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Musculoskeletal Results | Turned In Health Assessment - Remediation/Refresher - January 2021, CCE 705 and 701 Return to Assignment (/assignments/432170/)

Your Results

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Lab Pass (/assignment_attempts/9283065/lab_pass.pdf)

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Transcript Started: Mar 04, 2021 | Total Time: 43 min Subjective Data Collection All Lines (134)

Interview Questions (35)

Statements (5)

Exam Actions (94)

Objective Data Collection Documentation

Hello!

Question 03/04/21 1:45 AM EST

Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this information as it will help guide your exam. At the end of this prebrief, you will answer a short question about the upcoming assignment. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript.

What is the situation?

Question 03/04/21 1:48 AM EST

It's 8 a.m. on Tina Jones' second morning as a patient here at Shadow General Hospital. Ms. Jones has a physical therapy consultation later today. Your role in this simulation is that of healthcare provider who will perform a full musculoskeletal system exam on Ms. Jones so that her therapist can understand Ms. Jones' musculoskeletal health and customize therapy accordingly.

What are my objectives in this assessment?

Question 03/04/21 1:49 AM EST

In your interview with Ms. Jones, you will ask about her musculoskeletal system and identify any risk factors or complications. If you discover any disease states, ask about symptoms and the patient's experiences of them. Your questioning should cover a broad array of the symptoms' characteristics. You will also inquire into the health history of Ms. Jones' family with regards to the musculoskeletal system so you can determine her genetic predisposition to any diseases. Regardless of whether you have assessed Tina previously, ask all questions that are medically relevant to her musculoskeletal system. In addition to collecting subjective data, you will perform a physical exam on Ms. Jones' musculoskeletal system to gather objective data about the system's health and physiology. While you should communicate with patients using accessible, everyday language, it is standard practice to use professional medical terminology everywhere else, such as in documenting physical findings and nursing notes. You may complete the exam activities in any order and move between them as needed.

What else will this exam involve?

Question 03/04/21 1:50 AM EST

You will complete nursing tasks to protect the patients safety, privacy, and health. You can document your findings, including vital signs, in the Electronic Health Record. This record provides necessary information for healthcare professionals who will continue patient care. Activities other than Subjective and Objective Data Collection, such as Documentation and Education and Empathy, provide valuable practice for their real-world counterparts. However, they are not automatically graded by the simulation.

How will I be evaluated?

Question 03/04/21 1:50 AM EST

In this assignment, you will be evaluated on your Subjective and Objective Data Collection. The evaluation of your interview is dependent on how you word your questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and depth. The evaluation of your physical exam is based on how successfully you report on your physical findings by selecting among clinical terms in the Electronic Health Record. This assignment takes on average between 50 and 60 minutes. You can pause and resume the assignment at any time; your work is always saved automatically.

How does this assignment prepare me for the real world?

Question 03/04/21 1:50 AM EST

In this assessment, you will become familiarized with the structure and content of musculoskeletal exams so that with real-life patients, you can: º ask effective and comprehensive questions º use therapeutic language º evaluate the patient's risk of disease, infection, injury, and complications º and obtain and assess objective data. In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What precautions should you take with a patient that is a fall risk?

For a patient that is a fall risk, always make sure the have the bed rails up and in the low position, call light is in reach, non skid socks on. Also always tell the patient to call before getting up.

Statement 03/04/21 1:52 AM EST

Time to begin.

Hello Tina, my name is Emily and i'll be your nurse today.

Greet 03/04/21 1:52 AM EST

Hey.

Can you tell me your name and date of birth please?

Question 03/04/21 1:52 AM EST

My name's Tina Jones, and my birthday's February 17th.

Perfect thank you. (No matching questions found.)

Perfect thank you. So what brings you in today? (Clarified to What brings you in today?.)

Question 03/04/21 1:53 AM EST

Question 03/04/21 1:53 AM EST

Uh, I came in two nights ago because my foot was hurting. They said it was infected. (Clarified to why I came in.)

Oh no! That doesn't sound good. Hopefully we can get you to feeling better soon!

Thanks.

Empathize 03/04/21 1:53 AM EST

How is your pain right now?

Question 03/04/21 1:54 AM EST

My foot is still sore, but it's feeling better since I've been here.

Okay, so what is your pain level on a scale of 1-10? (Clarified to Can you rate your current pain level on a scale of 0 to 10?.)

Question 03/04/21 1:54 AM EST

I'd give it a 5 or 6 out of 10 right now. (Clarified to how I would rate my pain on a scale.)

What does this pain in your foot feel like?

Question 03/04/21 1:54 AM EST

It's just sore now. It's not throbbing or sharp anymore or anything.

Okay well thats good to hear!

Empathize 03/04/21 1:55 AM EST

Thanks.

I'm going to ask you a few questions.

Question 03/04/21 1:55 AM EST

Ok. What about?

Had you had any joint pain?

Question 03/04/21 1:55 AM EST

My joints don't usually hurt, no.

How is your mobility?

Question 03/04/21 1:55 AM EST

I can walk by myself now, but it still hurts a lot.

Okay when you walk what pain rating would you say it is?

Question 03/04/21 1:56 AM EST

It still hurts a lot to walk on. I'd say at least 7, maybe 8.

Are you able to stand on your foot?

Question 03/04/21 1:56 AM EST

Last time I tried to stand normally it really hurt my foot, but at least I was able to stand on it. I'm hoping it'll be better soon. The sooner we get you up walking the better. Decreased mobility can cause a decrease in your health.

Educate 03/04/21 1:57 AM EST

Thanks for telling me.

Are your muscles sore?

It's not my muscles that are hurting.

Question 03/04/21 1:57 AM EST

How are the joints in your foot? (Clarified to How do your ankle joints feel?.)

Question 03/04/21 1:57 AM EST

It hurts my foot a little to move my ankle, but my ankle feels fine. (Clarified to how my ankle joints feel.)

Has your foot effected you at work?

Question 03/04/21 1:58 AM EST

Yeah, it got a lot worse 2 days ago. It was noticeably more painful.

Has your job been impacted because of your foot wound?

Question 03/04/21 1:59 AM EST

I couldn't really do much at all the last couple days without help. I'm glad my mom and sister were there to help, and the nurses here, too. Now, though, I feel like I can start to do things for myself again. My foot still hurts, but not nearly as bad.

Are you still working? (Clarified to Have you been able to work?.)

Question 03/04/21 1:59 AM EST

I've had to miss work for sure--I'm on my feet all day for my job, and that obviously wouldn't work with my foot the way it is, if I could even get over there. (Clarified to if I have been able to work.)

That must be very frustrating for you

Empathize 03/04/21 1:59 AM EST

Thanks.

Do you have any joint stiffness?

Question 03/04/21 2:00 AM EST

No, I'm not stiff anywhere now.

Back pain? (Clarified to Do you have back pain?.)

Question 03/04/21 2:00 AM EST

No, I don't usually have back pain. (Clarified to if I have back pain.)

Any muscle INJURY'S?

Question 03/04/21 2:00 AM EST

No, I don't think so.

Any joint injuries?

Question 03/04/21 2:00 AM EST

No, not really.

Do you have a history of fractures?

Question 03/04/21 2:00 AM EST

I've never broken a bone or anything like that.

Have you ever sprained anything?

Question 03/04/21 2:01 AM EST

No, I don't think I ever have.

How does your neck feel?

Question 03/04/21 2:01 AM EST

My neck feels normal to me.

Have you had any muscle problems in the past?

Question 03/04/21 2:01 AM EST

I don't have any problems with my muscles.

Do you have a history of falls?

Question 03/04/21 2:01 AM EST

Last week was the only time I can really remember falling.

Any family of osteoporosis?

Question 03/04/21 2:02 AM EST

No one in the family has osteoporosis that I know of.

Any family history of Joint problems?

Question 03/04/21 2:02 AM EST

I don't know of any joint problems in the family.

Any family history of bone cancer?

Question 03/04/21 2:02 AM EST

Oh wow -- no, not that I know of.

Okay good!

Empathize 03/04/21 2:02 AM EST

Thanks.

I am going to do your assessment now (Clarified to May I assess you?.)

Question 03/04/21 2:02 AM EST

Sure. (Clarified to if I may assess you.)

Vitals measured

Inspected front of neck

Inspected left side of neck

Inspected back of neck

Inspected right side of neck

Exam Action 03/04/21 2:03 AM EST

Exam Action 03/04/21 2:04 AM EST

Exam Action 03/04/21 2:04 AM EST

Exam Action 03/04/21 2:04 AM EST

Exam Action 03/04/21 2:04 AM EST

Inspected front of neck

Inspected shoulders from the front

Inspected left shoulder

Exam Action 03/04/21 2:04 AM EST

Exam Action 03/04/21 2:05 AM EST

Exam Action 03/04/21 2:05 AM EST

Inspected upper back

Exam Action 03/04/21 2:05 AM EST

Inspected right shoulder

Exam Action 03/04/21 2:05 AM EST

Inspected shoulders from the front

Inspected left arm

Inspected right arm

Exam Action 03/04/21 2:05 AM EST

Exam Action 03/04/21 2:05 AM EST

Exam Action 03/04/21 2:05 AM EST

Inspected left elbow

Exam Action 03/04/21 2:05 AM EST

Inspected right elbow

Exam Action 03/04/21 2:06 AM EST

Inspected right wrist

Inspected both wrists

Inspected left wrist

Inspected right hand

Inspected both hands

Inspected left hand

Exam Action 03/04/21 2:07 AM EST

Exam Action 03/04/21 2:07 AM EST

Exam Action 03/04/21 2:07 AM EST

Exam Action 03/04/21 2:07 AM EST

Exam Action 03/04/21 2:07 AM EST

Exam Action 03/04/21 2:07 AM EST

Inspected front of hips

Exam Action 03/04/21 2:07 AM EST

Inspected left side of hips

Exam Action 03/04/21 2:07 AM EST

Inspected back of hips

Inspected right side of hips

Exam Action 03/04/21 2:07 AM EST

Exam Action 03/04/21 2:07 AM EST

Inspected front of hips

Inspected front of thighs

Inspected left thigh

Exam Action 03/04/21 2:07 AM EST

Exam Action 03/04/21 2:07 AM EST

Exam Action 03/04/21 2:07 AM EST

Inspected back of thighs

Exam Action 03/04/21 2:07 AM EST

Inspected right thigh

Exam Action 03/04/21 2:07 AM EST

Inspected front of knees

Inspected left knee

Inspected back of knees

Exam Action 03/04/21 2:08 AM EST

Exam Action 03/04/21 2:08 AM EST

Exam Action 03/04/21 2:08 AM EST

Inspected right knee

Exam Action 03/04/21 2:08 AM EST

Inspected front of knees

Exam Action 03/04/21 2:08 AM EST

Inspected front of legs

Inspected left leg

Inspected back of legs

Inspected right leg

Inspected front of legs

Inspected right leg

Exam Action 03/04/21 2:08 AM EST

Exam Action 03/04/21 2:08 AM EST

Exam Action 03/04/21 2:08 AM EST

Exam Action 03/04/21 2:08 AM EST

Exam Action 03/04/21 2:08 AM EST

Exam Action 03/04/21 2:09 AM EST

Inspected back of legs

Exam Action 03/04/21 2:09 AM EST

Inspected left leg

Exam Action 03/04/21 2:09 AM EST

Inspected left ankle

Inspected both ankles

Exam Action 03/04/21 2:09 AM EST

Exam Action 03/04/21 2:09 AM EST

Inspected right ankle

Inspected both ankles

Inspected left ankle

Exam Action 03/04/21 2:09 AM EST

Exam Action 03/04/21 2:09 AM EST

Exam Action 03/04/21 2:09 AM EST

Inspected left foot

Exam Action 03/04/21 2:09 AM EST

Inspected top of feet

Exam Action 03/04/21 2:10 AM EST

Inspected right foot

Inspected soles of feet: Right: Laceration and swelling, expected curvature. Left: No visible abnormal findings, expected curvature.

Inspected left foot

Exam Action 03/04/21 2:10 AM EST

Exam Action 03/04/21 2:10 AM EST

Exam Action 03/04/21 2:12 AM EST

Inspected top of feet

Exam Action 03/04/21 2:12 AM EST

Inspected right foot

Exam Action 03/04/21 2:12 AM EST

Inspected soles of feet: Right: Laceration and swelling, expected curvature. Left: No visible abnormal findings, expected curvature.

Tested ROM of neck - extension: Expected

Tested ROM of neck - flexion: Expected

Tested ROM of neck - lateral bending: Expected

Tested ROM of neck - rotation: Expected

Tested ROM of shoulders - adduction: Expected

Exam Action 03/04/21 2:12 AM EST

Exam Action 03/04/21 2:14 AM EST

Exam Action 03/04/21 2:14 AM EST

Exam Action 03/04/21 2:14 AM EST

Exam Action 03/04/21 2:14 AM EST

Exam Action 03/04/21 2:14 AM EST

Tested ROM of shoulders - extension: Expected

Exam Action 03/04/21 2:18 AM EST

Tested ROM of shoulders - flexion: Expected

Exam Action 03/04/21 2:19 AM EST

Tested ROM of elbows - flexion and extension: Expected

Tested ROM of elbows - supination and pronation: Expected

Exam Action 03/04/21 2:19 AM EST

Exam Action 03/04/21 2:19 AM EST

Tested ROM of wrists - ulnar and radial deviation: Expected

Tested ROM of wrists - extension: Expected

Tested ROM of wrists - flexion: Expected

Exam Action 03/04/21 2:19 AM EST

Exam Action 03/04/21 2:20 AM EST

Exam Action 03/04/21 2:20 AM EST

Tested spinal ROM - extension: Expected

Exam Action 03/04/21 2:20 AM EST

Tested spinal ROM - flexion: Expected

Exam Action 03/04/21 2:20 AM EST

Tested spinal ROM - lateral bending: Expected

Tested spinal ROM - rotation to the left: Expected

Tested spinal ROM - rotation to the right: Expected

Exam Action 03/04/21 2:21 AM EST

Exam Action 03/04/21 2:21 AM EST

Exam Action 03/04/21 2:21 AM EST

Tested ROM of hips - abduction: Expected

Exam Action 03/04/21 2:21 AM EST

Tested ROM of hips - adduction: Expected

Exam Action 03/04/21 2:22 AM EST

Tested ROM of hips - extension: Expected

Tested ROM of hips - flexion: Expected

Tested ROM of knees - extension: Expected

Tested ROM of knees - flexion: Expected

Tested ROM of ankles - inversion and eversion: Expected

Tested ROM of ankles - dorsiflexion and plantar flexion: Right, reduced dorsi- and plantar flexion; Left, expected

Exam Action 03/04/21 2:22 AM EST

Exam Action 03/04/21 2:22 AM EST

Exam Action 03/04/21 2:22 AM EST

Exam Action 03/04/21 2:22 AM EST

Exam Action 03/04/21 2:23 AM EST

Exam Action 03/04/21 2:23 AM EST

Tested neck strength - head down: 5/5

Exam Action 03/04/21 2:24 AM EST

Tested neck strength - head turned to the left: 5/5

Exam Action 03/04/21 2:24 AM EST

Tested neck strength - head tilted to the left: 5/5

Tested neck strength - head turned to the right: 5/5

Exam Action 03/04/21 2:25 AM EST

Exam Action 03/04/21 2:25 AM EST

Tested right and left shoulder strength: 5/5

Tested elbow strength during extension: 5/5

Tested elbow strength during flexion: 5/5

Exam Action 03/04/21 2:25 AM EST

Exam Action 03/04/21 2:25 AM EST

Exam Action 03/04/21 2:26 AM EST

Tested wrist strength during extension - up: 5/5

Exam Action 03/04/21 2:26 AM EST

Tested wrist strength during extension - down: 5/5

Exam Action 03/04/21 2:26 AM EST

Tested right and left hand strength with grip test: 5/5

Tested right and left hip strength: 5/5

Tested right and left knee strength: 5/5

Tested right and left ankle strength: Right 4/5, Left 5/5

Exam Action 03/04/21 2:26 AM EST

Exam Action 03/04/21 2:27 AM EST

Exam Action 03/04/21 2:27 AM EST

Exam Action 03/04/21 2:27 AM EST

Comments If your instructor provides individual feedback on this assignment, it will appear here.

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