COURSE:

NR509: Advanced physical assessment


Preparing the Assignment

  1. Create a video using the assignment guidelines. This video is for educational purposes only and will be viewed by course faculty and appointed Chamberlain officials. This video will not be posted for public viewing.
  2. Select a volunteer participant, school-aged or older, to demonstrate the examination. If the volunteer participant is a minor, you must be the parent or guardian.
  3. Select a private environment without background noise or distractions to conduct the examination. Demonstration of examination techniques must be conducted in the positions identified in the demonstration video with the volunteer participant sitting upright, lying down, and standing/walking. Plan accordingly.
  4. The volunteer participant should remain clothed at all times. Auscultating over the shirt is acceptable for privacy purposes. The suggested attire for the participant is a tank top and shorts.
  5. Use required medical equipment:
    1. Stethoscope with bell and diaphragm
    2. Reflex hammer
    3. Otoscope/ophthalmoscope set
    4. Pocket Snellen chart
  6. Textbooks/notes/assistive materials are NOT permitted during the physical examination.
  7. Wear nursing scrubs with or without a lab coat. Business casual dress with or without a lab coat is also acceptable. Religious head wrap/headdress may be worn.
  8. Begin the video with a 360-degree environment scan and verbal consents:
    1. Scan the entire examination area/room with a 360-degree view with the camera to show that textbooks/notes/assistive materials are not present (i.e., taped to a wall, on a table).
    2. If there is a volunteer recording your video, please identify them in the environment scan. Neither the patient nor/or recording volunteer may verbally or physically coach you during the recording session. Evidence of coaching by volunteers and/or using notes/assistive materials, etc. is grounds for an Academic Integrity Violation.
    3. Student states in front of the camera: “My name is [First and Last Name of Student] and this is my physical examination assignment for NR509.
    4. Volunteer participant states in front of the camera: “My name is [First and Last Name of Adult Participant] and I give my permission for this examination to be recorded and submitted to Chamberlain College of Nursing for grading purposes.
    5. If the volunteer is a minor, the student must state in front of the camera: “I am the parent/guardian of [First and Last Name of Minor Participant] and I give my permission for this examination to be recorded and submitted to Chamberlain College of Nursing for grading purposes”.
Technology Requirements
Completing the Physical Examination Video

Upload your Kaltura video to the assignment dropbox.

 

Solution

Scan environment, introduce self & assignment, participant verbal consent.)
* Introduce self to patient.
HEAD & FACE (Have patient sit up)
Inspect facial skin : Note no lesions or discolorations.
Inspect head : Note normal size, symmetry, & midline position.
Palpate lymph nodes of the head & neck : Note they are equal bilaterally with no tenderness or
enlargement.
Preauricular: in front of the ears
Postauricular: behind the ears
Occipital: back of the head
Tonsillar: below the angle of the mandible
Submandibular: under the lateral jaw line
Submental: under the chin
Anterior cervical: anterior neck in front of SCM muscle
Posterior cervical: posterior neck behind the SCM muscle
Supraclavicular: above the clavicle
Test CN 5 (Trigeminal) :
Motor component: Palpate over the masseter muscle as the patient clenches their jaw—note
good strength & no distortions.
Sensory component: Lightly touch patient’s face with their eyes closed &………………………………………………$15
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