Week 10 typically includes two graded assignments (both due by Day 7 of Week 10, 11:59 p.m. MT / 1:59 a.m. ET the next day): Lab Assignment: Assessing the Genitalia and Rectum (100 points; counts toward the Case Study Assignments category). Head-to-Toe Physical Assessment Video (100 points; counts toward the Video Assignments category). All videos must score ≥69.5% to pass the course. You need a volunteer “patient” who signs the Video Release Form (faxed to 888-546-7564 before recording). Videos are submitted via Kaltura in the assignment area. Exact Lab Assignment Instructions (Assessing the Genitalia and Rectum) LAB ASSIGNMENT: ASSESSING THE GENITALIA AND RECTUM In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. Required Reading / Resources Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach (10th ed.). Elsevier Mosby. Chapter 17: Breasts and Axillae Chapter 19: Female Genitalia Chapter 20: Male Genitalia Chapter 21: Anus, Rectum, and Prostate Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). Elsevier Mosby. Centers for Disease Control and Prevention. (2021). Sexually transmitted disease surveillance, 2019. https://www.cdc.gov/std/ i-Human Patients resources for the week (if assigned). Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Chapter 3 (for SOAP note guidance). To Prepare Review the Episodic note case study your instructor provides for this week’s Assignment. (Check the “Course Announcements” section of your Walden classroom/Canvas for the specific case—it varies by section/instructor and is not posted publicly.) Review this week’s Learning Resources and consider the insights they provide about the case study. Search the Walden Library or the Internet for evidence-based resources to support your answers. Consider what history would be necessary to collect from the patient in the case study. 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? Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. The Lab Assignment Using the Episodic/Focused SOAP Note Template provided in the Week 10 resources (or the standard Walden template), answer the following questions. Support every answer with current evidence-based literature (at least three different references for the differential diagnosis section). Use the questions below as headings in your paper. Analyze the subjective portion of the note. List additional information that should be included in the documentation. Analyze the objective portion of the note. List additional information that should be included in the documentation. Is the assessment supported by the subjective and objective information? Why or why not? Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis? Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature. Submission Submit by Day 7 of Week 10. Use the Episodic/Focused SOAP Note Template. The PLAN section is not required for this NURS 6512 assignment (it will be required in future courses). Note on the Case Study The specific Episodic note (SOAP data + assessment) is provided only by your instructor in the Course Announcements. Common examples in student-shared documents include cases with dysuria/frequency (possible UTI/STI), genital bumps, vaginal discharge, or prostate issues—but your exact case may differ. If you paste the full case study from your announcements here, I can help you break it down step-by-step (subjective/objective analysis, differentials, etc.). Head-to-Toe Physical Assessment Video (Assignment 2) By Day 7 of Week 10, create and submit a video of yourself conducting a complete head-to-toe physical exam on a volunteer patient. Use Kaltura; follow all video release and technical instructions in the course.
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