NU 580 A 50 year old male presents to the primary care office for his annual physical examination
Presenting for Annual Physical Examination
Nurse practitioners screen patients for annual physical examination based on recommended guidelines by different health entities. Individuals presenting for annual physical examination get screened for different conditions using models like triangulation of evidence-based practice. In this case, the annual physical examination using triangulation implies that the nurse practitioner will use two different approaches or sources of recommended evaluation to obtain consistent results. Triangulation is not about only validation but als
o deepens one’s understanding (Ling et al., 2018). In this case the annual physical examination for the 50-year-old male adult will be based on two tools; the one-page adult preventive health care schedule: USPSTF Recommendations and Guideline Central tool.
It is important to involve the patient in approaching the recommendations for their screening and implore them to
understand the significance of each test or screening. These recommendations require the patient to understand the potential risks and exposure that mandate their use for effective evaluation. According to the Guideline Central Tool, the patient should be screened for the following. Syphilis infection, HIV infection, tobacco smoking cessation and hypertension. The patient also requires screening for colorectal cancer, depression in adults, use of aspirin to prevent cardiovascular disease and colorectal cancer, screening for latent tuberculosis infection, and weight loss to prevent obesity related issues and behavioral interventions (Guideline Central, n.d). The adult can also be screened for Hepatitis C virus infection, unhealthy use of drugs and sexually transmitted infections and get behavioral counselling. The examination will also include hepatitis B screening and screening for lung cancer and prediabetes and type 2 diabetes.
The adult preventive health care schedule recommends screening for grade A and B that includes depression, hypertension and obesity as well as other components required by the Guideline Control tool. The implication is that the use of these two tools to examine the individual increases validation and consistency. Nurse practitioners should apply the triangulation model as an evidence-based approach to physical examination of patients presenting in their clinical settings for annual reviews.
As demonstrated, there are several resources available and offer evidence that support the suggested screening. These resources include the suggested reading like Guideline Central website which the patient can access, the online sources and evidence-based practice interventions being applied by nurses in different areas of scope.
References
Guideline Central (n.d). Identify clinical preventive services that are appropriate for your
patients. https://www.guidelinecentral.com/epss/
Ling, C., Fuller, A., Taylor, L., & Johnson, H. (2018). Triangulation of Multifactorial
Assessment: Bringing Objectivity to Objective Structured Clinical Examination Evaluation. Clinical Simulation in Nursing, 16, 40-47. https://doi.org/10.1016/j.ecns.2017.10.009
Nerenberg, K. A., Zarnke, K. B., Leung, A. A., Dasgupta, K., Butalia, S., McBrien, K., … &
Canada, H. (2018). Hypertension Canada’s 2018 guidelines for diagnosis, risk assessment, prevention, and treatment of hypertension in adults and children. Canadian Journal of Cardiology, 34(5), 506-525. doi: 10.1016/j.cjca.2018.02.022.
Swenson, P. F. & Ebell, M. H. (2016). Introducing a One-Page Adult Preventive Health Care
Schedule: USPSTF Recommendations at a Glance. American Family Physician, 93(9): 738-740.