Clinical log

Instructions 1 (3000 words due date 5/5/2021 at 5pm)

Clinical Log

1.Need to use the word file to do the assignment

2.Clinical log record u just has to fill up this part according to the sample given (Provide brief demographic information, diagnosis and status of client/patient) for the diagnosis part need to choose 4 case on any of upper extremities and lower extremities

For example- upper extremities x2 case, lower extremities x2 case

2.Clinical log 4 need to do on upper extremities and lower extremities

3.no need write the Clinical practice activities carried out and achieved objective (s) of the week.just leave it blank.

Health assessment form

1. After done the clinical log choose one case from that 4 case to do the health assessment form. i want you to choose one case on lower extremities.

-this part u has fill up all the details about that one patient that we choose.

-for focused assessment part u should refer to physical examination notes pg 36-38

This is physical examination part, so u has to write a-z all the findings

For example,u need to write all this test finding ….just has to write the findings abt all this test findings.

Lower extremities

Inspection

Hips: symmetry deformities

Knees: symmetry alignment deformities

Shin & calf: symmetry colour hair muscle bulk

Ankles and feet: symmetry alignment deformities colour

Palpation Hips for: stability tenderness Knees for: tenderness warmth

Ankles and feet for: tenderness warmth

Palpation for pulses and circulation popliteal posterior tibial dorsalis pedis capillary refill

Range of motion (ROM):

Hips flexion with knee up to chest and back to knee flexed adduction abduction inward rotation outward rotation hip hyperextension

Knees: extension flexion

Ankles and feet: dorsiflexion plantar flexion inversion eversion toe flexion toe extension

Muscle strength Test strength by having the patient move against your resistance and always compare one side to the other.

Hips: 1. flexion at the hip —place your hand on the patient’s thigh and ask the patient to raise the leg against your hand

2. adduction at the hips —place your hands firmly on the bed between the patient’s knees. Ask the patient to bring both legs together

3. abduction at the hips —place your hands firmly on the bed outside the patient’s knees. Ask the patient to spread both legs against your hands

4. extension at the hips —have the patient push the posterior thigh down against your hand

Knees:

1. extension at the knee — support the knee in flexion and ask the patient to straighten the leg against your hand

2. flexion at the knee —place the patient’s leg so that the knee is flexed with the foot resting on the bed. Tell the patient to keep the foot down as you try to straighten the leg

Ankles and feet: Test plantar flexion at the ankle —ask the patient to push down the foot against your hand

NORMAL muscle grade strength is on a scale from 0 to 5 “out of five”

Grading Motor Strength Grade

Description

0/5 No muscle movement

1/5 Visible muscle movement, but no movement at the joint

2/5 Movement at the joint, but not against gravity

3/5 Movement against gravity, but not against added resistance

4/5 Movement against resistance, but less than normal

5/5 Normal strength: movement against gravity and resistance well

2.Genogram part need to include the legend.

Reflection

1.After complete the health assessment form need to do reflection use the template provided, which case u do for health assessment that case u must do reflection.

2.u has to write the reflection for that one case write more and accordingly.

1.support assessment finding with specific evidence…example must write down abnormal lab report

2. Able to differentiate normal and abnormal findings with support from references Need to use APA reference

3. I will upload one example file for reference that is how I need. (a-z how I need my assessment to be)but forcused assessment part I given the example ready u need to write the findings…we do all that assessment one by one the findings.ok

I have uploaded the ebook,physical examination file,for reference pls use.