Evidence based practice guidelines require a professional nurse to engage in pre-participation physical examinations for any individuals looking to engage in sports. For scenario 5, it is necessary to come up with a diagnosis, identify if it will be safe for the patient to participate in any sports activity and ensure that there is no unnecessary participation restriction. To identify whether the patient is fit to participate and come up with a diagnosis, I would need to engage in various assessments. They include the patient’s general medical history, cardiac, respiratory, and neurologic assessment. Further, it would be necessary to conduct vision, orthopedic, psychosocial, genitourinary and abdominal and dermatological assessments on the patient ( Ball, Dains, Flynn, Solomon and Stewart, 2015). Careful assessment would reveal recent injuries that may have been poorly rehabilitated and which may become worse if the patient participates in sports. Ball et al. (2015) identify that a significant percentage of young athletes die due to head or neck injuries. The current patient presents a similar problem which needs careful assessment through a physical evaluation and an overall assessment to not only address the head injury but identify any other issues that would make it impossible for the patient to engage in sports.
Sullivan (2019) insists on how critical it is for the nursing professional to keep client documentation not only for legal reasons but also for the continued care of the patient. It would therefore, be necessary that I engage in efficient client documentation especially of the current patient’s ability and overall wellness for him to engage in sports in the next three days. Nonetheless, my primary aim would be to keep the patient safe from any further harm through examinations and prescriptions if necessary and recommendations for care that will ensure a full recovery ( Tingle & Cribb, 2014) . It is also important that I ensure confidentiality of patient-professional information and to make sure that the client can exercise autonomy through provision of sufficient information concerning their problem.
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References
Ball, J., Dains, J., Flynn, J., Solomon, B. and Stewart, R. (2015). Seidel's guide to physical examination . 8th ed. Elsevier Inc.
Sullivan, D. (2019). Guide to clinical documentation . 3rd ed. F A Davis: Philadelphia, p.416.
Tingle, J. and Cribb, A. (2014). Nursing law and ethics . Chichester, West Sussex, UK: John Wiley & Sons Ltd.
