Nursing Question

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Purpose

The i-Human assignments provide students with opportunities to experience clinical scenarios that are relevant to lesson content through Virtual Patient Encounters. i-Human is a highly interactive and dynamic way to enhance student learning.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO 1: Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations. (POs 1, 2)
CO 2: Differentiate normal and abnormal health history and physical examination findings. (POs 1, 2)
CO 3: Document health history and physical examination findings in a logical and organized sequence. (POs 1, 2)
CO 5: Conduct focused and comprehensive health histories and examinations for various patient populations. (POs 1, 2)

Due Date

Studentsmustcomplete the assignedi-HumanVirtual Patient Encounter and submit required documentation by Sundayat11:59p.m.MT.

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late. After that point,a zero will be recorded for the assignment.

Total Points Possible

This assignment is worth 100 points.

Preparing the Assignment

Follow these guidelines when completingeach component of theassignment.Contact your course faculty if you have questions.

Remember This

You will get FIVE attempts for this week’s i-Human Virtual Encounter case. For future weeks’ i-Human Virtual Encounter cases you will only get ONE attempt.

Multiple practice attempts allow students the opportunity to review feedback from i-Human including documentation. Feedback is to be used 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 CUs Academic Integrity Policy. Violations will be fully investigated by faculty and administration.

General Instructions

Throughout this course, you will have opportunities to engage with simulated patients using the i-Human virtual learning environment. For this assignment, you will complete the i-Human practice case and score your performance using the i-Human grading rubric. Completing the practice case and applying the grading rubric will help you learn to navigate the virtual simulation software, engage effectively and proficiently with a virtual patient, and understand grading expectations for i-Human assignments.

Open and review the grading rubric for the i-Human Virtual Patient Encounter. You may choose to download or print the rubric to use as a reference during your virtual encounter.

Accessi-Humanby clicking the link on the following page.Clicking the blue bar willlaunch the activity in a new browser window. You do not need to complete the case in one sitting; if you leave the case and return later, the program will begin where you left off.

All graded documentation, including the Management Plan, must be completed within the i-Human platform. Follow the and the grading rubric as you prepare your clients EHR and management plan.

Include the following sections (detailed criteria listed below and in the grading rubric):

Complete the following components in the i-Human Virtual Patient Encounter for the practice case for Marvin F. Webster.

Focused Health History
1. Complete a focused health history. Scores are automatically calculated within the i-Human platform when the health history is submitted.
Focused Physical Exam
1. Complete a focused physical exam. Scores are automatically calculated within the i-Human platform when the health history is submitted.
EHR Documentation (Subjective Data): Document the history of present illness (HPI) and focused review of systems (ROS). Documentation must be:
1. accurate
2. detailed
3. written using professional terminology
4. pertinent to the chief complaint
5. includes subjective findings only
EHR Documentation (Objective Data): Document physical exam findings. Documentation must be:
1. accurate
2. detailed
3. written using professional terminology
4. pertinent to the chief complaint
5. include objective findings only
Key Findings: Organize key findings from the history and physical exam.
Problem Statement: Document a brief, accurate problem statement using professional language. Include the following components:
1. name or initials, age
2. chief complaint
3. positive and negative subjective findings
4. positive and negative objective findings
Management Plan: Use the expert diagnosis provided 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 warranted. Include the following components:
1. diagnostic tests
2. medications: Type a specific prescription for each medication, including over-the-counter medications
3. suggested consults/referrals
4. client education
5. follow-up, including time interval and specific symptomatology to prompt a sooner return
6. Provide rationales for each intervention and cite at least one relevant scholarly source as defined by program expectations
7. Click”Submit”once the case iscomplete. Use this guide to .
Reflection: . Type your reflection responses on the worksheet and upload the worksheet including the title page to the designated drop box for the assignment in Canvas.
1. Assess your ability to gather information on your client within the i-Human Virtual Patient Encounter.
  1. Use the i-Human score sheet to review your results for the focused health history and focused physical exam. How did you perform?
  2. What did you find easy or difficult about navigating through focused health history and focused physical exam sections of the case?
  3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.
2. Assess your performance in documenting your findings on the electronic health record (EHR).
  1. What did you find easy or difficult about navigating through the documentation of history and physical within the system?
  2. Did you document all required components in the case?
  3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.
3. Assess your performance in determining key findings and reviewing the most significant active problem.
  1. What did you find easy or difficult about navigating through the key findings and organization section of the case?
  2. How did your key findings compare with the experts findings?
  3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.
4. Assess your performance in creating and documenting a problem statement within the i-Human case.
  1. What did you find easy or difficult about creating the problem statement?
  2. How did your problem statement compare with the experts response provided?
  3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.
5. Assess your performance in creating and documenting a management plan within the i-Human case.
  1. What did you find easy or difficult about creating the management plan?
  2. How did your management plan compare with the experts response provided?
  3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.

Submission

Submit both the Performance Overview Report of your last submitted attempt and the reflection document to the Week 2 Dropbox.

Rubric

Week 2: i-Human Practice Case & Reflection

Week 2: i-Human Practice Case & Reflection
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeFocused Health HistoryComplete a focused health history.	5 ptsSatisfactoryRequirement met: Complete a focused health history. Satisfactory (100%-75%)2.5 ptsNeeds ImprovementNeeds Improvement (74%-50%) 0 ptsUnsatisfactoryRequirement not met. Unsatisfactory (49%-0%)	5 pts
This criterion is linked to a Learning OutcomeFocused Physical ExamComplete a focused physical exam.	5 ptsSatisfactoryRequirement met: Complete a focused physical assessment. Satisfactory (100%-75%)2.5 ptsNeeds ImprovementNeeds Improvement (74%-50%) 0 ptsUnsatisfactoryRequirement not met. Unsatisfactory (49%-0%)	5 pts
This criterion is linked to a Learning OutcomeEHR Documentation – Subjective DataDocument the history of present illness (HPI) and focused review of systems (ROS) in the EHR. Documentation should be: 1. accurate 2. detailed 3. written using professional terminology 4. pertinent to the chief complaint 5. include subjective findings only	5 ptsSatisfactoryRequirement met: Document the history of present illness (HPI) and focused review of systems (ROS) in the EHR.2.5 ptsNeeds ImprovementNeeds Improvement 0 ptsUnsatisfactoryRequirement not met.	5 pts
This criterion is linked to a Learning OutcomeEHR Documentation – Objective DataDocument physical exam in the EHR. Documentation should be: 1. accurate 2. detailed 3. written using professional terminology 4. pertinent to the chief complaint 5. include objective findings only	5 ptsSatisfactoryRequirement met: Document physical exam findings in the EHR.2.5 ptsNeeds Improvement 0 ptsUnsatisfactoryRequirement not met.	5 pts
This criterion is linked to a Learning OutcomeKey FindingsOrganize the key findings with the most important findings first and the least important findings last on the list.	5 ptsSatisfactoryRequirement met: The key findings were organized.2.5 ptsNeeds ImprovementThe key findings were partially organized. 0 ptsUnsatisfactoryRequirement not met.	5 pts
This criterion is linked to a Learning OutcomeProblem StatementDocument sample problem statement in the EHR using professional language. Include the following components: 1. name or initials, age 2. chief complaint 3. positive and negative subjective findings 4. positive and negative objective findings	5 ptsSatisfactoryRequirement met: Document sample problem statement in the EHR.2.5 ptsNeeds Improvement 0 ptsUnsatisfactoryRequirement not met.	5 pts
This criterion is linked to a Learning OutcomeManagement PlanDocument sample treatment plan within the iHuman Virtual Patient Encounter. Include the following components: 1. diagnostic tests 2. medications: write a specific prescription for each medication, including over-the-counter medications 3. suggested consults/referrals 4. client education 5. follow-up, including time interval and specific symptomatology to prompt a sooner return 6. Provide rationales for each intervention and cite at least one relevant scholarly source as defined by program expectations	5 ptsSatisfactoryRequirement met: Sample management plan is included within the iHuman case.2.5 ptsNeeds Improvement 0 ptsUnsatisfactoryRequirement not met.	5 pts
This criterion is linked to a Learning OutcomeReflection: History and Physical Exam 4 Required CriteriaAssess your ability to gather information on your client within the iHuman Virtual Patient Encounter. 1. Use the iHuman score sheet to review your results for the focused health history and focused physical exam. How did you perform? 2. What did you find easy or difficult about navigating through focused health history and focused physical exam sections of the case? 3. Describe one strategy to improve your performance in the next Virtual Patient Encounter. 4. Responses were substantive (adds importance, depth, and meaningfulness to the reflection post).	15 ptsExcellentAll requirements met.14 ptsVery Good3 requirements met. 12 ptsSatisfactory2 requirements met.7.5 ptsNeeds Improvement1 requirement met.0 ptsUnsatisfactoryNo requirements met.	15 pts
This criterion is linked to a Learning OutcomeReflection: Electronic Health Record (EHR) 4 Required CriteriaAssess your performance in documenting your findings on the electronic health record (EHR). 1. What did you find easy or difficult about navigating through the documentation of history and physical within the system? 2. Did you document all required components in the case? 3. Describe one strategy to improve your performance in the next Virtual Patient Encounter. 4. Responses were substantive (adds importance, depth, and meaningfulness to the reflection post).	15 ptsExcellentAll requirements met.14 ptsVery Good3 requirements met. 12 ptsSatisfactory2 requirements met.7.5 ptsNeeds Improvement1 requirement met.0 ptsUnsatisfactoryNo requirements met.	15 pts
This criterion is linked to a Learning OutcomeReflection: Key Findings 3 Required CriteriaAssess your performance in determining key findings. 1. What did you find easy or difficult about navigating through the key findings and organization section of the case? 2. How did your key findings compare with the experts response provided? 3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.	10 ptsExcellentAll requirements met.8 ptsSatisfactory2 requirements met. 5 ptsNeeds Improvement1 requirement met.0 ptsUnsatisfactoryNo requirements met.	10 pts
This criterion is linked to a Learning OutcomeReflection: Problem Statement 4 Required CriteriaAssess your performance in creating and documenting a problem statement within the iHuman case. 1. What did you find easy or difficult about creating the problem statement? 2. How did your problem statement compare with the experts response provided? 3. Describe one strategy to improve your performance in the next Virtual Patient Encounter. 4. Responses were substantive (adds importance, depth, and meaningfulness to the reflection post).	10 ptsExcellentAll requirements met.9 ptsVery Good3 requirements met. 8 ptsSatisfactory2 requirements met.5 ptsNeeds Improvement1 requirement met.0 ptsUnsatisfactoryNo requirements met.	10 pts
This criterion is linked to a Learning OutcomeReflection: Management Plan 4 Required CriteriaAssess your performance in creating and documenting a management plan within the iHuman case. 1. What did you find easy or difficult about creating the management plan? 2. How did your management plan compare with the experts response provided? 3. Describe one strategy to improve your performance in the next Virtual Patient Encounter. 4. Responses were substantive (adds importance, depth, and meaningfulness to the reflection post).	15 ptsExcellentAll requirements met.14 ptsVery Good3 requirements met. 12 ptsSatisfactory2 requirements met.7.5 ptsNeeds Improvement1 requirement met.0 ptsUnsatisfactoryNo requirements met.	15 pts
This criterion is linked to a Learning OutcomeLate Penalty Deduction	0 ptsa. Full creditOn time0 ptsb. -10 points1 day late 0 ptsc. -20 points2 days late0 ptsd. -30 points3 days late0 ptse. More than three (3) days lateNo credit.	0 pts

Total Points: 100

WRITE MY PAPER

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Purpose

Course Outcomes

Due Date

Total Points Possible

Preparing the Assignment

Remember This

Submission

Rubric

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