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iRubric: Comprehensive Health Assessment rubric

iRubric: Comprehensive Health Assessment rubric

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Comprehensive Health Assessment Comprehensive Health Assessment Rubric for writing up a Comprehensive Health Assessment Rubric Code: BX7X674 By kspeer Ready to use Public Rubric Subject: Health Type: Assignment Grade Levels: Undergraduate

Comprehensive Health Assessment
	Inadequate effort 0 pts	Fair 7 pts	Good 9 pts	Very Good 10 pts	Score (N/A)
Biographical Data Includes all pertinent objective data.	Inadequate effort Students fails to perform 1 or more required tasks	Fair Student provides few items that involve the biographical data less than 3 items	Good Student provides 3 to to 7 items of biographical data.	Very Good Student includes all nine elements of biographical data.	Score
Reason for Seeking Care Provides clearly written explanation for patient appointment	Inadequate effort Fails to provide a focused statement	Fair Provides a vague statement for seeking care	Good Provides an clearly written statement for seeking care	Very Good Provides a focused clearly written statement regarding the patient reason for seeking care. Places reason in quotations. Provides appropriate probes.	Score
History of Present Illness How they got to this point in their health? What Signs and Symptoms? What tests did they have completed? How many times have they been hospitalized? What are the patients concerns?	Inadequate effort Students narrative is inadequate with gross deficiencies	Fair Student fails to address all elements in detail or has significant grammatical and spelling errors	Good Student addresses all key elements in narrative with minor grammatical errors, spelling, or fomatting errors.	Very Good Student effectively correctly addresses every key element of the assessment in a narrative having the proper format with no grammatical or spelling errors.	Score
Past Health History General Health Accidents or Injuries Chronic Illnesses Hospitalizations Operations cardiothoracic surgery: Immunizations: Last Health Examinations: Current Medications/Supplments Allergies	Inadequate effort Students narrative is inadequate with gross deficiencies	Fair Student fails to address all elements in details or has significant grammatical and spelling errors	Good Student addresses all key elements in narrative with minor grammatical errors, spelling, or formatting errors.	Very Good Student effectively correctly addresses every key element of the assessment in a narrative having the proper format with no grammatical or spelling errors.	Score
Review of Systems Ask patient questions related to each system and get the patient's impression of their health	Inadequate effort Students narrative is inadequate with gross deficiencies	Fair Student fails to address all elements in details or has significant grammatical and spelling errors	Good Student addresses all key elements in narrative with minor grammatical errors, spelling, or formatting errors.	Very Good Student effectively correctly addresses every key element of the assessment in a narrative having the proper format with no grammatical or spelling errors.	Score
Laboratory Test List the values and normals values. If no labs are available states indicate.	Inadequate effort Student provides no lab values.	Fair Student provides labs with no normal ranges or limited number of labs.	Good Student provides all labs with normal ranges.	Very Good Student provides all labs and reference ranges and demonstrates understanding of labs as they apply to patients history. Also includes lab test that were not performed and needed to be performed.	Score
Diagnostics Tests Includes CT scans, MRI's or other radiographs.	Inadequate effort Student provides no diagnostics test results	Fair Student provides diagnostic test run but no results	Good Student provides all diagnostic test results and results.	Very Good Student provides all diagnostic tests and provides a well developed explanation as to there application to their patients history. To include any studies that were not performed and needed to be performed.	Score
Summary of Findings Summarizes all the history, physical, and subjective, objective information	Inadequate effort Student provides no summary of findings	Fair Student provides limited summary of findings with numerous grammatical errors	Good Student provides a summary of all findings with few grammatical errors.	Very Good Student provides a accurate, well developed summary of findings on patient with clear plan of care and discharge with no grammatical errors.	Score
Functional Assessment Ask the client how they view themselves, what they do to cope with stress, how they sleep, exercise.	Inadequate effort Student provides no functional assessment	Fair Student provides minimal (less than 4 topical areas) with numerous grammatical errors	Good Student provides a adequate functional assessment with few grammatical errors. Provides information on up to seven areas in functional assessments	Very Good Students provides all nine areas of functional assessment with well thought out with no grammatical errors.	Score
Perception of Health Ask the client about their view of themselves, assess if they are functionally dependent, and if their behavior is appropriate	Inadequate effort Student provides no perception of health assessment.	Fair Student provides up to 2 topical areas of a perception of health assessment with numerous grammatical errors	Good Student provides an adequate perception of health assessment that covers up to 4 topical areas with few grammatical errors.	Very Good Student provides all five areas of a perception of health assessment. Well developed with no grammatical errors.	Score
Physical Examination Assesses all systems using Inspection, Palpation, Auscultation.	Inadequate effort Student provides no physical examination documentation.	Fair Student provides minimal physical examination with numerous grammatical errors.	Good Student provides an adequate physical examination that covers majority of of systems with minimal grammatical errors.	Very Good Student provides all areas of a physical examination with no grammatical errors.	Score Total Score:

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