Comprehensive Physical AssessmentThis Comprehensive Assessment activity provides the opportunity to plan and conduct a full health assessment on a patient in a single clinic visit. Students spend, on

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Comprehensive Physical AssessmentThis Comprehensive Assessment activity provides the opportunity to plan and conduct a full health assessment on a patient in a single clinic visit. Students spend, on average, three hours on this activity.Before entering the clinic room 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.These prompts help you think more deeply about your performance in the activity. Reflective writing develops your clinical reasoning skills as you grow and improve as a clinician and gives your instructor insight into your learning process. The more detail and depth you provide in your responses, the more you will benefit from this activity. Read Chapters 4-11 in Jarvis, C. (2015).Physical examination and health assessment(7thed.). St. Louis, MO: Saunders. 
 Read Chapters 12-17 in Jarvis, C. (2015).Physical examination and health assessment(7thed.). St. Louis, MO: Saunders. 
 Read Chapters 4, 18 & 31 In Jarvis, C. (2015).Physical examination and health assessment(7thed.). St. Louis, MO: Saunders. Read Chapters 19-20 In Jarvis, C. (2015).Physical examination and health assessment(7thed.). St. Louis, MO: Saunders. Optional Resource:Map the Human HeartMap of the Human Heart — NOVA | PBSSee exactly how your heart pumps blood throughout your body and learn astounding facts about the human heart. Read Chapters 21 and 24-26 in Jarvis, C. (2015).Physical examination and health assessment(7thed.). St. Louis, MO: Elsevier. Read Chapters 22-23 In Jarvis, C. (2015).Physical examination and health assessment(7thed.). St. Louis, MO: Elsevier. Read Chapters 28 in Jarvis, C. (2015).Physical examination and health assessment(7thed.). St. Louis, MO: Elsevier.Additional Instructions: All submissions should have a title page and reference page. Utilize a minimum of two scholarly resources. Adhere to grammar, spelling and punctuation criteria. Adhere to APA compliance guidelines. Adhere to the chosen Submission Option for Delivery of Activity guidelines.Submission Option:InstructionPaper 2 to 3-page paper. Include title and reference pages.

Comprehensive Physical AssessmentThis Comprehensive Assessment activity provides the opportunity to plan and conduct a full health assessment on a patient in a single clinic visit. Students spend, on
Comprehensive physical Assessment HAIR NAILS, SKIN SUBJECTIVE: Reports improved acne due to oral contraceptives. Skin on neck has stopped darkening and facial and body hair has improved. She reports a few moles but no other hair or nail changes. OBJECTIVE: Scattered pustules on face and facial hair on upper lip, acanthosis nigricans on posterior neck. NEUROLOGICAL SUBJECTIVE: Reports no dizziness, light-headedness, tingling, loss of coordination or sensation, seizures, or sense of disequilibrium. OBJECTIVE: strength 5/5 bilateral upper and lower extremities. Normal graphesthesia, stereognosis, and rapid alternating movements bilaterally. Tests of cerebellar function normal. DTRs 2+ and equal bilaterally in upper and lower extremities. Decreased sensation to monofilament in bilateral plantar surfaces. MUSCULO SUBJECTIVE: Reports no muscle pain, joint pain, muscle weakness, or swelling. OBJECTIVE: Bilateral upper and lower extremities without swelling, masses, or deformity and with full range of motion. No pain with movement. ABDOMINAL SUBJECTIVE: Gastrointestinal: Reports no nausea, vomiting, pain, constipation, diarrhea, or excessive flatulence. No food intolerances. Genitourinary: Reports no dysuria, nocturia, polyuria, hematuria, flank pain, vaginal discharge or itching. OBJECTIVE: Abdomen protuberant, symmetric, no visible masses, scars, or lesions, coarse hair from pubis to umbilicus. Bowel sounds are normoactive in all four quadrants. Tympanic throughout to percussion. No tenderness or guarding to palpation. No organomegaly. No CVA tenderness. CARDIOVASCULO Subjective: Reports no palpitations, tachycardia, easy bruising, or edema. OBJECTIVE: Heart rate is regular, S1, S2, without murmurs, gallops, or rubs. Bilateral carotids equal bilaterally without bruit. PMI at the midclavicular line, 5th intercostal space, no heaves or lifts. Bilateral peripheral pulses equal bilaterally, capillary refill less than 3 second s. No peripheral edema. RESPIRATORY. SUBJECTIVE :Reports no shortness of breath, wheezing, chest pain, dyspnea, or cough. OBJECTIVE: Chest is symmetric with respiration, clear to auscultation bilaterally without cough or wheeze. Resonant to percussion throughout. In office spirometry: FVC 3.91 L, FEV1/FVC ratio 80.56%. HEENT SUBJECTIVE: Reports no current headache and no history of head injury or acute visual changes. Reports no eye pain, itchy eyes, redness, or dry eyes. Wears corrective lenses. Last visit to optometrist 3 months ago. Reports no general ear problems, no change in hearing, ear pain, or discharge. Reports no change in sense of smell, sneezing, epistaxis, sinus pain or pressure, or rhinorrhea. Reports no general mouth problems, changes in taste, dry mouth, pain, sores, issues with gum, tongue, or jaw. No current dental concerns, last dental visit was 5 months ago. Reports no difficulty swallowing, sore throat, voice changes, or swollen nodes. Reports no current headache and no history of head injury or acute visual changes. Reports no eye pain, itchy eyes, redness, or dry eyes. Wears corrective lenses. Last visit to optometrist 3 months ago. Reports no general ear problems, no change in hearing, ear pain, or discharge. Reports no change in sense of smell, sneezing, epistaxis, sinus pain or pressure, or rhinorrhea. Reports no general mouth problems, changes in taste, dry mouth, pain, sores, issues with gum, tongue, or jaw. No current dental concerns, last dental visit was 5 months ago. Reports no difficulty swallowing, sore throat, voice changes, or swollen nodes.
Comprehensive Physical AssessmentThis Comprehensive Assessment activity provides the opportunity to plan and conduct a full health assessment on a patient in a single clinic visit. Students spend, on
Baccalaureate Generalist – Comp rehensive Physical Assessment Description: The baccalaureate -graduate nurse cares for patients, including individuals, families, groups, communities, and populations across the lifespan and across the continuum of healthcare environments, perform comprehensive and focused developmental and physical assessments. Course Competenc ies : 1) Perform assessments of individuals throughout the lifespan and include spiritual, social, cultural, psychological and physical co mponents. 3) Analyze data to determine risk potential for individuals. 4) Synthesize assessment findings using the Digital Clinical Experience (DCE) and in written format using standardized terminology. 5) Demonstrate effective communication with individu als, famil ies and interdisciplinary team members. QSEN Competenc ies : 1) Patient -Centered Care 3) Evidenced -Based Practice BSN Essential IX Area Gold Mastery Silver Proficient Bronze Acceptable Acceptable Mastery not Demonstrated Digital Clinical Experienc e Score Fully discusses Clinical Experience score results and how it relates to your clinical practice Describes Clinical Experience score results and how it relates to your clinical practice Superficially discusses Clinical Experience score results and how it re lates to your clinical practice Does not use appropriate developmental approaches. Student Performance Index Fully discusses results from the Performance Index and how score results and how it relates to your clinical practice Describes result s from the Performance Index and how score results and how it relates to your clinical practice Superficially discusses results from the Performance Index and how score results and how it relates to your clinical practice Does not use appropriate physical assessment skills. Subjective Data Collection Fully discusses results from the Subjective Data Collection and how score results and how it relates to your clinical practice Describes results from the Subjective Data Collection and how score results and ho w it relat es to your clinical practice Superficially discusses results from the Subjective Data Collection and how score results and how it relates to your clinical practice Does not use appropriate physical assessment skills. Objective Data Collection Fu lly discusses results from the Objective Data Collection and how score results Describes results from the Objective Data Collection and how score Superficiall y discusses results from the Objective Data Collection and Does not use appropriate physical assessment skills. and how it relates to your clinical practice results and how it relates to your clinical practice how score results and how it relates to your clinical practice Care Plan Fully discusses a care plan that contains one NANDA DX with three NICs and three NICs Describes care plan that contains one NANDA DX with three NICs and three NICs Superficially discusses a care plan. Does not use NANDA, NIC, and NOC Does not use appropriate physical assessment skills. Time: Interaction with Patient Post -exam activities Fully discusses the time spent and what changes you would make and/or how can the time be better spent? Describes the time spent and what changes you would make and/or how can the time be better spent? Superficially discusses the time spent and what changes you would make and/or how can the time be better spent? Does not use appropriate physical assessment skills. Self -reflection Fully discusses a self -reflection from the Comprehensive Experience exercise. How did the exp erience relate to your clinical practice describes a self – reflection from the Comprehensive Experience exercise. How did the experience relate to your clinical practice Superficially discusses a self – reflection from the Comprehensive Experience exercise. H ow did the experience relate to your clinical practice Does not provide a detailed reflection of the comprehensive Experience exercise APA, Grammar, Spelling, and Punctuation No errors in APA, Spelling, and Punctuation. One to three errors in APA, Spellin g, and Pun ctuation. Four to six errors in APA, Spelling, and Punctuation. Seven or more errors in APA, Spelling, and Punctuation. References Provides two or more references. Provides two references. Provides one references. Provides no references.

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