proceeding. The patient understood she was free to stop the examination at any
time.
In todays electronic world it takes skill to slow down and listen to a patient. In number
8, managing and promoting health while caring for the individual is difficult when our healthcare
system, medical reimbursement organization, and care management teams are pressuring the
healthcare practitioners to hurry up, get them out. The ability to perform a complete and
thorough assessment in a short timeframe takes a lot of practice. It is imperative for the
baccalaureate prepared nurse to perform this assessment thoroughly to ensure their client is
going to have the best possible outcome. The benefits of technology are far-reaching, with
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quicker lab results, better infectious disease management, easier patient access to records.
However, with the elderly population rising lets not forget the far-reaching benefits of sitting
Reference
American Association of Colleges of Nursing (AACN). (2008). The essentials of baccalaureate
Estes, M. E. (2014). Health Assessment and Physical Examination (5th ed.). Clifton, NY:
Delmar.