I need 2 reply for the discussion attached with at least 200 words and at least 1 reference 

Reply with at least 200 words, and at least 1 reference

Nurses must evaluate a patient’s symptoms to practice their vocation correctly. The primary emphasis of the nurse’s duties in the medical field is the patient’s symptoms. The nurses analyze the patient’s symptoms, consider probable reasons why those symptoms could change, and then develop treatment and prevention strategies to address those symptoms. The nurses also help the patients control their symptoms and monitor them continuously (Blakeman, 2019). The Theory of Unpleasant Symptoms is one of the essential strategies developed to aid nurses in analyzing patients’ systems. It was one of the first nursing theories (TOUS). This method identifies vital symptoms that may lead to nursing exercise and inquiry. The idea may also include a nurse’s concern in symptom evaluation.

       In selecting a technique to assess a patient’s signs, nurses take into account several considerations. The patient’s self-reported signs need to be part of the valuation device. The nurse will identify the consequences of the condition and the course of cure based on the signs the patient reports having. In addition, the nurse’s assessment technique must be able to detect the aspects that impact the indications of the patient’s intelligence. When exhausting the Theory of Unpleasant Symptoms to decide the main method for assessing patient signs, it is vital to consider the major tenets that this notion emphasizes (Love et al., 2022). The symptoms are the primary emphasis of the theory at first, and their definitions are derived from patient accounts. After that, it analyzes the factors that affect the symptoms, such as those connected to the condition, age, and gender. The patient may see a shift in how the symptoms feel due to these factors.

       The theory also reflects the external social and physical circumstances of the patient that have the potential to affect the patient’s symptoms. Consequently, the assessment tools need to consider physiology, situational issues, child development, and growth, among other things. These specifics are essential for the nurse to comprehend the state in which the patient is now found. In the Theory of Unpleasant Symptoms, the nurse’s assessment method should also reflect the aspects that impact the signs being gone through by the patient (Silva-Rodrigues et al., 2019). Culture, gender, age, and language are a few elements that fall under this category. The Theory of Unpleasant Symptoms may aid a nurse in selecting the most suitable technique for evaluating a patient’s symptoms because it provides a framework for examining the patient’s signals. The assessment tool has to describe three critical aspects, including the features of the signs, the presentation result, and the aspects impacting the symptoms.


Blakeman, J. R. (2019). An integrative review of the theory of unpleasant symptoms. Jou

Reply with at least 200 words and at least 1 reference

The theory of unpleasant symptoms focuses on three essential elements, namely the symptoms, the cause of the symptoms, and the influence of the condition on the patient’s performance (Blakeman, 2019). These three essential elements will inform my assessment tool evaluation criteria. According to Bea et al. (2022), it was possible to identify infective endocarditis among the elderly and distinguish it from related aging infections such as colorectal cancer and HCP that are age-related due to the patients presenting heart murmurs, muscle and joint aches, fevers and chills, swollen feet, and ulcer nodes among patients. Therefore, I will focus on the clinical presentations among patients in the assessment tool evaluation since such help isolated conditions and give a credible diagnosis. 

    I would also focus on the causes of the symptoms, as earlier mentioned, due to the potential it presents in treating the condition. According to Bea et al. (2022), due to the adverse age of the patients, 
Enterococcus ssp was responsible for the infective endocarditis among the elderly since it is the most common among 65-79-year-olds while a further analysis revealed Gram-positive cocci among the patients informing antibiotic treatment. Therefore, I would focus on the results from the analysis of the condition and potential diagnosis in an assessment tool evaluation as it would inform my decision on the best intervention for the patients. 

   In an assessment tool evaluation, I would focus on the severity of the condition to the psychomotor and physical performance. As per Lebeaux et al. (2019), due to the prevalence and the mutation of the 
Staphylococcus aureus, aminoglycosides are an ineffective treatment for infective endocarditis. Therefore, nI would focus on the performance of the individual in an assessment tool to help identify the intensity to inform my decision on the potential treatment; as noted in Lebeaux et al. (2019) findings, conditions intensity influence the effectiveness of the medication.


Bea, C., Vela, S., García-Blas, S., Perez-Rivera, J.-A., Díez-Villanueva, P., de Gracia, A. I., Fuertes, E., Oltra, M. R., Ferrer, A., Belmonte, A., Santas, E., Pellicer, M., Colomina, J., Doménech, A., Bodi, V., Forner, M. J., Chorro, F. J., & Bonanad, C. (2022). Infective Endocarditis in the Elderly: Challenges and Strategies. 
Journal of Cardiovascular Development and Disease
9(6), 192. https://doi.org/10.3390/jcdd9060192

Blakeman, J. R. (2019). An integrative review of the theory of unpleasant symptoms. 
Journal of Advanced Nursing
75(5), 946–961. https://doi.org/10.1111/jan.13906

Lebeaux, D., Fernández-Hidalgo, N., Pilmis, B., Tattevin