Assessment Summary for 3b ePortfolio – Semester 2, 2023
Include an assignment cover page
Word count:
2500 words +/- 10%. Word count includes in-cite references and the table (actual and
potential problems). Headings, subheadings, the reference list, and appendices are not included in the
word count.
Weighting:
30%
Title:
Professional Experience Patient Assessment and Analysis Assignment
Introduction (approximately 50 words):
A succinct introduction to the assignment
Introduction of your chosen patient
(approximately 350 words)
:
Choose a patient during your clinical placement/professional experience practice (PEP) and complete an
in person (face-to-face) health and social history. You may additionally include family members if
available.
Compliment collected subjective data from your client with data from electronic medical records (EMR)
or hard copy medical records and medication charts. Name all medications, dose, and frequency (e.g.,
PRN, daily, Bd) and include within the paragraph (do not list or put in table format).
Present the required data of your chosen patient, making sure
all data is de-identified
to maintain the
confidentiality and privacy of the patient and the hospital. Please refer to the statement within the
subject guide regarding what is and what is not permitted within this context and
clearly state
when a
pseudonym is used.
Completion and documentation of a systematic head-to-toe assessment (approximately 900 words):
Please complete and document a systematic head-to-toe assessment, providing all details of the patient
assessment findings for all systems. Document subjective and objective data for each body system. Do
not omit data because it is within the normal range, and don’t simply state that it is within the normal
range, provide the values.
Under the Cardiovascular System (CVS) please include an electrocardiogram (ECG) (a copy of a
deidentified ECG needs to be included in the Appendix). Using the twelve questions below
as a guide
only
, determine the rate, rhythm, and any ST changes. Please collate the answers to the questions below
in paragraph format for this assignment (do not just state the questions and answers below in your
assignment).
1.
Why did you perform an ECG on this patient?
2.
Note the P wave. Is it upright or inverted? Is there one for every QRS?
3.
Evaluate the atrial rhythm. Is it regular or irregular?
4.
Calculate the atrial rate
5.
Measure the duration of the PR interval. Is it of normal duration or prolonged?
6.
Evaluate the ventricular rhythm. Is it regular or irregular?
7.
Calculate the ventricular rate
