Brian Foster Shadow Health Assessment

Brian Foster Shadow Health Assessment

Shadow Health Assessment Assignment

You will complete all assessment assignments using the Shadow Health  virtual reality simulation platform.

Introduction and Pre-brief

This assignment provides the opportunity to conduct a focused exam on Brian Foster, who presents with recent episodes of chest pain in a non-emergency setting. Interview Mr. Foster and be sure to thoroughly assess the cardiovascular system as well as related body systems in order to compile a list of differential diagnoses. This case study offers you the opportunity to evaluate Mr. Foster’s personal and family history with heart disease and identify lifestyle risk factors. During the physical examination, thoroughly examine the cardiovascular system and carefully evaluate and document the patient’s heart sounds.

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Tips and Tricks

The sounds in the Shadow Health Concept Labs and Physical Assessment Assignments are medically accurate.

Distinguishing normal from abnormal heart sounds requires practice and carefully listening for sometimes subtle and easily missed sounds. Be sure to take advantage of the Cardiovascular Concept Lab to sharpen your skills prior to beginning this assignment. Brian Foster Shadow Health Assessment.

Optimize your listening experience by using headphones with your computer and listen to both normal and abnormal sounds multiple times to improve your proficiency with recognizing subtle differences.

Often patients present with a specific complaint or problem. However, during the history and physical examination, a new problem may be discovered that takes precedence during the visit. Be alert to such a situation with this case study assignment.

Purposes

The purposes of the Shadow Health Physical Assessment Assignments are to: (a) increase knowledge and understanding of advanced practice physical assessment skills and techniques, (b) conduct focused and comprehensive histories and physical assessments for various patient populations, (c) adapt or modify your physical assessment skills and techniques to suit the individual needs of the patient, (d) apply assessment skills and techniques to gather subjective and objective data, (e) differentiate normal from abnormal physical examination findings, (f) summarize, organize, and appropriately document findings using correct professional terminology, (g) practice developing primary and differential diagnoses, (h) practice creating treatment plans which include diagnostics, medication, education, consultation/referral, and follow-up planning; and (i) analyze and reflect on own performance to gain insight and foster knowledge.

Due Date

Sunday 11:59 PM MT at the end of each respective week.

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. Brian Foster Shadow Health Assessment.

In the event of an emergency that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student’s rationale for the request and make a determination based on the merits of the student’s appeal. Consideration of the student’s total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.

Total Points Possible: 75 Points

Assignment

Step One: Complete the designated Shadow Health (SH) Assignment on the SH platform.

Step Two: Document your findings on the  Fillable Soap Note Template or the Printable Soap Note.

Step Three:  Upload the Lab Pass and completed SOAP Note as separate documents to the same assignment tab in the gradebook.

Requirements

NOTE: Before initiating any activity in Shadow Health, complete the required course weekly readings and lessons as well as review the introduction and pre-brief.

Complete the Shadow Health Concept Lab (Weeks 2, 4, and 5) prior to beginning the graded assignment.
Gather subjective and objective data by completing a focused, detailed health history and physical examination for each physical assessment assignment.
Critically appraise the findings as normal or abnormal.
Complete the post activity assessment questions for each assignment .
Complete all reflection questions following each physical assessment assignment. Brian Foster Shadow Health Assessment.
Digital Clinical Experience (DCE) scores do not round up. For example, a DCE score of 92.99 is a 92, not a 93.
You have a maximum of two (2) attempts per Shadow Health assignment to improve your performance. However, you may elect not to repeat any assignment. NOTE: If you repeat an attempt, ONLY the second attempt will be graded, regardless of the DCE score. Please refer to the grading rubric categories for details.
Download the Lab Pass for the final attempt on the assignment. Brian Foster Shadow Health Assessment.

On the Canvas Platform:

Summarize, organize, and appropriately document findings using correct professional terminology on the SOAP Note Template.
Identify three (3) differential diagnoses and provide ICD-10 codes and pertinent positive and negative findings for each diagnosis.
Create a comprehensive treatment plan for each assignment. Must address the following components: Diagnostics, Medication, Education, Referral/Consultation, and Follow-up planning. If no interventions for one or more component, document “none at this time” but do not skip over the component.
Provide rationales and citations for diagnoses and interventions. Brian Foster Shadow Health Assessment.
Include at least one scholarly source to support diagnoses and treatment interventions with rationales and references on the SOAP note. 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. The textbooks and lessons are NOT considered to be outside scholarly sources. For the threaded 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 databases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These websites 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. Each student is responsible for determining 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.
Upload the Lab Pass to the appropriate assignment area in Canvas Grades Brian Foster Shadow Health Assessment.

Shadow Health Grading Rubric

Portions of the rubric are designated with a ***. The following explains those portions of the rubric:

* Digital Clinical Experience (DCE) Score is automatically translated by Shadow Health based on individual student performance and reflects how student work compares to their peer learners across the country for a particular assignment. The DCE Score is a fair assessment of effort, and therefore is appropriate for use when grading assignments.

**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. The textbooks and lessons are NOT considered to be outside scholarly sources. For the threaded 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 databases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These websites 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. Each student is responsible for determining 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.

***Components of a treatment plan include diagnostics, medication, education, consultation/referral, and follow-up planning

****Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. For example, one might demonstrate insight by relating a concept to a personal or meaningful experience.

ASSIGNMENT CONTENT
Category Points % Description
Health History Communication, Education, Empathy, and Summary

(DCE Score or transcript)

15 20% The Digital Clinical Experience (DCE)Score is automatically translates by Shadow Health based on individual student performance and reflects how student work with data collection, health history communication, education, empathy, and summarization compares to peer learners across the country for a particular assignment. The DCE Score is a fair assessment of effort, and therefore is appropriate for use when grading assignments. Occasionally, performance transcripts may be reviewed for secondary support.
Assessment, Documentation, Treatment Plan, and Scholarly Sources 35 47% This category is evaluated on the quality of student’s ability to: Identify pertinent normal and abnormal findings for the assignment, utilize professional terminology, provide comprehensive and detailed subjective and objective findings, identify differential diagnoses, and create a comprehensive treatment plan. Includeat least one appropriate EBP scholarly source and use the SOAP Note format template to document all findings.

Self-Reflection 15 20% Self-reflection posts must demonstrate the student’s own perspective. The quality of this criterion is based upon responding to all the reflection questions; providing responses that are substantive (add importance, meaningfulness, and relevance to the post); demonstrate analysis of own performance; and demonstrate insight. Brian Foster Shadow Health Assessment. Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. For example, one might demonstrate insight by relating a concept to a personal or meaningful experience.Reflection post responses should vary from SH assignment to assignment.

65 87% Total CONTENT Points= 65
ASSIGNMENT FORMAT
Category Points % Description
Grammar, Spelling, Syntax, Mechanics and APA Format 10 13% Reflection post 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.

* 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 assignment

10 100% Total FORMAT Points= 10
ASSIGNMENT TOTAL= 75 points

Rubric

NR509 Weeks 2-6 Shadow Health Assignment_Sept19 (3)

NR509 Weeks 2-6 Shadow Health Assignment_Sept19 (3)
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeAssignment Content Possible Points = 65 Points

Criterion 1

Health History Communication, Education, Empathy, and Summary

(DCE Score or Transcript)

15.0 pts

Excellent

DCE Score > 93

14.0 pts

V. Good

DCE Score 86-92

12.0 pts

Satisfactory

DCE Score 80-85

8.0 pts

Needs Improvement

DCE Score < 79 0.0 pts Unsatisfactory No Assignment 15.0 pts This criterion is linked to a Learning OutcomeCriterion 2 Assessment, Documentation, Treatment Plan, and Scholarly Sources Must demonstrate the following elements: Brian Foster Shadow Health Assessment Identified all pertinent normal and abnormal findings; Used professional terminology; Subjective and objective documentation was detailed and comprehensive; Used the SOAP Note Format template for documentation; Identified three (3) differential diagnoses with ICD-10 codes and pertinent positive/negative findings; Addressed each of the following on the treatment plan: Diagnostics, Medication, Education, Referral/Consultation, and Follow-up Planning; Interventions are detailed and appropriate for the focused assignment; Provided at least one appropriate EBP scholar source (8 Required Elements) 35.0 pts Excellent Demonstrated all elements for this Criterion 32.0 pts V. Good Missing 1 element for this Criterion 29.0 pts Satisfactory Missing 2 or 3 elements for this Criterion 18.0 pts Needs Improvement Missing 4 or 5 elements on for this Criterion 0.0 pts Unsatisfactory Missing 6 or more elements for the criterion Or No Assignment 35.0 pts This criterion is linked to a Learning OutcomeCriterion 3 Self-Reflection Must demonstrate the following elements: Written from the student's own perspective; Responded to all the reflection questions; Responses were each substantive (added importance, meaningfulness, and relevance to the post); Offer self-analysis of performance and insight; Reflection post responses should vary from SH assignment to assignment. (5 Required Elements) 15.0 pts Excellent Demonstrated all elements for this Criterion 14.0 pts V. Good Missing 1 element for this Criterion 12.0 pts Satisfactory Missing 2 elements for this Criterion 8.0 pts Needs Improvement Missing 3 elements for this Criterion 0.0 pts Unsatisfactory Missing 4 or more elements for the criterion Or No Assignment 15.0 pts This criterion is linked to a Learning OutcomeAssignment Format Possible Points = 10 Points Format Criterion 1 Grammar, Spelling, Syntax, Mechanics and APA Format 10.0 pts Excellent 0-1 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format 9.0 pts V. Good 2-3 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format Brian Foster Shadow Health Assessment 8.0 pts Satisfactory 4-5 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format 5.0 pts Needs Improvement 6-7 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format 0.0 pts Unsatisfactory 8 or more errors in grammar, syntax, spelling, punctuation, mechanics, or APA format Or No assignment 10.0 pts 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. 0.0 pts Minus Points 0.0 pts Minus Points 0.0 pts Total Points: 75.0 Brian Foster Shadow Health Assessment