I am a Senior Nurse Practitioner working in a busy Accident and

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I am a Senior Nurse Practitioner working in a busy Accident and Emergency Unit. The main objective for this assignment is to demonstrate a systematic understanding of an advance heath assessment of a patient presenting with abdominal pain in Accident and emergency unit. I will analyse the pathophysiology of the presenting signs and symptoms of abdominal pain. Traditionally the health consultation were being conducted by the medical staffs in accident and emergency setting however the now the role of the Nurse has been developed in recent years and these conditions are seen by Advance Nurse Practioners. NMC (2005) defines ANP as highly experience and educated members of the care team and able to make a diagnosis, prescribe , refer to appropriate specialities and treat patient competently. They are able to take a comprehensive history, carry out physical examinations , use their clinical expertise to make the potential diagnosis , refer patient for investigations where appropriate , make a final diagnosis and make a decision on treatment which includes prescribing the medications. Glymph (2010) describes a comprehensive health assessment is a thorough head-to-toe physical examination which should include a review of the medical history , a complete physical examination , a complete laboratory tests and radiological examination or test where is appropriate . On the other hand , Glymph 2010 states a specific health assessment is problem oriented and focuses on the specific problem and not a general health. The Department of Health (2010) stated how they tried to reduce the hours worked by junior doctors and has resulted in initiatives that have extended and expanded the traditional scope of nurses. The Royal College of Nursing (2015) agreed by highlighting the value of the advanced nurse practitioner in enhancing the responsiveness and efficiency of care provision and the overall quality of patient care.For the purpose of this assignment I have made the patient anonymous and named him as Mr Anon to maintain the patient’s confidentiality as per NMC(2015). I will be using a pseudonym throughout this article to ensure patient anonymity and he will be referred to as Mr Anon (NMC 2018). Mr Anon verbally gave full consent to utilize his personal clinical records for this article. The National Institute for Health and Care Excellence (NICE 2017) advise healthcare professionals to obtain and record informed consent from the patient. It was explained to Anon that confidentiality would be maintained throughout, and there would be nothing mentioned in this article that could identify him (NMC 2018)The initial assessment was done at the first stage by the triage nurse on duty and documented in the triage notes . Kozier, et al (2012) defines an assessment is a systematic collection of data in order to identify the patient’s actual and potential health problems. Matthews (2010) he stated that a complete and holistic assessment should take into consideration the individual’s psychological, social, spiritual and cultural needs . The assessment process requires nurses to conduct relevant observations, to collect, confirm and organise data and to make judgements to decide care and treatment needs (NMC 2018). Hoffman, Aitken and Duffield, (2009) stated that the collected data can be subjective or objective Full assessment should be done as a systematic approach, patient oriented, evidence based and holistic approach ; and nurses should seek informed consent from a patient before starting assessment, any treatment or any care. (NMC, 2008).Consent was sought from Mr Anon to conduct an assessment on him.Mr Anon was very anxious however I approached