NR509 Assignment Week 3: i-Human Virtual Patient Encounter

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Course
NR509 Advanced Physical Assessment

Purpose:
This assignment allows nursing students to practice advanced assessment, documentation, and clinical decision-making skills in a simulated patient encounter using the i-Human platform. It focuses on gathering data, identifying key findings, creating problem statements, and developing a management plan.

Step-by-Step Approach to Completing the i-Human Case:

  1. Focused Health History
    1. Complete a focused health history. Scores are automatically calculated within the i-Human platform when the health history is submitted.
  2. Focused Physical Exam
    1. Complete a focused physical exam. Scores are automatically calculated within the i-Human platform when the health history is submitted.
  3. EHR Documentation (Subjective Data): Document the history of present illness (HPI) and focused review of systems (ROS). Documentation must be:
    1. accurate
    2. detailed
    3. written using professional terminology
    4. pertinent to the chief complaint
    5. includes subjective findings only
  4. EHR Documentation (Objective Data): Document physical exam findings. Documentation must be:
    1. accurate
    2. detailed
    3. written using professional terminology
    4. pertinent to the chief complaint
    5. include objective findings only
  5. Key Findings: Organize key findings from the history and physical exam.
  6. Problem Statement: Document a brief, accurate problem statement using professional language. Include the following components:
    1. name or initials, age
    2. chief complaint
    3. positive and negative subjective findings
    4. positive and negative objective findings
  7. Management Plan: Use the expert diagnosis provided to create a pertinent comprehensive evidence-based management plan. If a specific component of the management plan is not warranted (i.e., no referrals are appropriate for the virtual patient) document that no intervention is warranted. Include the following components:
    1. diagnostic tests
    2. medications: type a specific prescription for each medication, including over-the-counter medications
    3. suggested consults/referrals
    4. client education
    5. follow-up, including time interval and specific symptomatology to prompt a sooner return
    6. cite at least one relevant scholarly source and provide rationale for interventions as defined by program expectations

Key Concepts to Focus On:

  • Accurate data collection (subjective & objective)

  • Professional EHR documentation

  • Identification of key findings and problem prioritization

  • Evidence-based management planning

  • Integration of scholarly sources to support interventions

Sample Solution

Address the following question: How would the management plan change for the Week 3 virtual patient if the patient were uninsured?

If the Amanda Wheaton was uninsured, the management plan would require modifications to ensure both affordability and access to essential care. For diagnostics, while a throat culture or rapid antigen detection test (RADT) is ideal for confirming Group A Streptococcus, cost considerations may necessitate relying more heavily on clinical criteria such as the Centor score to guide treatment decisions without extensive testing.……Click below to access the full sample solution (PDF)