Shadow Health Assignments
NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
Student must find a non-pregnant volunteer aged 18 or older to act as the “patient” for a recorded video displaying proficiency in specific health assessment techniques. The volunteer needs to sign the Video Release Form within the course. The student also needs to gather and use the necessary equipment for the assessment. Verbalizing the assessment technique and findings is essential. The faculty must have clear sight, hearing, and assessment evaluation. Techniques should be performed from memory, without using notes or extra materials during recording. The video must cover the entire head-to-toe exam within 25 minutes; anything longer won’t be graded. To pass this assignment, students must score over 75%.
Student: Date: Faculty:
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Body System Required Exam Technique Possible Points Total Points
General General survey 2
Skin Color, texture, lesions, wounds, temperature, turgor 5
Head & Face -Cranium shape, appearance, hair -Facial symmetry, scalp, sinuses -TMJ -Nasal patency -Turbinates, nasal mucosa 5
Eyes -External eye: eyelids, lashes -Sclera, conjunctiva -Six cardinal gazes -Pupil light reflex & size –Ophthalmoscopic exam: red reflex, retina, vessels, optic disk and macula 8
Ears -External inspection -Palpate mastoid process -Otoscope exam: canal appearance or obstruction, TM -Hearing: whisper test, Rinne or Weber test 5
Mouth & Pharynx -Inspect teeth, tongue, uvula, buccal mucosa -Grade tonsils 2
Neck -Trachea -Palpate thyroid -Assess for JVD -Auscultate carotid arteries -Lymph nodes: Preauricular, postauricular, occipital, tonsillar, submandibular, submental, anterior, & posterior cervical chain 8
Anterior Thorax, Heart and Lung -Auscultate lung-minimum of 8 places comparing sides -Assess tactile fremitus -Assess PMI -Auscultate heart with bell and diaphragm (Identify areas of auscultation) while sitting or lying 10
Posterior Thorax, Lungs, & Renal -Auscultate lung-minimum of 8 places comparing sides -Assess tactile fremitus -Bronchophony, egophony, or whispered pectoriloquy -Percuss over lung fields -Assess CVA tenderness 10
Abdomen · -Inspect abdomen · -Auscultate bowel sounds in all 4 quadrants · -Light and deep palpation of abdomen · -Palpate kidneys, liver, & spleen · -Percuss at least two points in all four quadrants · -Perform one specialized abdominal exam test (student’s choice) 10
Vascular -Capillary refill -Clubbing -Pulses: carotid, brachial, radial, dorsalis pedis, & posterior tibial -Assess for edema 10
Neurologic -Romberg, sensation, gait –Deep tendon reflexes: brachial, triceps, biceps, patellar -Cranial nerves: II optic III oculomotor IV trochlear V trigeminal VI abducens VII facial VIII vestibulocochlear IX glossopharyngeal X vagus XI accessory XII hypoglossal 10
Musculoskeletal -Inspect spine/scoliosis check -ROM of upper and lower extremities -Strength test upper and lower extremities · –Perform one specialized MSK exam technique (student’s choice) 5
Organization, Quality, & Time -Exam is well organized -Provides guidance to the patient -Maintains patient privacy -Quality video production -No supplemental materials used during video -Accurate verbalization of each exam technique & findings -Completed exam in 30 minutes 10
Total Possible Points Total Points Earned:
NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
Student is to have a non-pregnant volunteer 18-years or older to serve as their “patient” for a recorded video demonstrating proficiency in performing select health assessment techniques. The volunteer must sign the Video Release From located in the course. Additionally, the student is to obtain and properly use the necessary equipment required to perform the assessment. The student must verbalize the assessment technique and exam findings. The faculty must be able to clearly see, hear, and evaluate the examination. Techniques must be performed from memory with no use of notes or supplemental materials during recording. Video head-to-toe exam must be complete within 25 minutes and anything beyond this time frame will not be included in grading. *Students must score > 75% to pass this assignment.* NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
Student: Date: Faculty:
| Body System | Required Exam Technique | Possible Points | Total Points |
| General | General survey | 2 | |
| Skin | Color, texture, lesions, wounds, temperature, turgor | 5 | |
| Head & Face | -Cranium shape, appearance, hair
-Facial symmetry, scalp, sinuses -TMJ -Nasal patency -Turbinates, nasal mucosa |
5 | |
| Eyes | -External eye: eyelids, lashes
-Sclera, conjunctiva -Six cardinal gazes -Pupil light reflex & size –Ophthalmoscopic exam: red reflex, retina, vessels, optic disk and macula |
8 | |
| Ears | -External inspection
-Palpate mastoid process -Otoscope exam: canal appearance or obstruction, TM -Hearing: whisper test, Rinne or Weber test |
5 | |
| Mouth & Pharynx | -Inspect teeth, tongue, uvula, buccal mucosa
-Grade tonsils |
2 | |
| Neck | -Trachea
-Palpate thyroid -Assess for JVD -Auscultate carotid arteries -Lymph nodes: Preauricular, postauricular, occipital, tonsillar, submandibular, submental, anterior, & posterior cervical chain NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
|
8 | |
| Anterior Thorax, Heart and Lung | -Auscultate lung-minimum of 8 places comparing sides
-Assess tactile fremitus -Assess PMI -Auscultate heart with bell and diaphragm (Identify areas of auscultation) while sitting or lying |
10 | |
| Posterior Thorax, Lungs, & Renal | -Auscultate lung-minimum of 8 places comparing sides
-Assess tactile fremitus -Bronchophony, egophony, or whispered pectoriloquy -Percuss over lung fields -Assess CVA tenderness |
10 | |
| Abdomen | · -Inspect abdomen
· -Auscultate bowel sounds in all 4 quadrants · -Light and deep palpation of abdomen · -Palpate kidneys, liver, & spleen · -Percuss at least two points in all four quadrants · -Perform one specialized abdominal exam test (student’s choice) |
10 | |
| Vascular | -Capillary refill
-Clubbing -Pulses: carotid, brachial, radial, dorsalis pedis, & posterior tibial -Assess for edema |
10 | |
| Neurologic | -Romberg, sensation, gait
–Deep tendon reflexes: brachial, triceps, biceps, patellar -Cranial nerves: II optic III oculomotor IV trochlear V trigeminal VI abducens VII facial VIII vestibulocochlear IX glossopharyngeal X vagus XI accessory XII hypoglossal |
10 | |
| Musculoskeletal | -Inspect spine/scoliosis check
-ROM of upper and lower extremities -Strength test upper and lower extremities · –Perform one specialized MSK exam technique (student’s choice) NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video |
5 | |
| Organization, Quality, & Time | -Exam is well organized
-Provides guidance to the patient -Maintains patient privacy -Quality video production -No supplemental materials used during video -Accurate verbalization of each exam technique & findings -Completed exam in 30 minutes |
10 | |
| 100 Possible Points | Total Points Earned:
|
NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
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