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Module 04 Lab Assignment- Gastrointestinal System
1.
Top of Form
You will perform a history of an abdominal problem one that you have experienced and perform an assessment of the gastrointestinal system. You will document your subjective and objective findings, identify actual or potential risks.
Remember to be objective when you document; do not make judgments. For example, if the person has a palpably enlarged liver, do not write “the liver is enlarged probably because they drink too much.” Avoid stating that something is normal but instead state WHY you think it is normal. For example, if you think that the abdomen looks “normal” – which is subjective – then document that the “abdomen is flat, skin color consistent with rest of body, no lesions, scars, bulges, or pulsations noted.”
No consideration for plagiarism
WRITE FROM NURSE PROSPTIVE
APA FORMATE AND IN TEXT CITATION
FOUR REFERENCES
Module 04 Assessment of the Gastrointestinal System
Title:
Documentation of problem based assessment of the gastrointestinal system.
Purpose of Assignment:
Learning the required components of documenting a problem based subjective and objective assessment of gastrointestinal system. Identify abnormal findings.
Course Competency:
Prioritize appropriate assessment techniques for the gastrointestinal, breasts, and genitourinary systems.
Instructions:
Content: Use of three sections:
· Subjective
· Objective
· Actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them.
Format:
· Standard American English (correct grammar, punctuation, etc.)
No consideration for plagiarism
WRITE FROM NURSE PROSPTIVE
APA FORMATE AND IN TEXT CITATION
· FOUR REFERENCES
Resources:
FOLLOW THE Grading Rubric- TO GAIN 10 possible points
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Levels of Achievement |
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Criteria |
Emerging |
Competence |
Proficiency |
Mastery |
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Subjective (4 Pts) |
Missing components such as biographic data, medications, or allergies. Symptoms analysis is incomplete. May contain objective data. |
Basic biographic data provided. Medications and allergies included. Symptoms analysis incomplete. Lacking detail. No objective data. |
Basic biographic data provided. Included list of medications and allergies. Symptoms analysis: PQRSTU completed. Lacking detail. No objective data. Information is solely what “client” provided. |
Basic biographic data provided. Included list of medications and allergies. Symptoms analysis: PQRSTU completed. Detailed. No objective data. Information is solely what “client” provided. |
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Points: 1 |
Points: 2 |
Points: 3 |
Points: 4 |
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Objective (4 Pts) |
Missing components of assessment for particular system. May contain subjective data. May have signs of bias or explanation of findings. May have included words such as “normal”, “appropriate”, |
Includes all components of assessment for particular system. Lacks detail. Uses words such as “normal”, “appropriate”, or “good”. Contains all objective information. May have signs of bias or explanation of findings. |
Includes all components of assessment for particular system. Avoided use of words such as “normal”, “appropriate”, or “good”. No bias or explanation for findings evident Contains all objective information |
Includes all components of assessment for particular system. Detailed information provided. Avoided use of words such as “normal”, “appropriate”, or “good”. No bias or explanation for findings evident. All objective information |
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Points: 2 |
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Actual or Potential Risk Factors (2 pts) |
Lists one to two actual or potential risk factors for the client based on the assessment findings with no description or reason for selection of them. Failure to provide any potential or actual risk factors will result in zero points for this criterion. |
Brief description of one or two actual or potential risk factors for the client based on assessment findings with description or reason for selection of them. |
Limited description of two actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them. |
Comprehensive, detailed description of two actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them. |
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Points: 0.5 |
Points: 1.5 |
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