Assignment 3: Digital Clinical Experience: Comprehensive (Head-to-Toe) Physical Assessment NURS 6512N-32

Assignment 3: Digital Clinical Experience: Comprehensive (Head-to-Toe) Physical Assessment NURS 6512N-32

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Assignment 3: Digital Clinical Experience:

Comprehensive (Head-to-Toe) Physical

Assessment

Throughout this course, you were encouraged to practice conducting various physical

assessments on multiple areas of the body, ranging from the head to the toes. Each of

these assessments, however, was conducted independently of one another. For this

DCE Assignment, you connect the knowledge and skills you gained from each

individual assessment to perform a comprehensive head-to-toe physical examination in

your Digital Clinical Experience.

Photo Credit: Getty Images/Hero Images

To Prepare

 Review this week’s Learning Resources, and download and review the Physical

Examination Objective Data Checklist as well as the Student Checklists and Key Points

documents related to neurologic system and mental status.

 Review the Shadow Health Resources provided in this week’s Learning Resources

specifically the tutorial to guide you through the documentation and interpretation with

the Shadow Health platform. Review the examples also provided.

 Review the DCE (Shadow Health) Documentation Template for Comprehensive (Head-

to-Toe) Physical Assessment found in this week’s Learning Resources and use this

template to complete your Documentation Notes for this DCE Assignment.

 Access and login to Shadow Health using the link in the left-hand navigation of the

Blackboard classroom.

 Review the Week 9 DCE Comprehensive Physical Assessment Rubric provided in the

Assignment submission area for details on completing the Assessment in Shadow

Health.

DCE Comprehensive Physical Assessment:

Complete the following in Shadow Health:

 Episodic/Focused Note for Comprehensive Physical Assessment of Tina Jones (180

minutes)

Note: Each Shadow Health Assessment may be attempted and reopened as many

times as necessary prior to the due date to achieve a total of 80% or better (this

includes your DCE and your Documentation Notes), but you must take all attempts by

the Week 9 Day 7 deadline.

Submission and Grading Information

By Day 7 of Week 9

 Complete your Comprehensive (Head-to-Toe) Physical Assessment DCE Assignment

in Shadow Health via the Shadow Health link in Blackboard.

 Once you complete your Assignment in Shadow Health, you will need to download your

lab pass and upload it to the corresponding Assignment in Blackboard for your faculty

review.

 (Note: Please save your lab pass as “LastName_FirstName_AssignmentName”.) You

can find instructions for downloading your lab pass

here: https://link.shadowhealth.com/download-lab-pass

 Once you submit your Documentation Notes to Shadow Health, make sure to copy and

paste the same Documentation Notes into your Assignment submission link below.

 Download, sign, date, and submit your Student Acknowledgement Form found in the

Learning Resources for this week.

Grading Criteria

To access your rubric:

Week 9 Assignment 3 DCE Rubric

Submit Your Assignment by Day 7 of Week 9

To submit your Lab Pass:

Week 9 Lab Pass

To participate in this Assignment:

Week 9 Documentation Notes for Assignment 3

To Submit your Student Acknowledgement Form:

Submit your Week 9 Assignment 3 DCE Student Acknowledgement Form

What's Coming Up in Week 10?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will examine how to assess problems with the breasts, genitalia,

rectum, and prostate while making the patient feel safe, listened to, and cared about

using a non-invasive approach. Once again, you will use a SOAP note format to

complete your Lab Assignment for this week.

Week 10 Required Media

Photo Credit: [fergregory]/[iStock / Getty Images Plus]/Getty Images

Next week, you will need to view several videos and animations in the Seidel’s Guide to

Physical Examination as well as other media, as required, prior to completing your

Discussion. There are several videos of various lengths. Please plan ahead to ensure you have time to view these media programs to complete your Lab Assignment on

time.

Next Week

To go to the next week:

Week 10

Learning Resources

Required Readings (click to expand/reduce)

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.

(2019). Seidel's guide to physical examination: An interprofessional

approach (9th ed.). St. Louis, MO: Elsevier Mosby.

 Chapter 7, “Mental Status”

This chapter revolves around the mental status evaluation of an

individual’s overall cognitive state. The chapter includes a list of mental

abnormalities and their symptoms.

 ·Chapter 23, “Neurologic System”

The authors of this chapter explore the anatomy and physiology of the

neurologic system. The authors also describe neurological examinations

and potential findings.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health

assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO:

Elsevier Mosby.

Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E.,

Clearance Center.

Chapter 4, “Affective Changes”

This chapter outlines how to identify the potential cause of affective

changes in a patient. The authors provide a suggested approach to the

evaluation of this type of change, and they include specific tools that can

be used as part of the diagnosis.

Chapter 9, “Confusion in Older Adults”

This chapter focuses on causes of confusion in older adults, with an

emphasis on dementia. The authors include suggested questions for

taking a focused history as well as what to look for in a physical

examination.

Chapter 13, “Dizziness”

Dizziness can be a symptom of many underlying conditions. This chapter

outlines the questions to ask a patient in taking a focused history and

different tests to use in a physical examination.

Chapter 19, “Headache”

The focus of this chapter is the identification of the causes of headaches.

The first step is to ensure that the headache is not a life-threatening

condition. The authors give suggestions for taking a thorough history and

performing a physical exam.

Chapter 31, “Sleep Problems”

In this chapter, the authors highlight the main causes of sleep problems.

They also provide possible questions to use in taking the patient’s history,

things to look for when performing a physical exam, and possible

laboratory and diagnostic studies that might be useful in making the

diagnosis.

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.).

Philadelphia, PA: F. A. Davis.

 Chapter 2, "The Comprehensive History and Physical Exam" ("Cranial

Nerves and Their Function" and "Grading Reflexes") (Previously read in

Weeks 1, 2, 3, and 5)

Note: Download the Physical Examination Objective Data Checklist to use

as you complete the Comprehensive (Head-to-Toe) Physical Assessment

assignment.

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &

Stewart, R. W. (2011). Physical examination objective data checklist. In

Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Elsevier

Mosby.

Credit Line: Mosby’s Guide to Physical Examination, 7th Edition by Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A.,

Center.

Note: Download and review the Student Checklists and Key Points to use

during your practice neurological examination.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W.

(2019). Neurologic system: Student checklist. In Seidel's guide to physical

examination: An interprofessional approach (9th ed.). St. Louis, MO:

Elsevier Mosby.

Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., &

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