NSG 500 Comprehensive Soap on Tina Jonas

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ComprehensiveHealthHistoryandPhysicalInstructions1.docx

NSG 500: Comprehensive Health History and Physical Examination Guidelines: Advanced Health Assessment

Each student will complete a comprehensive health history and physical examination write-up following the format from Seidel’s Guide to Physical Examination 9th edition (Ball et al., 2019) using all of the information from Tina Jones, the virtual patient in Shadow Health. The written assignment is documentation of the findings and should demonstrate application of course content and follow the criteria in the grading rubric.

Content

Using the virtual patient “Tina” perform a health history and physical exam.

Grade percentage

Chief Complaint and History of Present Illness

5%

Past Medical and surgical History

5%

Medications and Allergies

5%

Family History

5%

Social History

5%

Review of Systems (see page 811 Seidel for example)

15%

Physical Examination ( include only objective findings determined by the ROS in other words FOCUSED physical)

40%

Assessment and Plan

5%

Utilizes appropriate terminology

5%

Follow appropriate format

10%

Total Percent

100%