738.5.1 : Incorporate Pathophysiology into Patient Care Coordination
The learne
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.
INTRODUCTION
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.
REQUIREMENTS
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.
File Restrictions
File name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( )
File size limit: 200 MB
File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z
RUBRIC
A. TIME LOG:
NOT EVIDENT
A copy of the “D222 Time Log” is not submitted.
APPROACHING COMPETENCE
A copy of the “D222 Time Log” is submitted, but the log is incomplete, has blank or future dates, or is not signed.
COMPETENT
A completed and signed copy of the “D222 Time Log” is submitted with appropriate completion dates.
B. CONSENT AND RELEASE AGREEMENT:
NOT EVIDENT
A copy of the “D222 Nursing Program Audio/Video Recording Consent and Release Agreement (Volunteer Patient)” is not submitted. Or the patient does not have sufficient capacity to provide consent (e.g., under age 18).
APPROACHING COMPETENCE
A copy of the “D222 Nursing Program Audio/Video Recording Consent and Release Agreement (Volunteer Patient)” is submitted, but the copy of the agreement is incomplete or outdated.
COMPETENT
A completed copy of the “D222 Nursing Program Audio/Video Recording Consent and Release Agreement (Volunteer Patient)” is submitted for a patient with sufficient capacity to provide consent (e.g., is 18 or older).
C. RECORDING URL:
NOT EVIDENT
A functional Panopto URL recording is not provided.
APPROACHING COMPETENCE
A functional Panopto URL for the recording is provided, but the video has significant technical problems (e.g., the video skips content, the visual content is too blurry or distorted to correctly evaluate), or the recording does not adhere to 1 or both of the given guidelines.
COMPETENT
A functional Panopto URL for the recording is provided, and the video has no significant technical problems and adheres to both of the given guidelines.
C1. PHYSICAL EXAM: PART 1 (MEASUREMENTS, SKIN, AND HEAD/FACE):
NOT EVIDENT
The submission does not demonstrate any skills from Part 1 of the “Physical Assessment Skills List.”
APPROACHING COMPETENCE
Only 1–9 skills listed from Part 1 of the “Physical Assessment Skills List” are correctly and fully demonstrated per task requirements. Or the WGU learner fails to adhere to either professional dress or communication as outlined in the task directions.
COMPETENT
Correct and complete technique is demonstrated for 10 or more of the 12 skills from Part 1 of the “Physical Assessment Skills List” while maintaining professional dress and communication throughout.
C2. PHYSICAL EXAM: PART 2 (EYES, EARS, NOSE, MOUTH/THROAT, & NECK):
NOT EVIDENT
The submission does not demonstrate any skills from Part 2 of the “Physical Assessment Skills List.”
APPROACHING COMPETENCE
Only 1–14 skills listed from Part 2 of the “Physical Assessment Skills List” are correctly and fully demonstrated per task requirements. Or the WGU learner fails to adhere to either professional dress or communication as outlined in the task directions.
COMPETENT
Correct and complete technique is demonstrated for 15 or more of the 18 skills from Part 2 of the “Physical Assessment Skills List” while maintaining professional dress and communication throughout.
C3. PHYSICAL EXAM: PART 3 (CHEST/THORAX, HEART, & UPPER EXTREMITIES):
NOT EVIDENT
The submission does not demonstrate any skills from Part 3 of the “Physical Assessment Skills List.”
APPROACHING COMPETENCE
Only 1–10 skills listed from Part 3 of the “Physical Assessment Skills List” are correctly and fully demonstrated per task requirements. Or the WGU learner fails to adhere to either professional dress or communication as outlined in the task directions.
COMPETENT
Correct and complete technique is demonstrated for 11 or more of the 13 skills from Part 3 of the “Physical Assessment Skills List” while maintaining professional dress and communication throughout.
C4. PHYSICAL EXAM: PART 4 (JUGULAR VEIN, ABDOMEN, & LOWER EXTREMITIES):
NOT EVIDENT
The submission does not demonstrate any skills from Part 4 of the “Physical Assessment Skills List.”
APPROACHING COMPETENCE
Only 1–11 skills listed from Part 4 of the “Physical Assessment Skills List” are correctly and fully demonstrated per task requirements. Or the WGU learner fails to adhere to either professional dress or communication as outlined in the task directions.
COMPETENT
Correct and complete technique is demonstrated for 12 or more of the 15 skills from Part 4 of the “Physical Assessment Skills List” while maintaining professional dress and communication throughout.
C5. PHYSICAL EXAM: PART 5 (NEUROMUSCULAR):
NOT EVIDENT
The submission does not demonstrate any skills from Part 5 of the “Physical Assessment Skills List.”
APPROACHING COMPETENCE
Only 1–12 skills listed from Part 5 of the “Physical Assessment Skills List” are correctly and fully demonstrated per task requirements. Or the WGU learner fails to adhere to either professional dress or communication as outlined in the task directions.
COMPETENT
Correct and complete technique is demonstrated for 13 or more of the 16 skills from Part 5 of the “Physical Assessment Skills List” while maintaining professional dress and communication throughout.
C6A. EXAM CONCLUSION: HEALTH PROMOTION:
NOT EVIDENT
2 health promotion activities are not provided.
APPROACHING COMPETENCE
The patient is instructed and educated on 2 health promotion activities, but 1 or both are not appropriate for the patient’s age or demographic.
COMPETENT
The patient is instructed and educated on 2 health promotion activities that are both appropriate for the age and demographic of the patient.
C6B. EXAM, CONCLUSION: QUESTIONS:
NOT EVIDENT
Questions from the patient are not invited.
APPROACHING COMPETENCE
Questions from the patient are invited, but the questions are not answered correctly.
COMPETENT
Questions from the patient are invited, and all questions are answered correctly.
C6C. EXAM CONCLUSION: END SESSION:
NOT EVIDENT
The submission does not have a distinct ending.
APPROACHING COMPETENCE
The recording is ended without thanking the patient.
COMPETENT
The patient is thanked, and the recording is ended.
D1. DOCUMENTATION: HEALTH PROMOTION JUSTIFICATION:
NOT EVIDENT
A justification of assessment findings of the 2 recommended health promotion activities from part C6a is not provided.
APPROACHING COMPETENCE
The submission justifies assessment findings, but the justification does not support the appropriateness of the 2 recommended health promotion activities from part C6a.
COMPETENT
The submission justifies assessment findings and supports the appropriateness of the 2 recommended health promotion activities from part C6a.
D2. DOCUMENTATION: SMART GOALS:
NOT EVIDENT
The submission does not provide 1 goal for each of the 2 health promotion activities from part C6a.
APPROACHING COMPETENCE
1 goal for each of the 2 health promotion activities is provided, but 1 or both goals do not use each component of the SMART format or are irrelevant to the health promotion activities from part C6a.
COMPETENT
1 goal for each of the 2 health promotion activities from part C6a is provided. Each goal includes each component of the SMART format and is relevant to the recommended health promotion activities.
E. APA SOURCES:
NOT EVIDENT
The submission does not include in-text citations and references according to APA style for content that is quoted, paraphrased, or summarized.
APPROACHING COMPETENCE
The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized but does not demonstrate a consistent application of APA style.
COMPETENT
The submission includes in-text citations and references for content that is quoted, paraphrased, or summarized and demonstrates a consistent application of APA style.
F. PROFESSIONAL COMMUNICATION:
NOT EVIDENT
Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.
APPROACHING COMPETENCE
Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.
COMPETENT
Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.
