Nursing assignment
Introduction and Pre-brief
In this graded assignment, you will interview Tina Jones to conduct a comprehensive health history and collect data to assess Ms. Jones’ recent right foot injury. You will have the opportunity to educate and empathize with Tina to engage in effective therapeutic communication; create a problem list using evidence from the data you collected; prioritize the identified problems to differentiate immediate from non-immediate care; and plan how to best address the most important concern with further assessment, interventions, and patient education. For this assignment, you will conduct a limited physical assessment. Your objective documentation must include a general statement and the findings for the skin (integumentary) body system.
Purposes
The purposes of the Shadow Health Physical Assessment Assignments are to: (a) increase knowledge and understanding of advanced practice physical assessment skills and techniques, (b) conduct focused and comprehensive histories and physical assessments for various patient populations, (c) adapt or modify your physical assessment skills and techniques to suit the individual needs of the patient, (d) apply assessment skills and techniques to gather subjective and objective data, (e) differentiate normal from abnormal physical examination findings, (f) summarize, organize, and appropriately document findings using correct professional terminology, (g) practice developing primary and differential diagnoses, (h) practice creating treatment plans which include diagnostics, medication, education, consultation/referral, and follow-up planning; and (i) analyze and reflect on own performance to gain insight and foster knowledge.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
1. Apply knowledge and understanding of advanced practice physical assessment skills and techniques (CO1)
2. Perform focused and comprehensive histories and physical assessments for various patient populations (CO4 and CO5)
3. Adapt skills and techniques to suit the individual needs of the patient (CO4)
4. Differentiate normal from abnormal physical examination findings (CO2)
5. Summarize, organize, and document findings using correct professional terminology (CO3)
6. Reflect upon performance to gain insight and foster knowledge (CO1)
Requirements
NOTE: Before initiating any activity in Shadow Health, complete the required course weekly readings and lessons as well as review the introduction and pre-brief
On the Canvas Platform:
1. Summarize, organize, and appropriately document findings using correct professional terminology on the SOAP Note Template.
2. Document a comprehensive problem list based upon the history and physical examination findings on the SOAP Note Template.
3. Provide rationales and citations for diagnoses and interventions for the brief treatment plan.
4. Include at least one scholarly source to support diagnoses and treatment interventions with rationales and references on the SOAP note. Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are NOT considered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal. The following sources should not be used: Wikipedia, Wikis, or blogs. These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality. For example, the American Heart Association is a .com site with scholarship and quality. Each student is responsible for determining the scholarship and quality of any .com site. Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years.
Shadow Health Grading Rubric
Portions of the rubric are designated with a ***. The following explains those portions of the rubric:
**Scholarly Sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are NOTconsidered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal. You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article. The following sources should not be used: Wikipedia, Wikis, or blogs. These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality. For example, the American Heart Association is a .com site with scholarship and quality. Each student is responsible for determining the scholarship and quality of any .com site. Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years. Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.
***Components of a treatment plan include diagnostics, medication, education, consultation/referral, and follow-up planning
****Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. For example, one might demonstrate insight by relating a concept to a personal or meaningful experience.
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Rubric
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Criteria |
Ratings |
Pts |
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This criterion is linked to a Learning OutcomeCriterion 2 Assessment, Documentation, Treatment Plan, and Scholarly Sources Criterion 2 Assessment, Documentation, Treatment Plan, and Scholarly Sources Must demonstrate the following elements: Identify all pertinent normal and abnormal findings; Use professional terminology; Subjective and objective documentation was detailed and comprehensive; Use the SOAP Note Format template for documentation; Address each of the following on the brief treatment plan: Diagnostics, Medication, Education, Referral/Consultation, and Follow-up Planning; Interventions are detailed and appropriate for the focused assignment; Provide at least one appropriate EBP scholar source (7 Required Elements) |
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35 pts |
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This criterion is linked to a Learning OutcomeAssignment Format Possible Points = 10 Points Format Criterion 1 Grammar, Spelling, Syntax, Mechanics and APA Format |
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10 pts |
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This criterion is linked to a Learning OutcomeLate Penalty Deductions Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy. |
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0 pts |
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Total Points: 75 |