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Assignment 2: Digital Clinical Experience (DCE): Health History Assessment

Assignment 2: Digital Clinical Experience (DCE): Health History Assessment Assignment 2: Digital Clinical Experience (DCE): Health History AssessmentA comprehensive health history is essential to providing quality care for patients across the lifespan, as it helps to properly identify health risks, diagnose patients, and develop individualized treatment plans. To effectively collect these heath histories, you must not only have strong communication skills, but also the ability to quickly establish trust and confidence with your patients. For this DCE Assignment, you begin building your communication and assessment skills as you collect a health history from a volunteer “patient.”Assignment 2: Digital Clinical Experience (DCE): Health History AssessmentPhoto Credit: Sam Edwards / Caiaimage / Getty ImagesTo PrepareReview this week’s Learning Resources as well as the Taking a Health History media program, and consider how you might incorporate these strategies. Download and review the Student Checklist: Health History Guide and the History Subjective Data Checklist, provided in this week’s Learning Resources, to guide you through the necessary components of the assessment.Access and login to Shadow Health using the link in the left-hand navigation of the Blackboard classroom.Review the Shadow Health Student Orientation media program and the Useful Tips and Tricks document provided in the week’s Learning Resources to guide you through Shadow Health.Review the Week 4 DCE Health History Assessment Rubric, provided in the Assignment submission area, for details on completing the Assignment.Assignment 2: Digital Clinical Experience (DCE): Health History AssessmentORDER A PLAGIARISM-FREE PAPER HEREDCE Health History Assessment:Complete the following in Shadow Health:Orientation (Required, you will not be able to access the Health History without completing the requirements). DCE Orientation (15 minutes)Conversation Concept Lab (50 minutes, Required)Health HistoryHealth History 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 total score of 80% or better(includes BOTH DCE and Documentation), but you must take all attempts by the Week 4 Day 7 deadline. Rubric Detail Select Grid View or List View to change the rubric’s layout.Assignment 2: Digital Clinical Experience (DCE): Health History AssessmentContentName: NURS_6512_Week_4_DCE_Assignment_2_RubricDescription: Note: To complete the Shadow Health assignments it is helpful to use the text and follow along with each chapter correlating to the area of assessment to assist in covering all the subjective questions. Review the Advanced Health Assessment Nursing Documentation Tutorial located in the Week 4 Resources, the model documentation in Shadow Health, as well as sample documentation in the text to assist with narrative documentation of the assessments. Do not copy any sample documentation as this is plagiarism. Shadow Health exams may be added to or repeated as many times as necessary prior to the due date to assist in achieving the desired score. You must pass this assignment with a total cumulative score of 79.5% or greater in order to pass this course.Assignment 2: Digital Clinical Experience (DCE): Health History AssessmentGrid ViewList ViewExcellentGoodFairPoorStudent 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.Points Range: 56 (56%) – 60 (60%)DCE score>93Assignment 2: Digital Clinical Experience (DCE): Health History AssessmentPoints Range: 51 (51%) – 55 (55%)DCE Score 86-92Points Range: 46 (46%) – 50 (50%)DCE Score 80-85Points Range: 0 (0%) – 45 (45%)DCE Score <79No DCE completed.Assignment 2: Digital Clinical Experience (DCE): Health History AssessmentSubjective Documentation in Provider NotesSubjective narrative documentation in Provider Notes 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.Assignment 2: Digital Clinical Experience (DCE): Health History AssessmentPoints Range: 36 (36%) – 40 (40%)Documentation is detailed and organized with all pertinent information noted in professional language.Assignment 2: Digital Clinical Experience (DCE): Health History AssessmentDocumentation 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).Points Range: 31 (31%) – 35 (35%)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).Points Range: 26 (26%) – 30 (30%)Documentation with inadequate details and/or organization; and inadequate pertinent information noted in professional language.Assignment 2: Digital Clinical Experience (DCE): Health History AssessmentLimited 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).Assignment 2: Digital Clinical Experience (DCE): Health History AssessmentPoints Range: 0 (0%) – 25 (25%)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).orNo documentation provided. Total Points: 100Name: NURS_6512_Week_4_DCE_Assignment_2_RubricDescription: Note: To complete the Shadow Health assignments it is helpful to use the text and follow along with each chapter correlating to the area of assessment to assist in covering all the subjective questions. Review the Advanced Health Assessment Nursing Documentation Tutorial located in the Week 4 Resources, the model documentation in Shadow Health, as well as sample documentation in the text to assist with narrative documentation of the assessments. Do not copy any sample documentation as this is plagiarism. Shadow Health exams may be added to or repeated as many times as necessary prior to the due date to assist in achieving the desired score. You must pass this assignment with a total cumulative score of 79.5% or greater in order to pass this course. Assignment 2: Digital Clinical Experience (DCE): Health History Assessment

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