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Complete the "Health Assessment Check-Off Project" template (See Attachment) using a patient with whom you have previously worked

Nursing Nov 08, 2022

Complete the "Health Assessment Check-Off Project" template (See Attachment) using a patient with whom you have previously worked. Ensure that you have adequately completed the assessment steps and given a proper recommendation.

This assignment uses a rubric. Please review the Rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

Rubric:

Rubric Criteria

Collapse All Rubric CriteriaCollapse All

Chief Complaint

6 points

Criteria Description

Chief Complaint

5. Target

6 points

A description of the chief complaint is extremely thorough and includes substantial details.

4. Acceptable

5.52 points

A description of the chief complaint is complete and lacks supporting details.

3. Approaching

5.28 points

A description of the chief complaint is included but lacks details.

2. Insufficient

4.8 points

A description of the chief complaint is incorrect or incomplete.

1. Unsatisfactory

0 points

A description of the chief complaint is not included.

History of Present Illness

6 points

Criteria Description

History of Present Illness

5. Target

6 points

A description of present history of illness is extremely thorough and includes substantial details.

4. Acceptable

5.52 points

A description of present history of illness is complete and lacks supporting details.

3. Approaching

5.28 points

A description of present history of illness is included but lacks details.

2. Insufficient

4.8 points

A description of present history of illness is incorrect or incomplete.

1. Unsatisfactory

0 points

A description of present history of illness is not included.

Past Medical History (Hx)

6 points

Criteria Description

Past Medical History (Hx)

5. Target

6 points

A description of past medical history is extremely thorough and includes substantial details.

4. Acceptable

5.52 points

A description of past medical history is complete and lacks supporting details.

3. Approaching

5.28 points

A description of past medical history is included but lacks details.

2. Insufficient

4.8 points

A description of past medical history is incorrect or incomplete.

1. Unsatisfactory

0 points

A description of past medical history is not included.

Past Surgical Hx

6 points

Criteria Description

Past Surgical Hx

5. Target

6 points

A description of past surgical history is extremely thorough and includes substantial details.

4. Acceptable

5.52 points

A description of past surgical history is complete and lacks supporting details.

3. Approaching

5.28 points

A description of past surgical history is included but lacks details.

2. Insufficient

4.8 points

A description of past surgical history is incorrect or incomplete.

1. Unsatisfactory

0 points

A description of past surgical history is not included.

Family Hx

6 points

Criteria Description

Family Hx

5. Target

6 points

A description of family history is extremely thorough and includes substantial details.

4. Acceptable

5.52 points

A description of family history is complete and lacks supporting details.

3. Approaching

5.28 points

A description of family history is included but lacks details.

2. Insufficient

4.8 points

A description of family history is incorrect or incomplete.

1. Unsatisfactory

0 points

A description of family history is not included.

Social Hx

6 points

Criteria Description

Social Hx

5. Target

6 points

A description of social history is extremely thorough and includes substantial details.

4. Acceptable

5.52 points

A description of social history is complete and lacks supporting details.

3. Approaching

5.28 points

A description of social history is included but lacks details.

2. Insufficient

4.8 points

A description of social history is incorrect or incomplete.

1. Unsatisfactory

0 points

A description of social history is not included.

Allergies

6 points

Criteria Description

Allergies

5. Target

6 points

A description of allergies is extremely thorough and includes substantial details.

4. Acceptable

5.52 points

A description of allergies is complete and lacks supporting details.

3. Approaching

5.28 points

A description of allergies is included but lacks details.

2. Insufficient

4.8 points

A description of allergies is incorrect or incomplete.

1. Unsatisfactory

0 points

A description of allergies is not included.

Medications

6 points

Criteria Description

Medications

5. Target

6 points

A description of medications is extremely thorough and includes substantial details.

4. Acceptable

5.52 points

A description of medications n is complete and lacks supporting details.

3. Approaching

5.28 points

A description of medications is included but lacks details.

2. Insufficient

4.8 points

A description of medications is incorrect or incomplete.

1. Unsatisfactory

0 points

A description of medications is not included.

Review of Symptoms by System

6 points

Criteria Description

Review of Symptoms by System

5. Target

6 points

A review of symptoms by system is extremely thorough and includes substantial details.

4. Acceptable

5.52 points

A review of symptoms by system is complete and lacks supporting details.

3. Approaching

5.28 points

A review of symptoms by system is included but lacks details.

2. Insufficient

4.8 points

A review of symptoms by system is incorrect or incomplete.

1. Unsatisfactory

0 points

A review of symptoms by system is not included.

Physical Exam

6 points

Criteria Description

Physical Exam

5. Target

6 points

A description of the steps taken during the physical exam is extremely thorough and includes substantial details.

4. Acceptable

5.52 points

A description of the steps taken during the physical exam is complete and lacks supporting details.

3. Approaching

5.28 points

A description of the steps taken during the physical exam is included but lacks details.

2. Insufficient

4.8 points

A description of the steps taken during the physical exam is incorrect or incomplete.

1. Unsatisfactory

0 points

A description of the steps taken during the physical exam is not included.

Assessment

6 points

Criteria Description

Assessment

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