Academic Clinical History and Physical Note
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StudentAssignment.pdf
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Muhammad Aft... GCU Student
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ANP Clinical History and Physical Note No of Criteria: 7 Achievement Levels: 5
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Criteria
Description Percentage 1: Unsatisfactory 2: Less Than Satisfa… 3: Satisfactory
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Content 70.0
History and Physical Note (Chief Complaint, HPI, Patient History, Home Medications, Review of Systems, Vital Signs, Physical Exam, Test Results)
20.0 The history and physical note is not included.
The history and physical note is incomplete or otherwise deficient.
The history and physical note isThe history and physical note is present, but only minimal detail orpresent, but only minimal detail or support is provided.support is provided.
Assessment and Clinical Impressions (Identification of Three Differential Diagnoses, List of Acute and Chronic Diagnoses, List of Diagnoses and Conditions in Priority Order)
20.0 The assessment and clinical impressions are not included.
The assessment and clinical impressions are incomplete or otherwise deficient.
The assessment and clinical impressions are present, but only minimal detail or support is provided.
Plan Component Management and Criteria Incorporation (Interventions, Disposition, Expected Outcomes, Health Education, and Case Summary)
20.0 The plan component management and plan criteria incorporation are not included.
The plan component management and plan criteria incorporation are incomplete or otherwise deficient.
The plan component managementThe plan component management and plan criteria incorporation areand plan criteria incorporation are present, but only minimal detail orpresent, but only minimal detail or support is provided.support is provided.
Peer-Reviewed Articles 10.0 Three peer-reviewed articles are not included.
Fewer than three peer-reviewed articles are provided.
N/A
Organization and Effectiveness 10.0
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
10.0 Surface errors are pervasive enough that they impede communication of meaning.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and
Muhammad, for your ROS and physical exam, you should include at least 12-14 body systems and list them all.
Muhammad, it would be more effective to list your plan as an order set as you would in the hospital and to break down each section
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Inappropriate word choice or sentence construction is used.
present. Sentence structure is correct but not varied.
audience-appropriate language are employed.
Format 20.0
Paper Format (Use of appropriate style for the major and assignment)
10.0 Template is not used appropriately or documentation format is rarely followed correctly.
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
Template is used, and formatting is correct, although some minor errors may be present.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
10.0 Sources are not documented. Documentation of sources is
inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Total Percentage 100 Total Points Earned:
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