Digital Clinical Experience: Assessing The Heart Discussion 2
In order to adequately assess the chest region of a patient, nurses need to be aware of a patient’s history, potential abnormal findings, and what physical exams and diagnostic tests should be conducted to determine the causes and severity of abnormalities.
In this DCE Assignment, you will conduct a focused exam related to chest pain using the simulation too, Shadow Health. Consider how a patient’s initial symptoms can result in very different diagnoses when further assessment is conducted.
Take a moment to observe your breathing. Notice the sensation of your chest expanding as air flows into your lungs. Feel your chest contract as you exhale. How might this experience be different for someone with chronic lung disease or someone experiencing an asthma attack?
To Prepare
Review this week’s Learning Resources and the Advanced Health Assessment and Diagnostic Reasoning media program and consider the insights they provide related to heart, lungs, and peripheral vascular system.
Review the Shadow Health Resources provided in this week’s Learning Resources specifically the tutorial to guide you through the documentation and interpretation with the Shadow Health platform. Review the examples also provided.
Review the DCE (Shadow Health) Documentation Template for Focused Exam: Chest Pain found in this week’s Learning Resources and use this template to complete your Documentation Notes for this DCE Assignment.
Access and login to Shadow Health using the link in the left-hand navigation of the Blackboard classroom.
Review the Week 7 DCE Focused Exam: Chest Pain Rubric provided in the Assignment submission area for details on completing the Assignment in Shadow Health.
Consider what history would be necessary to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
DCE Focused Exam: Chest Pain Assignment:
Complete the following in Shadow Health:
Cardiovascular Concept Lab (Required)
Respiratory(Recommended but not required)
Cardiovascular (Recommended but not required)
Episodic/Focused Note for Focused Exam (Required): Chest Pain
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Digital Clinical Experience: Heart Assessment 2
To properly examine a patient’s chest, nurses must be aware of their history, any abnormal findings, and the appropriate physical exams and diagnostic procedures to determine the reasons and degree of abnormalities.
In this DCE Assignment, you will also use Shadow Health to conduct a targeted Assessment on chest pain. Consider how a patient’s early symptoms might lead to wildly divergent diagnosis.
Observe your breathing for a while. Feel your chest expand as air enters your lungs. Exhale with your chest contracted. How may this alter for someone with chronic lung illness or an asthma attack?
Prepared
The heart, lungs, and peripheral vascular system are discussed in this week’s Learning Resources and media presentation.
Review the Shadow Health Resources in this week’s Learning Resources, especially the tutorial on the Shadow Health platform’s documentation and interpretation. Examine the examples.
The DCE (Shadow Health) Documentation Template for Focused Exam: Chest Pain may be found in this week’s Learning Resources.
Login to Shadow Health using the link in the Blackboard classroom’s left navigation.
Check out the Week 7 DCE Focused Exam: Chest Pain Rubric in the Assignment submission area for more information.
Consider the patient’s history.
Consider what physical exams and diagnostic testing are needed to learn more about the patient. How are the results used to diagnose?
DCE Exam: Chest Pain Task:
Completing this in Shadow Health:
Cardiovascular Lab (Required)
pulmonary (Recommended but not required)
Circulatory (Recommended but not required)
Notes for Focused Exam (Required): Coughing
