Pathophysiology
Title:
Documentation of problem-based assessment of the neurological system.
Purpose of Assignment:
Learning the required components of documenting a problem based subjective and objective assessment of neurological system. Identify abnormal findings.
You will perform a history of a neurologic problem that you mor one that you have experienced and perform an assessment of the neurologic system. You will document your subjective and objective findings, identify actual or potential risks, and submit this in a Word document to the drop box provided.
Course Competency:
Apply assessment techniques for the neurological and respiratory systems.
Instructions:
Content: Use of three sections:
· Subjective
· Objective
· Actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them.
Format:
· Standard American English (correct grammar, punctuation, etc.)
· No Consideration for plagiarism
· WRITE NURSE PERSPECTIVE
· USE NURSE CONCEPT
· APA FORMAT 7EDITION, INTEXT CITATION, AND THREE REFERENCES
· 2PAGES
MAKE SURE FOLLOE Documentation Grading Rubric- 10 possible points
|
Levels of Achievement |
||||
|
Criteria |
Emerging |
Competence |
Proficiency |
Mastery |
|
Subjective (4 Pts) |
Missing components such as biographic data, medications, or allergies. Symptoms analysis is incomplete. May contain objective data.
|
Basic biographic data provided. Medications and allergies included. Symptoms analysis incomplete. Lacking detail. No objective data. |
Basic biographic data provided. Included list of medications and allergies. Symptoms analysis: PQRSTU completed. Lacking detail. No objective data. Information is solely what “client” provided. |
Basic biographic data provided. Included list of medications and allergies. Symptoms analysis: PQRSTU completed. Detailed. No objective data. Information is solely what “client” provided. |
|
|
Points: 1 |
Points: 2 |
Points: 3 |
Points:4 |
|
Objective (4 Pts) |
Missing components of assessment for particular system. May contain subjective data. May have signs of bias or explanation of findings. May have included words such as “normal”, “appropriate”, “okay”, and “good”.
|
Includes all components of assessment for particular system. Lacks detail. Uses words such as “normal”, “appropriate”, or “good”. Contains all objective information. May have signs of bias or explanation of findings. |
Includes all components of assessment for particular system. Avoided use of words such as “normal”, “appropriate”, or “good”. No bias or explanation for findings evident Contains all objective information |
Includes all components of assessment for particular system. Detailed information provided. Avoided use of words such as “normal”, “appropriate”, or “good”. No bias or explanation for findings evident. All objective information |
|
|
Points: 1 |
Points: 2 |
Points: 3 |
Points: 4 |
|
Actual or Potential Risk Factors (2 pts)
|
Lists one to two actual or potential risk factors for the client based on the assessment findings with no description or reason for selection of them. Failure to provide any potential or actual risk factors will result in zero points for this criterion. |
Brief description of one or two actual or potential risk factors for the client based on assessment findings with description or reason for selection of them. |
Limited description of two actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them. |
Comprehensive, detailed description of two actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them. |
|
|
Points: 0.5 |
Points: 1 |
Points: 1.5 |
Points: 2 |
Title:
Documentation of
problem
-
based
assessment of the
neurologic
al
system
.
Purpose of Assignment:
Learning
the required components of documenting a problem based subjective and objective
assessment
of
neurologic
al
system
. Identify abnormal
findings.
You will perform a history of a neurologic problem that you mor one that you have experienced
and perform an assessment of the neurologic system. You will document your subjective and
objective findings, identify actual or potential risks, and su
bmit this in a Word document to the
drop box provided.
Course Competency:
Apply assessment techniques for the neurological and respiratory systems.
Instructions:
Content:
Use of three sections:
o
Subjective
o
Objective
o
A
ctual or potential risk
factors for the client based on the assessment findings
with description or reason for selection of them.
Format
:
·
Standard American English (correct grammar, punctuation, etc.)
·
No Consideration for plagiarism
·
WRITE
NURSE
PERSPECTIVE
·
USE
NURSE
CONCEPT
·
APA FORMAT 7
EDITION, INTEXT
CITATION, AND THREE REFERENCES
·
2PAGES
MAKE SURE FOLLOE
Documentation Grading Rubric
-
10
possible points
Levels of Achievement
Criteria
Emerging
Competence
Proficiency
Mastery
Title:
Documentation of problem-based assessment of the neurological system.
Purpose of Assignment:
Learning the required components of documenting a problem based subjective and objective
assessment of neurological system. Identify abnormal findings.
You will perform a history of a neurologic problem that you mor one that you have experienced
and perform an assessment of the neurologic system. You will document your subjective and
objective findings, identify actual or potential risks, and submit this in a Word document to the
drop box provided.
Course Competency:
Apply assessment techniques for the neurological and respiratory systems.
Instructions:
Content: Use of three sections:
o Subjective
o Objective
o Actual or potential risk factors for the client based on the assessment findings
with description or reason for selection of them.
Format:
Standard American English (correct grammar, punctuation, etc.)
No Consideration for plagiarism
WRITE NURSE PERSPECTIVE
USE NURSE CONCEPT
APA FORMAT 7EDITION, INTEXT CITATION, AND THREE REFERENCES
2PAGES
MAKE SURE FOLLOE Documentation Grading Rubric- 10
possible points
Levels of Achievement
Criteria
Emerging Competence Proficiency Mastery