NR 509 Week 7: Shadow Health Comprehensive Health History and Physical Assessment Assignment

Pre Brief

In this case study, you will complete the Plan My Exam activity to organize the exam procedures you will use into a sequence that moves smoothly from head to toe by mapping them to the region of the body where you will perform them. After you have planned your exam, you will enter the clinic room and conduct a Comprehensive Assessment by interviewing and examining your Digital Standardized Patient. When collecting information for the comprehensive assessment, be sure to include the following:

• Current Illnesses
• Past Illnesses
• Chronic Illnesses
• Past Medical History
• Injuries and Treatments
• Hospitalizations/Surgeries
• Environmental/Food/Drug Allergies
• Current Medications/Herbal Remedies/Health Supplements
• Past Medications
• Habits/Drug and Alcohol Use
• Family Medical History
• Psychosocial/Cultural/Spiritual History
• Sexual History
• Obstetric History

As you complete the case study this week, be cognizant of the time that it takes you to conduct the history and physical. In family practice, you are generally allocated a total of 15-minutes for an entire patient visit, which includes taking a history, performing a physical examination, and developing/implementing a treatment plan. You also need to incorporate health promotion into the visit when possible. Be certain to follow a systematic approach during your interview and inquire about each system on the ROS. During the physical exam, be sure to apply the examination skills that you have learned in this course to assess your virtual patient.

Welcome to Health Assessment

Hello class: my name is, and I will be the instructor for this class. For more information on how to get a hold of me, please go under my profile for specific information. However, my email is: ***The best way to contact me though, is through the Private forum***

This course will focus on methods of health history taking, physical examination skills, documentation, and health screening. The course emphasizes the individual as the client, functional health patterns, community resources, and the teaching learning process. This course will take us through infancy to an older adult.

To find course material, go under your Dashboard, then you will see PATH. There are two links to find information regarding this course; course material and syllabus.

• The course material tab shows what textbook is used for this class.
• The syllabus will show what this course is, the assignments for the course, the topics of the course, the grading system, and how to refer to the student policy handbook. **there has been some problems downloading the syllabus, thus the PATH is also the syllabus…but 1 week and topic at a time.

Under your Assignments, will have the due date and the rubric posted to look at.

Under the Planner tab, assignments are listed along with the due dates. Clicking the collaborative reminder within the calendar tab will show the assignment, any information that is needed for the assignment, and give the rubric of how the assignment will be graded.

Please refer to all other announcements for Class Policies and Week 1 class.

Feel free to contact me anytime. I look forward to this 5 week journey with each of you

Ms. Tina Jones is a pleasant, 29-year-old African American single woman who presents for a pre-employment physical. She is the primary source of the history. Ms. Jones offers information freely and without contradiction. Speech is clear and coherent. She maintains eye contact throughout the interview.

Reason for visit: Patient requests a complete health assessment for a pre-employment.