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1. Assignment 2: Digital Clinical Experience: Focused Exam: Cough NURS6512
Assignment 2: Digital Clinical Experience: Focused Exam: Cough NURS6512Assignment 2:
Digital Clinical Experience: Focused Exam: Cough NURS6512At , we can help you complete
this Shadow Health Assessment (Assignment 2: Digital Clinical Experience: Focused Exam:
Cough NURS6512), effectively covering subjective and objective data, and preparing an A-
grade documentation. Rest Assured of scoring an A on this task. WE ARE THE SHADOW
HEALTH EXPERTS.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 PrepareReview 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:
CoughHEENT (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
for Assignment 2: Digital Clinical Experience: Focused Exam: Cough NURS6512By Day 7 of
Week 5Complete 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

2. lab pass here: https://link.shadowhealth.com/download-lab-passOnce 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 CriteriaTo access your rubric:Week 5 Assignment 2 DCE RubricWhat’s
Coming Up in Week 6?Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty
ImagesNext 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 ImagesNext
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 WeekTo go to the
next week:Week 6Rubric DetailSelect Grid View or List View to change the rubric’s
layout.Name: NURS_6512_Week_5_DCE_Assignment_2_RubricDescription: To complete the
Shadow Health assignments, it is helpful to use the text and follow along with each chapter
correlating to the area of assessment to assist in covering all the subjective questions and
the physical assessment areas. Review the Advanced Health Assessment Nursing
Documentation Tutorial located in the Weeks 1 and 4 Resources, the model documentation
in Shadow Health, as well as sample documentation in the text to assist with narrative
documentation of the assessments. Shadow Health exams may be added to or repeated as
many times as necessary prior to the due date to assist in achieving the desired score.Grid
ViewList ViewExcellent Good Fair PoorStudent DCE score(DCE percentages will be
calculated automatically by Shadow Health after the assignment is completed.)Note: DCE
Score – Do not round up on the DCE score.56 (56%) – 60 (60%)DCE score>9351 (51%) – 55
(55%)DCE Score 86-9246 (46%) – 50 (50%)DCE Score 80-850 (0%) – 45 (45%)DCE Score
<79No DCE completed.Subjective Documentation in Provider NotesSubjective narrative
documentation in Provider Notes is detailed and organized and includes:Chief Complaint
(CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social
History and Review of Systems (ROS)ROS: covers all body systems that may help you
formulate a list of differential diagnoses. You should list each system as follows:General:
Head: EENT: etc. Assignment 2: Digital Clinical Experience: Focused Exam: Cough
NURS6512You should list these in bullet format and document the systems in order from
head to toe.16 (16%) – 20 (20%)Documentation is detailed and organized with all pertinent
information noted in professional language.Documentation includes all pertinent
documentation to include Chief Complaint (CC), HPI, Current Medications, Allergies, Past
Medical History, Family History, Social History and Review of Systems (ROS).11 (11%) – 15
(15%)Documentation with sufficient details, some organization and some pertinent
information noted in professional language.Documentation provides some of the Chief

3. Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History,
Social History and Review of Systems (ROS).6 (6%) – 10 (10%)Documentation with
inadequate details and/or organization; and inadequate pertinent information noted in
professional language.Limited or/minimum documentation provided to analyze students
critical thinking abilities for the Chief Complaint (CC), HPI, Current Medications, Allergies,
Past Medical History, Family History, Social History and Review of Systems (ROS).0 (0%) – 5
(5%)Documentation lacks any details and/or organization; and does not provide pertinent
information noted in professional language.No information is provided for the Chief
Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History,
Social History and Review of Systems (ROS).orNo documentation provided.Objective
Documentation in Provider Notes – this is to be completed in Shadow HealthPhysical exam:
Document in a systematic order starting from head-to-toe, include what you see, hear, and
feel when doing your physical exam using medical terminology/jargon. Document all
normal and abnormal exam findings. Do not use “WNL” or “normal”.You only need to
examine the systems that are pertinent to the CC, HPI, and History.Diagnostic result –
Include any pertinent labs, x-rays, or diagnostic test that would be appropriate to the
differential diagnoses mentionedDifferential Diagnoses (list a minimum of 3 differential
diagnoses). Your primary or presumptive diagnosis should be at the top of the list (#1).16
(16%) – 20 (20%)Documentation detailed and organized with all abnormal and pertinent
normal assessment information described in professional language.Each system assessed is
clearly documented with measurable details of the exam.11 (11%) – 15
(15%)Documentation with sufficient details and some organization; some abnormal and
some normal assessment information described in mostly professional language.Each
system assessed is somewhat clearly documented with measurable details of the exam.6
(6%) – 10 (10%)Documentation with inadequate details and/or organization; inadequate
identification of abnormal and pertinent normal assessment information described;
inadequate use of professional language.Each system assessed is minimally or is not clearly
documented with measurable details of the exam.0 (0%) – 5 (5%)Documentation with no
details and/or organization; no identification of abnormal and pertinent normal assessment
information described; no use of professional language.None of the systems are assessed, no
documentation of details of the exam.orNo documentation provided.Total Points:
100Submit Your Assignment by Day 7 of Week 5To submit your Lab Pass:Week 5 Lab
PassTo participate in this Assignment:Week 5 Documentation Notes for Assignment 2To
Submit your Student Acknowledgement Form:Submit your Week 5 Assignment 2 DCE
Student Acknowledgement Form Rubric DetailSelect Grid View or List View to change the
rubric’s layout.Name:
NURS_6512_Week_5_DCE_Assignment_2_RubricExcellentGoodFairPoorStudent DCE
score(DCE percentages will be calculated automatically by Shadow Health after the
assignment is completed.)Note: DCE Score – Do not round up on the DCE score.56 (56%) –
60 (60%)DCE score>9351 (51%) – 55 (55%)DCE Score 86-9246 (46%) – 50 (50%)DCE
Score 80-850 (0%) – 45 (45%)DCE Score <79No DCE completed.Subjective Documentation
in Provider NotesSubjective narrative documentation in Provider Notes is detailed and
organized and includes:Chief Complaint (CC), HPI, Current Medications, Allergies, Past

4. Medical History, Family History, Social History and Review of Systems (ROS)ROS: covers all
body systems that may help you formulate a list of differential diagnoses. You should list
each system as follows:General: Head: EENT: etc.You should list these in bullet format and
document the systems in order from head to toe.16 (16%) – 20 (20%)Documentation is
detailed and organized with all pertinent information noted in professional
language.Documentation includes all pertinent documentation to include Chief Complaint
(CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social
History and Review of Systems (ROS). Assignment 2: Digital Clinical Experience: Focused
Exam: Cough NURS651211 (11%) – 15 (15%)Documentation with sufficient details, some
organization and some pertinent information noted in professional
language.Documentation provides some of the Chief Complaint (CC), HPI, Current
Medications, Allergies, Past Medical History, Family History, Social History and Review of
Systems (ROS).6 (6%) – 10 (10%)Documentation with inadequate details and/or
organization; and inadequate pertinent information noted in professional language.Limited
or/minimum documentation provided to analyze students critical thinking abilities for the
Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family
History, Social History and Review of Systems (ROS).0 (0%) – 5 (5%)Documentation lacks
any details and/or organization; and does not provide pertinent information noted in
professional language.No information is provided for the Chief Complaint (CC), HPI, Current
Medications, Allergies, Past Medical History, Family History, Social History and Review of
Systems (ROS).orNo documentation provided.Objective Documentation in Provider Notes –
this is to be completed in Shadow HealthPhysical exam: Document in a systematic order
starting from head-to-toe, include what you see, hear, and feel when doing your physical
exam using medical terminology/jargon. Document all normal and abnormal exam findings.
Do not use “WNL” or “normal”.You only need to examine the systems that are pertinent to
the CC, HPI, and History.Diagnostic result – Include any pertinent labs, x-rays, or diagnostic
test that would be appropriate to the differential diagnoses mentionedDifferential
Diagnoses (list a minimum of 3 differential diagnoses). Your primary or presumptive
diagnosis should be at the top of the list (#1).16 (16%) – 20 (20%)Documentation detailed
and organized with all abnormal and pertinent normal assessment information described in
professional language.Each system assessed is clearly documented with measurable details
of the exam.11 (11%) – 15 (15%)Documentation with sufficient details and some
organization; some abnormal and some normal assessment information described in mostly
professional language.Each system assessed is somewhat clearly documented with
measurable details of the exam. Assignment 2: Digital Clinical Experience: Focused Exam:
Cough NURS65126 (6%) – 10 (10%)Documentation with inadequate details and/or
organization; inadequate identification of abnormal and pertinent normal assessment
information described; inadequate use of professional language.Each system assessed is
minimally or is not clearly documented with measurable details of the exam.0 (0%) –
5 (5%)Documentation with no details and/or organization; no identification of abnormal
and pertinent normal assessment information described; no use of professional
language.None of the systems are assessed, no documentation of details of the exam.orNo
documentation provided.Total Points: 100