American Sentinel SIM 437 Assignments

American Sentinel SIM 437 Assignments
American Sentinel SIM 437 Assignments
Activity 1 Comprehensive Older Person Assessment
Complete the Comprehensive Older Person Assessment on a well, non-family member over the age of 70. Complete the Home Safety Checklist on their living environment.
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Draw conclusions for the following areas:

Preliminary Cognition Questionnaire
Demographic Data
Social Support
Financial Data
Psychological Health Data
Physical Health Data
Activities of Daily Living Data

Propose or develop health promotion teaching opportunities based upon findings related to deficits in activities of daily living, functional status, or any other issues in the evaluation form or home safety checklist.
Complete the Comprehensive Older Person Evaluation and the Home Safety Checklist on one non-family member over the age of 70 for this activity.
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 Options

Choose One:
Instructions:

Paper

2 to 3-page paper. Include title and reference pages.

Rubric

Baccalaureate Generalist – Comprehensive Older Person Assessment

Description: The baccalaureate-graduate nurse is prepared to practice with patients across the lifespan.

Course Competencies: 1) Perform assessments of individuals throughout the lifespan and include spiritual, social, cultural, psychological and physical components. 2) Differentiate between normal and abnormal assessment findings. 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 individuals, families and interdisciplinary team members.

QSEN Competencies: 1) Patient-Centered Care 3) Evidenced-Based Practice 5) Safety

BSN Essential IX

Area
Gold Mastery
Silver Proficient
Bronze Acceptable
Acceptable Mastery not
Demonstrated

Comprehensive Older Person Evaluation Submitted
Completes all elements of the Comprehensive Older Person Evaluation
Completes half of the elements of the Comprehensive Older Person Evaluation
Completes less than half of the elements of the Comprehensive Older Person Evaluation
Does not complete the Comprehensive Older Person Evaluation

Home Safety Checklist- Submitted
Completes all of the elements of the Home Safety Checklist
Completes half of the elements of the Home Safety Checklist
Completes less than half of the elements of the Home Safety Checklist
Does not complete the Home Safety Checklist

Draws conclusions from the Preliminary Cognition Questionnaire
Summarizes conclusions from the Preliminary Cognition Questionnaire
Describes findings from the Preliminary Cognition Questionnaire
Lists findings from the Preliminary Cognition Questionnaire
Does not include conclusions from the Preliminary Cognition Questionnaire

Draws conclusions from the Demographic Data
Summarizes conclusions from the Demographic Data
Describes findings from the Demographic Data
Lists findings from the Demographic Data
Does not include conclusions from the Demographic Data

Draws conclusions from the Social Support Data
Summarizes conclusions from the Social Support Data
Describes findings from the Social Support Data
Lists findings from the Social Support Data
Does not include conclusions from the Social Support Data

Draws conclusions from the Financial Data
Summarizes conclusions from the Financial Data
Describes findings from the Financial Data
Lists findings from the Financial Data
Does not include conclusions from the Financial Data

Draws conclusions from the Psychological Health Data
Summarizes conclusions from the Psychological Health Data
Describes findings from the Psychological Health Data
Lists findings from the Psychological Health Data
Does not include conclusions from the Psychological Health Data

Draws conclusions from the Physical Health Data
Summarizes conclusions from the Physical Health Data
Describes findings from the Physical Health Data
Lists findings from the Physical Health Data
Does not include conclusions from the Physical Health Data

Draws conclusions from the Activities of Daily Living
Summarizes conclusions from the Activities of Daily Living
Describes findings from the Activities of Daily Living. American Sentinel SIM 437 Assignments
Lists findings from the Activities of Daily Living
Does not include conclusions from the Activities of Daily Living

Proposes health promotion teaching opportunities
Includes 3 or more health promotion teaching opportunities
Includes 2 health promotion teaching opportunities
Includes 1 health promotion teaching opportunities
Does not include health promotion teaching opportunities

APA, Grammar, Spelling, and Punctuation
No errors in APA, Spelling, and Punctuation.
One to three errors in APA, Spelling, and Punctuation.
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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Activity 2 Heritage Assessment
Complete the Heritage Assessment on a non-family member over the age of 45. Create a genogram for your interviewee, including identification of health issues (and age of death and cause of death as appropriate) for each family member to identify patterns and trends. Include a brief summary of the interviewee health risks based upon the genogram. Propose health promotion teaching opportunities based upon findings.
The genogram can be completed using a free template or you may draw by hand and scanned. ( please add the genogram)
Interview a non-family member over the age of 45 and complete the Heritage Assessment from Chapter 2.
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Instructions:

Paper

2 to 3-page paper. Include title and reference pages.

Rubric

Baccalaureate Generalist – Heritage Assessment

Description: The baccalaureate-graduate nurse will recognize the relationship of genetics and genomics to health by collecting family history information.

QSEN Competencies: 1) Patient-Centered Care 3) Evidenced-Based Practice 5) Safety

BSN Essential IX

Area
Gold Mastery
Silver Proficient
Bronze Acceptable
Acceptable Mastery not
Demonstrated

Heritage Assessment
Completes all elements of the elements of the Heritage Assessment
Completes half of the elements of the Heritage Assessment
Completes less than half of the elements of the Heritage Assessment
Does not complete the elements of the Heritage Assessment

Genogram
Completes 3 or more generations for the non-family member of age 45
Completes 2 generations for the non-family member of age 45
Completes only 1 generation for the non-family member of age 45
Does not complete on a non-family member of age 45

Concludes health risks based upon findings
Includes 3 or more potential health risks based upon findings
Includes 2 potential health risks based upon findings
Includes 1 potential health risks based upon findings
Does not include health risks based upon findings

APA, Grammar, Spelling, and Punctuation
No errors in APA, Spelling, and Punctuation. American Sentinel SIM 437 Assignments
One to three errors in APA, Spelling, and Punctuation.
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.

American Sentinel SIM 437 Assignments Activity 3 Hospital Discharge
Evidence-based discharge teaching is critical in promoting health and impacting readmissions. Complete the Hospital Discharge Activity in Shadow Health. You will address Tina Jones’ diagnoses; asthma, dehydration, and wound infection, providing education that will support adherence and prevent readmission. Provide clear guidance for wound care, infection control, medications, diet, blood sugar monitoring, activity, and follow-up that will optimize her health. In this patient-centered activity, remember to use accessible, professional language as you anticipate any questions or concerns, she may have. Once you complete the Hospital Discharge Activity in Shadow Health, copy and paste your answers from each section into a Word document so you may add additional information.
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Additional Instructions:

Submission Options

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Instructions:

Paper

2 to 3-page paper. Include title and reference pages.

Rubric

Baccalaureate Generalist – Hospital Discharge

Description: The baccalaureate-graduate nurse is prepared to provide appropriate patient teaching.

Course Competencies: 1) Perform assessments of individuals throughout the lifespan and include spiritual, social, cultural, psychological and physical components. 2) Differentiate between normal and abnormal assessment findings. 4) Synthesize assessment findings using the Digital Clinical Experience (DCE) and in written format using standardized terminology.

QSEN Competencies: 1) Patient-Centered Care 3) Evidenced-Based Practice

BSN Essential IX

Area
Gold Mastery
Silver Proficient
Bronze Acceptable
Acceptable Mastery not Demonstrated

Diabetes
Addresses all areas of the diagnosis, including pathophysiology, risk factors, and health promotion using current EBP in a patient- centered manner demonstrating caring behaviors with use of
therapeutic communication.
Addresses all areas of the diagnosis, including pathophysiology, risk factors, and health promotion in a patient- centered manner demonstrating caring behaviors with use of therapeutic communication.
Incomplete in addressing areas of the diagnosis, including pathophysiology, risk factors, and health promotion. Lack of patient- centeredness, caring behaviors and/or therapeutic communication.
Does not discuss Diabetes

Asthma
Addresses all areas of the diagnosis, including pathophysiology, risk factors, and health promotion using current EBP in a patient- centered manner demonstrating caring behaviors with use of
therapeutic communication.
Addresses all areas of the diagnosis, including pathophysiology, risk factors, and health promotion in a patient- centered manner demonstrating caring behaviors with use of therapeutic communication.
Incomplete in addressing areas of the diagnosis, including pathophysiology, risk factors, and health promotion. Lack of patient- centeredness, caring behaviors and/or therapeutic communication.
Does not discuss Asthma

Dehydration
Addresses all areas of the diagnosis, including pathophysiology, risk factors, and health promotion
Addresses all areas of the diagnosis, including pathophysiology, risk factors, and
Incomplete in addressing areas of the diagnosis, including pathophysiology, risk factors, and
Does not discuss dehydration

using current EBP in a patient- centered manner demonstrating caring behaviors with use of
therapeutic communication.
health promotion in a patient- centered manner demonstrating caring behaviors with use of
therapeutic communication.
health promotion. Lack of patient- centeredness, caring behaviors and/or therapeutic communication.

Infection
Addresses all areas of the diagnosis, including pathophysiology, risk factors, and health promotion using current EBP in a patient- centered manner demonstrating caring behaviors with use of therapeutic communication. American Sentinel SIM 437 Assignments
Addresses all areas of the diagnosis, including pathophysiology, risk factors, and health promotion in a patient- centered manner demonstrating caring behaviors with use of
therapeutic communication.
Incomplete in addressing areas of the diagnosis, including pathophysiology, risk factors, and health promotion. Lack of patient- centeredness, caring behaviors and/or therapeutic communication.
Does not discuss infection

Wound Care
Thorough instruction on asepsis, wound care and equipment using current EBP in a patient-centered manner demonstrating caring behaviors with use of therapeutic
communication.
Thorough instruction on asepsis, wound care and equipment in a patient-centered manner demonstrating caring behaviors with use of therapeutic communication.
Incomplete instruction of asepsis, wound care and equipment. Lack of patient- centeredness, caring behaviors and/or therapeutic communication.
Does not discuss wound care

Medications
Thorough instruction on medications, including indication, dosing, adverse effects, adherence, and administration using EBP in a patient-centered
manner
Thorough instruction on medications, including indication, dosing, adverse effects, adherence, and administration in a patient-
centered manner
Incomplete instruction of medication, including indication, dosing, adverse effects, adherence, and administration.
Lack of patient- centeredness, caring behaviors
Does not discuss medications

demonstrating caring behaviors with use of
therapeutic communication.
demonstrating caring behaviors with use of
therapeutic communication.
and/or therapeutic communication.

Activity
Thorough instruction on activity, including bathing, equipment, and safety using EBP in a patient- centered manner demonstrating caring behaviors with use of therapeutic communication.
Thorough instruction on activity, including bathing, equipment, and safety in a patient-centered manner demonstrating caring behaviors with use of therapeutic
communication.
Incomplete instruction on activity, including bathing, equipment, and safety. Lack of patient- centeredness, caring behaviors and/or therapeutic communication.
Does not discuss activity

Diet
Thorough instruction on proper diet for diabetes management, including counting carbohydrates, hypo- and hyper- glycemia, and lifestyle changes using EBP in a patient-centered manner demonstrating caring behaviors with use of therapeutic
communication.
Thorough instruction on proper diet for diabetes management, including counting carbohydrates, hypo- and hyper- glycemia, and lifestyle changes in a patient- centered manner demonstrating caring behaviors with use of therapeutic
communication.
Incomplete instruction of proper diet for diabetes management, including counting carbohydrates, hypo- and hyper- glycemia, and lifestyle changes. Lack of patient- centeredness, caring behaviors and/or therapeutic communication.
Does not discuss diet

Follow-up
Thorough instruction on instructions on follow-up plan, including appointments and warning signs of
potential problems using EBP in a
Thorough instruction on instructions on follow-up plan, including appointments and warning
signs of potential problems in a
Incomplete instruction on follow-up plan, including appointments and warning signs of potential problems.
Lack of patient- centeredness,
Does not discuss follow-up

patient-centered manner demonstrating caring behaviors with use of
therapeutic communication. American Sentinel SIM 437 Assignments
patient-centered manner demonstrating caring behaviors with use of
therapeutic communication.
caring behaviors and/or therapeutic communication.

References
Provides two or more references.
Provides two references.
Provides one references.
Provides no references.

SIM 437 Component 3: Hospital Discharge Sample Paper
American Sentinel University
This assignment is being submitted on March 22nd, SIM 437 Baccalaureate Generalist Nursing course.
Education: Managing Diabetes
Managing you diabetes is imperative to managing your overall health status. Diabetes plays a significant role in the systemic regulation of the body processes. Managing blood sugar is the key to living well with diabetes and eating well, while managing an adequate diet, it provides a foundation for appropriately management of blood sugar.
The diet needs to comprise itself with a balance of proteins, fats, and carbs. The most appropriate way to manage this, is to control the amount of carbs that are consumed and limit the amount of simple sugars. Recommended food groups that should be included in the diabetic diet should be vegetables, fruits, grains, protein (fish, lean meat, eggs, nuts and beans), dairy-nonfat or low fat. Avoid high fructose, junk food, wheat breads, and food items that can break down to become sugars. It is important to effectively manage the administration of medications with diabetes mellitus. Insulin needs to be closely monitored, understood on its intended effects and knowing the differences between the types of insulin and how they affect the blood glucose and the time that effects take place. Adequate amounts of physical activity is needed to promote a healthy lifestyle. Simple walks, non-sedentary activities will help lower the effects of diabetes. If there is not appropriate management of the blood glucose within the body, it can cause devastating effects to the body, and can ultimately lead to further dysfunction of distribution of insulin, it can affect the kidney function and lead to failure of other organ systems. It is important to follow up with the PCP and keep a log of blood glucose levels. (National Institute of Diabetes and Digestive and Kidney Diseases, 2016). American Sentinel SIM 437 Assignments
Avoiding Asthma Exacerbation
When dealing with asthma, it is essential to recognize the triggers behind what exacerbates the onset of the asthma like symptoms. There can be different triggers that are specific to an individual person, but there are also some common triggers that can be found in many representation of the disease. Understand what medications you take and its effects that can cause adverse effects. There are many beta blockers that are intended on controlling high blood pressure, that are actually contraindicated in someone who has asthma. Beta Blockers can cause a bronchospasm and cause airway compromise. Other triggers can be smoke, chemical exposure, exercise induction, pollen, allergenic particulates, . Maintaining a good relationship with your PCP is essential in effectively managing your asthma treatment. The physician can help manage the treatment process, medications that are paired together and can monitor for any adverse reactions or potential side effects to the treatment plan. The best way to a positive outcome, is to ensure a healthy relationship between the physician and the process to treat the asthma. Asthma can be chronic, but it can also worsen or become less prominent. (National Institute of Health, 2018).
Importance to Stay Hydrated
Dehydration is a condition that is caused by the loss too much fluid from the body.
Dehydration can be caused by a multitude of reason which includes diarrhea, vomiting, sweating in excess, urination in excess fevers and burns. People who are most at risk of developing dehydration are the elderly, the young and those who suffer from chronic illnesses such as diabetes. Diabetes causes an excessive elimination of fluid and waste due to the increased need to urinate. It is important to stay hydrated because of the effects of dehydration can produce everlasting effects on the functionality of the kidneys and cognition. Dehydration can be mild, or it can be severe enough to be life threatening. If dehydration worsens, it can present as confusion, fainting, raid heart rate, rapid breathing, lack of urination and can lead to shock or even death. (National Institutes of Health, 2019).
Management of Diabetes: (Condition, Potential Environment and Lifestyle Changes)
Tina, it is important to monitor the healing of your wound on the right foot. The wound and the infection that exist inside has breached multiple layers of skin. The wound poses an increased risk of a further extreme of the infection. The infection can extend out from the injury and spread throughout the extremity or become systemic throughout the entire body. Keep the wound clean of any dirt, contaminants, or contagions. It is vital to keep the wound dry, because if the wound remains wet or saturated, it can grow bacteria which can result in worsening infection.
Management of your diabetes, ensuring a better diet which should include high amount of protein will lead to reconstruction and healing of the wound. Antibiotics are crucial in eliminating the infection and the bad bacteria. Even when the infection appears to be gone, it is important to continue to take the antibiotics for the whole time that they are prescribed. If you stop the abruptly, it can cause adverse effects that may not be associated with the wound.
Maintaining the diabetes and the blood glucose levels are important to properly regulate the organ systems that are involved. Proper treatment is essential in living a healthy lifestyle and limiting adverse effects that can worsen effects on the body. Increased physical activity is important to maintain proper body functions. Physical activity can help regulate the insulin and diabetes issues that can be met. (National Institute of Diabetes and Digestive and Kidney Diseases, 2016).
Wound Care and Techniques
The management of diabetic foot ulcers requires offloading of the wound by using appropriate therapeutic footwear, daily saline irrigation or similar dressing that will provide a moist wound environment. There may be debridement if the wound worsens in its condition and continuing antibiotic therapy. To promote effective treatment and wound healing, optimal control of blood glucose levels and evaluation is vital to the efficacy of the treatment. (Rowe, 2020). The fundamentals of good care for wound begins with adequate debridement, offloading, moist wound care, and the revascularization of the wound. The circulation has to remain flowing to the wound in order for it to properly heal. When cleaning the wound, there is a need to use a aseptic technique, (bacteria free/clean process). It is recommended to use a foam dressing which will be absorbent and prevent drainage. Keep the dressing clean, dry and if there is drainage present, it may be time to change the dressing. It is recommended to irrigate with sterile water or normal saline to wash away contaminants. Keep the extremity elevated and avoid any direct pressure. (Rowe, 2020).
Medication Education
Albuterol works by dilating the bronchioles which will make it easy to breathe. It is a short acting agent that will take effect shortly. It can cause slight agitation or a faster than normal heart rate, headaches, nausea or dizziness. Albuterol may increase the blood pressure. (Schwartz, 2019). Insulin glargine works as a long acting insulin and will provide insulin coverage over high blood glucose levels for 24 hours. There is no peak and it is normally administered at night. Side effects can include chills, blurred vision, fast heart rate, weakness, tingling of feet and fingers.
These are all symptoms of hypoglycemia. Metformin is an oral diabetic medication that can control the glucose levels. Much of the time, medications such as metformin, can control elevated sugar levels with the use of excessive amounts of insulin. Metformin can cause diarrhea and lead to dehydration, so it important to stay hydrated. Metformin can also cause weakness, muscle pain, low B12 levels, upper respiratory infections. Linezolid is used to control and treat bacterial infections present within the wound. It is important to take medication as long as it is prescribed. Side effects can include nausea, vomiting, diarrhea, insomnia, discolored tongue and oral thrush. It is important to wash out your mouth as much as possible. (Ogbru, 2017). Take ibuprofen for the pain but limits the amounts that it is taken. It can hinder the function of the kidneys. American Sentinel SIM 437 Assignments
Routine Accommodations
It is important to ensure that you are not leading a sedentary lifestyle. Whenever possible you should work to ambulate and move around as much as possible. Due to the fall risk that your wound on the right foot poses, as well as the medication effects, it is crucial to change positions slowly. Recovering from dehydration and multiple effects of the medications makes you and increased fall risk. Reduce the amount of things on the floor, move away throw rugs, clutter on the floor, ensure that there is adequate amount of lighting that make walkways clear for walking.
Nutritional Practices: Health Promotion and Diabetes Management
Avoid high amounts of fat, sugars and carbs. Limits and monitor the amounts of carbs that are consumed. Ensure adequate amounts of protein and ensure that you are staying hydrated.
Proper treatment is essential in living a healthy lifestyle and limiting adverse effects that can worsen effects on the body. Increased physical activity is important to maintain proper body functions. Physical activity can help regulate the insulin and diabetes issues that can be met.
PCP Follow-up
Follow up with the PCP, Dr Cade at Shadow Health Clinic. Your appt is scheduled for this Friday at 10:30 am. You can find the contact information here.
When should the doctor be contact or when should you go back to the ED?
It is important to recognize when your condition worsens. It is also important to recognize the symptoms that will allow you to know something is wrong. The symptoms that indicate that the infection is worsening is a marked fever of >100.4, chills, worsening pain or any new inflammation that can be found by redness or swelling. If these are seen do not hesitate to return back to the ER and seek attention from your physician. Monitor the hypoglycemia and the effects of the diabetes. Looks for changes in mentation such as sudden loss of consciousness, confusion, sweating, agitation. When this happens have some fruit juices, eat candy or take glucose tablets. If uncontrolled call the doctor or return to the ED.
References
National Institute of Diabetes and Digestive and Kidney Diseases. (2016, December). Diabetes diet, eating and physical activity. Retrieved from https://www.niddk.nih.gov/health-information/diabetes/overview/diet-eating-physical- activity
National Institutes of Health. (2018, May). Asthma. Retrieved from https://medlineplus.gov/asthma.html
National Institutes of Health. (2019, May). Dehydration. Retrieved from https://medlineplus.gov/dehydration.html
Ogbru, O. (2017, August). Linezolid. Retrieved from https://www.medicinenet.com/linezolid-oral_tablets/article.htm
Rowe, V. (2020, January). Diabetic ulcers: Treatment & management (R. Khardori, Ed.). Retrieved from https://emedicine.medscape.com/article/460282-treatment
Schwartz, J. (2019, May). Albuterol sulfate. Retrieved from https://www.webmd.com/drugs/2/drug-4872-3008/albuterol-sulfate-inhalation/albuterol- salbutamol-solution-inhalation/details
American Sentinel SIM 437 Assignments Activity 4 Nutritional Assessment
Complete a Nutritional Assessment, using a tool of your choice, on two members of a selected family (one between the age 5-17 years and a second aged 21-59). Collect and summarize at least 8 objective and 4 subjective elements for each person. Create an actual or potential problem list, including 4 problems, for both individuals, include 3 health promotion teaching opportunities you would suggest for 1 problem for each individual.
Read Chapters 1-3 and Chapter 11 in Jarvis, C. (2015). Physical examination and health assessment (7th ed.). St. Louis, MO: Saunders.
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Instructions:

Paper

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Rubric

Baccalaureate Generalist – Nutritional Assessment

Description: The baccalaureate-graduate nurse is skilled in completing nutritional assessments across the lifespan.

Course Competencies: 1) Perform assessments of individuals throughout the lifespan and include spiritual, social, cultural, psychological and physical components. 2) Differentiate between normal and abnormal assessment findings. 4) Synthesize assessment findings using the Digital Clinical Experience (DCE) and in written format using standardized terminology. 5) Demonstrate effective communication with individuals, families and interdisciplinary team members.

QSEN Competencies: 1) Patient-Centered Care 3) Evidenced-Based Practice

BSN Essential IX

Area
Gold Mastery
Silver Proficient
Bronze Acceptable
Acceptable Mastery not
Demonstrated

Nutritional Assessment
Completes all elements of the Nutritional Assessment. American Sentinel SIM 437 Assignments
Completes half of the elements of the Nutritional Assessment
Completes less than half of the elements of the Nutritional Assessment
Does not complete the nutritional assessment

Objective Data
Collects and summarizes at least 8 objective elements, per individual
Collects and summarizes at 4-7 objective elements, per individual
Collects and summarizes 2-3 objective elements, per individual
Collects and summarizes less than 2 objective elements, per individual

Subjective Data
Collects and summarizes at least 4 subjective
elements, per individual
Collects and summarizes 2-3 subjective
elements, per individual
Collects and summarizes 1 subjective element, per individual
Does not collect subjective data

Problem List
Creates an actual or potential list of 4 problems
Creates an actual or potential list of 2-3 problems
Creates an actual or potential list 1 problems
Does not create problem list

Health Promotion Opportunities
Suggests 3 health promotion teaching opportunities
Suggests 2 health promotion teaching opportunities
Suggests 1 health promotion teaching opportunities
Does not suggest health promotion teaching
opportunities

APA, Grammar, Spelling, and Punctuation
No errors in APA, Spelling, and Punctuation.
One to three errors in APA,
Spelling, and Punctuation.
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.

Activity 5 Comprehensive Physical Assessment
This 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 (7th ed.). St. Louis, MO: Saunders.
Read Chapters 12-17 in Jarvis, C. (2015). Physical examination and health assessment (7th ed.). St. Louis, MO: Saunders.
Read Chapters 4, 18 & 31 In Jarvis, C. (2015). Physical examination and health assessment (7th ed.). St. Louis, MO: Saunders.
Read Chapters 19-20 In Jarvis, C. (2015). Physical examination and health assessment (7th ed.). St. Louis, MO: Saunders.
Optional Resource: Map the Human Heart
Read Chapters 21 and 24-26 in Jarvis, C. (2015). Physical examination and health assessment (7th ed.). St. Louis, MO: Elsevier.
Read Chapters 22-23 In Jarvis, C. (2015). Physical examination and health assessment (7th ed.). St. Louis, MO: Elsevier. American Sentinel SIM 437 Assignments
Read Chapters 28 in Jarvis, C. (2015). Physical examination and health assessment (7th ed.). St. Louis, MO: Elsevier.

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Instructions:

Paper

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Rubric

Baccalaureate Generalist- Comprehensive 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 Competencies: 1) Perform assessments of individuals throughout the lifespan and include spiritual, social, cultural, psychological and physical components. 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 individuals, families and interdisciplinary team members.

QSEN Competencies: 1) Patient-Centered Care 3) Evidenced-Based Practice

BSN Essential IX

Area
Gold Mastery
Silver Proficient
Bronze Acceptable
Acceptable Mastery not Demonstrated

Digital Clinical Experience 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. American Sentinel SIM 437 Assignments
Superficially discusses Clinical Experience score results and how it relates 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 results 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 how it relates 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
Fully discusses results from the Objective Data Collection and how score results
Describes results from the Objective Data Collection and how score
Superficially 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 experience 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. How 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, Spelling, and
Punctuation.
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.

ORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERS
American Sentinel SIM 437 Assignments Activity 6 Physical Assessment Reflection
Consider your learning and growth in this course, reflecting upon “aha!” moments. Create a presentation that discusses the learning that occurred throughout the assessments completed in Shadow Health. American Sentinel SIM 437 Assignments
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Microsoft PowerPoint Presentation

10 slides. Add title and reference slides.
Follow Rules of 7.
Add speaker notes.
Also add a separate word document, about a paragraph for each slide.

Rubric

Baccalaureate Generalist – Physical Assessment Reflection

Description: The baccalaureate-graduate nurse reflects upon the learning and growth that occurs in areas of previous knowledge.

Course Competency: 4) Synthesize assessment findings using the Digital Clinical Experience (DCE) and in written format using standardized terminology.

QSEN Competencies: 1) Patient-Centered Care 3) Evidenced-Based Practice

BSN Essential IX

Area
Gold Mastery
Silver Proficient
Bronze Acceptable
Acceptable Mastery not Demonstrated

Reflection
The presentation is clear, focused, and compelling – holds the reader’s attention. Includes significant, intriguing details – the “Aha!” moments are supported by specific examples from the physical assessment. When appropriate, rich use of figurative language and imagery to convey ideas. Overall, demonstrates depth
of thought and rich use of language.
The presentation is clear and focused throughout.
Authentic and convincing based on experience or learning from the physical assessment Attempted to use figurative language and imagery (when appropriate) Main idea expanded, well supported by detail and evidence
The presentation is fuzzy, undeveloped, rambling thoughts outweigh focused moments from the physical assessment. Makes no attempt to use figurative language. Does not support main ideas with details and evidence, brief discussion.
Does not complete reflection

American Sentinel SIM 437 Assignments
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American Sentinel SIM 437 Assignments

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