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 aproblem listusing
evidence from the data you collected; prioritize the identifiedproblemsto differentiate immediate from non-immediate care; and plan how to best address
themost important concernwith 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.
Tips and Tricks
You will earn points on the Digital Clinical Experience (DCE) score during Shadow Health activities for how well you identify and respond to opportunities to
emphasize and educate your patients. Just as in real life, timing matters. For example, if your patient reveals that she is experimenting with illegal drugs and
you “skip over” the chance to address the issue during the interview, you will not be able to recapture that moment to educate your patient later in the activity.
Consequently, you will lose points on the Digital Clinical Experience (DCE) score.
At the end of each Physical Assessment Assignment in Shadow Health are post-activity reflection questions. Be aware that the quality of your response to
each question is measured as part of the graded assignment. Please review the details on the guideline and grading rubric. In order to achieve full credit for
this portion of the grading rubric, you need to respond to each reflection post question, provide analysis of your performance, use professional language, and
demonstrate insight. Please reach out to your faculty with any questions.
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:
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)
Reflect upon performance to gain insight and foster knowledge (CO1)
Due Date:
Sunday 11:59 PM MT at the end of Week 1.
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 pendingTotal Points Possible: 75 Points
Assignment
Step One: Complete the Shadow Health Orientation
Step Two: Complete Conversation Lab
Step Three: Complete Health History Assignment
Step Four: Document your findings on the Fillable Soap Note Template Download Fillable Soap Note Template
Minimize File Preview
or the Printable Soap Note. Download Printable Soap Note.
Step Five: Upload the Lab Pass and completed SOAP Note as separate documents to the same assignment tab in the gradebook.
Requirements
NOTE: Before initiating any activity in Shadow Health, complete the required courseweekly readingsandlessonsas well as review the introduction andprebrief
On the Shadow Health Platform:
Complete theShadow Health Conversation Concept Lab prior to beginning the graded assignment.
Gathersubjectiveandobjective databy completing a comprehensive health history and brief physical examination for the assessment assignment.
Criticallyappraisethe findings asnormalorabnormal.
Based on the interview and brief physical assessment, create a problem list.
Complete the post activity assessment questions for each assignment.
Complete all reflectionquestions following each physical assessment assignment.
Digital Clinical Experience (DCE) scores do not round up. For example, a DCE score of 92.99 is a 92, not a 93.
You have a maximumoftwo (2)attemptsper Shadow Health assignment toimprove your performance. However, you may elect not to repeat any assignment.
NOTE: If you repeat an attempt, ONLY the second attempt will be graded, regardless of the DCE score. Please refer tothe grading rubric categories fordetails.
Download the Lab Pass for the final attempt on the assignment (see number 8).
On the Canvas Platform:
Summarize,organize,and appropriatelydocumentfindings using correct professional terminology on the SOAP Note Template.
Document a comprehensive problem list based upon the history and physical examination findings on the SOAP Note Template.
Provide rationales and citations for diagnoses and interventions for the brief treatment plan.
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 includepeer-reviewedpublications, government reports, or sources written by a
professional or scholar in the field.Thetextbooksand lessonsareNOTconsidered to be outside scholarly sources. For thethreadeddiscussionsand reflection
posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org)can be
countedas 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 theavailabledatabases for a peer-reviewed journal article. The following sourcesshould not be used: Wikipedia, Wikis, or blogs. These
websitesare not consideredscholarlyas anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.
Forexample,theAmerican 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 ifthe site does not demonstrate
scholarship or quality.Current outside scholarly sourcesmust be publishedwith the last5 years. Instructor permissionmust be obtainedBEFORE the