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Overview: Module 3 A and 3B Subjective and Objective Data Collection

Use the interview guides and assessment forms for the topics we are covering and fill in the
forms. See the module 1 assignment instructions to refresh your memory if you are not sure
about saving or submitting the work. You don’t have to use the same person for the entire
class—try to find assessment partners among people who actually have health problems so that
you get experience assessing and documenting abnormal findings if possible. Because you are
covering more assessment topics this week, they will be turned in as two assignments.

On the Module 3 assignment forms, you will find the following items:
• Eyes
• Ears
• Mouth

• Nose
• Throat
• Sinuses

Remember not to use terms like “good”, “normal” and “NA”. From this week forward, you
may not use terms in describing skin such as “spot”, “bump” or “pimple”—you need to
use professional language. We expect you to use “macule”, “papule” and “pustule”
appropriately. Read the section in your book thoroughly which describes skin lesions—these
will be on the quiz!

Overview

SBAR –no SBAR this time.

Submitting your assignment

 Save this document to your computer as a Word document.

 Open the document from your desktop and type your information directly into the
assignment areas provided on the template.

 Save the completed document template as a Word document (not odt.).

 Return to Blackboard and upload to the assignment portal.

Module 3 A Assignment: Eyes, ears, and
Module 3B Assignment mouth, throat and sinuses.

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Rubric for Assignment 3A and B

Excellent Good Needs Work
Needs
extensive
work

Clearly
incomplete

Use of specifically
prohibited

terminology

20 Points
Uses no vague

terms such as

good, normal,

N/A or not

applicable

15 Points
1 – 3 incorrect

terms are

used.

10 Points
4 – 5 incorrect

terms are used.

5 Points
6 – 8

incorrect

terms are

used.

0 Points
9 or more

incorrect

terms used.

Assessment
descriptions

70 points
All descriptions
are appropriate &
complete,
describing
findings as
unilateral/bilateral,
symmetrical or
asymmetrical
when appropriate.
Uses correct units
of measurement
and
documentation—
such as mmHG,
breaths/minute,
etc.

60 points
1 – 5
descriptions that
are not
complete, or an
area is
missing/blank.

50 points
6 to 10 or more
descriptions are
incomplete or
two areas are
missing/blank.

30 points
Several areas
are
incomplete, or
more than 2-4
areas are
missing
information/bl
ank.

5 points
Most
descriptions
are
incomplete or
more than 4
areas of the
assessment
are blank.

Grammar

10 Points
Short sentences

or phrases are

used, no

grammatical

errors.

8 Points
One to two

grammatical

errors

5 Points
three to five

grammatical

errors

2 Points
Six to eight

grammatical

errors

0 Points
Entire

document is

ungrammati

cal, greater

than 8

grammatical

errors.

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Performance Objectives:

 Collect subjective and objective data to include present health concerns, past health
history, family history and lifestyle/health practices relating to, and physical
assessment of:

• Eyes
• Ears

• Mouth
• Nose

• Throat
• Sinuses

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