In order to adequately assess the chest region of a patient,
nurses need to be aware of a patient’s history, potential
abnormal findings, and what physical exams and diagnostic
tests should be conducted to determine the causes and
severity of abnormalities.
In this DCE Assignment, you will conduct a focused exam
related to chest pain using the simulation too, Shadow
Health. Consider how a patient’s initial symptoms can result in very different diagnoses when further
assessment is conducted.
Take a moment to observe your breathing. Notice the sensation of your chest expanding as air flows into your
lungs. Feel your chest contract as you exhale. How might this experience be different for someone with
chronic lung disease or someone experiencing an asthma attack?
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To Prepare
Review this week’s Learning Resources and the Advanced Health Assessment and Diagnostic Reasoning
media program and consider the insights they provide related to heart, lungs, and peripheral vascular
system.
Review the Shadow Health Resources provided in this week’s Learning Resources specifically the tutorial
to guide you through the documentation and interpretation with the Shadow Health platform. Review the
examples also provided.
Review the DCE (Shadow Health) Documentation Template for Focused Exam: Chest Pain 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 7 DCE Focused Exam: Chest Pain Rubric provided in the Assignment submission area
for details on completing the Assignment in Shadow Health.
Consider what history would be necessary to collect from the patient.
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?
DCE Focused Exam: Chest Pain Assignment:
Complete the following in Shadow Health:
Cardiovascular Concept Lab (Required)
Respiratory(Recommended but not required)
Cardiovascular (Recommended but not required)
Episodic/Focused Note for Focused Exam (Required): Chest Pain
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 7 Day 7 deadline.
submission information
Complete your Focused Exam: Cough DCE Assignment in Shadow Health via the Shadow Health
link in Canvas.
Once you complete your assignment in Shadow Health, you will need to download your lab pass
and upload it to the corresponding assignment in Canvas for your faculty review.
( Note : Please save your lab pass as “LastName_FirstName_AssignmentName”.) You can find
instructions for downloading your lab pass here: https://link.shadowhealth.com/download-lab-
pass
Complete your documentation using the documentation template in your resources and submit
it into your Assignment submission link below.
To submit your completed assignment, save your Assignment as WK7Assgn1+last name+first
initial.
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select both files and then Submit Assignment for review.
