NU650 Week 1 | Nursing in Health Care - Regis university
NU650 Advanced Health Assessment Week 1 Discussion Icebreaker Initial Post Create a two- to three-minute video introducing yourself to your instructor and classmates. In the video, please let us know: Where you work Your working experience Where you are from Your hobbies Something about your family One thing about you that not many people know What NP concentration you have chosen, and why Your career goals
To Complete Your Assignment:
Prepare for your video recording. It may be helpful to script out what you would like to say or have some bulleted reference cards. Record your video using Zoom or any other video tool that you would like. After your recording is complete, follow these instructions to create a private, unlisted YouTube video. You will need the YouTube video URL for this discussion. Submit your YouTube video URL. The best way to do this is to copy and paste the hyperlink URL for the YouTube video into a Word document. Your faculty will access your video via the link. Do not upload a video file (mp4). Be prepared by dressing professionally, speaking clearly, and selecting a setting which minimizes distractions. NU650 Advanced Health Assessment Week 2 Discussion Patient Case – Pain
Objective
The purpose of this discussion is to review assessment techniques, identify subjective and objective information related to a focused system, and introduce clinical reasoning. Please read through the entire discussion instructions and example posts prior to your initial post as you will be building on the responses of your peers. Initial Post Report to the virtual clinic and select ONE of the occupied exam rooms. Note that each exam room has its own thread for discussion. Read the chief complaint and review any information already shared by your peers to build on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding. Provide scholarly support to discuss the physical assessment technique used to identify the objective finding and compare and contrast characteristics of normal and abnormal findings. Each student will copy and paste the most recent developing case to build upon their initial post. Please do not copy the scholarly support. See Example. Your initial post should include evidence of review of the course material, websites, and literature through proper citations using APA format. Virtual Clinic Exam Rooms Room 1: 16yo Raena Regis reports history of headache Room 2: 35yo Rhoda Regis reports right wrist pain Room 3: 73yo Renata Regis reports general achiness (See Response Post Instructions and Example before beginning the Discussion.) Response Posts Return to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis. NU650 Advanced Health Assessment Week 4 Discussion DQ1 Patient Case - Skin/Abdomen
Objective
The purpose of this discussion is to review assessment techniques, identify subjective and objective information related to a focused system, and introduce clinical reasoning. Please read through the entire discussion instructions and example posts prior to your initial post as you will be building on the responses of your peers. Initial Post Report to the virtual clinic and select ONE of the occupied exam rooms. Note that each exam room has its own thread for discussion. Read the chief complaint and review any information already shared by your peers to build on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding. Provide scholarly support to discuss the physical assessment technique used to identify the objective finding and compare and contrast characteristics of normal and abnormal findings. Each student will copy and paste the most recent developing case to build upon their initial post. Please do not copy the scholarly support. See Example. Your initial post should include evidence of review of the course material, websites, and literature through proper citations using APA format. Virtual Clinic Exam Rooms Room 1: 42yo Regina Regis reports abdominal pain Room 2: 15yo Robert Regis reports nausea, vomiting, and diarrhea Room 3: 22yo Rebel Regis reports a rash (See Response Post Instructions and Example before beginning the Discussion.) Response Posts Return to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis. DQ2 Reflection Initial Post Reflect on the focus area or system(s) for the week. What challenges might you anticipate in completing this assessment? What differences might you anticipate when assessing patients across the lifespan? Share findings from scholarly resources that help in the performance of this assessment. Reply Posts
Respond to two peers’ posts and include the following:
Questions for your peer regarding their post. Insight on a solution to an identified peer challenge. Resources that may be helpful related to your peers’ post. The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations. NU650 Advanced Health Assessment Week 6 Discussion DQ1 Patient Case - HEENT/Neck
Objective
The purpose of this discussion is to review assessment techniques, identify subjective and objective information related to a focused system, and introduce clinical reasoning. Please read through the entire discussion instructions and example posts prior to your initial post as you will be building on the responses of your peers. Initial Post Report to the virtual clinic and select ONE of the occupied exam rooms. Note that each exam room has its own thread for discussion. Read the chief complaint and review any information already shared by your peers to build on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding. Provide scholarly support to discuss the physical assessment technique used to identify the objective finding and compare and contrast characteristics of normal and abnormal findings. Each student will copy and paste the most recent developing case to build upon their initial post. Please do not copy the scholarly support. See Example. Your initial post should include evidence of review of the course material, websites, and literature through proper citations using APA format. Virtual Clinic Exam Rooms Room 1: 2yo Richie is brought to the clinic by his mother Rachel Regis for nasal congestion and tugging at his left ear Room 2: 47yo Roy Regis reports history of itching and irritation around his right eye Room 3: 5yo Remy is brought to the clinic by his father Raphael Regis for a sore throat (See Response Post Instructions and Example before beginning the Discussion.) Response Posts Return to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis. DQ2 Reflection Initial Post Reflect on the focus area or system(s) for the week. What challenges might you anticipate in completing this assessment? What differences might you anticipate when assessing patients across the lifespan? Share findings from scholarly resources that help in the performance of this assessment. Reply Posts
Respond to two peers’ posts and include the following:
Questions for your peer regarding their post. Insight on a solution to an identified peer challenge. Resources that may be helpful related to your peers’ post. The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations. NU650 Advanced Health Assessment Week 8 Discussion DQ1 Patient Case - Respiratory/Cardiac/Peripheral Vascular Systems Initial Post Report to the virtual clinic and select ONE of the occupied exam rooms. Build on the reported case. After the first initial post, review information already shared by your peers to continue building on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding. Virtual Clinic Exam Rooms Room 1: 57yo Ronald Regis reports shortness of breath Room 2: 8yo Rhiannon Regis is brought to the clinic by her mother Rachel Regis for a cough Room 3: 66yo Raelynn Regis reports calf pain with walking Provide scholarly support to discuss the physical assessment technique used to identify the objective finding. Compare and contrast characteristics of normal and abnormal findings. (See Response Post Instructions and Example before beginning the Discussion.) Response Posts Return to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis. The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations. DQ2 Reflection Initial Post Reflect on the focus area or system(s) for the week. What challenges might you anticipate in completing this assessment? What differences might you anticipate when assessing patients across the lifespan? Share findings from scholarly resources that help in the performance of this assessment. Reply Posts
Respond to two peers’ posts and include the following:
Questions for your peer regarding their post. Insight on a solution to an identified peer challenge. Resources that may be helpful related to your peers’ post. The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations. NU650 Advanced Health Assessment Week 10 Discussion DQ1 Patient Case – Musculoskeletal Initial Post Report to the virtual clinic and select ONE of the occupied exam rooms. Build on the reported case. After the first initial post, review information already shared by your peers to continue building on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding. Virtual Clinic Exam Rooms Room 1: 69yo Ruby Regis reports worsening joint pain Room 2: 15yo Rex Regis reports acute joint pain Room 3: 75yo Randall Regis reports back pain Provide scholarly support to discuss the physical assessment technique used to identify the objective finding. Compare and contrast characteristics of normal and abnormal findings. (See Response Post Instructions and Example before beginning the Discussion.) Response Posts Return to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis. The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations. DQ2 Reflection Initial Post Reflect on the focus area or system(s) for the week. What challenges might you anticipate in completing this assessment? What differences might you anticipate when assessing patients across the lifespan? Share findings from scholarly resources that help in the performance of this assessment. Reply Posts
Respond to two peers’ posts and include the following:
Questions for your peer regarding their post. Insight on a solution to an identified peer challenge. Resources that may be helpful related to your peers’ post. The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations. NU650 Advanced Health Assessment Week 12 Discussion DQ1 Patient Case - GU/Neurological Initial Post Report to the virtual clinic and select ONE of the occupied exam rooms. Build on the reported case. After the first initial post, review information already shared by your peers to continue building on the identified patient case. Identify one additional unique health history or subjective symptom as well as one objective exam finding. Virtual Clinic Exam Rooms Room 1: 28yo Rebecca Regis reports burning with urination Room 2: 74yo Rocky Regis reports difficulty with urination Room 3: 54yo Rosalie Regis reports numbness and tingling in her feet bilaterally Provide scholarly support to discuss the physical assessment technique used to identify the objective finding. Compare and contrast characteristics of normal and abnormal findings. (See Response Post Instructions and Example before beginning the Discussion.) Response Posts Return to the virtual clinic and select TWO of the occupied exam rooms. Review the documented subjective and objective history. Provide scholarly support to identify a differential diagnosis based on the reported findings. Include additional subjective or objective data that would support this diagnosis. The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations. DQ2 Reflection Initial Post Reflect on the focus area or system(s) for the week. What challenges might you anticipate in completing this assessment? What differences might you anticipate when assessing patients across the lifespan? Share findings from scholarly resources that help in the performance of this assessment. Reply Posts
Respond to two peers’ posts and include the following:
Questions for your peer regarding their post. Insight on a solution to an identified peer challenge. Resources that may be helpful related to your peers’ post. The described expectations meet the passing level of 80%. Students are directed to review the Discussion Grading Rubric for criteria which exceed expectations. NU650 Advanced Health Assessment Week 3 Assignment Written Health History
Overview
The purpose of this assignment is for you to obtain and document a comprehensive health history. Please refer to the Grading Rubric for details on how this activity will be graded.
To Complete Your Assignment:
Identify a patient in the clinical setting or friend, peer, or family member, that you can interview for a comprehensive health history as though they were a new patient to your office. Conduct an interview and document the comprehensive health history and subjective review of systems. Chapter 1 of the Bate’s Guide to Physical Examination and History Taking provides an example. NU650 Advanced Health Assessment Week 5 Assignment Skin and Abdomen Video Assessment Overview The objective of the video assignment is to demonstrate developing proficiency in physical assessment and documentation of normal subjective and objective findings for the focus system.
For this assignment, you will record one patient assessment video for:
Skin and Abdomen Before you begin, consult the Physical Exam Checklist - Skin and Abdomen, to identify required components as well as the Video and Documentation of Normal Findings Rubric below to guide your approach to the assignment.
To Complete the Video Assignment:
Identify a friend or family member on which you can perform a physical assessment, as though they were a patient. Review the appropriate assignment rubric for the focus system(s) for the assessment. Practice your assessment before recording your submission video. Prepare to record your assessment video. At the beginning of the recording, both you and your patient MUST give verbal consent to record the exam for NU650. Please provide the course number and your verbal consent at the beginning of the recording. For example, "My name is Jane Smith and this is Stephen Smith. I am recording a video assessment of the cardiac exam for NU650 Advanced Health Assessment. Stephen do you give consent for me to record this?" Stephen's response should be yes, otherwise he should not be recorded. If you are recording a minor, you must be the legal guardian for this minor and you will need to state your relationship with the patient and then you can ask the patient if they consent as well. After your recording is complete, create an unlisted YouTube video. Copy and paste the hyperlink URL for the YouTube video into your submitted Word document. Faculty will access your video via the link. Do not upload a video file (mp4). Document the subjective and objective findings for a normal assessment in SOAP format and submit in a Word document. Included the video URL in this document. Submit your Word document and YouTube video URL to this assignment page. Please label your Word document using this file naming convention. Your name, the system you assessed, and the assignment. For example: NancyNurse_SkinAbdomen_Video. You will use this naming convention for all video assessments completed during this course. Please refer to the Grading Rubric for details on how this activity will be graded. NU650 Advanced Health Assessment Week 7 Assignment Head and Neck Video Assessment
Overview
The objective of the video assignment is to demonstrate developing proficiency in physical assessment and documentation of normal subjective and objective findings for the focus system.
For this assignment, you will record one patient assessment video for:
HEENT and Neck Before you begin, consult the Physical Exam Checklist - HEENT and Neck, to identify required components as well as the Video and Documentation of Normal Findings Rubric below to guide your approach to the assignment.
To Complete the Video Assignment:
Identify a friend or family member on which you can perform a physical assessment, as though they were a patient. Review the appropriate assignment rubric for the focus system(s) for the assessment. Practice your assessment before recording your submission video. Prepare to record your assessment video. At the beginning of the recording, both you and your patient MUST give verbal consent to record the exam for NU650. Please provide the course number and your verbal consent at the beginning of the recording. For example, "My name is Jane Smith and this is Stephen Smith. I am recording a video assessment of the cardiac exam for NU650 Advanced Health Assessment. Stephen do you give consent for me to record this?" Stephen's response should be yes, otherwise he should not be recorded. If you are recording a minor, you must be the legal guardian for this minor and you will need to state your relationship with the patient and then you can ask the patient if they consent as well. After your recording is complete, create an unlisted YouTube video. Copy and paste the hyperlink URL for the YouTube video into your submitted Word document. Faculty will access your video via the link. Do not upload a video file (mp4). Document the subjective and objective findings for a normal assessment in SOAP format and submit in a Word document. Included the video URL in this document. Submit your Word document and YouTube video URL to this assignment page. Please refer to the Grading Rubric for details on how this activity will be graded. NU650 Advanced Health Assessment Week 9 Assignment Thorax, Lungs, Cardiovascular and Peripheral Vascular Systems Video Assessment
Overview
The objective of the video assignment is to demonstrate developing proficiency in physical assessment and documentation of normal subjective and objective findings for the focus system.
For this assignment, you will record one patient assessment video for:
Thorax, Lungs, Cardiovascular and Peripheral Vascular SystemsHEENT and Neck Before you begin, consult the Physical Exam Checklist - Thorax, Lungs, Cardiovascular and Peripheral Vascular Systems, to identify required components as well as the Video and Documentation of Normal Findings Rubric below to guide your approach to the assignment.
To Complete the Video Assignment:
Identify a friend or family member on which you can perform a physical assessment, as though they were a patient. Review the appropriate assignment rubric for the focus system(s) for the assessment. Practice your assessment before recording your submission video. Prepare to record your assessment video. At the beginning of the recording, both you and your patient MUST give verbal consent to record the exam for NU650. Please provide the course number and your verbal consent at the beginning of the recording. For example, "My name is Jane Smith and this is Stephen Smith. I am recording a video assessment of the cardiac exam for NU650 Advanced Health Assessment. Stephen do you give consent for me to record this?" Stephen's response should be yes, otherwise he should not be recorded. If you are recording a minor, you must be the legal guardian for this minor and you will need to state your relationship with the patient and then you can ask the patient if they consent as well. After your recording is complete, create an unlisted YouTube video. Copy and paste the hyperlink URL for the YouTube video into your submitted Word document. Faculty will access your video via the link. Do not upload a video file (mp4). Document the subjective and objective findings for a normal assessment in SOAP format and submit in a Word document. Included the video URL in this document. Submit your Word document and YouTube video URL to this assignment page. Please refer to the Grading Rubric for details on how this activity will be graded. NU650 Advanced Health Assessment Week 11 Assignment Musculoskeletal Video Assessment
Overview
The objective of the video assignment is to demonstrate developing proficiency in physical assessment and documentation of normal subjective and objective findings for the focus system.
For this assignment, you will record one patient assessment video for:
Musculoskeletal System Before you begin, consult the Physical Exam Checklist - Musculoskeletal, to identify required components as well as the Video and Documentation of Normal Findings Rubric below to guide your approach to the assignment.
To Complete the Video Assignment:
Identify a friend or family member on which you can perform a physical assessment, as though they were a patient. Review the appropriate assignment rubric for the focus system(s) for the assessment. Practice your assessment before recording your submission video. Prepare to record your assessment video. At the beginning of the recording, both you and your patient MUST give verbal consent to record the exam for NU650. Please provide the course number and your verbal consent at the beginning of the recording. For example, "My name is Jane Smith and this is Stephen Smith. I am recording a video assessment of the cardiac exam for NU650 Advanced Health Assessment. Stephen do you give consent for me to record this?" Stephen's response should be yes, otherwise he should not be recorded. If you are recording a minor, you must be the legal guardian for this minor and you will need to state your relationship with the patient and then you can ask the patient if they consent as well. After your recording is complete, create an unlisted YouTube video. Copy and paste the hyperlink URL for the YouTube video into your submitted Word document. Faculty will access your video via the link. Do not upload a video file (mp4). Document the subjective and objective findings for a normal assessment in SOAP format and submit in a Word document. Included the video URL in this document. Submit your Word document and YouTube video URL to this assignment page. Please refer to the Grading Rubric for details on how this activity will be graded. NU650 Advanced Health Assessment Week 13 Assignment Neurological Video Assessment
Overview
The objective of the video assignment is to demonstrate developing proficiency in physical assessment and documentation of normal subjective and objective findings for the focus system.
For this assignment, you will record one patient assessment video for:
Neurological System Before you begin, consult the Physical Exam Checklist - Neurological, to identify required components as well as the Video and Documentation of Normal Findings Rubric below to guide your approach to the assignment.
To Complete the Video Assignment:
Identify a friend or family member on which you can perform a physical assessment, as though they were a patient. Review the appropriate assignment rubric for the focus system(s) for the assessment. Practice your assessment before recording your submission video. Prepare to record your assessment video. At the beginning of the recording, both you and your patient MUST give verbal consent to record the exam for NU650. Please provide the course number and your verbal consent at the beginning of the recording. For example, "My name is Jane Smith and this is Stephen Smith. I am recording a video assessment of the cardiac exam for NU650 Advanced Health Assessment. Stephen do you give consent for me to record this?" Stephen's response should be yes, otherwise he should not be recorded. If you are recording a minor, you must be the legal guardian for this minor and you will need to state your relationship with the patient and then you can ask the patient if they consent as well. After your recording is complete, create an unlisted YouTube video. Copy and paste the hyperlink URL for the YouTube video into your submitted Word document. Faculty will access your video via the link. Do not upload a video file (mp4). Document the subjective and objective findings for a normal assessment in SOAP format and submit in a Word document. Included the video URL in this document. Submit your Word document and YouTube video URL to this assignment page. Please refer to the Grading Rubric for details on how this activity will be graded. NU650 Advanced Health Assessment Week 15 Assignment Final Patient Video Assessment
Overview
The objective of this component of the final exam it to demonstrate proficiency in conducting a comprehensive head-to-toe assessment, (excluding breast and male and female genitalia). Before you begin, consult the Final Video Assessment Checklist (HTML), as this criteria should guide your approach to the physical exam. Students must earn a minimum score of 80% on the clinical components of the final exam (comprehensive video and SOAP note) to meet the NU650 course objectives. If the student earns less than 80% on either component and had a course grade 80% or higher prior to the final exam, the student has one opportunity for resubmission and review to earn a maximum score of 80%. less than 80% prior to the final exam, the student will not have an opportunity for resubmission and will receive a failing grade for the course.
To Complete Your Assignment:
Identify a friend or family member on which you can perform a physical assessment, as though they were a patient. Review the Final Video Assignment Rubric to understand the expectations. Practice before recording your submission video. Prepare yourself, patient, environment, and equipment as directed. At the start of the video, prior to beginning the exam, film a panoramic view of your exam area and work space. Notes, checklists, and video or other prompts may not be used and should not be in the area. Prepare to record your assessment video. The submitted video must be one continuous video. Cut/pasted, or edited videos will not be accepted. At the beginning of the recording, both you and your patient MUST give verbal consent to record the exam for NU650. Please provide the course number and your verbal consent at the beginning of the recording. For example, "My name is Jane Smith and this is Stephen Smith. I am recording a comprehensive physical assessment for NU650 Advanced Health Assessment. Stephen do you give consent for me to record this?" Stephen's response should be yes, otherwise he should not be recorded. If you are recording a minor, you must be the legal guardian for this minor and you will need to state your relationship with the patient and then you can ask the patient if they consent as well. After your recording is complete, follow these instructions to create an unlisted YouTube video. You will need the YouTube video URL for this assignment. Submit your YouTube video URL. The best way to do this is to copy and paste the hyperlink URL for the YouTube video into a Word document. Your faculty will access your video via the link. Do not upload a video file (mp4). Submit your YouTube video URL to this assignment page. The best way to do this is to copy and paste the hyperlink URL for the YouTube video into a Word document. Your faculty will access your video via the link. Please refer to the Grading Rubric for details on how this activity will be graded. NU650 Advanced Health Assessment Week 5 Assignment
Overview
The goal of this assignment is to practice writing a SOAP Note for a sick or episodic visit related to the focus system(s) reviewed in the previous week’s learning materials. Review the SOAP Note Rubric. Use a case from the previous week’s discussion or patient from your video submission or clinical practicum experience (adding content as needed to represent abnormal findings). Submit your own note. Do not submit documentation from the patient’s record. NU650 Advanced Health Assessment Week 9 Assignment
Overview
The goal of this assignment is to practice writing a SOAP Note for a sick or episodic visit related to the focus system(s) reviewed in the previous week’s learning materials. Review the SOAP Note Rubric. Use a case from the previous week’s discussion or patient from your video submission or clinical practicum experience (adding content as needed to represent abnormal findings). Submit your own note. Do not submit documentation from the patient’s record. NU650 Advanced Health Assessment Week 11 Assignment
Overview
The goal of this assignment is to practice writing a SOAP Note for a sick or episodic visit related to the focus system(s) reviewed in the previous week’s learning materials. Review the SOAP Note Rubric. Use a case from the previous week’s discussion or patient from your video submission or clinical practicum experience (adding content as needed to represent abnormal findings). Submit your own note. Do not submit documentation from the patient’s record. NU650 Advanced Health Assessment Week 13 Assignment
Overview
The goal of this assignment is to practice writing a SOAP Note for a sick or episodic visit related to the focus system(s) reviewed in the previous week’s learning materials. Review the SOAP Note Rubric. Use a case from the previous week’s discussion or patient from your video submission or clinical practicum experience (adding content as needed to represent abnormal findings). Submit your own note. Do not submit documentation from the patient’s record. NU650 Advanced Health Assessment Week 14 Assignment Submit a SOAP note for a comprehensive history and physical examination. This may be based on a patient seen in the clinical practicum setting or patient used for video recordings. Reported findings may be normal. If this is the case, the plan should include appropriate health maintenance recommendations. Students must earn a minimum score of 80% on the clinical components of the final exam (comprehensive video and SOAP note) to meet the NU650 course objectives.