Adolescent sports physical documentation

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Adolescent Sports Physical & Disordered Eating Risk (Samantha Monroe Shadow Health) – 2025/2026 Assignment Brief

[studocu](https://www.studocu.com/en-us/document/salve-regina-university/advanced-practice-care/shadow-health-samantha-monroe/111012861)

Course and Assessment

Course level: Undergraduate/Pre-licensure Nursing (Year 2–3) or MSN NP (early clinical unit)

[coursehero](https://www.coursehero.com/file/238084527/Shadow-Health-Adolescent-Sports-Evaluation-Samantha-Monroe-Treatment-Planpdf/)

Typical course codes: NSG 410, NURS 351, NURS 540, Pediatric/Adolescent Primary Care, Health Assessment or Advanced Health Assessment

[docsity](https://www.docsity.com/en/docs/nsg-410-samantha-monroe-shadow-health-subjective-data/13226225/)

Assessment name: Adolescent Sports Physical – Shadow Health: Samantha Monroe

Assessment type: Written SOAP/EHR-style Clinical Documentation + Brief Critical Reflection

Assessment number: Assessment 2 / Assignment 2 (varies by institution)

Length: 1,050–1,400 word written submission (excluding title page and reference list) OR 3–4 pages in APA format, double-spaced (institution chooses one convention)

Weighting: 20–30% of course grade (typical for Shadow Health or virtual lab assignments)

[studocu](https://www.studocu.com/en-us/document/salve-regina-university/advanced-practice-care/shadow-health-samantha-monroe/111012861)

Mode: Individual, online submission through LMS (Canvas/Blackboard/Moodle/D2L)

Assessment Context and Rationale

Adolescent preparticipation sports evaluations are a core component of primary care and school-based health services, and they give early opportunities to detect risk factors related to cardiac conditions, musculoskeletal injuries and disordered eating in young athletes. In the Shadow Health “Samantha Monroe: Adolescent Sports Evaluation” module, you complete a focused history and physical examination for a 13-year-old who presents for clearance to play soccer and who also describes restrictive eating behaviours and body image concerns. This assessment consolidates your skills in synthesising subjective and objective data, documenting findings in an accurate, concise and clinically useful format, and recognising early indicators of the female athlete triad or relative energy deficiency in sport (RED-S) within the context of a sports physical. You will integrate current evidence-based guidelines on preparticipation sports physicals and adolescent nutrition to justify your clinical reasoning, your assessment priorities and your initial management plan. The task prepares you for safe practice in school-based, ambulatory and family health settings where brief visits must still address complex biopsychosocial risks.

[onlinenursingpapers](https://onlinenursingpapers.com/samantha-monroe-adolescent-sports-evaluation-shadow-health/)

Assessment Task Description (Student Version – 2025/2026)

Task Overview

After completing the Shadow Health virtual simulation “Adolescent Sports Evaluation: Samantha Monroe,” you will submit a structured written assignment that includes:

  • A focused SOAP/EHR-style note based on your final attempt in the simulation, with complete and organised documentation of subjective, objective, assessment and plan elements.
  • A brief critical reflection that explains your clinical reasoning regarding Samantha’s readiness for sports participation and your management of her disordered eating risk and body image concerns.

Your documentation must reflect what a careful clinician would reasonably obtain and record during a 15–20 minute adolescent sports physical, while also acknowledging the constraints and prompts of the Shadow Health platform.

[coursehero](https://www.coursehero.com/file/238084527/Shadow-Health-Adolescent-Sports-Evaluation-Samantha-Monroe-Treatment-Planpdf/)

Task Steps

  1. Complete the Shadow Health assignment
      • Log in to Shadow Health and complete the “Adolescent Sports Evaluation: Samantha Monroe” module according to your course instructions.
      • Use at least one full attempt to collect comprehensive data on Samantha’s nutrition, body image, menstrual history, previous injuries, family history and psychosocial context.

    [shadowhealthassignments](https://shadowhealthassignments.com/samantha-monroe-shadow-health-subjective-data/)

      • Review your Digital Clinical Experience (DCE) score, transcript and feedback summary before drafting your written note.

    [stuvia](https://www.stuvia.com/en-us/search?s=shadow+health+answers)

  2. Prepare a SOAP/EHR-style note (≈800–1,000 words)
    • Use clear headings: Subjective, Objective, Assessment, Plan.
    • Document findings in third person, using professional clinical language and standard abbreviations accepted by your institution.
    • Include focused but sufficiently detailed content that would support clinical decision-making, appropriate follow-up and continuity of care.
  3. Write a brief critical reflection (≈250–400 words)
      • Explain your decision to clear or conditionally clear Samantha for sports participation, referencing relevant guidelines and risk factors.

    [pubmed.ncbi.nlm.nih](https://pubmed.ncbi.nlm.nih.gov/39448098/)

      • Discuss how you identified and prioritised concerns related to disordered eating, the female athlete triad and adolescent body image.

    [pmc.ncbi.nlm.nih](https://pmc.ncbi.nlm.nih.gov/articles/PMC5532188/)

    • Identify one or two aspects of your assessment or communication that you would improve in a future encounter with a similar adolescent athlete.
  4. Apply academic and professional standards
    • Use APA 7th edition for in-text citations and reference list unless your program specifies an alternative style.
    • Incorporate at least three current peer-reviewed sources (2018–2026) that address adolescent preparticipation sports physicals, female athlete triad/RED-S and adolescent nutrition or body image.
    • Ensure that your assignment is original, written in your own words and consistent with your institution’s academic integrity policy.

Detailed Documentation Requirements

1. Subjective Data (S)

Document Samantha’s presenting concern using her own words where relevant, for example “I am here so I can get cleared to play soccer for my school.” Provide focused but complete history elements relevant to an adolescent sports physical and disordered eating risk:

[onlinenursingpapers](https://onlinenursingpapers.com/samantha-monroe-adolescent-sports-evaluation-shadow-health/)

    • Chief complaint and history of present visit: Reason for the sports physical, timing relative to the competitive season, previous clearances, any recent changes in training or activity.

[docsity](https://www.docsity.com/en/docs/nsg-410-samantha-monroe-shadow-health-subjective-data/13226225/)

    • Past medical and surgical history: Childhood illnesses or surgeries (for example tonsillectomy), prior injuries or concussions, history of syncope, chest pain, palpitations, asthma or exercise-induced symptoms.

[mobile.fpnotebook](https://mobile.fpnotebook.com/Sports/Exam/PrprtcptnPhysclEvltn.htm)

    • Medications and supplements: Prescription, over the counter, vitamins, herbal or dietary products (for example daily multivitamin, apple cider vinegar) and any known allergies.
    • Nutrition and eating patterns: Usual daily intake, dietary restrictions, skipped meals, beliefs about “good” and “bad” foods, recent weight changes, use of compensatory behaviours or dieting strategies.

[pmc.ncbi.nlm.nih](https://pmc.ncbi.nlm.nih.gov/articles/PMC5532188/)

    • Menstrual and development history: Age at thelarche and pubarche if known, menarche status, cycle regularity if menses have started, associated symptoms and concerns about body development.

[pmc.ncbi.nlm.nih](https://pmc.ncbi.nlm.nih.gov/articles/PMC5532188/)

    • Physical activity and sports history: Frequency, intensity and type of sport, training hours per week, previous levels of competition, prior injuries related to sport participation.

[studocu](https://www.studocu.com/en-us/document/salve-regina-university/advanced-practice-care/shadow-health-samantha-monroe/111012861)

    • Family history: Early cardiac death, cardiomyopathies, arrhythmias, Marfan syndrome, sudden unexplained deaths, eating disorders and depression or anxiety.

[pubmed.ncbi.nlm.nih](https://pubmed.ncbi.nlm.nih.gov/39448098/)

    • Psychosocial and body image history: School performance, peer relationships, social media use, comparison to teammates, comments from coaches or family about weight or shape, mood and coping strategies.

[pmc.ncbi.nlm.nih](https://pmc.ncbi.nlm.nih.gov/articles/PMC5532188/)

    • Review of systems (focused): HEENT, cardiovascular, respiratory, musculoskeletal, neurological, integumentary and genitourinary systems, with attention to red flag symptoms such as chest pain, syncope, shortness of breath, stress fractures, dizziness or amenorrhoea.

[pubmed.ncbi.nlm.nih](https://pubmed.ncbi.nlm.nih.gov/39448098/)

2. Objective Data (O)

Summarise relevant objective findings obtained or reviewed during the virtual examination:

    • Vital signs and anthropometrics: Height, weight, BMI, blood pressure, heart rate, respiratory rate and temperature, noting whether values fall within age-appropriate ranges.

[mobile.fpnotebook](https://mobile.fpnotebook.com/Sports/Exam/PrprtcptnPhysclEvltn.htm)

    • General appearance: Overall impression of health, behaviour, affect, posture, hygiene and any visible signs of undernutrition or overtraining.

[studocu](https://www.studocu.com/en-us/document/salve-regina-university/advanced-practice-care/shadow-health-samantha-monroe/111012861)

    • HEENT and vision/hearing: PERRLA, EOMI, visual acuity results, hearing screening findings and any abnormalities.

[studocu](https://www.studocu.com/en-us/document/salve-regina-university/advanced-practice-care/shadow-health-samantha-monroe/111012861)

    • Cardiovascular: Rate, rhythm, heart sounds, presence or absence of murmurs or extra sounds and findings in different positions (supine, standing) if applicable.

[mobile.fpnotebook](https://mobile.fpnotebook.com/Sports/Exam/PrprtcptnPhysclEvltn.htm)

    • Respiratory: Chest expansion, breath sounds and any adventitious sounds at rest or with deep breathing.

[mobile.fpnotebook](https://mobile.fpnotebook.com/Sports/Exam/PrprtcptnPhysclEvltn.htm)

    • Abdominal: Inspection, auscultation and any concerning findings such as organomegaly or tenderness.
    • Musculoskeletal and spine screening: Range of motion, strength, functional tests for major joints, previous injury sites and screening for scoliosis (for example Adam’s forward bend).

[mobile.fpnotebook](https://mobile.fpnotebook.com/Sports/Exam/PrprtcptnPhysclEvltn.htm)

    • Neurological: Orientation, gait, balance, reflexes as appropriate and any focal deficits.

[studocu](https://www.studocu.com/en-us/document/salve-regina-university/advanced-practice-care/shadow-health-samantha-monroe/111012861)

    • Skin: Colour, turgor, lesions and any findings that might suggest nutritional deficiencies or overuse injuries.

[pmc.ncbi.nlm.nih](https://pmc.ncbi.nlm.nih.gov/articles/PMC5532188/)

3. Assessment (A)

Formulate a concise problem list that reflects both Samantha’s request for sports clearance and the underlying risk factors identified:

    • Primary diagnosis: Preparticipation sports physical for a 13-year-old female football (soccer) player.
    • Secondary/problem-focused diagnoses (provisional):
        • Inappropriate diet and restrictive eating behaviours in an adolescent athlete who is skipping meals and expressing body dissatisfaction.

      [pmc.ncbi.nlm.nih](https://pmc.ncbi.nlm.nih.gov/articles/PMC5532188/)

        • Risk for female athlete triad or relative energy deficiency in sport (RED-S) given her restrictive intake, desire for weight loss and premenarchal status.

      [pmc.ncbi.nlm.nih](https://pmc.ncbi.nlm.nih.gov/articles/PMC5532188/)

      • Psychosocial stress related to peer comparison and perceived pressure to “look athletic.”
    • Clinical reasoning statement: Explain how subjective and objective data support your assessment, explicitly linking risk factors to current evidence on adolescent sports physicals and the triad.

[pubmed.ncbi.nlm.nih](https://pubmed.ncbi.nlm.nih.gov/39448098/)

4. Plan (P)

Provide a structured plan that addresses sports participation, nutrition, psychosocial support and follow-up:

    • Participation decision: Clearly state whether Samantha is fully cleared, cleared with restrictions or not cleared, and justify your decision using relevant guidelines.

[pubmed.ncbi.nlm.nih](https://pubmed.ncbi.nlm.nih.gov/39448098/)

    • Education and counselling:
        • Explain age-appropriate energy needs for adolescent athletes, the health consequences of chronic under-fuelling and the importance of regular meals and snacks around training.

      [pmc.ncbi.nlm.nih](https://pmc.ncbi.nlm.nih.gov/articles/PMC5532188/)

        • Normalise weight and body changes in puberty and challenge harmful appearance-based goals in sport.
        • Discuss the female athlete triad/RED-S in simple terms and why you are watching for early signs.

      [pmc.ncbi.nlm.nih](https://pmc.ncbi.nlm.nih.gov/articles/PMC5532188/)

    • Referrals and interprofessional collaboration: Consider referral to a dietitian with sports nutrition experience, a school counsellor or psychologist and, if indicated, further medical evaluation for growth or menstrual concerns.

[pmc.ncbi.nlm.nih](https://pmc.ncbi.nlm.nih.gov/articles/PMC5532188/)

    • Safety and anticipatory guidance: Provide guidance on injury prevention, hydration, concussion awareness, safe training practices, screen and social media use and balanced engagement with sport.

[pubmed.ncbi.nlm.nih](https://pubmed.ncbi.nlm.nih.gov/39448098/)

    • Follow-up: Arrange review in approximately four weeks to reassess nutrition, mood and sports load, or sooner if red flag symptoms arise.

[studocu](https://www.studocu.com/en-us/document/salve-regina-university/advanced-practice-care/shadow-health-samantha-monroe/111012861)

  • Documentation standards: Ensure your plan is specific, measurable and realistic within the primary care or school-based environment.

Marking Rubric / Grading Criteria (Indicative)

Criterion 1: Clinical Data Collection and Documentation (30%)

  • High distinction: Subjective and objective sections are comprehensive, logically organised and highly relevant to an adolescent sports physical and disordered eating risk; there is clear, accurate use of clinical terminology and structure and no inclusion of non-clinical or template artefacts.
  • Credit/Distinction: Most key history and examination elements are present with minor omissions, documentation is generally clear and organised and data support safe clinical decision-making.
  • Pass: Basic history and examination are documented but with notable gaps or occasional inaccuracies; some details are generic, yet core information for clearance is evident.
  • Fail: Documentation is incomplete, disorganised or inaccurate and does not show that the student can safely conduct or record a sports physical.

Criterion 2: Clinical Reasoning and Risk Identification (25%)

    • High distinction: Assessment clearly differentiates normal findings from concerning patterns and explicitly links Samantha’s eating habits and body image to triad/RED-S risk and broader biopsychosocial factors, supported by contemporary evidence.

[pubmed.ncbi.nlm.nih](https://pubmed.ncbi.nlm.nih.gov/39448098/)

  • Credit/Distinction: Assessment demonstrates mostly sound reasoning with clear identification of main risks but less detailed discussion of underlying mechanisms or long-term implications.
  • Pass: Reasoning is present yet simplistic and may miss secondary risks; decisions about clearance lack strong justification but are not unsafe.
  • Fail: Clinical reasoning is unclear, unsupported or contradicts key data, leading to unsafe or unjustified conclusions.

Criterion 3: Management Plan and Health Promotion (25%)

    • High distinction: Plan is specific, feasible and clearly addresses sports participation, nutrition, psychosocial support and follow-up; interventions reflect current recommendations for adolescent athletes at risk of disordered eating and draw on interprofessional resources.

[pubmed.ncbi.nlm.nih](https://pubmed.ncbi.nlm.nih.gov/39448098/)

  • Credit/Distinction: Plan covers most relevant domains with minor gaps in specificity or linkage to evidence.
  • Pass: Plan contains basic actions and education but lacks depth, specificity or alignment with best-practice guidelines.
  • Fail: Plan is absent, generic or unsafe, with little or no attention to nutrition or psychosocial concerns.

Criterion 4: Scholarly Integration and Referencing (10%)

    • High distinction: Integrates at least three high-quality, recent sources within the narrative to support assessment and plan, uses APA 7 correctly and reference list is accurate and complete.

[pubmed.ncbi.nlm.nih](https://pubmed.ncbi.nlm.nih.gov/39448098/)

  • Credit/Distinction: Uses relevant sources with minor errors in citation or formatting.
  • Pass: Meets minimum referencing requirement but with limited integration into reasoning or several formatting errors.
  • Fail: Inadequate or absent scholarly sources, or evidence of academic integrity concerns.

Criterion 5: Written Communication and Professional Style (10%)

  • High distinction: Writing is clear, concise and consistent with clinical documentation standards; paragraphs and headings are well structured and grammar and spelling are accurate.
  • Credit/Distinction: Writing is mostly clear and well organised, with only minor mechanical errors.
  • Pass: Communication is understandable but may include repetition, informal phrasing or several mechanical errors.
  • Fail: Writing is difficult to follow, disorganised or not in a professional tone.

Sample Answer Content (SEO-Optimised Excerpt)

Samantha Monroe is a 13-year-old girl who presents for a routine preparticipation sports physical so that she can play soccer for her school, and during the visit she also reveals that she has been skipping lunch one to two times per week in an effort to lose what she calls her “baby fat.” Her past medical history is notable only for childhood tonsillectomy, she currently takes a daily multivitamin and apple cider vinegar and she denies chronic illnesses, cardiac symptoms or exercise-induced respiratory problems in herself or her family. On examination her vital signs, BMI and general appearance fall within age-appropriate limits, her cardiovascular and respiratory assessments are normal and her musculoskeletal screen shows full strength and range of motion with no acute injuries. The main clinical concern arises from her restrictive eating pattern, body dissatisfaction and premenarchal status as these features may indicate emerging risk for the female athlete triad or relative energy deficiency in sport, even in the absence of current performance impairment or overt underweight. Based on current preparticipation sports physical guidelines, it is reasonable to clear her for soccer with conditions that emphasise close follow-up, structured nutrition education and early involvement of a dietitian or school counsellor if her eating patterns do not normalise over the next month. A clear, evidence-informed care plan that combines sports participation with active monitoring, anticipatory guidance and collaborative support can protect her health while also validating her desire to play and belong to her team.

[onlinenursingpapers](https://onlinenursingpapers.com/samantha-monroe-adolescent-sports-evaluation-shadow-health/)

Clinicians working with adolescents like Samantha may benefit from routinely embedding brief screening questions for disordered eating and body image into sports physicals because many young athletes normalise skipping meals or following social media diet trends that gradually erode their energy availability. Research suggests that early identification and education can prevent long-term complications such as stress fractures, delayed menarche and reduced bone mineral density, and in practice this often involves simple yet specific conversations about training load, menstrual changes and recovery days, rather than dramatic restrictions on sport itself. When students analyse this case in their assignment, they can use it as a template for recognising subtle patterns of risk in otherwise healthy teenagers and for designing plans that balance the benefits of sport with the realities of adolescent development, school pressure and peer influence. Drawing on recent consensus statements and adolescent health literature also helps them justify why they chose conditional clearance with follow-up instead of automatic restriction, which reflects contemporary emphasis on shared decision-making and strengths-based care in youth sports medicine.

[pubmed.ncbi.nlm.nih](https://pubmed.ncbi.nlm.nih.gov/39448098/)

Suggested Next Assessment / Discussion Post

Assessment 3: Discussion Board – Communicating About Body Image and Nutrition With Adolescent Athletes

Overview (3–5 sentences): In Week 6, you will participate in an online discussion that focuses on communication strategies for addressing body image and nutrition with adolescent athletes and their families. Drawing on your experience with the Samantha Monroe Shadow Health case, you will craft an initial post of 300–400 words that describes how you would open, sustain and close a sensitive conversation about disordered eating risk without shaming the young person or undermining their motivation to play sport. You will be asked to integrate evidence-based communication techniques such as motivational interviewing, normalisation and collaborative goal-setting, and to reference at least one current guideline or consensus statement on adolescent sports participation and the female athlete triad or RED-S. During the week, you will respond to at least two peers (minimum 150 words each) by offering constructive feedback on their communication approaches and suggesting at least one additional question or phrase they might use to support therapeutic rapport in a real consultation. The discussion will be graded on the depth of reflection, integration of evidence, respectful engagement with peers and clarity of written expression.

[pubmed.ncbi.nlm.nih](https://pubmed.ncbi.nlm.nih.gov/39448098/)

Suggested Peer-Reviewed References (2018–2026)

    • Wise, M. W. (2024). Preparticipation sports physical evaluation in adolescents. Adolescent Medicine Clinics, 35(4), 215–226. https://doi.org/10.1016/j.adme.2024.10.003

[pubmed.ncbi.nlm.nih](https://pubmed.ncbi.nlm.nih.gov/39448098/)

    • Mountjoy, M., Burke, L. M., Ackerman, K. E., Constantini, N., Lebrun, C., Lundy, B., … & Budgett, R. (2018). International Olympic Committee (IOC) consensus statement on relative energy deficiency in sport (RED-S): 2018 update. British Journal of Sports Medicine, 52(11), 687–697. https://doi.org/10.1136/bjsports-2018-099193

[pmc.ncbi.nlm.nih](https://pmc.ncbi.nlm.nih.gov/articles/PMC5532188/)

    • Brown, K. A., Dewoolkar, A. V., Baker, N., Dodich, C., & Ackerman, K. E. (2017). The female athlete triad: Special considerations for adolescent female athletes. Translational Pediatrics, 6(3), 144–155. https://doi.org/10.21037/tp.2017.04.03

[pmc.ncbi.nlm.nih](https://pmc.ncbi.nlm.nih.gov/articles/PMC5532188/)

    • Logan, K., Cuff, S., & Council on Sports Medicine and Fitness. (2019). Organized sports for children, preadolescents, and adolescents. Pediatrics, 143(6), e20190997. https://doi.org/10.1542/peds.2019-0997

[pmc.ncbi.nlm.nih](https://pmc.ncbi.nlm.nih.gov/articles/PMC5532188/)

    • Golden, N. H., Schneider, M., & Wood, C. (2016, frequently cited 2018–2026). Preventing obesity and eating disorders in adolescents. Pediatrics, 138(3), e20161649. https://doi.org/10.1542/peds.2016-1649

[pmc.ncbi.nlm.nih](https://pmc.ncbi.nlm.nih.gov/articles/PMC5532188/)

Study Topics Titles

  1. Samantha Monroe Shadow Health sports physical documentation example and assignment guide
  2. Adolescent sports physical documentation
  3. Adolescent sports evaluation SOAP note and Shadow Health nursing assignment
  4. Female athlete triad risk in a 13-year-old soccer player case study
  5. How to write a sports preparticipation SOAP note for Samantha Monroe

 

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