DAP assigment

Week 5 DAP Assignment: Simulated Patient and Therapy Note

Instructions

Submit a Therapy DAP Note.

Rubric

Therapy DAP Note

Therapy DAP Note

CriteriaRatingsPtsThis criterion is linked to a Learning Outcome

Subjective

15 pts

Accomplished

Symptom analysis is well organized, with C/C, OLDCART, pertinent negatives, and pertinent positives. All data needed to support the diagnosis & differential are present. Is complete, concise, relevant with no extraneous data.

13 pts

Satisfactory

Symptom analysis well organized with C/C, OLDCART, pertinent negatives, and pertinent positives. Some extraneous data present and/or one minor data point missing.

11 pts

Needs Improvement

Symptom analysis is not well organized. Data is missing. There is too much extraneous data and/or 2-3 minor data points missing.

9 pts

Unsatisfactory

Symptom analysis is inadequate, is not organized. Objective or other data is mixed into the subjective data. Important data is missing.

15 pts

This criterion is linked to a Learning Outcome

Objective

15 to >13.0 pts

Accomplished

Complete, concise, well organized and well written and includes pertinent positive and pertinent negative physical findings. Organized by body system in list format. No extraneous data.

13 to >11.0 pts

Satisfactory

All relevant exams were done thoroughly but extraneous exams were also done. Somewhat organized in list format.

11 to >9.0 pts

Needs Improvement

Omitted important relevant exams and/or not in list format.

9 to >0 pts

Unsatisfactory

Omitted important relevant exams and/or subjective data are included. Lacking organization.

15 pts

This criterion is linked to a Learning Outcome

Assessment

15 to >13.0 pts

Accomplished

Diagnosis and differential dx are correct with ICD code and supported by subjective and objective data.

13 to >11.0 pts

Satisfactory

Diagnosis is correct with ICD codes and is supported by subjective and objective data, however the most accurate differential diagnosis not listed according to subjective and objective data.

11 to >9.0 pts

Needs Improvement

Diagnosis is correct but either does not include ICD code or is missing two or more important differential diagnoses according to the subjective and objective data provided.

9 to >0 pts

Unsatisfactory

Diagnosis is not correct, is not provided or is not reflective of the subjective and objective data provided.

15 pts

This criterion is linked to a Learning Outcome

Plan

15 to >13.0 pts

Accomplished

Plan is organized, complete and evidence-based according to National Standards of Care. Addresses each diagnosis and is individualized to the specific patient and includes medication teaching and all 5 components: (Dx plan, Tx plan, patient education, referral/follow-up, health maintenance).

13 to >11.0 pts

Satisfactory

Plan is organized, complete and evidence-based according to National Standards of Care. Addresses each diagnosis and is individualized to the specific patient and includes medication teaching but may be missing 1-2 minor points.

11 to >9.0 pts

Needs Improvement

Plan is less organized and not based on evidence according to National Standards of Care. Does not address each diagnosis or may not be individualized to the specific patient. Missing medication teaching or one of the 5 components.

9 to >0 pts

Unsatisfactory

No Plan provided or is not organized. Does not address all diagnoses identified and/or does not include all 5 components of plan, including medication teaching.

15 pts