Assignment: Shadow Health Assessment: Health History for Tina Jones

Assignment: Shadow Health Assessment: Health History for Tina Jones

Assignment: Shadow Health Assessment: Health History for Tina Jones

Complete the History Assignment for Tina Jones before completing the discussion question. Your response to the discussion questions will be based on the findings in the Shadow Health assessments.

You must submit the assessment to receive credit for the activity. Assessments that have not been submitted cannot be verified as complete.

In the health history, Tina informed you about her acute foot pain resulting from her infected wound. After your assessment, identify four SMART goals for Tina based on the findings with two evidence-based practice nursing interventions for each. How will you know if your intervention worked? If you were to perform this exam within tight time constraints, what tasks, questions and assessments would be priorities for Tina? Include a minimum of two references to support your evidence-based plan. Support your discussion and opinions with facts, relevant examples from personal nursing practice, and at least two citations from the reading or peer-reviewed professional nursing literature. Remember to use APA 6th edition formatting for all discussion posts and reference citations.

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Assignment: Health History – The Art of History Taking and Putting All Together w/Information Processing – Unit 2-3

Directions:

Please refer to your Shadow Health Platform.

This Comprehensive Assessment provides the opportunity to plan and conduct a full health assessment on a patient in a single clinic visit.

After completing this Shadow Health Assessment the student should be able to:

  • Document accurately and appropriately:
  • Document subjective data using professional terminology.
  • Document objective data using professional terminology.
  • Demonstrate clinical reasoning skills:
  • Use clinical reasoning to plan the organization of a comprehensive exam.
  • Gather subjective and objective data. Have an Assessment and Plan of Care.
  • Differentiate between variations of normal and abnormal assessment findings. Including a list of differential diagnosis.
  • Select and use the appropriate tools and tests necessary for a comprehensive assessment.
  • Reflect on personal strengths, limitations, beliefs, prejudices, and values.
  • Develop strong communication skills.
  • Interview the patient to elicit subjective health information about her health history.
  • Ask relevant follow-up questions to evaluate patient condition.
  • Demonstrate empathy for patient perspectives, feelings, and sociocultural background.
  • Identify opportunities to educate the patient.

To view the Grading Rubric for this Assignment (include unit 2 Assignment), please visit the Grading Rubrics section of the Course Home.

Assignment Requirements:

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard American English (correct grammar, punctuation, etc.);
  • be well orderedlogical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th Edition format as outlined in the APA Progression