SNAPPS is a learner-centered approach to case presentation in the clinical setting. This model allows the student to take an active role in their educational encounter by discussing the client encounter beyond the facts, verbalizing their clinical reasoning, asking questions, and engaging in follow-up learning pertinent to the educational encounter. The purpose of this assignment is to develop the student’s ability to organize client information in a meaningful way and guide the student in oral client presentations in the clinical setting.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

  • CO5: Perform and accurately document an appropriate system-focused and comprehensive history and physical exam (PO 5) 
  • CO6: Demonstrate novice level proficiency in prioritizing patient needs (PO 5)

Due Date

The oral presentation and written assignment are due by Sunday 11:59 p.m. MT.

The Late Assignment Policy applies to this assignment:

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with a penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.

Total Points Possible

This assignment is worth 105 points.

Preparing the Assignment

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.

General Instructions

This assignment has two components: a recorded presentation via Kaltura using the 6-step learner-centered SNAPPS model and a written summary of an identified self-directed learning issue.

Select a client seen in the clinical setting for a single, problem-focused (acute) visit. If you have not seen any clients in the clinical setting who match these criteria, reach out to course faculty for guidance on completing the assignment.

Include the following sections (detailed criteria listed below and in the Grading Rubric)

  1. Oral Presentation: Prepare a 5-7 minute recorded oral video presentation using the SNAPPS format to mimic a real preceptor presentation. Slides are not required for the presentation.
    1. Use the SNAPPS Template for Oral Presentation Links to an external site.to organize client data.  Include the following:
      1. Briefly summarize the client’s chief complaint and findings. Include the following components:
        1. chief complaint (CC)
        1. history of present illness (HPI)
        1. pertinent and relevant review of systems (ROS)
        1. pertinent and relevant physical exam (PE) findings
        1. no additional or unnecessary data included
      1. Present the differential diagnosis
        1. provide three likely diagnoses for the chief complaint
        1. relate each diagnosis to pertinent positive and negative findings
      1. Analyze the differential diagnosis.
        1. for each differential, analyze signs and symptoms and describe which makes the diagnosis more likely or less likely
        1. rank the diagnoses in order from most likely to least likely
      1. Ask probing questions
        1. verbalize your knowledge gaps, points of confusion, or dilemmas by identifying three case-related questions
        1. formulate questions based on what you did (or would) ask your preceptor about uncertainties, difficulties with the process, or alternative approaches
      1. Create a management plan: Provide a novice-level management plan. Include the following components:
        1. methods for confirming the diagnosis
        1. medications prescribed or recommended, including dosage and frequency
        1. client education
        1. follow-up, including timeframe and reasons to return sooner
        1. considerations for cost, availability, or client preferences related to treatment selection
      1. Identify a self-directed learning topic related to the confirmed diagnosis to investigate further.
    1.  Share your Kaltura recorded oral video to the Week 3 SNAPPS open forum. 
  2. Written Submission: Write a summary of your research for the self-directed learning topic identified in the SNAPPS presentation. in 5-7 paragraphs:
    1. summarize the topic
    1. reflect on how you will apply the learning to practice
    1. cite at least three relevant scholarly sources as defined by program expectations
    1. use the SNAPPS Written Assignment TemplateLinks to an external site.

Submit your completed written assignment to the Week 3 Dropbox.

Rubric

NR511 W3 SNAPPS Assignment Rubric

NR511 W3 SNAPPS Assignment Rubric

CriteriaRatingsPts
This criterion is linked to a Learning OutcomeSummarize 5 Required Critera

1. Chief complaint (CC)

2. History of present illness (HPI)

3. Pertinent and relevant review of systems (ROS)

4. Pertinent and relevant physical exam (PE) findings

5. No additional or unnecessary data included
10 pts Excellent All requirements met. 9 pts Very Good 3 requirements met. 8 pts Satisfactory 2 requirements met. 5 pts Needs Improvement 1 requirement met. 0 pts Unsatisfactory No requirements met.10 pts

This criterion is linked to a Learning OutcomePresent 6 Required Criteria

1-3. Differential diagnoses presented

4-6. Differential diagnosis relevant to the chief complaint and pertinent findings
20 pts Excellent All requirements met. 18 pts Very Good 5 requirements met. 16 pts Satisfactory 4 requirements met. 10 pts Needs Improvement 1-3 requirements met. 0 pts Unsatisfactory No requirements met.20 pts

This criterion is linked to a Learning OutcomeAnalyze 4 Required Criteria

1-3. For each differential, analyze signs and symptoms and describe which make the diagnosis more likely or less likely.

4. Rank the diagnoses in order from most likely to least likely.
20 pts Excellent All requirements met. 18 pts Very Good 3 requirements met. 16 pts Satisfactory 2 requirements met. 10 pts Needs Improvement 1 requirement met. 0 pts Unsatisfactory No requirements met.20 pts

This criterion is linked to a Learning OutcomeProbing Questions 6 Required Criteria

1-3. Verbalize your knowledge gaps, points of confusion or dilemmas by identifying three case-related questions.

4-6. Formulate questions based on what you did (or would) ask your preceptor about uncertainties, difficulties with the process, or alternative approaches.
10 pts Excellent All requirements met. 9 pts Very Good 5 requirements met. 8 pts Satisfactory 4 requirements met. 5 pts Needs Improvement 1-3 requirements met. 0 pts Unsatisfactory No requirements met.10 pts

This criterion is linked to a Learning OutcomeManagement Plan 5 Required Criteria

1. methods for confirming diagnosis

2. medications prescribed or recommended, including dosage and frequency

3. client education

4. follow-up, including timeframe and reasons to return sooner

5. considerations for cost, availability, or client preferences related to treatment selection
20 pts Excellent All requirements met. 18 pts Very Good 4 requirements met. 16 pts Satisfactory 3 requirements met. 10 pts Needs Improvement 1-2 requirements met. 0 pts Unsatisfactory No requirements met.20 pts

This criterion is linked to a Learning OutcomeSelf-Directed Learning Write a summary of your research for the self-directed learning topic identified in the SNAPPS presentation.

3 Required Criteria

1. summarize the topic.

2. reflect on how you will apply the learning to practice.

3. cite at least three relevant scholarly sources as defined by program expectations.
15 pts Excellent All requirements met. 12 pts Satisfactory 2 requirements met. 8 pts Needs Improvement 1 requirement met. 0 pts Unsatisfactory No requirements met.15 pts

This criterion is linked to a Learning OutcomeFormatting 3 Required Criteria

1. oral presentation length is between 5-7 minutes

2. written submission is submitted using the SNAPPS Written Assignment template

3. written submission length is between 5-7 paragraphs
5 pts Excellent All requirements met. 3 pts Satisfactory 2 requirements met. 2 pts Needs Improvement 1 requirement met. 0 pts Unsatisfactory No requirements met.5 pts

This criterion is linked to a Learning OutcomeAPA Formatting Use current APA format for citations and references in management plan and reflection and is free of errors.5 pts Excellent 0-1 errors. 4 pts Very Good 2-3 errors. 3 pts Satisfactory 4-5 errors. 2 pts Needs Improvement 6-7 errors. 0 pts Unsatisfactory More than 7 errors.5 pts

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