Health Assessment - Remediation/Refresher - January 2024, CCE 705 and 701
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Overview
Transcript
Transcript
Started: Apr 21, 2021 | Total Time: 106 min
Subjective Data Collection
All Lines (178) Interview Questions (74) Statements (10) Exam Actions (94)
Objective Data Collection
Education & Empathy Quest
Hello!
04/21/24 3:58 AM
Documentation
Care Plan Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives,
just as a preceptor would in real life. Pay close attention to this information as it will
Program Competency Progress help guide your exam. At the end of this prebrief, you will answer a short question
about the upcoming assignment. During the simulation, you may return to these
instructions at any time by scrolling to the top of your transcript.
Quest
What is the situation?
04/21/24 3:59 AM
Your patient is Brian Foster, a 58-year-old Caucasian man. He has been hospitalized in
Shadow General Hospital for 3 days after a TURP, or Transurethral resection of the
prostate. Today, he started having chest pain. Your role in this simulation is that of a
healthcare provider who will conduct a focused history and physical examination of
Mr. Foster in order to assess his condition and transfer his care. While Mr. Foster's
condition is critical, he will survive this exam.
Quest
What are my objectives in this assessment?
04/21/24 4:00 AM
In your interview with Brian, you will ask about the history of his presenting illness and
the functioning of relevant systems in order to obtain subjective data related to his
chest pain. If you discover any disease states, ask about symptoms and the patient's
experiences of them. Your questioning should cover a broad array of the symptoms'
characteristics. You will also inquire into the health history of Mr. Foster's family so you
can determine his genetic disposition to any diseases. In addition to collecting subjective
data, you will perform a physical exam on Mr. Foster to gather objective data about his
health and physiology. Throughout the conversation, you should educate and empathize
with Mr. Foster when appropriate to increase his health literacy and sense of well-being.
While you should communicate with patients using accessible, everyday language, it
is standard practice to use professional medical terminology everywhere else, such as
in documenting physical findings and nursing notes. You may complete the exam
activities in any order and move between them as needed.
Quest
What else will this exam involve?
04S/2u1p/2p1o4r:t00 AM
, You will complete nursing tasks to protect the patient's safety, privacy, and health. You
can document your findings, including vital signs, in the Electronic Health Record. This
record provides necessary information for healthcare professionals who will continue
patient care. You will then move onto the Care Plan activity, in which you will synthesize
your subjective and objective data to complete the nursing process. You will develop a
nursing diagnosis for Mr. Foster's condition, identify a treatment goal, plan your
interventions and evaluations, and finally assess if your goal was achieved. The Care
Plan is just as important as your assessment, and the patient's well-being will be greatly
affected by your diagnosis and interventions.
Quest
How will I be evaluated?
04/21/24 4:00 AM
The activities evaluated by the simulation are Subjective and Objective Data Collection,
Education and Empathy, and the Care Plan activity. Nursing tasks and Documentation,
while they provide valuable practice for their real-world counterparts, are not automatically
evaluated by the simulation. The evaluation of your interview is dependent on how you
word your questions therapeutically and precisely and explore all relevant topics with
comprehensive breadth and depth. The evaluation of your physical exam is based on
how successfully you report on your physical findings by selecting among clinical
terms in the Electronic Health Record. Your success in Education and Empathy is
based on whether you promptly respond after identifying a moment worthy of
therapeutic communication. Your success in the Care Plan activity is based on whether
you accurately identify Mr. Foster's nursing diagnosis, select a goal most
immediately beneficial to him, select and prioritize the most effective treatments,
and accurately evaluate your results. The Care Plan will make up a signficant part of
your grade, so be sure to carefully choose your answers based on evidence. This
assignment takes on average between 80 and 100 minutes. You can pause and resume
the assignment at any time; your work is always saved automatically.
Quest
How does this assignment prepare me for the real world? 04/21/24 4:00 AM
In this assessment, you will familiarize yourself with the structure and content of a chest
pain focused exam so that with real-life patients, you can: º ask effective and
comprehensive questions º obtain and assess objective data º educate and
empathize with the patient º develop a nursing diagnosis º create an effective and
expedient care plan º and evaluate your results to determine your goal's
achievement.
In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What
are 3-5 common causes of chest pain?
Statem
asthma, injured ribs, GERD, peptic ulcers, heart attack, blocked blood flow 04/21/24 4:02 AM
Time to begin.
Gr
Hello, my name is EMily and ill be your nurse today.
04/21/24 4:04 AM
Hi.
Quest
Can you tell me your name and date of birth?
04/21/24 4:04 AM
Quest
04/21/24 4:05 AM
I'm having a really uncomfortable pressure in my chest right now.