In Week 3, you began your DCE: Health History Assessment. For this week, you will complete this Health History Assessment in your simulation tool, Shadow Health and finalize for submission. There are 2 parts to this assignment – the lab pass and the documentation. You must achieve a total score of 80% in order to pass this assignment. Carefully review the rubric and video presentation in order to fully understand the requirements of this assignment.
The DCE: Health History Assessment is a critical component of nursing education as it provides students with an opportunity to assess a patient’s health status and develop a comprehensive health history. This assessment helps nurses gather essential information about the patient’s past medical history, current health concerns, and overall health status. In this assignment, you will be using the simulation tool, Shadow Health, to complete the Health History Assessment.
The Health History Assessment consists of two parts – the lab pass and the documentation. The lab pass portion requires you to interact with the virtual patient in Shadow Health and gather information about their health history. This will involve asking the patient questions about their past medical history, family history, social history, and current health concerns. It is important to ask open-ended questions and use therapeutic communication techniques to ensure the patient feels comfortable sharing their information. Pay close attention to the patient’s responses and follow-up with appropriate probing questions to gather more detailed information.
During the lab pass section, you will also have the opportunity to conduct a comprehensive review of systems. This involves systematically assessing each body system and asking specific questions related to that system. This will help you identify any potential health issues that the patient may be experiencing and provide a more accurate assessment of their overall health status. Make sure to document all findings accurately and thoroughly during the lab pass portion.
Once you have completed the lab pass section, you will move on to the documentation portion of the assignment. In this part, you will be required to document the findings from the Health History Assessment in a comprehensive and organized manner. This documentation should include a summary of the patient’s past medical history, family history, social history, and current health concerns. It should also include a detailed review of systems and any abnormal findings that were identified during the assessment.
When documenting the findings, it is important to use accurate medical terminology and proper grammar and punctuation. The documentation should be clear, concise, and easy to understand. It should provide a comprehensive overview of the patient’s health status and serve as a reference for future care providers.
To pass this assignment, you must achieve a total score of 80%. This means that you must demonstrate a thorough understanding of the Health History Assessment and accurately document the findings. Carefully review the rubric and video presentation provided to ensure that you fully understand the requirements of the assignment. Take your time during the lab pass section to gather all necessary information and apply critical thinking skills to identify any potential health issues. Pay close attention to the documentation portion and ensure that all findings are accurately recorded.
Overall, the DCE: Health History Assessment is a valuable learning experience that allows nursing students to apply their knowledge and skills in a simulated environment. It provides an opportunity to practice communication techniques, critical thinking, and documentation skills. By completing this assignment successfully, you will be better prepared to conduct a comprehensive health history assessment in a real-world clinical setting.