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Physical Assessment Simulation Center Worksheet

Student Name: ________________________________________________________________________________

Instructions

For each procedure performed, describe the physical findings, provide a numerical value if appropriate (eg, pulse rate in beats/min), or place a checkmark (√) in the box after the examination has been performed.

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Group 1: Vital Signs

Facilitators:

Description of findings, numerical value (if applicable), or check (√) when performed

Pulses: Palpate: (on mannequin)

 Radial

 

 Brachial

 

 Carotid

 

Blood Pressure (on mannequin)

 

Respiratory rate (of a person)

 

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Group 2: Heart, Lung, and Bowel Sounds

Facilitator:

Description of findings, numerical value (if applicable), or check (√) when performed

Heart: Auscultate:

 S1

 

 S2

 

 Systolic Murmur

 

 Diastolic Murmur

 

Lungs: Inspect:

 Rate

 

 Rhythm

 

 Depth

 

Auscultate Lung Sounds:

 Normal

 

 Crackles

 

 Rhonchi

 

 Pneumonia

 

 Stridor

 

 Wheezes

 

Bowel: Auscultate Bowel Sounds:

 Normal

 

 Hyperactive

 

 Hypoactive

 

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Group 3: General Appearance, Pupillary Reaction, Pain Assessment

Facilitators:

Description of findings, numerical value (if applicable), or check (√) when performed

General Appearance (Inspection)

 

Pupillary Reaction to Light

 

Pain Assessment

Precipitating Factors

 

Quality of Pain

 

Region or Radiation

 

Severity

 

Time-Related Nature

 

Pain Scale (1–10)

 

Group 4: Pain Assessment in a Community Pharmacy Setting

Facilitator:

Instructions: You are the pharmacist in a community pharmacy. A patient will approach the counter and initiate a discussion with you. Decide which student-pharmacist in your group will greet the patient, introduce him or herself by name as a pharmacist, and begin a dialog with the patient. Other students will then take turns assessing the patient’s complaint(s). After your group has completed its pain assessment, discuss the findings with your group and provide your group’s recommendation to the patient. Some possible recommendations are given below; this list is not all-inclusive. You might choose one or more of these recommendations or a different set of recommendations:

  • Go home and rest; the pain will probably get better in a few days.

  • Please sit down and relax until the pain goes away.

  • Take a pain reliever such as Tylenol (acetaminophen), Aleve (naproxen), or Motrin IB (ibuprofen).

  • Apply a heating pad to the area 3 or 4 times a day if that seems to help the pain.

  • Call your doctor when you get home for advice on what to do.

  • I’ll call your doctor and ask him or her to write a prescription for a strong pain reliever and muscle relaxant.

  • Have someone drive you to the nearest emergency department.

  • You need immediate medical attention. I will call 911 for you.

 

Description of Findings

Patient Information...

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