Musculoskeletal System Physical Assesment

Musculoskeletal System Physical Assesment Paper

You will perform a history of a musculoskeletal problem that your instructor has provided you or one that you have experienced, and perform an assessment of the musculoskeletal system. You will document your subjective and objective findings.

Title:

Documentation of problem based assessment of the musculoskeletal system.

Purpose of Assignment: 

Learning the required components of documenting a problem based subjective and objective assessment of musculoskeletal system. Identify abnormal findings.

Course Competency:

Demonstrate physical examination skills of the skin, hair, nails, and musculoskeletal system.

Instructions:

Content:

Use of three sections: Subjective, Objective, and Abnormal Findings

Short descriptive paragraph of findings for each section

Format:

Standard American English (correct grammar, punctuation, etc.)

Resources:

Chapter 5: SOAP Notes: The subjective and objective portion only

Sullivan, D. D. (2012). Guide to clinical documentation.  [E-Book]. Retrieved from http://ezproxy.rasmussen.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=495456&site=eds-live&ebv=EB&ppid=pp_91

Smith, L. S. (2001, September). Documentation do’s and don’ts. Nursing, 31(9), 30. Retrieved from http://ezproxy.rasmussen.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=107055742&site=eds-live