Comprehensive Head-to-Toe Assessment

Create a 10 to 15 minute video recording of yourself performing a head-to-toe assessment on a volunteer who will be acting like one of the patients from the scenario case studies in this course.

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Introduction

Click to view the NURS-FPX4015 Course Wrap-Up Video .

As you grow as a nurse, the ability to conduct a comprehensive and precise physical assessment of a patient is paramount, serving as the foundation for all subsequent healthcare decisions. This skill is closely tied to the crucial task of formulating an accurate differential diagnosis, which guides the course of treatment and significantly impacts patient outcomes. Incorporating an understanding of pathophysiology and pharmacology not only aids in the diagnostic process but also informs the development of an effective treatment plan. Lastly, the nurse’s role extends beyond these technical aspects, encompassing the vital responsibility of communicating these findings and plans to the patient, thereby fostering a collaborative and informed approach to healthcare.

This assessment must be completed on camera. You should use Kaltura to make your recording.

If you need more information on how to create and submit your video, please refer to Using Kaltura .

Instructions

Remember, your assessment submission will not be graded if you have not completed and submitted the Comprehensive Head-to-Toe Assessment Waiver. If you have not, complete and submit the waiver for Assessment 1.

The purpose of this assessment is to allow you the opportunity to demonstrate your ability to conduct an accurate and thorough examination of a patient, which is a critical skill for nurse practitioners. Patient assessments that are either inaccurate or not thorough can lead to misdiagnoses or suboptimal health outcomes for patients.

For this assessment, you will submit a video of yourself conducting a head-to-toe assessment on a volunteer based on one of the Sentinel U case studies presented in this course. Your head-to-toe assessment should include a detailed analysis of the underlying pathophysiology of the selected disease process, the expected assessment findings, and the patient’s pharmacological needs. Additionally, you should discuss nursing implications for the selected disease process, from a pathophysiology, pharmacology, and physical assessment perspective.

Your video submission will be assessed on the following:

· Comprehensive and Professional Assessment: Perform a comprehensive, thorough, and accurate assessment of a patient based on a selected disease process.

· Remember, that the person standing in as your patient should be acting out one of the diagnoses from the Sentinel U case studies in the course.

· Be careful and thorough in your assessment, make sure the camera can see what you are doing or make sure you are describing what you are doing to the patient.

· Discussion of Diagnosis and Findings: Explain the diagnosis and findings of the physical assessment with the patient.

· What did you find in your assessment?

· How did the findings help you arrive at your diagnosis?

· Are you communicating the findings to the patient in a way that provides context and helps the patient understand your findings?

· Understanding of Pharmacological Needs: Discuss the pharmacological needs of the patient within the context of their disease process and current best practices.

· What are the standard pharmacological treatments for the patient’s diagnosis?

· How does the patient’s health history, other conditions, and other medications impact the decision making process related to pharmacological treatment options?

· What other information does the patient need to know related to potential side effects or things to avoid related to any new pharmacological treatments for their condition?

· Understanding of Pathophysiology: Explain the underlying pathophysiology of the disease process to the patient.

· How does the disease process work in the body? Which systems does it impact?

· How is the patient likely to feel if the disease process progresses?

· How might symptoms of the disease process look or sound like to the patient?

· Critical Thinking and Clinical Reasoning: Synthesize assessment findings with knowledge of the disease process, pharmacology, and pathophysiology to establish care priorities for the patient.

· What are the care priorities for the patient?

· How have you used your assessment findings, combined with what you know about the pharmacology and pathophysiology to arrive at these priorities?

· What evidence-based or best-practices support these priorities?

· Communication and Professionalism: The nurse displays professionalism and communicates clearly and effectively with the appropriate use of terminology with the patient throughout the assessment.

Additional Requirements

· Total Length of Submission: Your video assessment must be 10 to 15 minutes in length.

· Captions: Make sure that your Kaltura has been auto-captioned by the system before turning it in. This helps to support accessibility best practices and can help faculty more effectively assess your video.

· Kaltura captions are automatically generated within 24 hours of you uploading the video recording to your Kaltura library. So, make sure you are not making your recording at the last minute.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 1: Explain how pathophysiology, pharmacology, and physical assessment comprise a holistic approach to nursing care.

· Synthesize assessment findings with knowledge of the disease process, pharmacology, and pathophysiology to establish care priorities for the patient.

· Competency 3: Educate individuals on prevention and management of health conditions, across the life span and including special populations, based on pathophysiology, pharmacology, and physical assessment knowledge.

· Discuss the pharmacological needs of the patient within the context of their disease process and current best practices.

· Explain the underlying pathophysiology of the disease process to the patient.

· Competency 4: Perform comprehensive and focused physical assessments using appropriate techniques and tools.

· Perform a comprehensive, thorough, and accurate assessment of a patient based on a selected disease process.

· Explain the diagnosis and findings of the physical assessment with the patient.

· Competency 5: Apply scholarly writing standards to communicate evidence based strategies that support safe and effective patient care.

· The nurse displays professionalism and communicates clearly and effectively with the appropriate use of terminology with the patient throughout the assessment.

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