Assignment 2: Digital Clinical Experience: Focused Exam: Cough
Assignment 2: Digital Clinical Experience: Focused Exam: Cough
Assignment 2: Digital Clinical Experience: Focused Exam: Cough
Assignment 2: Digital Clinical Experience:
Focused Exam: Cough
In this DCE Assignment, you will conduct a focused exam related to cough in your DCE
using the simulation tool, Shadow Health. You will determine what history should be
collected from the patient, what physical exams and diagnostic tests should be conducted,
and formulate a differential diagnosis with several possible conditions.
Photo Credit: Getty Images
To Prepare
Review this week's Learning Resources and consider the insights they provide related to
ears, nose, and throat.
Review the Shadow Health Resources provided in this week’s Learning Resources
specifically the tutorial to guide you through the documentation and interpretation within
the Shadow Health platform. Review the examples also provided.
Review the DCE (Shadow Health) Documentation Template for Focused Exam: Cough
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 5 Focused Exam: Cough Rubric provided in the Assignment
submission area for details on completing the Assignment in Shadow Health.
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?
Focused Exam: Cough Assignment:
Complete the following in Shadow Health:
Respiratory Concept Lab (Required)
Episodic/Focused Note for Focused Exam: Cough
HEENT (Recommended but not required)
Note: Each Shadow Health Assessment may be attempted and reopened as many times as
necessary prior to the due date to achieve a total of 80% or better (this includes your DCE and
your Documentation Notes), but you must take all attempts by the Week 5 Day 7 deadline.
Submission and Grading Information
By Day 7 of Week 5
Complete your Focused Exam: Cough DCE Assignment in Shadow Health via
the Shadow Health link in Blackboard.
Once you complete your Assignment in Shadow Health, you will need to
download your lab pass and upload it to the corresponding assignment in
Blackboard for your faculty review.
(Note: Please save your lab pass as “LastName_FirstName_AssignmentName”.)
You can find instructions for downloading your lab pass here:
https://link.shadowhealth.com/download-lab-pass
Once you submit your Documentation Notes to Shadow Health, make sure to copy and
paste the same Documentation Notes into your Assignment submission link below.
Download, sign, date, and submit your Student Acknowledgement Form found in the
Learning Resources for this week.
Grading Criteria
To access your rubric:
Week 5 Assignment 2 DCE Rubric
Submit Your Assignment by Day 7 of Week 5
To submit your Lab Pass:
Week 5 Lab Pass
To participate in this Assignment:
Week 5 Documentation Notes for Assignment 2
To Submit your Student Acknowledgement Form:
Submit your Week 5 Assignment 2 DCE Student Acknowledgement Form
What's Coming Up in Week 6?
Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images
Next week, you will evaluate abnormal findings in the area of the abdomen and the
gastrointestinal system. In addition, you will appraise health assessment techniques and
diagnoses for the heart, lungs, and peripheral vascular system as you complete your Lab
Assignment in assessing the abdomen in a SOAP note format. You will also take your
Midterm Exam, which covers the topics in Weeks 1–6. Please review the previous
weekly content and resources to help you prepare for your exam. Plan your time
accordingly.
Week 6 Required Media
Photo Credit: [fergregory]/[iStock / Getty Images Plus]/Getty Images
Next week, you will need to view several videos and animations in the Seidel’s Guide to
Physical Examination as well as other media, as required, prior to completing your Lab
Assignment. There are several videos of various lengths. Please plan ahead to ensure you
have time to view these media programs to complete your Assignment on time.
Next Week
To go to the next week:
Week 6
Learning Resources
Required Readings (click to expand/reduce)
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Seidel's guide to physical examination: An interprofessional approach (9th ed.).
St. Louis, MO: Elsevier Mosby.
Chapter 11, “Head and Neck”
This chapter reviews the anatomy and physiology of the head and neck.
The authors also describe the procedures for conducting a physical
examination of the head and neck.
Chapter 12, “Eyes”
In this chapter, the authors describe the anatomy and function of the eyes.
In addition, the authors explain the steps involved in conducting a physical
examination of the eyes.
Chapter 13, “Ears, Nose, and Throat”
The authors of this chapter detail the proper procedures for conducting a
physical exam of the ears, nose, and throat. The chapter also provides
pictures and descriptions of common abnormalities in the ears, nose, and
throat.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment
and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary
Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019
by Mosby. Reprinted by permission of Mosby via the Copyright Clearance
Center.
Chapter 15, “Earache”
This chapter covers the main questions that need to be asked about the patient’s
condition prior to the physical examination as well as how these questions lead to
a focused physical examination.
Chapter 21, “Hoarseness”
This chapter focuses on the most common causes of hoarseness. It provides
strategies for evaluating the patient, both through questions and through physical
exams.
Chapter 25, “Nasal Symptoms and Sinus Congestion”
In this chapter, the authors highlight the key questions to ask about the patients
symptoms, the key parts of the physical examination, and potential laboratory
work that might be needed to provide an accurate diagnosis of nasal and sinus
conditions.
Chapter 30, “Red Eye”
The focus of this chapter is on how to determine the cause of red eyes in a patient,
including key symptoms to consider and possible diagnoses.
Chapter 32, “Sore Throat”
A sore throat is one most common concerns patients describe. This chapter
includes questions to ask when taking the patient’s history, things to look for
while conducting the physical exam, and possible causes for the sore throat.
Chapter 38, “Vision Loss”
This chapter highlights the causes of vision loss and how the causes of the
condition can be diagnosed.
Note: Download the six documents (Student Checklists and Key Points) below,
and use them as you practice conducting assessments of the head, neck, eyes,
ears, nose, and throat.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Head and neck: Student checklist. In Seidel's guide to physical examination: An
interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W.,
Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by
Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences
via the Copyright Clearance Center.
Ball, J. W., Dains, J. E., Flynn, J. A., & Solomon, B. S., & Stewart, R. W. (2019).
Head and neck: Key points. In Seidel's guide to physical examination: An
interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W.,
Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by
Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences
via the Copyright Clearance Center.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Eyes: Student checklist. In Seidel's guide to physical examination: An
interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W.,
Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by
Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences
via the Copyright Clearance Center.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Eyes: Key points. In Seidel's guide to physical examination: An interprofessional
approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W.,
Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by
Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences
via the Copyright Clearance Center.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Ears, nose, and throat: Student checklist. In Seidel's guide to physical
examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier
Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W.,
Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by
Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences
via the Copyright Clearance Center.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Ears, nose, and throat: Key points. In Seidel's guide to physical examination: An
interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W.,
Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by
Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences
via the Copyright Clearance Center.
Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA:
F. A. Davis.
Credit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R.
Copyright 2015 by F. A. Davis Company. Reprinted by permission of F. A. Davis
Company via the Copyright Clearance Center.
Chapter 71, “Visual Function Evaluation: Snellen, Illiterate E, Pictorial
This section explains the procedural knowledge needed to perform eyes,
ears, nose, and mouth procedures.
Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia,
PA: F. A. Davis.
Chapter 2, "The Comprehensive History and Physical Exam" (Previously
read in Weeks 1, 3, 4, and 5)
Bedell, H. E., & Stevenson, S. B. (2013). Eye movement testing in clinical
examination. Vision Research 90, 32–37. doi:10.1016/j.visres.2013.02.001.
Retrieved from
https://www.sciencedirect.com/science/article/pii/S0042698913000217
Rubin, G. S. (2013). Measuring reading performance. Vision Research, 90, 43–51.
doi:10.1016/j.visres.2013.02.015. Retrieved from
http://www.sciencedirect.com/science/article/pii/S0042698913000436
Harmes, K. M., Blackwood, R. A., Burrows, H. L., Cooke, J. M., Harrison, R. V.,
& Passamani, P. P. (2013). Otitis media: Diagnosis and treatment. American
Family Physicians, 88(7), 435–440.
Otolaryngology Houston. (2014). Imaging of maxillary sinusitis (X-ray, CT, and
MRI). Retrieved from http://www.ghorayeb.com/ImagingMaxillarySinusitis.html
This website provides medical images of sinusitis, including X-rays, CT scans,
and MRIs (magnetic resonance imaging).
Document: Episodic/Focused SOAP Note Exemplar (Word document)
Document: Episodic/Focused SOAP Note Template (Word document)
Document: Midterm Exam Review (Word document)
Shadow Health Support and Orientation Resources
Frey, C. [Chris Frey]. (2015, September 4). Student orientation [Video file].
Retrieved from https://www.youtube.com/watch?v=Rfd_8pTJBkY
Shadow Health. (n.d.). Shadow Health help desk. Retrieved
from https://support.shadowhealth.com/hc/en-us
Document: Shadow Health. (2014). Useful tips and tricks (Version 2) (PDF)
Document: Student Acknowledgement Form (Word document)
Note: You will sign and date this form each time you complete your DCE
Assignment in Shadow Health to acknowledge your commitment to Walden
University’s Code of Conduct.
Document: DCE (Shadow Health) Documentation Template for Focused Exam:
Cough (Word document)
Use this template to complete your Assignment 2 for this week.
Optional Resource
Use the following resources to guide you through your Shadow Health orientation as well
as other support resources:
LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic
examination (10th ed.). New York, NY: McGraw Hill Medical.
Chapter 7, “The Head and Neck” (pp. 178–301)
This chapter describes head and neck examinations that can be made with general
clinical resources. Also, the authors detail syndromes of common head and neck
conditions.
Required Media (click to expand/reduce)
Assessment of the Head, Neck, Eyes, Ears, Nose, and Throat – Week 5 (29m)
Online media for Seidel's Guide to Physical Examination
It is highly recommended that you access and view the resources included with the course
text, Seidel's Guide to Physical Examination. Focus on the videos and animations in
Chapters 10, 11, and 12 that relate to the assessment of the head, neck, eyes, ears, nose,
and throat. Refer to the Week 4 Learning Resources area for access instructions on
https://evolve.elsevier.com/.
University of Iowa Ophthalmology. (2016, December 19). Fluorescein staining of
the cornea. Retrieved from https://vimeo.com/198695974
Credit Line: University of Iowa Ophthalmology. (n.d.). Fluorescein staining of the
cornea [Video file]. Retrieved from https://vimeo.com/198695974. The author(s)
and publishers acknowledge the University of Iowa and EyeRounds.org for
permission to reproduce this copyrighted material.
Note: Approximate length of this media program is 25 seconds.