NR 509 Week 3: Shadow Health Assessment Assignment

NR 509 Week 3: Shadow Health Assessment Assignment

NR 509 Week 3: Shadow Health Assessment Assignment

Week 3: Shadow Health Assessment Assignment

 

Due Sunday by 11:59pm Points 75 Submitting a file upload

 

ORDER ORIGINAL PAPER HERE

 

You will complete all assessment assignments using the Shadow Health  virtual reality simulation platform.  NR 509 Week 3: Shadow Health Assessment Assignment

Introduction and Pre-brief

 

Two days after a minor, low-speed car accident in which Tina Jones was a passenger, she noticed daily bilateral headaches along with neck stiffness. She reports that it hurts to move her neck, and she believes her neck might be swollen. She did not lose consciousness in the accident and denies changes in level of consciousness since that time. She states that she gets a headache every day that lasts approximately 1-2 hours. She occasionally takes 650 mg of over the counter Tylenol with relief of the pain. This case study will allow you the opportunity to examine the patient’s optic nerve via use of the ophthalmoscope as well as assess her visual acuity. You will need to document your findings using appropriate medical terminology. Careful assessment of documentation of EACH cranial nerve is integral to performing a comprehensive neurological assessment. Be sure to assess for foot neuropathy using the monofilament test.

Tips and Tricks

 

By now you are very familiar and comfortable with navigating the Shadow Health virtual learning environment. The simulated patients are similar to actual patients and can respond to over 70,000 initial and follow-up questions. Your patients will never get frustrated when you ask multiple questions and they will never get embarrassed or withhold information if you address sensitive subjects, like sexual activity.

 

Be sure to practice asking interview questions in Shadow Health using the talk-to-text feature and the Google Chrome browser. This will assist with reducing the time commitment for each assignment and enhance the fidelity of your patient-provider experience.

 

When writing up your physical examination findings, it is insufficient to simply document that the cranial nerve assessed was “intact” or “normal”. What does this mean? Document exactly what you assessed and the findings. Documentation of pertinent negative findings, which denote what you expect to find during the examination and not an abnormality, are just as important as pertinent positive, or abnormal, findings. NR 509 Week 3: Shadow Health Assessment Assignment

Purposes

 

The purposes of the Shadow Health Physical Assessment Assignments are to: (a) increase knowledge and understanding of advanced practice physical assessment skills and techniques, (b) conduct focused and comprehensive histories and physical assessments for various patient populations, (c) adapt or modify your physical assessment skills and techniques to suit the individual needs of the patient, (d) apply assessment skills and techniques to gather subjective and objective data, (e) differentiate normal from abnormal physical examination findings, (f) summarize, organize, and appropriately document findings using correct professional terminology, (g) practice developing primary and differential diagnoses, (h) practice creating treatment plans which include diagnostics, medication, education, consultation/referral, and follow-up planning; and (i) analyze and reflect on own performance to gain insight and foster knowledge.

Activity Learning Outcomes

 

Through this assignment, the student will demonstrate the ability to:

 

Apply knowledge and understanding of advanced practice physical assessment skills and techniques (CO1)

Perform focused and comprehensive histories and physical assessments for various patient populations (CO4 and CO5)

Adapt skills and techniques to suit the individual needs of the patient (CO4)

Differentiate normal from abnormal physical examination findings (CO2)

Summarize, organize, and document findings using correct professional terminology (CO3)

 

Due Date

 

Sunday 11:59 PM MT at the end of each respective week.

 

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.

 

In the event of an emergency that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student’s rationale for the request and make a determination based on the merits of the student’s appeal. Consideration of the student’s total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending. NR 509 Week 3: Shadow Health Assessment Assignment

Total Points Possible: 75 Points

Assignment

 

Step One: Complete the designated Shadow Health (SH) Assignment on the SH platform.

 

Step Two: Document your findings on the Fillable Soap Note TemplatePreview the document or the Printable Soap NotePreview the document.

 

Step Three:  Upload the Lab Pass and completed SOAP Note as separate documents to the same assignment tab in the gradebook.

Requirements

NOTE: Before initiating any activity in Shadow Health, complete the required course weekly readings and lessons as well as review the introduction and pre-brief.

 

Complete the Shadow Health Concept Lab (Weeks 2, 4, and 5) prior to beginning the graded assignment.

 

Gather subjective and objective data by completing a focused, detailed health history and physical examination for each physical assessment assignment.

 

Critically appraise the findings as normal or abnormal.

 

Complete the post activity assessment questions for each assignment .

 

Complete all reflection questions following each physical assessment assignment.

 

Digital Clinical Experience (DCE) scores do not round up. For example, a DCE score of 92.99 is a 92, not a 93.

 

You have a maximum of two (2) attempts per Shadow Health assignment to improve your performance. However, you may elect not to repeat any assignment. NOTE: If you repeat an attempt, ONLY the second attempt will be graded, regardless of the DCE score. Please refer to the grading rubric categories for details.

 

Download the Lab Pass for the final attempt on the assignment.

 

On the Canvas Platform:

 

Summarize, organize, and appropriately document findings using correct professional terminology on the SOAP Note Template.

Identify three (3) differential diagnoses and provide ICD-10 codes and pertinent positive and negative findings for each diagnosis.

Create a comprehensive treatment plan for each assignment. Must address the following components: Diagnostics, Medication, Education, Referral/Consultation, and Follow-up planning. If no interventions for one or more component, document “none at this time” but do not skip over the component.

Provide rationales and citations for diagnoses and interventions.

Include at least one scholarly source to support diagnoses and treatment interventions with rationales and references on the SOAP note. Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are NOT considered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal.  You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.  For example, the American Heart Association is a .com site with scholarship and quality. Each student is responsible for determining the scholarship and quality of any .com site.  Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years.  Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years. NR 509 Week 3: Shadow Health Assessment Assignment

Upload the Lab Pass to the appropriate assignment area in Canvas Grades

 

Shadow Health Grading Rubric

 

Portions of the rubric are designated with a ***. The following explains those portions of the rubric:

 

* Digital Clinical Experience (DCE) Score is automatically translated by Shadow Health based on individual student performance and reflects how student work compares to their peer learners across the country for a particular assignment. The DCE Score is a fair assessment of effort, and therefore is appropriate for use when grading assignments.

 

**Scholarly Sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are NOT considered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal.  You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.  For example, the American Heart Association is a .com site with scholarship and quality. Each student is responsible for determining the scholarship and quality of any .com site.  Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years.  Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.

 

***Components of a treatment plan include diagnostics, medication, education, consultation/referral, and follow-up planning

 

****Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. For example, one might demonstrate insight by relating a concept to a personal or meaningful experience.

 

ASSIGNMENT CONTENT

 

Category

 

 

Points

 

 

%

 

 

Description

 

Health History Communication, Education, Empathy, and Summary

 

(DCE Score or transcript)

 

 

 

 

15

 

 

20%

 

 

The Digital Clinical Experience (DCE) Score is automatically translates by Shadow Health based on individual student performance and reflects how student work with data collection, health history communication, education, empathy, and summarization compares to peer learners across the country for a particular assignment. The DCE Score is a fair assessment of effort, and therefore is appropriate for use when grading assignments. Occasionally, performance transcripts may be reviewed for secondary support.

 

Assessment, Documentation, Treatment Plan, and Scholarly Sources

 

 

35

 

 

47%

 

 

This category is evaluated on the quality of student’s ability to: Identify pertinent normal and abnormal findings for the assignment, utilize professional terminology, provide comprehensive and detailed subjective and objective findings, identify differential diagnoses, and create a comprehensive treatment plan. Include at least one appropriate EBP scholarly source and use the SOAP Note format template to document all findings.  NR 509 Week 3: Shadow Health Assessment Assignment

 

 

 

Self-Reflection

 

 

15

 

 

20%

 

 

Self-reflection posts must demonstrate the student’s own perspective. The quality of this criterion is based upon responding to all the reflection questions; providing responses that are substantive (add importance, meaningfulness, and relevance to the post); demonstrate analysis of own performance; and demonstrate insight. Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. For example, one might demonstrate insight by relating a concept to a personal or meaningful experience. Reflection post responses should vary from SH assignment to assignment.

 

 

 

 

 

 

65

 

 

87%

 

 

Total CONTENT Points= 65

 

ASSIGNMENT FORMAT

 

Category

 

 

Points

 

 

%

 

 

Description

 

Grammar, Spelling, Syntax, Mechanics and APA Format

 

 

10

 

 

13%

 

 

Reflection post has minimal grammar, spelling, syntax, punctuation and APA* errors. Direct quotes (if used) is limited to 1 short statement** which adds substantively to the post.

 

* APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.

 

**Direct quote should not to exceed 15 words & must add substantively to the assignment

 

 

 

 

10

 

 

100%

 

 

Total FORMAT Points= 10

 

 

 

 

 

 

 

 

 

 

ASSIGNMENT TOTAL= 75 points

Rubric

NR509 Weeks 2-6 Shadow Health Assignment_Sept19 (2)

NR509 Weeks 2-6 Shadow Health Assignment_Sept19 (2)

Criteria Ratings Pts

This criterion is linked to a Learning Outcome Assignment Content Possible Points = 65 Points

Criterion 1

 

 

Health History Communication, Education, Empathy, and Summary

 

 

 

 

 

(DCE Score or Transcript)

 

15.0 pts

Excellent

DCE Score > 93

 

14.0 pts

1. Good

DCE Score 86-92

 

12.0 pts

Satisfactory

DCE Score 80-85

 

8.0 pts

Needs Improvement

DCE Score < 79

 

0.0 pts

Unsatisfactory

No Assignment

 

15.0 pts

This criterion is linked to a Learning Outcome Criterion 2 Assessment, Documentation, Treatment Plan, and Scholarly Sources

Must demonstrate the following elements:

 

 

 

 

 

Identified all pertinent normal and abnormal findings;

 

 

 

 

 

Used professional terminology; NR 509 Week 3: Shadow Health Assessment Assignment

 

 

 

 

 

Subjective and objective documentation was detailed and comprehensive;

 

 

 

 

 

Used the SOAP Note Format template for documentation;

 

 

 

 

 

Identified three (3) differential diagnoses with ICD-10 codes and pertinent positive/negative findings;

 

 

 

 

 

Addressed each of the following on the treatment plan: Diagnostics, Medication, Education, Referral/Consultation, and Follow-up Planning;

 

 

 

 

 

Interventions are detailed and appropriate for the focused assignment;

 

 

 

 

 

Provided at least one appropriate EBP scholar source

 

 

 

 

 

(8 Required Elements)

 

35.0 pts

Excellent

Demonstrated all elements for this Criterion

 

32.0 pts

1. Good

Missing 1 element for this Criterion

 

29.0 pts

Satisfactory

Missing 2 or 3 elements for this Criterion

 

18.0 pts

Needs Improvement

Missing 4 or 5 elements on for this Criterion

 

0.0 pts

Unsatisfactory

Missing 6 or more elements for the criterion Or No Assignment

 

35.0 pts

This criterion is linked to a Learning Outcome Criterion 3 Self-Reflection

Must demonstrate the following elements:

 

 

 

 

 

Written from the student’s own perspective;

 

 

 

 

 

Responded to all the reflection questions;

 

 

 

 

 

Responses were each substantive (added importance, meaningfulness, and relevance to the post); NR 509 Week 3: Shadow Health Assessment Assignment

 

 

 

 

 

Offer self-analysis of performance and insight;

 

 

 

 

 

Reflection post responses should vary from SH assignment to assignment.

 

 

 

 

 

(5 Required Elements)

 

15.0 pts

Excellent

Demonstrated all elements for this Criterion

 

14.0 pts

1. Good

Missing 1 element for this Criterion

 

12.0 pts

Satisfactory

Missing 2 elements for this Criterion

 

8.0 pts

Needs Improvement

Missing 3 elements for this Criterion

 

0.0 pts

Unsatisfactory

Missing 4 or more elements for the criterion Or No Assignment

 

15.0 pts

This criterion is linked to a Learning Outcome Assignment Format Possible Points = 10 Points

Format Criterion 1

 

 

Grammar, Spelling, Syntax, Mechanics and APA Format

 

10.0 pts

Excellent

0-1 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format

 

9.0 pts

1. Good

2-3 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format

 

8.0 pts

Satisfactory

4-5 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format

 

5.0 pts

Needs Improvement

6-7 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format

 

0.0 pts

Unsatisfactory

8 or more errors in grammar, syntax, spelling, punctuation, mechanics, or APA format Or No assignment

 

10.0 pts

This criterion is linked to a Learning Outcome Late Penalty Deductions

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.

 

0.0 pts

Minus Points

 

0.0 pts

Minus Points

 

0.0 pts

Total Points: 75.0