Advanced Assessment of Health History

Advanced Assessment of Health History
Advanced Assessment of Health History
The Alternative Writing Assignment mirrors the discussion content of Debriefing and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
1. Identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1)
2. Differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2)
3. Adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4)
Due Date:
The alternative writing assignment is due no later than the Sunday 11:59 PM MT of the week in which the student did not attend the weekly debriefing session. For example, if you did not attend a debriefing session for Week 3, the written assignment is due the Sunday at the end of Week 4.
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.
Total Points Possible: 30 Points
Requirements:
NOTE: Complete the NR 509 Alternative Writing Assignment ONLY if you did not attend or do not plan to attend Debriefing for the given week.
1. This paper will be appraised on the quality of the information, inclusion of at least one evidence-based scholarly source, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details below).
2. Scholarly sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer reviewed publications, government reports, or sources written by a professional or scholar in the field. Your textbook and lesson are not considered to be an outside scholarly source. For the discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal. You are encouraged to use the Chamberlain library and search one of the available data bases for a peer-reviewed journal article. The following sources should not be used: Wikipedia, Wikis, or blogs. These web sites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality. For example, the American Heart Association is a .com site with scholarship and quality. It is the responsibility of the student to determine the scholarship and quality of any .com site. Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years. Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.
3. The length of the paper is to be no less than 1,500 words, excluding title page and reference list.
4. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
5. APA format (6th edition) is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1 inch margins and double spacing. See the APA manual for details regarding proper citation.
6. Organize the headings and content of your paper using the outline below:
o Select a body system relevant to the lesson from the previous week for the topic of this paper. For example, if you are writing this assignment for Week 2, then select the HEENT, Respiratory, or Integumentary system as the focus for the paper (not all three systems). NOTE: If you are writing this assignment for Week 1, select the Health History as the topic of the paper.
o Discuss the physiology (structure and function) of the body system including details about the major organ systems (if applicable). NOTE: If you are writing the assignment for Week 1, provide an overview of interviewing techniques.
o Construct relevant health history questions (subjective data) pertaining to the body system. NOTE: If writing the assignment for Week 1, construct relevant health history questions for all body systems as included on the review of systems (ROS).
o Provide an overview of the objective data and expected normal physical examination findings for this body system. NOTE: If writing this assignment for Week 1, provide the expected normal subjective findings for each body systems on the ROS.
o Explain special physical assessment examination techniques or procedures specific to assessing this body system. NOTE: If writing the assignment for Week 1, explain advanced interview techniques.
o Analyze and discuss how you might adapt your physical assessment skills or interviewing techniques to accommodate each of the following specific populations:
§ Infant/pediatric
§ Pregnancy
§ Geriatric
o Identify one major disease or disease process that may significantly impact this body system. NOTE: If writing the assignment for Week 1, identify one disease process or condition that may significantly hinder conducting a Health History interview.
o Synthesis and discuss the expected abnormal physical examination findings that may be associated with this disease or disease process.
o Summarize the key points.
o References in correct APA format
ASSIGNMENT CONTENT
Category
Points
%
Description
Application of Knowledge, Analysis, and Clarity
10
33.33
The quality of this criterion will be evaluated based uponthe following: demonstration of analysis, synthesis, and/or application of principles and concepts consistent with the principles of advanced physical assessment; relevance of content specific to the topic; expected normal findings, appropriate health history questions, and organization and clear presentation of information.
Adapted Physical Assessment Skills to Special Populations, Disease Process, Summary, and Scholarly Source
10
33.33
The quality of this criterion will be evaluated based upon the following: discussion regarding how to adapt physical assessment skills or techniques to accommodate all special populations; identification and discussion of one major disease or disease process and expected examination findings; and summation of key points. Must include at least one scholarly source to support the paper.
Total CONTENT Points= 20 pts
ASSIGNMENT FORMAT
Category
Points
%
Description
Grammar, Spelling, Syntax, Mechanics,APA Format, and Word Requirement
10
33.33
The assignment has minimal grammar, spelling, syntax, punctuation and APA* errors. Direct quotes (if used) is limited to 1 short statement** which adds substantively to the post. The length of the paper is not less than 1,500 words, excluding title page and reference list.
* APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.
**Direct quote should not to exceed 15 words & must add substantively to the discussion
Total FORMAT Points= 10 pts
ASSIGNMENT TOTAL= 30 points
Rubric
Title:
NR509 Weeks 1-6 Alternative Writing Assignment_Sept19
NR509 Weeks 1-6 Alternative Writing Assignment_Sept19
Criteria
Ratings
Pts
Edit criterion descriptionDelete criterion row
This criterion is linked to a Learning OutcomeAssignment Content Possible Points = 20 Points
Criterion 1
Application of Knowledge, Analysis, and Clarity
Must demonstrate the following elements:
Select an appropriate topic or focus for the assignment;
Demonstrate analysis, synthesis, and/or application of principles and concepts
consistent with advanced physical assessment;
Provide appropriate health history questions;
Identify the expected normal findings;
Content is specific to the topic;
Paper is organized and clearly presented.
(6 Required Elements)
Range
threshold: pts
Edit ratingDelete rating
10.0 pts
Excellent
Demonstrates all elements of the Criterion
Edit ratingDelete rating
9.0 pts
V. Good
Missing 1 element of the Criterion
Edit ratingDelete rating
8.0 pts
Satisfactory
Missing 2 elements of the Criterion
Edit ratingDelete rating
5.0 pts
Needs Improvement
Missing 3 elements of the Criterion
Edit ratingDelete rating
0.0 pts
Unsatisfactory
Missing 4 or more elements OR No assignment
pts
10.0 pts
—
Edit criterion descriptionDelete criterion row
This criterion is linked to a Learning OutcomeCriterion 2 Adapted Physical Assessment Skills to Special Populations, Disease Process, Summary, and Scholarly Sources
Must demonstrate the following elements:
Discuss how to adapt physical assessment skills or techniques to accommodate all special populations;
Identify one major disease or disease process and expected examination findings;
Demonstrate appropriate knowledge of physical assessment examination techniques or procedures;
Identify abnormal findings;
Summarize key points
Must include at least one scholarly source
(6 Required Elements)
Range
threshold: pts
Edit ratingDelete rating
10.0 pts
Excellent
Demonstrates all elements of the Criterion
Edit ratingDelete rating
9.0 pts
V. Good
Missing 1 element of the Criterion
Edit ratingDelete rating
8.0 pts
Satisfactory
Missing 2 elements of the Criterion
Edit ratingDelete rating
5.0 pts
Needs Improvement
Missing 3 elements of the Criterion
Edit ratingDelete rating
0.0 pts
Unsatisfactory
Missing 4 or more elements OR No assignment
pts
10.0 pts
—
Edit criterion descriptionDelete criterion row
This criterion is linked to a Learning OutcomeAssignment Format Possible Points = 10 Points
Format Criterion 1
Grammar, Spelling, Syntax, Mechanics, APA Format, and Word Requirement
NOTE: Failure to comply with the word requirements for this assignment will result in the grade of zero (0) for this Criterion.
Range
threshold: pts
Edit ratingDelete rating
10.0 pts
Excellent
0-1 errors in grammar, syntax, spelling, punctuation, mechanics, and APA format
Edit ratingDelete rating
9.0 pts
V. Good
2-3 errors in grammar, syntax, spelling, punctuation, mechanics, and APA format
Edit ratingDelete rating
8.0 pts
Satisfactory
4-5 errors in grammar, syntax, spelling, punctuation, mechanics, and APA format
Edit ratingDelete rating
5.0 pts
Needs Improvement
6-7 errors in grammar, syntax, spelling, punctuation, mechanics, and APA format
Edit ratingDelete rating
0.0 pts
Unsatisfactory
8 or more errors in grammar, syntax, spelling, punctuation, mechanics, and APA format Or Less than 1,500 words, excluding title page and reference list OR No assignment
pts
10.0 pts
—
Edit criterion descriptionDelete criterion row
This criterion is linked to a Learning OutcomeLate Penalty Deductions
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.
Range
threshold: pts
Edit ratingDelete rating
0.0 pts
Minus Points
Edit ratingDelete rating
0.0 pts
Minus Points
pts
0.0 pts
—
Total Points: 30.0 out of 30.0
The abstract of an article often holds valuable information for capturing the essence of a study. However, it is not good practice to simply read an abstract and attempt to apply this research to your practice.
Using your PICO(T) question and the Shapiro Library, locate a relevant research article and attach a link to your initial post. Then, choose one section, other than the abstract, and assess the information it provides for its potential to inform evidence-based practice. Title your post with the section name (e.g., Introduction) to avoid 20 posts regarding the same section.
In your responses, choose two peers who reviewed different sections than your own and comment on their assessments. Did they miss anything?
Advanced Assessment of Health History