Physical Health Assessment Principles Specific To The Advanced Practice Role – Nursing

  1. Identify and articulate advanced assessment health history and physical examination techniques which are relevant to a      focused body system (CO 1) 
  2. Differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2)
  3. Adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4) 

Purpose 

The Alternative Writing Assignment mirrors the discussion content of Debriefing and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role. 

Activity Learning Outcomes 

Through this assignment, the student will demonstrate the ability to:

1. Identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1)

2. Differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2)

3.  Adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4)

Requirements: 

NOTE: Complete the NR 509 Alternative Writing Assignment ONLY if you did not attend or do not plan to attend Debriefing for the given week. 

1. This paper will be appraised on the quality of the information, inclusion of at least one evidence-based scholarly source, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details below).

2. 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. Your textbook and lesson are not considered to be an outside scholarly source. For the 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 data bases for a peer-reviewed journal article. The following sources should not be used: Wikipedia, Wikis, or blogs. These web sites 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. It is the responsibility of the student to determine 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.

3. The length of the paper is to be no less than 1,500 words, excluding title page and reference list.

4. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”

5. APA format (current edition) is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1 inch margins and double spacing. See the APA manual for details regarding proper citation.

6. Organize the headings and content of your paper using the outline below:

· Select a body system relevant to the lesson from the previous week for the topic of this paper. For example, if you are writing this assignment for Week 2, then select the HEENT, Respiratory, or Integumentary system as the focus for the paper (not all three systems). NOTE: If you are writing this assignment for Week 1, select the Health History as the topic of the paper.

· Discuss the physiology (structure and function) of the body system including details about the major organ systems (if applicable). NOTE: If you are writing the assignment for Week 1, provide an overview of interviewing techniques.

· Construct relevant health history questions (subjective data) pertaining to the body system. NOTE: If writing the assignment for Week 1, construct relevant health history questions for all body systems as included on the review of systems (ROS).

· Provide an overview of the objective data and expected normal physical examination findings for this body system. NOTE: If writing this assignment for Week 1, provide the expected normal subjective findings for each body systems on the ROS.

· Explain special physical assessment examination techniques or procedures specific to assessing this body system. NOTE: If writing the assignment for Week 1, explain advanced interview techniques.

· Analyze and discuss how you might adapt your physical assessment skills or interviewing techniques to accommodate each of the following specific populations:

· Infant/pediatric

· Pregnancy

· Geriatric

· Identify one major disease or disease process that may significantly impact this body system. NOTE: If writing the assignment for Week 1, identify one disease process or condition that may significantly hinder conducting a Health History interview. LOOK AT THE OTHER ATTACHMENT “SOAP NOTE”FOR DATAS

· Synthesis and discuss the expected abnormal physical examination findings that may be associated with this disease or disease process.

· Summarize the key points.

· References in correct APA format

ASSIGNMENT CONTENT Category Points % Description Application of Knowledge, Analysis, and Clarity 10 33.33 The quality of this criterion will be evaluated based upon the following: demonstration of analysis, synthesis, and/or application of principles and concepts consistent with the principles of advanced physical assessment; relevance of content specific to the topic; expected normal findings, appropriate health history questions, and organization and clear presentation of information.  Adapted Physical Assessment Skills to Special Populations, Disease Process, Summary, and Scholarly Source 10 33.33 The quality of this criterion will be evaluated based upon the following: discussion regarding how to adapt physical assessment skills or techniques to accommodate all special populations; identification and discussion of one major disease or disease process and expected examination findings; and summation of key points. Must include at least one scholarly source to support the paper.    Total CONTENT Points= 20 pts ASSIGNMENT FORMAT Category Points % Description Grammar, Spelling, Syntax, Mechanics, APA Format, and Word Requirement 10 33.33 The assignment 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. The length of the paper is not less than 1,500 words, excluding title page and reference list. * 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 discussion     Total FORMAT Points= 10 pts    ASSIGNMENT TOTAL= 30 points