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NSG500 Advanced Health Assessment

Module 2 Discussion

DQ1 Using the information from this week’s Health History assignment in Shadow Health, describe areas of the health history where you think you needed to obtain more information and discuss why that information is important for this patient.

DQ2 Using the information from the Mental Health assignment in Shadow Health, describe two areas in the history where you elicited a positive finding. Describe what the positive finders were and why these may be significant.

 

NSG500 Advanced Health Assessment

Module 3 Discussion

Tell the class which self-report pain-rating scale is used in your clinical practice area for the pediatric, adult, or older adult patient. Identify the population of your clinical practice and how the results are integrated into treatment plans. Include processes of documentation, pain management protocols, and any other information pertinent to this discussion. What do you like/not like about this scale? Do you think it provides a good indicator of pain?

 

NSG500 Advanced Health Assessment

Module 4 Discussion

Using the information from your HEENT examination of Tina Jones in Shadow Health, write a SOAP note and copy it into the Discussion for Module IV. Your response discussion should be a review of one other student’s SOAP note, commenting on identifying areas that you did not include in your own SOAP note and discussing why inclusion of those areas may be important in reaching an appropriate assessment.

 

NSG500 Advanced Health Assessment

Module 5 Discussion

Using the information from the Focused Exam on Danny Rivera in Shadow Health, discuss the history and physical exam questions that provided you with the information needed to determine a potential diagnosis. Identify the information that helped you to differentiate among potential problems for this case. Identify some possible diagnostic studies that would aid you in reaching a conclusion.

 

NSG500 Advanced Health Assessment

Module 6 Discussion

Using the information from the examination of Brian Foster, Chest Pain in Shadow Health, Focused Exam, write a SOAP note and copy it into the Discussion for Module VI.  Your response discussion should be a review of one other student’s SOAP note, commenting on identifying areas that you did not include in your own SOAP note and discussing why inclusion of those areas may be important in reaching an appropriate assessment.

 

NSG500 Advanced Health Assessment

Module 7 Discussion

Choose a pediatric, adult, or older adult age population and a diagnosis that you have the least knowledge that presents as an acute abdomen. Using the textbook and an additional scholarly reference, identify the diagnosis, discuss the subjective and objective data, and any specific physical examination techniques or diagnostic studies that are pathognomonic for this condition.

 

NSG500 Advanced Health Assessment

Module 8 Discussion

Using the information from the musculoskeletal content of this Module and the Lifespan content in Shadow Health, select from the infant, pediatric or older adult age groups and discuss what components of the history and physical may be different for the age group selected. Identify any special tests that may be performed.

 

NSG500 Advanced Health Assessment

Module 9 Discussion

Using the information from the neurological examination of Tina Jones in Shadow Health write a SOAP note and copy it into the Discussion for Module IX. Your response discussion should be a review of one other student’s SOAP note, commenting on identifying areas that you did not include in your own SOAP note and discussing why inclusion of those areas may be important in reaching an appropriate assessment.

 

NSG500 Advanced Health Assessment

Module 11 Discussion

Provide examples of how new information learned in this course has impacted you or will impact you professionally in clinical practice.

 

NSG500 Advanced Health Assessment

Module 12 Discussion

Select a population (pediatric, adult, older adult) to describe how an emergency may present differently in the selected population.

 

 

 

 

 

NSG500 Advanced Health Assessment

Assignment Comprehensive History and Physical Examination

NSG 500: Comprehensive Health History and Physical Examination Guidelines: Advanced Health Assessment

Each student will complete a written comprehensive health history and physical examination using the information from the Shadow Health History and Comprehensive Exam.  Use the format provided in your textbook for this write-up; see Ch. 5, Recording Information. The written assignment is documentation of the findings and should demonstrate application of course content and follow the criteria provided below:

 

NSG500 Advanced Health Assessment

Residency Assignment

Focused History and Physical Exam

Students will record a video with soundto demonstrate competency obtaining a focused history and physical exam. Each student will have a “patient” use the information provided in the following case. The patient may be a family member or friend. The patient will sign the video release form prior to taping the exam. Students will then perform a videotaped focused history and physical exam on the patient use the case study below.

The findings from the history and physical exam will be also be written in the form of a SOAP note and submitted to the assignment folder. This information is due at the end of Module 10.

Ms. A is a 40 year old female high school English teacher who presents to her primary care provider for evaluation of a cough. The cough has been present for the past 10 days. At onset, the cough was accompanied by a fever up to 100.3 po. She has coughed up green sputum on occasion, but over the last 2 days, the sputum has become blood-tinged. She has noticed increased shortness of breath with exertion and had difficulty sleeping at night because of the cough. She has tried using over-the-counter medications without relief. She has not traveled anywhere recently. Several of her coworkers are also sick. She has ear pain. She denies sinus congestion or sore throat. She has had no palpitations, constipation, diarrhea, dysuria, or swelling in her extremities. She does admit to a headache, which has been intermittent for the last 5 days, and appears to be relieved somewhat by acetaminophen. 

She has smoked 1 packs of cigarettes per day since the age of 21.

She takes medication for seasonal allergies as needed. In childhood, she had her tonsils and adenoids removed.

Using this information, perform a focused history and physical exam on the “patient. “ Use a family member or friend as your “patient.”  “Your “patient” can simulate or ad lib to any of the information listed. If the student ass a question and answers are not in the case, the “patient” should make up a response. The case should be given to the patient prior to taping.

VideoCriteria

1.            The video will include obtaining the focused health history and physical exam. The video must not exceed 30 continuous minutes. All videos must be tapedin one continuoussession.

2.            The student will not be allowed any prompting materials during the focused history and physical examdemonstration.

3.            The student must actually put hands on the patient and perform/demonstrate thephysical assessment skills.

4.            The student should speak to describe what they are performing during the physical; for example I am observing the patient’s color, breathing pattern.

5.            The student must achieve a passing grade on the physical exam in orderto pass thecourse.

6.            The exam must take place in an appropriate setting and the examiner should be in professionaldress. The location may include a student’s home.

7.            Students are required to supply all video recordingequipment.

8.            A video release form must be signed by the client. A signed release form can be found in the content section of the course. The video will not be graded without a signed releaseform.

9.            During the video recording, the camera must be focused on the examiner, patient, and the area being assessed. The faculty grading the assignment will need to verify physical assessment technique, and if the video camera is too far away from the area being examined, the technique cannot be verified and the student will have to repeat thevideotape.

10.          Students should review their video after completion to ensure that the sound is adequate and that the exam is in full view of the camera.

11.          Any identifiers related to the client being examined must be removed prior to videotaping.

12.          Students may face program dismissal if Physical Assessment videos are made public outside of Wilkes.

Final assessment videos must be submitted by Sunday at 11:59 pm of Module 10 but can be submitted before that final date. If you are unable to perform a satisfactory physical assessment, a failing grade (F) will be assigned as the final grade for the course.

A SOAP note based on the assessment video will also be submitted. See the SOAP note instructions and Grading Rubric in the “Course Resources.”

Instructions for use of Panopto in D2L are located in the Course Resources for the alternative assignment.

 

 

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