Documentation of problem based assessment of the respiratory system

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    Documentation of problem based assessment of the respiratory system

    Documentation of problem-based assessment of the respiratory system Purpose of Assignment: Learning the required components of documenting a problem based subjective and objective assessment of respiratory system. Identify abnormal findings. Course Competency: Apply assessment techniques for the neurological and respiratory 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.) Resources: Chapter 5: SOAP Notes: The subjective and objective portion only Sullivan, D. D. (2012). Guide to clinical documentation. [E-Book]. Retrieved from http://ezproxy.rasmussen.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=495456&site=eds-live&ebv=EB&ppid=pp_91 Smith, L. S. (2001, September). Documentation do’s and don’ts. Nursing, 31(9), 30. Retrieved from http://ezproxy.rasmussen.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=107055742&site=eds-live Documentation Grading Rubric – 10 possible points Get The Best Online Homework Help from

    Documentation of problem-based assessment of the respiratory system

    Purpose of Assignment:

    Learning the required components of documenting a problem based subjective and objective assessment of respiratory system. Identify abnormal findings.

    Course Competency:

    Apply assessment techniques for the neurological and respiratory 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.)

    Resources:

    Chapter 5: SOAP Notes: The subjective and objective portion only

    Sullivan, D. D. (2012). Guide to clinical documentation. [E-Book]. Retrieved from http://ezproxy.rasmussen.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=495456&site=eds-live&ebv=EB&ppid=pp_91

    Smith, L. S. (2001, September). Documentation do’s and don’ts. Nursing, 31(9), 30. Retrieved from http://ezproxy.rasmussen.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=107055742&site=eds-live

    Documentation Grading Rubric – 10 possible points

    Get The Best Online Homework Help from HomeworkMarket