Shadow Health Assignments
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.
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.
Results Included:
- Experience Overview
- Transcript
- Subjective Data Collection
- Objective Data Collection
- Documentation / Electronic Health Record
- Plan My Exam
- Self – Reflection
NR 509 Week 7 Shadow Health Comprehensive Health History and Physical Assessment Assignment
Pre Brief
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In this scenario, you will use the Plan My Exam activity to arrange the order of exam procedures, moving smoothly from head to toe by associating them with specific body regions. After planning the exam, you’ll enter the clinic room to perform a Comprehensive Assessment on your Digital Standardized Patient. When gathering information for the comprehensive assessment, remember to cover:
– Current illnesses
– Past illnesses
– Chronic illnesses
– 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 work on this case study, keep track of the time it takes to conduct the history and physical assessment. In family practice, you typically have around 15 minutes for a complete patient visit, which includes history, physical examination, and treatment planning. Health promotion should also be incorporated when possible. Follow a systematic approach during the interview and cover each system on the Review of Systems (ROS). During the physical exam, apply the examination skills learned in this course to assess your virtual patient.
Ms. Tina Jones, a 29-year-old African American single woman, is a pleasant patient visiting for a pre-employment physical. She provides information freely and consistently. Her speech is clear and organized, and she maintains eye contact throughout the interview. Reason for the visit: Ms. Jones seeks a comprehensive health assessment for pre-employment purposes.
Included Results:
– Experience Overview
– Transcript
– Subjective Data Collection
– Objective Data Collection
– Documentation / Electronic Health Record
– Plan My Exam
– Self – Reflection
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