Assignment 2: Digital Clinical Experience (DCE): Health History Assessment

A comprehensive health history is essential to providing quality care for patients across the lifespan, as it helps to properly identify health risks, diagnose patients, and develop individualized treatment plans. To effectively collect these heath histories, you must not only have strong communication skills, but also the ability to quickly establish trust and confidence with your patients. For this DCE Assignment, you begin building your communication and assessment skills as you collect a health history from a volunteer \”patient.\”

Photo Credit: Sam Edwards / Caiaimage / Getty Images
To Prepare
• Review this week’s Learning Resources as well as the Taking a Health History media program, and consider how you might incorporate these strategies. Download and review the Student Checklist: Health History Guide and the History Subjective Data Checklist, provided in this week\’s Learning Resources, to guide you through the necessary components of the assessment.
• Access and login to Shadow Health using the link in the left-hand navigation of the Blackboard classroom.
• Review the Shadow Health Student Orientation media program and the Useful Tips and Tricks document provided in the week’s Learning Resources to guide you through Shadow Health.
• Review the Week 4 DCE Health History Assessment Rubric, provided in the Assignment submission area, for details on completing the Assignment.
This week, you will explore various assessment tools and diagnostic tests that are used to gather information about patients’ conditions. You will examine the validity and reliability of these tests and tools. You will also examine assessment techniques, health risks and concerns, and recommendations for care related to patient growth, weight, and nutrition.
Learning Objectives
Students will:
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Evaluate validity and reliability of assessment tools and diagnostic tests

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Analyze diversity considerations in health assessments

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Apply concepts, theories, and principles related to examination techniques, functional assessments, and cultural and diversity awareness in health assessment

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Apply assessment skills to collect patient health histories

For this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.
To Prepare
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Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.

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By Day 1 of this week, you will be assigned to one of the following Assignment options by your Instructor: Adult Assessment Tools or Diagnostic Tests (option 1), or Child Health Case (Option 2). This has been modified to make sense for you. THIS MAY NOT BE WHAT IT READS CURRENTLY UNDER WEEK 3 REQUIREMENTS.

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Based on the Assignment option assigned to you, your Instructor will also assign you assessment tools or diagnostic tests to apply to either an adult or the child health example assigned to you.

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Search the Walden Library and credible sources for resources explaining the tool or test you were assigned. What is its purpose, how is it conducted, and what information does it gather?

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Also, as you search the Walden library and credible sources, consider what the literature discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool.

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If you are assigned Assignment Option 2 (Child), consider what health issues and risks may be relevant to the child in the health example.

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Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

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Consider how you could encourage parents or caregivers to be proactive toward the child’s health.

The Assignment

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Last names N-Z Assignment Option 2: Child Health Issue (choose one of the cases listed below)

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• Week 3 overview and Case assignments
Posted on: Saturday, September 11, 2021 6:01:25 PM EDT
During Week 2 you analyzed diversity considerations in health assessments and applied concepts, theories, and principles related to examination techniques, functional assessments, and cultural and diversity awareness in health assessment.
This week, you will explore various assessment tools and diagnostic tests that are used to gather information about patients’ conditions. You will examine the validity and reliability of these tests and tools. You will also examine assessment techniques, health risks and concerns, and recommendations for care related to patient growth, weight, and nutrition.
Learning Objectives
Students will:
•
Evaluate validity and reliability of assessment tools and diagnostic tests

•
Analyze diversity considerations in health assessments

•
Apply concepts, theories, and principles related to examination techniques, functional assessments, and cultural and diversity awareness in health assessment

•
Apply assessment skills to collect patient health histories

For this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight.
To Prepare
•
Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.

•
By Day 1 of this week, you will be assigned to one of the following Assignment options by your Instructor: Adult Assessment Tools or Diagnostic Tests (option 1), or Child Health Case (Option 2). This has been modified to make sense for you. THIS MAY NOT BE WHAT IT READS CURRENTLY UNDER WEEK 3 REQUIREMENTS.

•
Based on the Assignment option assigned to you, your Instructor will also assign you assessment tools or diagnostic tests to apply to either an adult or the child health example assigned to you.

•
Search the Walden Library and credible sources for resources explaining the tool or test you were assigned. What is its purpose, how is it conducted, and what information does it gather?

•
Also, as you search the Walden library and credible sources, consider what the literature discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool.

•
If you are assigned Assignment Option 2 (Child), consider what health issues and risks may be relevant to the child in the health example.

o
Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

o
Consider how you could encourage parents or caregivers to be proactive toward the child’s health.

The Assignment

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Last names A-M Assignment Option 1: Adult Assessment Tools/Diagnostic Tests (Choose one of the cases listed below)

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Last names N-Z Assignment Option 2: Child Health Issue (choose one of the cases listed below)

Assignment (3–4 pages, not including title and reference pages):
Assignment Option 1: Adult Assessment Tools or Diagnostic Tests:
Assessment Tool/Diagnostic tool : PSA
Diagnostic Tool: Mammogram
Diagnostic Tool: PapSmear
Include the following:
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A description of how the assessment tool or diagnostic test you were assigned is used in healthcare.

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What is its purpose?

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How is it conducted?

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What information does it gather?

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Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.

Assignment Option 2: Child Health Issue
Case #1: Overweight 5-year-old black boy with overweight parents who work full-time and the boy spends his time after school with his grandmother

Case #2: 5-year-old Asian girl of normal weight with obese parents who is home schooled

Case # 3: Severely underweight 12-year-old Hispanic girl with underweight parents who has been bullied in school just recently.

Include the following:
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An explanation of the health issues and risks that are relevant to the child you were assigned.

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Describe additional information you would need in order to further assess his or her weight-related health.

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Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

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Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.

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Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.