NR509 Assignment Week 6: 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 reasoning in a simulated virtual patient scenario. The focus is on collecting relevant data, identifying key findings, creating a problem statement, and developing a management plan aligned with evidence-based practice.

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

  1. Focused Health History

    • Complete a focused health history in the i-Human platform.

    • Tip: Collect subjective information related to the patient’s chief complaint. Include onset, severity, associated symptoms, and any relevant medical history.

  2. Focused Physical Exam

    • Perform a focused physical exam.

    • Tip: Include only objective findings pertinent to the chief complaint. Organize your findings logically.

  3. EHR Documentation (Subjective Data)

    • Document the history of present illness (HPI) and focused review of systems (ROS).

    • Requirements:

      • Accurate and detailed

      • Professional terminology

      • Pertinent to the chief complaint

      • Subjective findings only

    • Tip: Double-check spelling and medical terminology to maintain professionalism.

  4. EHR Documentation (Objective Data)

    • Document the results of your focused physical exam.

    • Requirements:

      • Accurate and detailed

      • Professional terminology

      • Pertinent to the chief complaint

      • Objective findings only

  5. Key Findings

    • Organize the most important findings from the health history and physical exam.

    • Tip: Include positive and negative findings that are relevant to forming a clinical impression.

  6. Problem Statement

    • Write a concise, professional problem statement that includes:

      • Patient initials or name, age

      • Chief complaint

      • Positive and negative subjective findings

      • Positive and negative objective findings

    • Tip: Keep it brief but thorough enough to clearly reflect the patient’s condition.

  7. Management Plan

    • Create an evidence-based management plan using the expert diagnosis. Include:

      • Diagnostic tests

      • Medications (specific prescriptions including OTC)

      • Consults or referrals, if indicated

      • Patient education

      • Follow-up instructions with timing and symptoms to watch for

      • Provide rationales for interventions and cite at least one scholarly source

    • Tip: If a component isn’t needed, document “no intervention warranted” to demonstrate thorough assessment.

Key Concepts to Focus On:

  • Accurate data collection (subjective & objective)

  • Professional documentation in EHR format

  • Prioritization of key findings

  • Concise and accurate problem statement development

  • Evidence-based management planning with rationale and scholarly support

Click below to access the full sample solution (PDF)