Category: Medicine

Week at a Glance
DIGITAL CLINICAL EXPERIENCE: COMPREHENSIVE (HEAD-TO-TOE) PHYSICAL ASSESSMENT
Throughout this course, you were encouraged to practice conducting various physical assessments on multiple areas of the body, ranging from the head to the toes. Each of these assessments, however, was conducted independently of one another. For this DCE Assignment, you connect the knowledge and skills you gained from each individual assessment to perform a comprehensive head-to-toe physical examination in your Digital Clinical Experience.
RESOURCES
Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources. WEEKLY RESOURCES
TO PREPARE
Review this week’s Learning Resources, and download and review the Physical Examination Objective Data Checklist as well as the Student Checklists and Key Points documents related to neurologic system and mental status.
Review the Shadow Health Resources provided in this week’s Learning Resources specifically the tutorial to guide you through the documentation and interpretation with the Shadow Health platform. Review the examples also provided.
Review the DCE (Shadow Health) Documentation Template for Comprehensive (Head-to-Toe) Physical Assessment found in this week’s Learning Resources and use this template to complete your Documentation Notes for this DCE Assignment.
Access and login to Shadow Health using the link in the left-hand navigation of the Blackboard classroom.
Review the Week 9 DCE Comprehensive Physical Assessment Rubric provided in the Assignment submission area for details on completing the Assessment in Shadow Health.
Also, your Week 9 Assignment 3 should be in the Complete SOAP Note format. Refer to Chapter 2 of the Sullivan text and the Week 4 Complete Physical Exam template and use the template below for your submission.
Week 9 Shadow Health Comprehensive SOAP Note Documentation Template Download Week 9 Shadow Health Comprehensive SOAP Note Documentation Template
Note: There are 2 parts to this assignment – the lab pass and the documentation. You must achieve a total score of 80% in order to pass this assignment. Carefully review the rubric and video presentation in order to fully understand the requirements of this assignment.
DCE COMPREHENSIVE PHYSICAL ASSESSMENT:
Complete the following in Shadow Health:
Episodic/Focused Note for Comprehensive Physical Assessment of Tina Jones (180 minutes)
Note: Each Shadow Health Assessment may be attempted and reopened as many times as necessary prior to the due date to achieve a total of 80% or better (this includes your DCE and your Documentation Notes), but you must take all attempts by the Week 9 Day 7 deadline. SUBMISSION INFORMATION
Complete your Comprehensive (Head-to-Toe) Physical Assessment DCE Assignment in Shadow Health via the Shadow Health link in Canvas.
Once you complete your assignment in Shadow Health, you will need to download your lab pass and upload it to the corresponding assignment in Canvas for your faculty review. (Note: Please save your lab pass as “LastName_FirstName_AssignmentName”.) You can find instructions for downloading your lab pass here: https://link.shadowhealth.com/download-lab-pass Links to an external site.
Review the Week 9 DCE Health History Assessment Rubric, provided in the Assignment submission area, for details on completing the Assignment.
Links to an external site.Complete your documentation using the documentation template in your resources and submit it into your Assignment submission link.
To submit your completed assignment, save your Assignment as WK9Assgn3+last name+first initial.
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select both files and then Submit Assignment for review.
Note: You must pass this assignment with a minimum score of 80% in order to pass the class. Once submitted, there are not any opportunities to revise or repeat this assignment.
Rubric
NURS_6512_Week_9_DCE_Assignment_3_Rubric
NURS_6512_Week_9_DCE_Assignment_3_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning Outcome Student DCE score(DCE percentages will be calculated automatically by Shadow Health after the assignment is completed.)Note: DCE Score – Do not round up on the DCE score.
60 to >55.0 pts
Excellent
DCE score>93
55 to >50.0 pts
Good
DCE Score 86-92
50 to >45.0 pts
Fair
DCE Score 80-85
45 to >0 pts
Poor
DCE Score <79... No DCE completed. 60 pts This criterion is linked to a Learning Outcome Subjective Documentation in Provider Note Template: Subjective narrative documentation in Provider Note Template is detailed and organized and includes: Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS)ROS: covers all body systems that may help you formulate a list of differential diagnoses. You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe. 20 to >15.0 pts
Excellent
Documentation is detailed and organized with all pertinent information noted in professional language….Documentation includes all pertinent documentation to include Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS).
15 to >10.0 pts
Good
Documentation with sufficient details, some organization and some pertinent information noted in professional language….Documentation provides some of the Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS).
10 to >5.0 pts
Fair
Documentation with inadequate details and/or organization; and inadequate pertinent information noted in professional language….Limited or/minimum documentation provided to analyze students critical thinking abilities for the Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS).
5 to >0 pts
Poor
Documentation lacks any details and/or organization; and does not provide pertinent information noted in professional language….No information is provided for the Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS)….or…No documentation provided.
20 pts
This criterion is linked to a Learning Outcome Objective Documentation in Provider Notes – this is to be completed using the documentation template that is provided. Document in a systematic order starting from head-to-toe, include what you see, hear, and feel when doing your physical exam using medical terminology/jargon. Document all normal and abnormal exam findings. Do not use “WNL” or “normal”. You only need to examine the systems that are pertinent to the CC, HPI, and History. Diagnostic result – Include any pertinent labs, x-rays, or diagnostic test that would be appropriate to support the differential diagnoses mentioned. Differential Diagnoses (list a minimum of 3 differential diagnoses). Your primary or presumptive diagnosis should be at the top of the list (#1).
You also have your final DCE which is a Head-to-Toe Comprehensive Physical Exam due this week. As per the syllabus and rubric, you must pass this assignment with a combined score of 80 or better (lab pass & documentation template) to pass the course. So please do not leave a section unanswered. Remember the physical exam goes under the objective section and the diagnoses are under the assessment section. If you are confused, please reach out to me. Please thoroughly document this comprehensive visit. If you attempt to use the SOAP format, be sure to include everything in each section. But I advise you to use the template provided to make sure you do not miss a section.
Please do not add any mnemonics, bullet points or write your entire note in bold. Points will be taken off if you continue to do this. Also do not write within normal limits in your physical exam or review of systems. You should write out the symptoms (ROS) or exam findings (Physical Exam).
NB
Please if you u are not familiar with subject topic please do not take this paper
It is basically a proofread as I have given you all the materials needed
I need at least 3 references in text for the plan of care references must be in APA
References must be less than 5 years
No dates references not accepted
Will verify plagiarism I know the order says 3 pages but I’m providing you with enough information to be able to come out with a lengthy paper

Please don’t enter the reaserch and write about it write about this picture and explain it (perspective only ) not whole reaserch !

Aim
The aim of this assessment is to demonstrate your understanding of the role of communication and how to enhance communication in nursing clinical practice. You will demonstrate this by creating artefacts reflecting your knowledge of the weekly content. Instructions
This assessment consists of seven individual tasks, each task relating to the unit content of weeks 6-12. You will work in small groups (maximum of 4 members) throughout the term. The portfolio will consist of small tasks related to individual and group learning activities located
within Moodle. These tasks will require you to participate in a group activity and then answer post-activity questions individually to demonstrate your understanding. Each task will have individual instructions; it is important to ensure you read and understand each task. If you are unsure of what is required of any task, please contact your unit coordinators as soon as possible. Task instructions are included at the end of this document. You will present your portfolio using headings for each task.
Files are attached – all refrences usuing APA 7th edition both in text and end of text with DOI, using current academic refrences and including The Registered Nurses Code of Conduct and Standards of Practice
NOTE for task 3 the chosen term is PROGNOSIS

My paper is very above the 5300 character deadline. Please help me write an eye-catching introduction, make the essay more specific to my passion for medicine, more reflection for the stories (main takeaways) and cut it down to the required word count. I included the essay itself and the feedback I received from others but am not sure how to incorporate that feedback onto the essay. Thank you so much!!!

In this assessment, students must research and write an essay describing how evidence-based practice (EBP) can be employed in clinical practice to improve client outcomes. The essay should describe what evidence-based practice is, its advantages and disadvantages, the different types of EBP and how they might be implemented.
Assessment 2: Essay Essays are intended to test your ability to assess information, to formulate arguments and to critically evaluate different alternatives to issues or problems. In this assessment, you must research and write an essay from your review of the literature describing Evidence-Based Practice (EBP). The essay needs to describe what evidence-based practice is, concepts and terminology, while critically analysing advantages, disadvantages and difficulties of implementing EBP in a clinical setting. Ensure in total you cover above criteria and these specifics: • Introduction with context information and a a clear Thesis Statement. (See how this is under the assessment resources of the home page https://learn.achw.edu.au/mod/page/view.php?id=61) • Articulate what evidence-based practice (EBP) is and different types of EBP critically evaluated. • Define and explore EBP via the key concepts and terminology . • Your conceptualisation of what meta-analysis is and how this may inform EBP. • Critically analyse the advantages and criticisms of EBP. • Define difficulties and benefits that might have been encountered when implementing EBP into the clinical setting. • Use accurate current APA citation and referencing aligned with ACHW APA Referencing Guidelines. Carefully read the marking rubric for all requirements. All ideas and information to be refeenced both in text and end of text using quality academic refrences in APA 7th will DOI as close to 3000 words as possible 10% over or under will not be accepted

In this essay, you will need to review the literature on how mindfulness and other health initiatives discussed in this subject work together to affect the development of wellness promotion and anti-ageing.
When reviewing literature, you need to summarise the research findings so far, compare and contrast them, and evaluate the quality of the research by identifying the strengths and weaknesses. See Assessment Advice and Unit Guide for more information.
Assignment Length: 3,000 words
Assessment Task 2: Researched Essay Essays are intended to test your ability to assess information, to formulate arguments and to critically evaluate different alternatives to issues or problems. In this assessment, you must give clear context of information topic and formulate a succinct hypothesis or question, appropriate to the assessment criteria articulated in the introductory paragraph. From a literature review, construct an argumentative essay on how the convergence of mindfulness – and other health initiatives discussed in this unit – affects the development of wellness promotion and anti-ageing. Your paper needs to include Psychological, societal, and cultural factors. Include how cosmetic injections (neuromuscular and dermal fillers) enhance wellness regarding anti-ageing. Please carefully consult the marking rubric. As close too 3000 words as possible will not accept 10% over or under all ideas and informati9n to include in text and end if text references in Apa 7th with DOI using quality resources (academic)

A nurse’s personal professional philosophy is a statement of core values, ethical principles, and ways of knowing that guide a person’s practice and underpin their commitment to the profession. It is a living work, containing current convictions that should be continuously revised and developed as a person critically reflects in and on their nursing practice.
In this assessment, you will present a series of reflections on how your own understanding of what it means to be a nurse has been impacted by what you have learnt in this unit. You will write a statement that captures your emerging personal professional philosophy of nursing and consider the role this statement will play in guiding your first year of learning and practice as a student nurse.
Please follow the steps below to complete your assessment task: Task 1: (1000-1100 words or equivalent) 60 marks You can be as imaginative as you wish in your presentation of Task One. You can use any kind of media (including a mix of media), to communicate your reflective responses to each question in this task. Whichever way you choose to present your experiences, perspectives, and interpretations, you must ensure that all elements of the marking rubric are met. Work submitted must be your own work and use of generative artificial intelligence is not permitted. Demonstrate your reflection and consideration of the following questions. a) How has one historical nursing theory influenced your understanding of what it means to be a nurse? (15 marks) b) How has a contemporary event involving a nurse or nurses, influenced your understanding of the status and/or image of nursing as a profession? (15 marks) c) What core values do you hold that will shape the nursing care you give? (15 marks) d) How do these core values align with the four bioethical principles? (15 marks) This task is a reflection, so some of the work will be your own ideas and other discussion points will refer to information sources from scholarly literature. You are required to acknowledge the source of any ideas or information that is not your own with valid and reliable references. You must use your own words. Task 2 (200 words) 15 marks. Develop a written statement that communicates your current nursing philosophy using your reflections in Task 1. Work submitted must be your own work and use of generative artificial intelligence is not permitted. Task 3 (200 words) 15 marks. Once you have developed your first nursing philosophy statement, you are now required to reflect on the following question and discuss in writing: a) How do you think your philosophical statement will guide your practice when you are on your first clinical placement as a student nurse and providing care for older age consumers? Marking Criteria Refer to the marking rubric on the Moodle site for more detail on how marks will be assigned. Literature and references In this assessment use at least seven contemporary (<5 years) valid and relevant peer reviewed references to support your discussion. You may also use seminal scholarly literature where relevant. Suitable references include peer-reviewed journal articles as well as textbooks and credible websites. When sourcing information, consider the 5 elements of a quality reference: currency, authority, relevance, objectivity, and coverage. Grey literature sourced from the internet must be from reputable websites such as government, university, or peak national bodies: for example, the Australian College of Nursing. Requirements  Use a conventional and legible size 12 font, such as Times New Roman, with 2.0 line spacing and 2.54cm page margins (standard pre-set margin in Microsoft Word).  Include page numbers on the top right side of each page in a header.  You may write in the first-person perspective (I, my) for reflective writing tasks.  Use formal academic language.  An introduction, conclusion, or table of contents is not required for this assignment.  Use the seventh edition American Psychological Association (APA) referencing style. The CQUniversity Academic Learning Centre has an online CQU APA Referencing Style Guide.  Ensure all works referenced have been paraphrased appropriately prior to use in your submission to align with academic integrity expectations.  The word count is calculated from the first word addressing task one to the last word of task three. The word count excludes the reference list but includes intext references and direct quotations. Resources  You can use unit provided materials and other credible sources (e.g. journal articles, books) to reference your argument. The quality and credibility of your sources are important.  We recommend that you access your discipline specific library guide: the Nursing and Midwifery Guide; Social Work and Community Services Guide.  We recommend you use EndNote to manage your citations and reference list. More information on how to use EndNote is available at the CQUniversity Library website.  For information on academic communication please go to the Academic Learning Centre Moodle site. The Academic Communication section has many helpful resources including information for students with English as a second language.  Ensure all works referenced have been paraphrased appropriately prior to use in your submission to align with academic integrity expectations. Learning Outcomes Assessed  Analyse historical and contemporary factors that continue to influence the image, status, and nature of nursing practice.  Assess the four major bioethical principles and how they are applied in health care.

For this discussion, write a few sentences introducing yourself to your colleagues and the course faculty. Tell us a little about your nursing background, why you chose to become a DNP-prepared nurse, your aspirations in seeking this degree, and anything else you would like to share!
“Paper”
I am First Name and Last Name, and I have lived in Florida for almost 20 years with my mother and younger brother. I moved from Houston, Texas where I initially started as a registered nurse working in the Emergency Department. I completed my bachelor’s degree from Nursing at Miami Dade College as an employee of Baptist Health of South Florida. In addition, I worked in intensive care and emergencies for 14 years until I finished my FNP at Barry University with honors in 2019 and my PMHNP in 2022 at Husson University. My work history during the Emergency Departments plus my passion and interest in Advance Practice as a Family Nurse Practitioner and currently as a Psychiatric Nurse Practitioner has been closed related to care that I received from the admission patients during my shifts and the compassion working as an Advance Practice Nurse and knowing that the client is a biopsychosocial being that is why my feelings have allowed me what I have learned in the classroom every day during this program, and I use it in future practical work. The goal as a DNP Preparate Nurse is to be able to unite all the knowledge that I have achieved here in this wonderful program to be able to increase the knowledge relate to identification, critique, evaluation, and synthesis of research at the highest level to be able at the end of this program help to improve changes to healthcare practice and quality improvement.
I live in Tampa, Florida with my parents. I currently work for almost 2 years as a Psychiatric Mental Health Nurse Practitioner at an inpatient and outpatient Hospital Adult setting, dedicated to our role as Psych NP in Florida. Before that I was a Family care provider. My goal is to complete my DNP.

Essays are used to test a student’s ability to:
assess information
formulate arguments
critically evaluate different alternatives to issues or problems. The ability to access and write information will be vital skills in your professional life.
In this assessment, you are tasked with writing a major essay or minor research ‘thesis’ as a special topic within the broad Clinical Aesthetic Practice environment that is associated with Evidence-Based Practice. (This could be a null hypothesis where you write about lack of EBP).
Assessment 3: Minor research ‘Thesis’ Essays are intended to test your ability to assess information, to formulate arguments and to critically evaluate different alternatives to issues or problems. In this assessment, you must write minor research ‘thesis’ on a special topic within the broad Clinical Aesthetic Practice environment that is associated with Evidence Based Practice (This could be a null hypothesis where you write about lack of EBP). The focus is on the special topic in clinical aesthetics and how EBP has informed the practice of your special topic. The topic cannot be the same as provided in other units of this degree. Using at least one meta-analysis literature review where you must identify and report what previous studies have shown in relation to your special topic. It is expected that you carefully review your chosen special topic, to identify papers/studies to find commonalities and disagreements that emerge from the studies. Your paper must be logically developed with sequential information flow. Ensure you cover above criteria and these specifics: • You need to have a clear introduction of context information and a concise thesis statement. (Do check ‘how to write a Thesis Statement’ in the assessment resources). • A clinical aesthetic topic is defined, and rationale is provided to its importance. • Use of a meta-analysis review informing EBP. • Use of various methodologies used in the research. • Identification of constraints or limitations in or of the research. • Exploration of ethical considerations of the research papers and relating to the special topic. • Establish a clear argument of EBP implementation and practice of your special topic. • How is EBP interconnected with your minor thesis topic is clearly documented. • Use of full current APA citation and referencing aligned with ACHW APA Referencing Guidelines. Assignment length is 3000 words. All ideas and information must be reflected in text and end of text using quality accedemic refrences and DOI must be as close to 3000 words as possible 10% over ir under is not acceptable