NR 509 Week 5 Assignment: iHuman Virtual Patient Encounter – Abdominal Assessment

NR 509 Week 5 Assignment

Follow these guidelines when completing each component of the assignment. For this week’s iHuman Virtual Encounter cases you will only get ONE attempt.

• • iHuman Virtual Patient Encounter – Abdominal Assessment Paper

ATTENTION: Multiple practice attempts allow students the opportunity to review feedback from i-Human including documentation. Feedback is to … to guide improvement on subsequent attempts for the practice case. It is never acceptable for students to submit feedback verbatim (or almost verbatim) and/or documentation in the EHR. Copying – Using the work of others is a violation of CU’s Academic Integrity Policy. Violations will … by faculty and administration.

Access iHuman by clicking the link on the following page. Click the blue bar to launch the activity in a new browser window. The case does not need to … in one sitting; it can … at the same point at a later time.

All graded documentation, including the management plan, must … within the iHuman platform. Follow the iHuman Documentation GuideLinks to an external site. to complete your client’s electronic health record (EHR) and management plan. Use current APA Style Standards to format citations and references in the management plan and reflection.

Use APA StyleLinks to an external site. and APA Academic WriterLinks to an external site. for formatting and grammar assistance.

Include the following sections (detailed criteria … below and in the Grading Rubric)

Complete the following components in the iHuman Virtual Patient Encounter for the required case addressing the abdomen.

• • iHuman Case on Jose Gonzalez
  • iHuman Case on Dorothy Jones

I.         Focused Health History

• Complete a focused health Scores are automatically … within the iHuman platform when the health history is submitted.

II.          Focused Physical Exam

• Complete a focused physical Scores are automatically … within the iHuman platform when the health history is submitted.

III. EHR Documentation (Subjective Data): Document the history of present illness (HPI) and … review of systems (ROS). Documentation must be:

• • accurate
  • detailed
  • written using professional terminology
  • pertinent to the chief complaint
  • includes subjective findings only

IV. EHR Documentation (Objective Data): Document physical exam Documentation must be:

• • accurate
  • detailed
  • written using professional terminology
  • pertinent to the chief complaint
  • include objective findings only

V. Key Findings/Most Significant Active Problem: Document key findings from the history and physical exam in the Assessment tab of the

1. • Identify the most significant active problem (MSAP) and the relation of other key findings to the MSAP

VI. Problem Statement: Document a brief, accurate problem statement using professional Include the following components:

• • name or initials, age
  • chief complaint
  • positive and negative subjective findings
  • positive and negative objective findings

VII. Management Plan: Use the expert diagnosis … to create a pertinent comprehensive evidence-based management plan. If a specific component of the management plan is not warranted (i.e., no referrals are appropriate for the virtual patient) document that no intervention is Include the following components:

• • diagnostic tests
  • medications: type a specific prescription for each medication, including over-the-counter medications
  • suggested consults/referrals
  • client education
  • follow-up, including time interval and specific symptomatology to prompt a sooner return
  • provide rationales for each intervention and cite at least one relevant scholarly source as … by program expectations
  • Click “Submit” once the case is Use this guide to download the Performance Overview ReportLinks to an external site..

VIII. Reflection: Download this  worksheetLinks  to  an  external Address the following question: Some clinicians may find it difficult to explain the logic behind their clinical thinking. As you gain experience, your clinical reasoning will begin at the outset of the patient encounter, not at the end. Reflect on the clinical reasoning you … during this virtual patient encounter. Describe the steps taken to identify and interpret the key findings in this case. What are some “lessons learned” within the assessment that you can apply to your professional practice as a provider? Include the following components:

• • type 150-300 words in a Microsoft Word document
  • demonstrate clinical judgment appropriate to the virtual patient scenario
  • cite at least one relevant scholarly source as … by program expectations
  • communicate with minimal errors in English grammar, spelling, syntax, and punctuation