Tina Jones Digital Clinical Experi ence Score 99.3% Student Performance Index 49 out of 52 Proficiency Level: Proficient Beginning Developing Proficient Students rated as “proficient” demonstrate an entrylevel expertise in advanced practice competencies and clinical reasoning skills. In comparable programs, the top 25% of students perform at the level of a proficient practitioner. This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 84.0%. This score may not be your final grade if your instructor Subjective Data Collection 30 out of 30 Education and Empathy 2 out of 4 Objective Data Collection 17 out of 18 chooses to include additional components, such as documentation or time spent. Time 67 minutes total spent in assignment Self-Reflection Interaction with patient 59 minutes Post-exam activities 8 minutes Activity Time: 8 min Gastrointestinal Results | Turned In Advanced Health Assessment - Spring 2019, NSG516 Online Return to Assignment Overview Transcript Subjective Data Collection Objective Data Collection Education & Empathy Documentation Self-Reflection Student Survey Explicitly describe the tasks you undertook to complete this exam. Student Response: To complete this exam I read related chapters on Bates and watched videos (visual guide). I read the patient chart. I then asked the patient questions to gather subjective information and then I performed the physical examination to gather objective information. Explain the clinical reasoning behind your decisions and tasks. Student Response: Tina's symptoms are consistent with GERD diagnosis. To build the plan of care I proposed with several lifestyle modifications that are known to improve GERD symptoms she is currently experiencing. I added the scheduled H2 antagonist because antacid alone was not effective and I also proposed a plan B to escalate treatment to a PPI in case Zantac also fails. Identify how your performance could be improved and how you can apply “lessons learned” within the assignment to your professional practice. Student Response: One's performance can always be improved. I do feel increasingly more comfortable in asking adequate questions to obtain information regarding HPI, as well as all the other necessary things such as current medications, social and family history.