NR 509 Week 5: Assignment
NR 509 Week 5: Assignment
NR 509 Week 5 Assignment: Debriefing Session or Alternate Writing Assignment
You will need to complete either a debriefing session or the alternate writing assignment!
NR 509 Week 5 Assignment Debriefing
Faculty will lead virtual debriefing sessions during Weeks 1-6. The date, time, and duration of the weekly debriefing session will be posted by the course faculty. Students must register to attend the debriefing session.
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During the debriefing process, students reflect upon their simulation experience and revisit their assessments, interventions, observations, and patient responses. Faculty coach students to review patient data and reflect upon the interventions performed in response to the clinical situation presented during the simulation experience. This process facilitates students to analyze their own thought processes and supports transference of knowledge gained from simulation experiences to actual clinical practice.
The goals of each debriefing session are to:
- Answer questions
- Address perspectives, perceptions, and concerns
- Emphasize and reinforce learning objectives and clinical outcomes
- Create linkages to the “real world”
- Assess and validate what was learned
Each student is expected to contribute to the debriefing session by:
- Reflecting on personal strengths, limitations, beliefs, prejudices, or values
- Identify improvement goals and strategies
- Discuss the simulation experience and provide comments and suggestions to student peers
- Transfer knowledge from the simulation experience to actual clinical practice
Please refer to the Debriefing Session Guidelines and Grading Rubric located in the Course Resource section.
NR 509 Week 5: Assignment Alternate Writing Assignment
NOTE: You will complete this alternate writing assignment ONLY if you had not participated or do not plan to participate in a debriefing session for the given week.
As a family nurse practitioner, you must possess excellent physical assessment skills. This alternate writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.
The purposes of this assignment are to: (a) identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1), (b) differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2), and (c) adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4).
Please refer to the Alternate Writing Assignment Guidelines and Grading Rubric located in the Course Resource section.
NR 509 Week 5 Assignment: Shadow Health Abdominal Concept Lab
Learn about the elements of an abdominal exam with the Abdominal Concept Lab.
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NR 509 Week 5: Assignment: Shadow Health Abdominal Pain Physical Assessment Assignment
Pre Brief
Ms. Esther Park is a 78-year-old woman who comes to the clinic complaining of abdominal pain. She reports that the pain isn’t severe, but that her daughter was concerned and brought her in. It is very important to determine whether or not the situation is an emergency and that the underlying cause of Esther’s discomfort. Be sure to inquire about a variety of psychosocial factors related to the GI system, including her diet, toilet habits, immunizations, recent travel, etc. This case study will offer you the opportunity to take a complete surgical, reproductive, and current sexual history. During her physical examination, take particular note as to where Mrs. Park verbalizes pain during palpation so that you may synthesize verbal and non-verbal cues. Be sure to apply the supportive information learned in this week’s concept lab to your critical thinking process in this case study.
Reason for Visit: Patient presents complaining of abdominal pain.
NR 509 Week 5: Assignment
Rubric
Shadow Health Physical Assessment Rubric
Shadow Health Physical Assessment Rubric
| Criteria |
Ratings |
Pts |
This criterion is linked to a Learning OutcomeSubjective Data, Organization, Communication, and Summary (DCE Score or transcript)
|
25.0 pts
Above Average- DCE Score greater than or equal to 93; Comprehensive introduction with expectations of exam verbalized; questions worded in a non-judgmental way; professional language exercised; questions well-organized; appropriate closing with summary of findings verbalized to patient.
|
21.0 pts
Average- DCE Score greater than or equal to 86-92; Adequate introduction; some questions worded in a non-judgmental way; professional language mostly exercised; questions generally organized; somewhat complete closing.
|
10.0 pts
Below Average- DCE Score greater than or equal to 80-85; Incomplete introduction; many questions worded in a judgmental way; some professional language exercised; questions somewhat organized; incomplete closing.
|
0.0 pts
Unsatisfactory- DCE Score less than or equal to 79; Introduction missing; questions worded in a judgmental way; little professional language; questions unorganized; closing missing.
|
|
25.0 pts
|
This criterion is linked to a Learning OutcomeObjective Data, Physical Examination, Interpretation of Findings, Assessment, and Documentation
|
20.0 pts
Above Average- Physical assessment documentation includes all relevant body systems; all pertinent normal and abnormal findings identified; documentation reflects professional language; treatment plan includes each of the following components: diagnostics, medication, education, consultation/referral, and follow-up planning.
|
16.0 pts
Average- Physical assessment documentation lacks sufficient details pertaining to one or two relevant body systems; or identifies ≥ 50% of the pertinent normal and abnormal findings; or documentation lacks professional language; or treatment plan lacks one or two components (diagnostics, medication, education, consultation/referral, or follow-up planning).
|
8.0 pts
Below Average- Physical assessment documentation lacks sufficient details pertaining to three or more relevant body systems; or identifies < 49% of the pertinent normal and abnormal findings; or documentation includes unprofessional language; or treatment plan lacks three or more components (diagnostics, medication, education, consultation/referral, or follow-up planning).
|
0.0 pts
Unsatisfactory- No physical assessment documentation or no treatment plan.
|
|
20.0 pts
|
This criterion is linked to a Learning OutcomeSelf-Reflection
|
5.0 pts
Above Average- Responds to three of the three reflection post questions; and provides analysis of performance; and reflection posts written using professional language; and reflection posts demonstrate insight.
|
3.0 pts
Average- Responds to two of the three reflection post questions; or provides limited self-analysis of performance; or reflection posts are somewhat unclear related to the assignment and the student’s experience; or reflection posts lack insight.
|
2.0 pts
Below Average- Responds to one of the three reflection post questions; or does not provide self-analysis of performance; or reflections are not related to the assignment and the student’s experience; or does not provide insight
|
0.0 pts
Unsatisfactory- No reflection posts for the assignment.
|
|
5.0 pts
|
|
Total Points: 50.0
|
NR 509 Week 5 Assignment Week 5: Shadow Health Gastrointestinal Physical Assessment Assignment
Pre Brief
For at least a month, Tina has been experiencing pain in her upper stomach after eating, which she describes as “kind of like heartburn, but sharper.” She notices it a little every day, but 3-4 times a week it is very painful (5/10 on pain scale). She also notices burping after she eats. She denies cough, hoarseness, sore throat, dysphagia, and chest pain. Be sure to apply the supportive information learned in this week’s concept lab to your critical thinking process in this case study.
Reason for visit: Patient presents complaining of recent recurrent stomach pain
Rubric
Shadow Health Physical Assessment Rubric
Shadow Health Physical Assessment Rubric
| Criteria |
Ratings |
Pts |
This criterion is linked to a Learning OutcomeSubjective Data, Organization, Communication, and Summary (DCE Score or transcript)
|
25.0 pts
Above Average- DCE Score greater than or equal to 93; Comprehensive introduction with expectations of exam verbalized; questions worded in a non-judgmental way; professional language exercised; questions well-organized; appropriate closing with summary of findings verbalized to patient.
|
21.0 pts
Average- DCE Score greater than or equal to 86-92; Adequate introduction; some questions worded in a non-judgmental way; professional language mostly exercised; questions generally organized; somewhat complete closing.
|
10.0 pts
Below Average- DCE Score greater than or equal to 80-85; Incomplete introduction; many questions worded in a judgmental way; some professional language exercised; questions somewhat organized; incomplete closing.
|
0.0 pts
Unsatisfactory- DCE Score less than or equal to 79; Introduction missing; questions worded in a judgmental way; little professional language; questions unorganized; closing missing.
|
|
25.0 pts
|
This criterion is linked to a Learning OutcomeObjective Data, Physical Examination, Interpretation of Findings, Assessment, and Documentation
|
20.0 pts
Above Average- Physical assessment documentation includes all relevant body systems; all pertinent normal and abnormal findings identified; documentation reflects professional language; treatment plan includes each of the following components: diagnostics, medication, education, consultation/referral, and follow-up planning.
|
16.0 pts
Average- Physical assessment documentation lacks sufficient details pertaining to one or two relevant body systems; or identifies ≥ 50% of the pertinent normal and abnormal findings; or documentation lacks professional language; or treatment plan lacks one or two components (diagnostics, medication, education, consultation/referral, or follow-up planning).
|
8.0 pts
Below Average- Physical assessment documentation lacks sufficient details pertaining to three or more relevant body systems; or identifies < 49% of the pertinent normal and abnormal findings; or documentation includes unprofessional language; or treatment plan lacks three or more components (diagnostics, medication, education, consultation/referral, or follow-up planning).
|
0.0 pts
Unsatisfactory- No physical assessment documentation or no treatment plan.
|
|
20.0 pts
|
This criterion is linked to a Learning OutcomeSelf-Reflection
|
5.0 pts
Above Average- Responds to three of the three reflection post questions; and provides analysis of performance; and reflection posts written using professional language; and reflection posts demonstrate insight.
|
3.0 pts
Average- Responds to two of the three reflection post questions; or provides limited self-analysis of performance; or reflection posts are somewhat unclear related to the assignment and the student’s experience; or reflection posts lack insight.
|
2.0 pts
Below Average- Responds to one of the three reflection post questions; or does not provide self-analysis of performance; or reflections are not related to the assignment and the student’s experience; or does not provide insight
|
0.0 pts
Unsatisfactory- No reflection posts for the assignment.
|
|
5.0 pts
|
|
Total Points: 50.
|
