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Assessing-Deep-Tendon-Reflex-2

The document outlines a procedure for assessing deep tendon reflexes (DTRs) as part of a nursing skills laboratory course. It includes expected outcomes, assessment tasks, and a scoring rubric for evaluating student performance in identifying patients, explaining procedures, and conducting various reflex assessments. A minimum raw score of 18 out of 24 is required to pass the return demonstration.

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0% found this document useful (0 votes)
8 views

Assessing-Deep-Tendon-Reflex-2

The document outlines a procedure for assessing deep tendon reflexes (DTRs) as part of a nursing skills laboratory course. It includes expected outcomes, assessment tasks, and a scoring rubric for evaluating student performance in identifying patients, explaining procedures, and conducting various reflex assessments. A minimum raw score of 18 out of 24 is required to pass the return demonstration.

Uploaded by

jdromulo3062val
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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OUR LADY OF FATIMA UNIVERSITY

College of Nursing-Valenzuela City

STUDENT’S NAME
PROGRAM Bachelor of Science in Nursing
YEAR & SECTION
NCMB 316
INSTRUCTOR
Care of Clients with Problems in
Nutritional & Gastrointestinal
COURSE
Metabolism & Endocrine, Perception
DATE
& Coordination (Acute & Chronic)
(SKILLS LABORATORY)

PROCEDURE : ASSESSING DEEP TENDON REFLEX


EXPECTED OUTCOME : The student should demonstrate deep tendon reflexes (DTRs) properly
ASSESSMENT TASK : Return Demonstration

Assessment Exceptional Good Average Poor SCORE


Dimension (3) (2) (1) (0)
Greeted and identified patient Performed at Performed Failed to greet
1. by asking his/her name and least two (2) one (1) way of and identify
Identifying checking his/her ID band and ways of identifying patient
the Patient bed tag. identifying patient.
patient.
Explained procedure to the Explained Explained Failed to explain
2. client clearly and completely procedure but procedure but procedure
Explaining with client’s approval lacks details. in an unclear
the manner.
procedure
A. Biceps Reflex. Followed the Followed the Failed to follow
3.1. Placed the thumb firmly procedure with procedure any of the steps
3. over the biceps tendon of the minimum with of the procedure
Assessing patient, with his/her fingers supervision maximum
the Biceps curling around the elbow. supervision
Reflex 3.2. Tapped briskly and
observed flexion at the elbow.
B. Triceps Reflex Followed the Followed the Failed to follow
4.1. Identified the triceps procedure with procedure any of the steps
4. tendon at its insertion on the minimum with of the procedure
Assessing olecranon. supervision maximum
the Triceps 4.2 Tapped the tendon briskly, supervision
Reflex just above the insertion and
observed extension of the
forearm.
5. C. Brachioradialis Reflex Followed the Followed the Failed to follow
Assessing 5.1. Placed the thumb of the procedure with procedure any of the steps
the hand supporting the patient's minimum with of the procedure
Brachioradi elbow on the biceps tendon supervision maximum
alis Reflex 5.2. Tapped the brachioradialis supervision
tendon with the other hand.
5.3. Observed three potential
reflexes
5.3.1. Brachioradialis reflex:
flexion and supination of the
forearm.
5.3.2. Biceps reflex: flexion of
the forearm.
5.3.3. Finger jerk: flexion of
the fingers
D. Knee Jerk Followed the Followed the Failed to follow
6.1. Allowed the knees swing procedure with procedure any of the steps
6. free by the side of the bed. 6.2. minimum with of the procedure
Assessing Placed one hand on the supervision maximum
the Knee quadriceps and felt its supervision
Jerk contraction.
6.3. Observed Extension of the
leg.
E. Ankle Jerk Followed the Followed the Failed to follow
7.1. Placed patient in a sitting procedure with procedure any of the steps
position. minimum with of the procedure
7.
7.2. Placed one hand supervision maximum
Assessing
underneath the sole and supervision
the Ankle
slightly dorsiflexed the foot.
Jerk
7.3. Tapped on the Achilles
tendon and observed
dorsiflexion of the foot.
Documented the information Some of the Most of the Failed to
8. about the procedure properly details of details of document the
Documenti and completely procedure procedure procedure
ng the were not were not
procedure documented. documented.

SCALE:
3 – (EXCEPTIONAL) Works competently and independently at all times
2 – (GOOD) Requires minimum guidance and supervision
1 – (AVERAGE) Requires frequent guidance and supervision
0 – (POOR) Requires close guidance and supervision most of the time

OVERALL SCORE: ______________

Target Raw Score: 18 out of 24,If raw score is less than 18, repeat the return demonstration.

______________________________________ _______________________________________________
FACULTY SIGNATURE OVER PRINTED NAME STUDENT NURSE SIGNATURE OVER PRINTED NAME

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