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Musculoskeletal Transcript
Health and Illness Across the Lifespan (NUR2214)
Florida State College at Jacksonville
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Musculoskeletal Results | Turned In
Health Assessment - Remediation/Refresher - January 2021, CCE 705 and 701
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Started: Mar 04, 2021 | Total Time: 43 min
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Your Results Lab Pass (/assignment_attempts/9283065/lab_pass)
Overview Transcript Subjective Data Collection Objective Data Collection Documentation
Interview Questions (35) Statements (5) Exam Actions (94)
Hello!
Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, justas a preceptor would in real life. Pay close attention to this information as it will help guide
your exam assignment. At the end of this prebrief, you will During the simulation, you may answer a short question about thereturn to these instructions at any
time by scrolling to the top of your transcript.
What is the situation?
It's 8 a. on Tina Jones' second morning as a patient here at Shadow General Hospital. Ms has a physical therapy consultation later today. Your role in this simulation is that of
healthcare provider who will that her therapist can understand Ms. Jones' musculoskeletal health and customize therapy perform a full musculoskeletal system exam on Ms. Jones so
accordingly.
What are my objectives in this assessment?
In your interview with Ms. Jones, you will identify any risk factors or complications about her musculoskeletal system and If you discover any disease states, ask about
symptoms and the patient's experiences of them. array of the symptoms' characteristics. You will also inquire into the health history of Ms. Your questioning should cover a broad
Jones' family with regards to the musculoskeletal system genetic predisposition to any diseases. Regardless of whether you have assessed Tina so you can determine her
previously, addition to collecting subjective data, you will ask all questions that are medically relevant to her musculoskeletal system a physical exam on Ms. Jones' In
musculoskeletal system While you should communicate with patients using accessible, everyday language, to gather objective data about the system's health and physiology. it is
standard practice to documenting physical findings and nursing notes professional medical terminology everywhere else, such as in You may complete the exam activities in
any order and move between them as needed.
What else will this exam involve?
All Lines (134)
Suppor t
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03/04/21 1:52 AM EST Statement
03/04/21 1:52 AM EST Greet
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You will can document your findings, including vital signs,complete nursing tasks to protect the patients safety, privacy, and health. in the Electronic Health Record. This You
record provides necessary information for healthcare professionals who will continue patientcare. Activities other than Subjective and Objective Data Collection, such as Documentation
and Education and Empathy, provide valuable practice for their real-world counterparts, they are not automatically graded by the simulation.
How will I be evaluated?
In this assignment, Collection. The evaluation of your interview is dependent on how you you will be evaluated on your Subjective and Objective Dataword your questions
therapeutically and preciselyand depth. The evaluation of your physical exam is based on how successfully you and explore all relevant topics with comprehensive breadthreport 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?
In this assessment, you will become familiarized with the structure and content ofmusculoskeletal exams so that with real-life patients, you can: º ask effective and
comprehensive questionsdisease, infection, injury, and complications º use therapeutic language º and obtain and assess objective data. º evaluate the patient's risk of
In 1 or 2 sentences, answer this question precautions should you take with a patient that is a fall risk? to help prepare for the upcoming exam: What
For a patient that is a fall risk, always make sure the have the bed rails up and in the lowposition, call light is in reach, non skid socks on. Also always tell the patient to call before
getting up.
Time to begin.
Hello Tina, my name is Emily and i'll be your nurse today.
Hey.
Can you tell me your name and date of birth please?
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?.)
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.
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How are the joints in your foot? (Clarified to How do your ankle joints feel?.)
It hurts my foot a little to move my ankle, but my ankle feels fine. (Clarified to how my anklejoints feel.)
Has your foot effected you at work?
Yeah, it got a lot worse 2 days ago. It was noticeably more painful.
Has your job been impacted because of your foot wound?
I couldn't really do much at all the last couple days without help. I'm glad my mom and sisterwere 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?.)
I've had to miss work for sure--I'm on my feet all day for my job, and that obviously wouldn'twork 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
Thanks.
Do you have any joint stiffness?
No, I'm not stiff anywhere now.
Back pain? (Clarified to Do you have back pain?.)
No, I don't usually have back pain. (Clarified to if I have back pain.)
Any muscle INJURY'S?
No, I don't think so.
Any joint injuries?
No, not really.
Do you have a history of fractures?
I've never broken a bone or anything like that.
Have you ever sprained anything?
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No, I don't think I ever have.
How does your neck feel?
My neck feels normal to me.
Have you had any muscle problems in the past?
I don't have any problems with my muscles.
Do you have a history of falls?
Last week was the only time I can really remember falling.
Any family of osteoporosis?
No one in the family has osteoporosis that I know of.
Any family history of Joint problems?
I don't know of any joint problems in the family.
Any family history of bone cancer?
Oh wow -- no, not that I know of.
Okay good!
Thanks.
I am going to do your assessment now (Clarified to May I assess you?.)
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
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Inspected front of hips
Inspected front of thighs
Inspected left thigh
Inspected back of thighs
Inspected right thigh
Inspected front of knees
Inspected left knee
Inspected back of knees
Inspected right knee
Inspected front of knees
Inspected front of legs
Inspected left leg
Inspected back of legs
Inspected right leg
Inspected front of legs
Inspected right leg
Inspected back of legs
Inspected left leg
Inspected left ankle
Inspected both ankles
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Inspected right ankle
Inspected both ankles
Inspected left ankle
Inspected left foot
Inspected top of feet
Inspected right foot
abnormal findings, expected curvature. Inspected soles of feet: Right: Laceration and swelling, expected curvature. Left: No visible
Inspected left foot
Inspected top of feet
Inspected right foot
abnormal findings, expected curvature. Inspected soles of feet: Right: Laceration and swelling, expected curvature. Left: No visible
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
Tested ROM of shoulders - extension: Expected
Tested ROM of shoulders - flexion: Expected
Tested ROM of elbows - flexion and extension: Expected
Tested ROM of elbows - supination and pronation: Expected
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Tested right and left shoulder strength: 5/
Tested elbow strength during extension: 5/
Tested elbow strength during flexion: 5/
Tested wrist strength during extension - up: 5/
Tested wrist strength during extension - down: 5/
Tested right and left hand strength with grip test: 5/
Tested right and left hip strength: 5/
Tested right and left knee strength: 5/
Tested right and left ankle strength: Right 4/5, Left 5/
Comments
If your instructor provides individual feedback on this assignment, it will appear here.
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Musculoskeletal Transcript
Course: Health and Illness Across the Lifespan (NUR2214)
University: Florida State College at Jacksonville
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