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738.5.1 : Incorporate Pathophysiology into Patient Care Coordination
The learner incorporates enhanced pathophysiological concepts and assessment findings into patient care coordination.
738.5.2 : Apply Clinical Judgment to Patient Assessment Techniques
The learner applies clinical judgment using current and innovative patient assessment techniques that encompass physical, mental, emotional, spiritual well-being, and social determinants of health.
738.5.3 : Analyze Cultural and Lifestyle Implications
The learner analyzes cultural and lifestyle implications for holistic patient assessment.
As a nurse, you must be able to perform a comprehensive health assessment on a patient in every practice setting. For this task, you will record yourself completing a comprehensive health assessment at the baccalaureate level using the attached “D222 Physical Assessment Skills List.” You must do this assessment on an adult family member or friend. Do not use a patient you could interact with in a healthcare setting.
The volunteer patient must complete the attached “Nursing Program Audio/Video Recording Consent and Release Agreement (Volunteer Patient),” which you will submit with your recording. The “D222 Video Health Assessment Success Guide” is provided in the Supporting Documents section to offer additional support with the task directions. Your patient must be an adult who has sufficient capacity to provide informed consent based on the rules and regulations defined by your state of residence and who is 18 years of age or older. For example, individuals from the following groups will not have the ability to provide informed consent: minors (particularly children with disabilities), cognitively impaired persons regardless of age, and wards of the state. The patient’s signature must be handwritten. Once the consent form is signed by the patient, it should be either scanned and uploaded or photographed and uploaded as a JPG, PNG, BMP, GIF, or PDF file. The consent form must be legible.
You will also need to instruct your patient to dress in a manner that is comfortable for them but still allows evaluators to see you performing the correct assessment techniques. Do not lift or remove the patient’s clothing for any part of the assessment. Speak clearly and perform all of the required skills. Verbalize your assessment as you move through to ensure the evaluator knows what you are assessing. This is especially important during the inspection.
You will finish this task by writing a brief summary of your assessment and patient teaching that includes a discussion of the health promotion activities appropriate for the patient’s age and demographic and how to develop SMART goals to support those activities.
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.
You must use the rubric and the physical assessment skills list to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).
Note: See the attached “D222 Video Health Assessment Success Guide” resource document for information on the dress code requirements for this task.
A. Submit a completed and signed copy of the “D222 Time Log” by scanning the log in either a JPG, PNG, BMP, GIF, or PDF file. The log must include the following:
• dated log of the 11.25 hours required for your clinical practice experience spent completing the preparation, assessment, and preparing the patient teaching plan. Dates cannot be future or blank.
• your name, student ID number, handwritten signature, and date of signature
B. Submit the completed and signed copy (including the date, volunteer patient’s name, address, date of birth or age, and handwritten signature) of the attached “D222 Nursing Program Audio/Video Recording Consent and Release Agreement (Volunteer Patient).”
• your patient must be an adult who has sufficient capacity to provide informed consent (e.g., is 18 or older).
C. Provide a functional Panopto URL of you completing a physical assessment using the Panopto recording system. As part of your recording, you must dress and communicate professionally based on the guidelines within the “D222 Video Health Assessment Success Guide” and do the following:
• include a clear, audible verbalization of each step in the assessment process.
• provide an unobstructed view of each assessment with clear verbalization of each individual assessment technique and finding in the recording.
Note: Before you begin recording, please verify that both you and your patient can be seen in the viewing field.
Note: The assessment should be captured in the video. If you report a finding in your documentation, it should be represented in the video submission.
Note: Videos must be submitted through Panopto. Submitting links from outside sources will result in the submission being returned without evaluation. Refer to the Web Links section for Panopto access, Panopto how-to videos, Panopto FAQs, and Panopto video submission.
Note: To submit your Panopto recording, upload it to the Panopto folder titled “Comprehensive Health Assessment—D222.” Once the recording has been uploaded and processed in Panopto’s system, retrieve the URL of the recording from Panopto and copy and paste it into the Links option. Upload the remaining task requirements using the Attachments option.
1. Conduct the “Part 1: Measurements, Skin, & Head/Face” portion of the attached “Physical Assessment Skills List,” using correct techniques, with the patient seated.
2. Conduct the “Part 2: Eyes, Ears, Nose, Mouth/Throat, & Neck” portion of the attached “Physical Assessment Skills List,” using correct techniques, with the patient seated.
3. Conduct the “Part 3: Chest/Thorax, Heart, & Upper Extremities” portion of the attached “Physical Assessment Skills List,” using correct techniques, with the patient seated.
4. Conduct the “Part 4: Jugular Vein, Abdomen, & Lower Extremities” portion of the attached “Physical Assessment Skills List,” using correct techniques, with the patient supine.
5. Conduct the “Part 5: Neuromuscular” portion of the attached “Physical Assessment Skills List,” using correct techniques, with the patient positioned as indicated on the skills list.
6. Conclude the physical exam session by doing the following:
a. Instruct and educate the patient on two health promotion activities appropriate for the patient’s age and demographic.
b. Invite and answer questions from the patient.
c. Thank the patient and end the recording.
Note: Use the attached “Comprehensive Health Assessment Template” for parts D1, D2, and E.
D. Write a summary (suggested length 1–1 1/2 pages) using the two selected health promotion activities included in the patient instruction from part C6a by doing the following:
1. Justify your assessment findings that support the appropriateness of the two recommended health promotion activities from part C6a. Include the rationale for your chosen health promotion activities using evidence from two journal articles, one per health promotion activity, published within the last five years.
Note: Citations should be included per APA format, along with APA formatted references for the articles. This component is evaluated in part E.
2. Formulate one goal for each health promotion activity from part C6a for a total of two goals using the SMART (specific, measurable, achievable, relevant, timely) format.
E. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized using the “Comprehensive Health Assessment Template”.
F. Demonstrate professional communication in the content and presentation of your submission.