I-HUMAN PATIENTS CASE STUDY: COMPREHENSIVE (HEAD-TO-TOE) PHYSICAL ASSESSMENT
Throughout this course, you have reviewed Learning Resources on various body systems and completed i-Human Patients Assignments for particular systems. For this i-Human Patients Assignment, you connect the knowledge and skills you gained from each individual assessment to perform a comprehensive head-to-toe physical examination.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To prepare:
By Day 1 of this week, your Instructor will assign an i-Human Patients case for this Assignment.
Note:
Please see the
Course Announcements
section of the classroom for your i-Human Patients Assignment.
Review this week’s Learning Resources. Also review Learning Resources from previous weeks as needed.
Access and review this week’s i-Human Patients Case Study Assignment.
I-HUMAN PATIENTS CASE STUDY: COMPREHENSIVE (HEAD-TO-TOE) PHYSICAL ASSESSMENT
Assignment
As you interact with this week’s i-Human Patients patient, complete the assigned case study. For guidance on using i-Human Patients, refer to the
i-Human Graduate Programs Help link
within the i-Human Patients platform.
By Day 7 of Week 9
Upload your PDF from i-Human Patients to submit this Assignment.
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
Turnitin Drafts
from the
Start Here
area.
To submit your completed assignment, save your Assignment as
WK9Assgn_LastName_FirstInitial
Then, click on
Start Assignment
near the top of the page.
Next, click on
Upload File
and select
Submit Assignment
for review.
Rubric
NURS_6512_Week 9_Assignment_Rubric
NURS_6512_Week 9_Assignment_Rubric
Criteria
Ratings
Pts
This criterion is linked to a Learning Outcome
History: Complete an appropriate health history. (Scores are automatically calculated in the i-Human platform.) I-HUMAN PATIENTS CASE STUDY: COMPREHENSIVE (HEAD-TO-TOE) PHYSICAL ASSESSMENT
20
pts
Excellent
Achieves a score of 85–100%
15
pts
Good
Achieves a score of 84–75%
10
pts
Fair
Achieves a score of 74–65%
5
pts
Poor
Achieves a score of 64–55%
0
pts
Unsatisfactory
Achieves a score of 54% or below
20
pts
This criterion is linked to a Learning Outcome
Physical Exam: Complete an appropriate physical exam. (Scores are automatically calculated in the i-Human platform.)
20
pts
Excellent
Achieves a score of 85–100%
15
pts
Good
Achieves a score of 84–75%
10
pts
Fair
Achieves a score of 74–65%
5
pts
Poor
Achieves a score of 64–55%
0
pts
Unsatisfactory
Achieves a score of 54% or below
20
pts
This criterion is linked to a Learning Outcome
EMR Documentation Chief Complaint and History of Present Illness 5 criteria using OLDCARTS: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Subjective findings only (Evidence of Academic Integrity Issues will result in a grade of 0.)
10
pts
Excellent
Complete HPI meeting all 5 criteria.
8
pts
Good
4 requirements are met.
6
pts
Fair
3 requirements are met.
4
pts
Poor
1–2 requirements are met.
0
pts
Unsatisfactory
No requirements are met.
10
pts
This criterion is linked to a Learning Outcome
EMR Documentation Subjective Data Document Current Medications, PMH, Allergies, Family History, Social History, Preventive Health, Review of Systems 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Subjective findings only (Evidence of Academic Integrity Issues will result in a grade of 0.)
10
pts
Excellent
Complete HPI meeting all 5 criteria.
8
pts
Good
4 requirements are met.
6
pts
Fair
3 requirements are met.
4
pts
Poor
1–2 requirements are met.
0
pts
Unsatisfactory
No requirements are met.
10
pts
This criterion is linked to a Learning Outcome
EMR Documentation Objective Data Document Physical Exam Findings: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Objective findings only (Evidence of Academic Integrity Issues will result in a grade of 0.)
10
pts
Excellent
Complete HPI meeting all 5 criteria.
8
pts
Good
4 requirements are met.
6
pts
Fair
3 requirements are met.
4
pts
Poor
1–2 requirements are met.
0
pts
Unsatisfactory
No requirements are met.
10
pts
This criterion is linked to a Learning Outcome
Key Findings: Organize the key findings with the most important first and least important last. (Evidence of Academic Integrity Issues will result in a grade of 0.) I-HUMAN PATIENTS CASE STUDY: COMPREHENSIVE (HEAD-TO-TOE) PHYSICAL ASSESSMENT
5
pts
Excellent
The key findings are complete and appropriately organized.
4
pts
Good
The key findings are complete but the organization is not correct.
3
pts
Fair
There are 1–2 key findings missing or organized inappropriately.
2
pts
Poor
There are 3 key findings missing and organization is incorrect.
0
pts
Unsatisfactory
There are more than 3 key findings missing and organization is incorrect.
5
pts
This criterion is linked to a Learning Outcome
Problem Statement: Document a brief and accurate problem statement using professional language that includes the following: 1.) Name or initials, age; 2.) Chief complaint; 3.) Positive and negative subjective findings; 4.) Positive and negative objective findings. (Evidence of Academic Integrity Issues will result in a grade of 0.)
5
pts
Excellent
All requirements are met.
4
pts
Good
3 requirements are met.
3
pts
Fair
2 requirements are met.
2
pts
Poor
1 requirement is met.
0
pts
Unsatisfactory
No requirements are met.
5
pts
This criterion is linked to a Learning Outcome
Management Plan: Use the expert diagnosis provided to create a pertinent, comprehensive, evidenced-based management plan. Address the following criteria in the plan: 1.) Diagnostic tests; 2.) Medications (write out a complete order, even for OTC meds); 3.) Suggested consults/referrals; 4.) Patient education; 5.) Follow-up, including time interval and specific symptoms to prompt a return visit sooner; 6.) Provide rationales for each intervention and include references to support your plan. Clinical practice guidelines should be utilized as applicable. (Evidence of Academic Integrity Issues will result in a grade of 0.)
15
pts
Excellent
All requirements are met.
13
pts
Good
5 requirements are met.
10
pts
Fair
4 requirements are met.
7
pts
Poor
1-3 requirements are met.
0
pts
Unsatisfactory
No requirements are met.
15
pts
This criterion is linked to a Learning Outcome
References and Format: Current APA citations for references in management plan. Use of clinical practice guidelines when applicable.
5
pts
Excellent
0–1 errors Clinical practice guidelines used when applicable.
4
pts
Good
2–3 errors Clinical practice guidelines used when applicable.
3
pts
Fair
4–5 errors Clinical practice guidelines not used when applicable.
2
pts
Poor
6–7 errors Clinical practice guidelines not used when applicable.
0
pts
Unsatisfactory
More than 7 errors; clinical practice guidelines not used when applicable.
5
pts
Total Points:
100 I-HUMAN PATIENTS CASE STUDY: COMPREHENSIVE (HEAD-TO-TOE) PHYSICAL ASSESSMENT
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