Topic 5: Health Assessment of the Older Adult

Complete the Digital Experience. The estimated average time to complete this assignment is 1 hour and 30 minutes. Please note, this is an average time. Some students may need longer.

This clinical experience is a focused exam. Students have one opportunity to complete this assignment and score at the Proficiency level. Upon completion, submit the lab pass to the instructor in the classroom.

Students successfully scoring within the Proficiency level in the Digital Clinical Experience will earn a grade of 100 points. Students who do not pass the performance-based assessment and scoring within the Proficiency level will receive a failing grade (68 points).

Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.

Week 5: Focused Exam: Abdominal Pain Assignment

Objectives & Instructions

Tips

When Speaking with Digital Standardized Patients:

• Ask simple and direct questions
• Ask specific questions
• Provide context for the patient

Objectives

Follow the nursing process through:

Examination

• Interview and examine Esther Park to gather subjective and objective patient data

- Collect data to assess Mrs. Park's condition

- Educate and empathize to engage in effective therapeutic communication

• Document data accurately, using professional terminology

Team Communication

• Communicate the situation, the background, your assessment, and your recommendation to transfer care of the patient

Self-Reflection

Write reflections using the prompts provided

Instructions

Perform a focused examination of an emergency department patient who is presenting with abdominal pain. Gather the information needed to assess the situation and transfer care to Preceptor Diana.

Upon entering the room:

• Provide patient privacy by closing the curtain
• Greet the patient
• Wash your hands
• Perform two-step patient verification with armband ID and verbal confirmation

During the exam, you will be able to:

• Take and record the patient's vital signs
• Ask questions relevant to the patient’s complaint
• Provide patient education and empathy as appropriate throughout the exam
• Conduct a thorough assessment of the patient's abdomen and regional systems of concern

- Conduct the relevant tests to evaluate the patient’s symptoms

• Report all Objective Data in the EHR
• Document Nursing Progress Notes

After the exam:

• Determine when enough information has been gathered to transfer care to Preceptor Diana
• Once enough information has been gathered to communicate the Situation, the Background, your Assessment, and your Recommendation (SBAR), select the Transfer Care button to end the patient exam and complete the SBAR activity

Results

1. Overview
2. Transcript
3. Subjective Data Collection
4. Objective Data Collection
5. Documentation
6. SBAR

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