Comprehensive Head-to-Toe Assessment Plus Concept Map and Simulation Reports

Comprehensive Head-to-Toe Assessment Plus Concept Map and Simulation Reports

Instructions Activity 1 Activity 2 Activity 3 Activity 4 Activity 5 Attempt 1 available Attempt 2 Attempt 3

Create a 10–15 minute video recording of yourself performing a head‑to‑toe assessment on a volunteer who will act as one of the patients from the Sentinel U simulations. Then, select a different Sentinel U patient and create a concept map based on that case. Finally, upload the simulation reports from both Sentinel U patient scenarios.

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Introduction

Click to view the NURS-FPX4015 Course Wrap-Up Video.

As you grow as a nurse, the ability to conduct a comprehensive and precise physical assessment of a patient is paramount, serving as the foundation for all subsequent healthcare decisions. This skill is closely tied to the crucial task of formulating an accurate differential diagnosis, which guides the course of treatment and significantly impacts patient outcomes. Incorporating an understanding of pathophysiology and pharmacology not only aids in the diagnostic process but also informs the development of an effective treatment plan. Lastly, the nurse’s role extends beyond these technical aspects, encompassing the vital responsibility of communicating these findings and plans to the patient, thereby fostering a collaborative and informed approach to healthcare.

There are three parts to this assessment. All parts must be submitted in order to pass this assessment.

Note: Part 1 must be completed on camera. You should use Kaltura to make your recording. If you need more information on how to create and submit your video, please refer to Using Kaltura.

Instructions

Remember, your assessment submission will not be graded if you have not completed and submitted the Comprehensive Head-to-Toe Patient Waiver. If you have not, complete and submit the Assessment 1 waiver.

For part of this assessment, you will demonstrate your ability to conduct an accurate and thorough examination of a patient, which is a critical skill for nurses. Patient assessments that are either inaccurate or not thorough can lead to nursing misdiagnoses or suboptimal health outcomes for patients.

You will submit a video of yourself conducting a head-to-toe assessment on a volunteer based on one of the Sentinel U case studies presented in this course. Your head-to-toe assessment should include a detailed analysis of the underlying pathophysiology of the selected disease process, the expected assessment findings, and the patient's pharmacological needs. Additionally, you should discuss nursing implications for the selected disease process, from a pathophysiology, pharmacology, and physical assessment perspective.

Part 1: Video

Your video submission will be assessed on the following:

• Comprehensive and Professional Assessment: Perform a comprehensive, thorough, and accurate assessment of a patient based on a selected disease process.
  • Remember, that the person standing in as your patient should be acting out one of the diagnoses from the Sentinel U case studies in the course.
  • Be careful and thorough in your assessment, make sure the camera can see what you are doing or make sure you are describing what you are doing to the patient.
• Discussion of Diagnosis and Findings: Explain the diagnosis and findings of the physical assessment with the patient.
  • What did you find in your assessment?
  • How did the findings help you arrive at your diagnosis?
  • Are you communicating the findings to the patient in a way that provides context and helps the patient understand your findings?
• Understanding of Pharmacological Needs: Discuss the pharmacological needs of the patient within the context of their disease process and current best practices.
  • What are the standard pharmacological treatments for the patient's diagnosis?
  • How does the patient's health history, other conditions, and other medications impact the decision making process related to pharmacological treatment options?
  • What other information does the patient need to know related to potential side effects or things to avoid related to any new pharmacological treatments for their condition?
• Understanding of Pathophysiology: Explain the underlying pathophysiology of the disease process to the patient.
  • How does the disease process work in the body? Which systems does it impact?
  • How is the patient likely to feel if the disease process progresses?
  • How might symptoms of the disease process look or sound like to the patient?
• Critical Thinking and Clinical Reasoning: Synthesize assessment findings with knowledge of the disease process, pharmacology, and pathophysiology to establish care priorities for the patient.
  • What are the care priorities for the patient?
  • How have you used your assessment findings, combined with what you know about the pharmacology and pathophysiology to arrive at these priorities?
    • What evidence-based or best-practices support these priorities?
• Communication and Professionalism: Demonstrate professionalism and communicate clearly and effectively with the patient, using appropriate terminology throughout the assessment.

Part 2: Concept Map

Before beginning this part of the assessment, make sure that you have completed the three Sentinel U case study activities listed below. These will form the basis of your assessment.

For part of the assessment, you will select one of the mental health Sentinel U case study activities and create a concept map that outlines the pathophysiology, pharmacology, and physical assessment of the mental health diagnosis from your chosen case study. Note: The Sentinel U case study that you select for your concept map must be different than the case study that is the basis for your head-to-toe assessment in Part 1.

The key components of a mental health diagnosis concept map include the pathophysiology, pharmacology, and physical assessment of the diagnosis. The concept map should outline the key concepts related to the diagnosis, including risk factors, signs and symptoms, diagnostic procedures, medications, complications, nursing diagnoses, and nursing interventions. The map should be organized using a nursing concept map template, such as spider maps, hierarchical maps, or flow charts, to organize the information. The concept map should be accurate, complete, well-organized, and use appropriate nursing concepts and terminology.

To complete your concept map, follow these steps:

1. Select one of the mental health Sentinel U scenarios:
   • Ivy Jackson, 61 YO, Female, African American.
   • Marco Mancini, 43 YO, Male, Mediterranean.
   • Wesley Blanco, 13 YO, Non-Binary, Filipino, White.
2. Research the pathophysiology, pharmacology, and physical assessment of the chosen diagnosis.
3. Complete the case study simulation and download the simulation report showing the patient you selected and indicating 100% complete.
4. Create a concept map that outlines the key concepts related to the chosen diagnosis, including risk factors, signs and symptoms, diagnostic procedures, medications, complications, nursing diagnoses, and nursing interventions.
   • You may wish to use the Concept Map Template [DOCX], but are also free to create your own.
5. Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years).

Part 2 will be assessed on the following criteria.

• Diagnosis: Describe a mental health diagnosis. The diagnosis should be accurate and supported by relevant and evidence-based sources.
  • Make sure that the diagnosis is accurate and includes specific symptoms or criteria that support the diagnosis.
  • Ensure you have downloaded the completed Sentinel U simulation report showing that patient you selected.
• Concept Map: Create a concept map that outlines the key concepts related to the chosen diagnosis, including risk factors, signs and symptoms, diagnostic procedures, medications, complications, nursing diagnoses, and nursing interventions.
  • Make sure that your use of evidence to support the concept map is explicit and relevant, and that the relationships between the concepts are clearly defined.
• Organization: The concept map should be well-organized and easy to follow. The content should be presented in a logical and clear manner, with a clear purpose and goals.
  • Also, you should make sure that your is visually appealing and easy to read, incorporating appropriate use of colors, shapes, and symbols.
• Professional Communication: The concept map should demonstrate professionalism and effective communication. The map should be free of errors and typos and should use appropriate terminology and language. The map should effectively communicate the key concepts related to the diagnosis to a professional audience.
• APA format and style: The reference list should be formatted in APA style. All sources used should be relevant to the topic and evidence-based, published within the last 5 years.

Part 3: Simulation Reports

1. You must upload two different simulation reports with this part of the assessment. 
   • The first simulation report will be on a mental health diagnosis simulation that you used for your concept map.
   • The second simulation report will be on the simulation you used as a basis for your head-to-toe assessment video. This must be different from the simulation report used for the concept map.

Additional Requirements

• Concept Map: 1-page concept map that clearly organizes the 3Ps related to a mental health diagnosis, risk factors, diagnostics, complications, nursing diagnosis, and nursing interventions.
• SIM Reports: Ensure you download two completed SIM reports showing the patients selected.
• Reference List: Create an APA style reference list for all sources that you used to help build and support the information in your concept map. Include this in the same document as your concept map, but on its own page.
• APA Style: Use current APA style for all in-text citations and any current APA-approved font.
• Total Length of Video Submission: Your video assessment must be 10 to 15 minutes in length. 
• Video Captions: Make sure that your Kaltura has been auto-captioned by the system before turning it in. This helps to support accessibility best practices and can help faculty more effectively assess your video.
  • Kaltura captions are automatically generated within 24 hours of you uploading the video recording to your Kaltura library. So, make sure you are not making your recording at the last minute.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and rubric criteria:

• Competency 1: Demonstrate how pathophysiology, pharmacology, and physical assessment comprise a holistic approach to nursing care.
  • Synthesize assessment findings with knowledge of the disease process, pharmacology, and pathophysiology to establish care priorities for the patient.
• Competency 2: Demonstrate the ability to apply evidence based interventions to address the health needs, risks, and resources of individuals from diverse backgrounds and cultures.
  • Create a concept map that clearly shows the connections among the patient’s mental health diagnosis, risk factors, symptoms, diagnostic procedures, medications, complications, nursing diagnoses, and nursing interventions.
  • Submit a fully completed Sentinel U mental health simulation report that accurately corresponds to the patient scenario used in your concept map, including assessment findings, clinical decisions, and outcomes.
• Competency 3: Demonstrate knowledge on educating individuals on prevention and management of health conditions, across the life span and including special populations, based on pathophysiology, pharmacology, and physical assessment knowledge.
  • Discuss the pharmacological needs of the patient within the context of their disease process and current best practices.
  • Explain the underlying pathophysiology of the disease process to the patient.
• Competency 4: Perform comprehensive and focused physical assessments using appropriate techniques and tools.
  • Perform a comprehensive, thorough, and accurate assessment of a patient based on a selected disease process.
  • Clearly explain the patient’s diagnosis and the findings from the head‑to‑toe physical assessment, and include a fully completed Sentinel U simulation report that matches the same patient you assessed.
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• Competency 5: Apply scholarly communication standards to communicate evidence based strategies that support safe and effective patient care.
  • Demonstrate professionalism and communicate clearly and effectively with the patient, using appropriate terminology throughout the assessment.