COURSE:

NR509: Advanced physical assessment


NR509 Week 3: Assessment of the Head, Eyes, Ears, Nose, and Throat (HEENT) and the Respiratory System: Jenna James

General Instructions

Access i-Human by clicking the link on the following page. Click the blue bar to launch the activity in a new browser window. The case does not need to be completed in one sitting; it can be re-entered at the same point at a later time.

All graded documentation, including the management plan, must be completed within the i-Human platform. Follow the i-Human Documentation GuideLinks to an external site. to complete your client’s electronic health record (EHR) and management plan. Use current APA Style Standards to format citations and references in the management plan and reflection. Use APA StyleLinks to an external site. and APA Academic WriterLinks to an external site. for formatting and grammar assistance.

Include the following sections (detailed criteria listed below and in the Grading Rubric)

Complete the following components in the i-Human Virtual Patient Encounter.

  1. Focused Health History
    1. Complete a focused health history. Scores are automatically calculated within the i-Human platform when the health history is submitted.
  2. Focused Physical Exam
    1. Complete a focused physical exam. Scores are automatically calculated within the i-Human platform when the health history is submitted.
  1. pertinent to the chief complaint
  2. includes subjective findings only
  1. EHR Documentation (Objective Data): Document physical exam findings. Documentation must be:
    1. accurate
    2. detailed
  1. pertinent to the chief complaint
  2. include objective findings only
  1. Key Findings: Organize key findings from the history and physical exam.
  2. Problem Statement: Document a brief, accurate problem statement using professional language. Include the following components:
    1. name or initials, age
    2. chief complaint
  1. positive and negative objective findings
  1. client education
  2. follow-up, including time interval and specific symptomatology to prompt a sooner return
  3. cite at least one relevant scholarly source and provide rationale for interventions as defined by program expectations

 

Solution

After completing the practice cases in iHuman I felt confident that I was prepared for the graded case in week three. However, I found that I struggled more with the physical assessment in this case. I was afraid of doing too much and I ended up………………………..$5
error: ScholarlyAcademia.com !!
×

Hello!

Click one of our contacts below to chat on WhatsApp

× How can I help you?