Shadow Health Assessment Assignment
Introduction and Pre-brief
In this graded assignment, Tina Jones had an asthmatic episode 2 days ago. At that time, she used her albuterol inhaler and her symptoms decreased although they did not completely resolve. Since that incident she notes that she has had ten episodes of wheezing and has shortness of breath approximately every four hours. Tina presents with continued shortness of breath and wheezing. Be sure to ask pertinent questions during the interview about related body systems. This case study will provide the opportunity to carefully assess lung sounds during the physical examination. Be sure to appropriately document your findings using correct medical terminology.
Tips and Tricks
You will have many opportunities to interact with Tina Jones during the Shadow Health Physical Assessment Assignments in this course. Subjective information, such as details from the health history, do NOT carry forward to the next assessment encounter. Do not assume the answers to questions that you may have previously asked in another encounter. Therefore, you must ask the same history questions again, even if you already think you know how the patient may respond! To obtain data for the health history, you must utilize good interview techniques and communications skills. Record accurately. DO NOT ASSUME. For example, the patient denies having chest pressure, but do not assume that she does not have chest pain – you need to ask this question specifically.
When performing your physical exam, remember to proceed in an organized manner from head to toe i.e. start with the General Survey, then the HEENT exam, and continue to move down the body in a logical manner. This keeps a nice flow for the patient and examiner.
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:
Apply knowledge and understanding of advanced practice physical assessment skills and techniques (CO1)
Perform focused and comprehensive histories and physical assessments for various patient populations (CO4 and CO5)
Adapt skills and techniques to suit the individual needs of the patient (CO4)
Differentiate normal from abnormal physical examination findings (CO2)
Summarize,?organize,?and document findings using correct professional terminology (CO3)
Sunday 11:59 PM MT at the end of each respective week.
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.
In the event of an emergency that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student’s rationale for the request and make a determination based on the merits of the student’s appeal. Consideration of the student’s total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.
Total Points Possible: 75 Points
Step One: Complete Respiratory Assignment
Step Two: Document your findings on the Fillable Soap Note TemplatePreview the document or the Printable Soap NotePreview the document.
Step Three: Upload the Lab Pass and completed SOAP Note as separate documents to the same assignment tab in the gradebook.
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Shadow Health Assessment Assignment