Lab Assignment: Differential Diagnosis for Skin Conditions
Order Instructions
Last week we engulfed in great conversation on the risks of our findings about growth, measurements, and nutrition of children and their families. As practitioners, it’s important to communicate professionally, ask the right questions, and guide families as they strive to have healthier and happy lives. This week we will begin to review assessments of body systems. Skin, Hair, and Nails will be covered. I encourage you to perform the assessment of Skin, Hair, and Nails so that you may be proficient with it for the overall assessment (optional assignment #3). You are able to access the check lists by enrolling into the evolve website in your resources.
Learning Objectives
Students will:
Apply assessment skills to diagnose skin conditions
Apply concepts, theories, and principles relating to health assessment techniques and diagnoses for the skin, hair, and nails
This week there is an optional assignment #3 practice assignment on skin, hair and nails. In preparation for the Comprehensive (Head-to-Toe) Physical Assessment due in Week 9, it is recommended that you practice conducting an assessment of the skin, hair, and nails this week.
Assignment 1: Lab Assignment- This is the only Comprehensive Soap Note for this 11-week course except for the Week 9 SH assignment (head to toe physical examination). Please use the soap note exemplar as a guide to obtain the most possible points and also refer to the grading rubric. There is a comprehensive soap note template available for use as well. You can find this under Week 4 Resources. For the soap note please make sure to include a detailed ROS (review of systems documenting on ALL systems and this also goes for the physical examination section (all systems should be assessed but you can defer genitalia etc). You will complete a detailed complete soap note (CC/HPI/ medications, allergies, fh etc…..) You will make up ALL of the information needed to complete this comprehensive soap note based on the skin image you decide to pick. I should not see any systems that say deferred or not applicable except for what I mentioned above. Every part of this note should be completed. Do not document WNL or exam unremarkable. Document exact examination findings for the objective data section. The subjective data section should be very detailed as well stating what the patient c/o or denies.
Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. The images are located under resources (it’s a word document)
Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance.
Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. For full credit I would document at least 5 possible conditions. Please refer to the grading rubric. I would highly suggest documenting 5 possible differentials to get full credit. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.
Submit by Day 7 of Week 4.
Under the Resources for Week 4 you will find some very helpful documents that should be used to complete these assignments. Please use these to help you do well on the assignments.
This assignment should be written in a SOAP Note format (NO NARRATIVES). You will need to add in all missing information in the soap note to complete it. The documentation should make since and flow with what is going on with the scenario. This allows me to assess your critical thinking skills. I’m reviewing this information to make sure that you know what information should be included. In the Assessment/Plan, you will document your differential diagnoses as per the assignment. I will comment on your notes and if needed, send you an email if I need to help you with them more. A plan is NOT required.
Assignment 2: DCE: Health History Assessment (Due by Day 7- Sunday at 11:59 MT or 1:59 am EST).
In Week 3, you began your DCE: Health History Assessment. For this week, you will complete this Health History Assessment in your simulation tool, Shadow Health and finalize for submission. For this assignment, please use the Week 4 SH template. It tells you what to document.
Be mindful that you can complete as many attempts to complete the Shadow Health Assignment to increase your DCE score until the last day of the assignment (day 7). Any submissions after that will not count towards your grade. You will need to submit your lab pass of the score you want to have as your grade. Please review the grading rubric for this assignment. There are 2 parts that you will be graded on your DCE score and the documentation. Under the assignment section it tells you exactly how to submit a lab pass. You must complete the SH assignment in order to get a lab pass. Under assignments for the SH assignment, it tells you how to upload a lab pass- please review this. You will not submit the concept labs. There is not a submission link for this. The concept labs must be completed to move on the next assignment. So this means for this week you will NOT submit the conversation lab and you are not submitting anything related to the SH orientation.
To prepare:
Review this week’s Learning Resources as well as the Taking a Health History media program in Week 3, and consider how you might incorporate these strategies. Download and review the Student Checklist: Health History Guide and the History Subjective Data Checklist, provided in this week’s Learning Resources, to guide you through the necessary components of the assessment. (Under the Required Media it discusses how to access evolve online for this information- Please assess the current edition of the book that we are using for the check list that are available)
Access and login to Shadow Health using the link in the left-hand navigation of the Blackboard classroom.
Review the Shadow Health Student Orientation media program and the Useful Tips and Tricks document provided in the week’s Learning Resources to guide you through Shadow Health.
Review the Week 4 DCE Health History Assessment Rubric, provided in the Assignment submission area, for details on completing the Assignment.
Once you complete the assignment you will submit your lab pass via using the assignment link provided that you would like graded.
DCE Health History Assessment:
Complete the following in Shadow Health:
Orientation
DCE Orientation (15 minutes)
Conversation Concept Lab (50 minutes)
Health History
Health History of Tina Jones (180 minutes)
Submit ONLY your DCE lab pass for the required SH assignment
Note: Each Shadow Health Assessment may be attempted and reopened as many times as necessary prior to the due date to achieve 80% or better, but you must take all attempts by the Week 4 Day 7 deadline.
Complete your Health Assessment DCE assignments 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.
Submit the Student Acknowledgement via the electronic document that is provided.
Please review the grading rubric for this assignment.
The only thing I will log into SH for is to review the number attempts you completed.
You are graded on two parts: DCE score and your actual documentation. I highly advise you to get a 100% on your DCE score because this could affect your overall score if you do not score well on it. Every point counts in this course.
If you do not score an 80% or higher on this SH ASSIGNMENT, you will have to re-take this course again. You will not be able to REDO ANY ASSIGNMENTS IN THIS CLASS or receive any extra credit.
Lab Assignment: Differential Diagnosis for Skin Conditions
Photo Credit: Getty Images/iStockphoto
Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.
In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.
To Prepare
Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.
Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?
Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
Consider which of the conditions is most likely to be the correct diagnosis, and why.
Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.
Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.
Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.
The Lab Assignment
Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.
Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.
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