Syllabus Health Assessment.doc

ST. FERDINAND COLLEGE COLLEGE OF HEALTH SCIENCES Calamagui 2nd , Ilagan 3300, Isabela, Tel. No. (078) 6223110 --------------------------------------------------------------------------------------------------------------A Syllabus in Health Assessment 1st year, Summer, S.Y. 2008-2009 Course Name: Placement : Instructors:

Health Assessment 1st year, Summer Health Assessment Team

Units: 2 Units lecture, 1 unit RLE Time Allotment: 36 hours lecture/51 hours lab Consultation Hours: MTW 8-9

Prerequisite:

All first semester subjects

Course Description:

The course deals with the concepts, principles and techniques of history taking using various tools, physical examination head to toe), psycho-social assessment and interpretation of laboratory findings to arrive at a nursing diagnosis on the client across the lifespan in varied settings

Terminal Competencies: Given simulated and actual conditions/situations, the student will be able to: 1. Differentiate normal from abnormal assessment findings 2. Utilize concepts, principles, techniques and appropriate assessment tools in the assessment of individual client with varying age group and development 3. Observe bioethical concepts/principles and core values and nursing standards in the care of clients Course Requirement:

Reasonable attendance, written examination, classroom observation, recitation, reports and projects.

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Grading System:

Class Participation Quiz Recitation Project/ Assignments Attendance Periodical Examination

============== 50 points 20 points 20 points 10 points =============

70%

__30% 100%

References:

D’Amico, D. & Barbarito. (2007). An Introduction to Health & Physical Assessment in Nursing. Singapore. Pearson EducationSouth Asia Pte.Ltd Jarvis, D. (2004). Physical Examination &Health Assessment 5 th edition. St. Louis, Missouri. Saunders Elsevier. Weber, J. Kelly J. (2007). Health Assessment in Nursing 3 rd edition. Philadelphia. Lippincott Williams & Wilkins

Websites:

Comprehensive Health Assessment - eHealthAssessment.com, www.ehealthassessment.com Physical Assessment of the Newborn, www.nursing.duq.edu/newborn Nutrition - About.com, nutrition.about.com Psychosocial and Cognitive Assessments, www.cdc.gov/ncipc/pub-res/pdf/YV/CDC_YV_SecII.pdf

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Objective Classification

Knowledge

Specific Objectives

Topic/Subject Matter

 Given an orientation on the  Orientation to the course; course, student be able to: a. Objectives and activities 1. State the objectives, b. Course Content activities and c. Course Requirement expectations from the course.

Strategies/Activities

Evaluation Measures

Values

Time Frame 30mins

 Discussion

 Class Participation

 Awareness

Given as an assignment  Evocative discussion

 Class participation  Pre-test  Graded recitation

 Critical Thinking  Honesty

Lec:2 hrs

MIDTERM  Given a case, the students will be able to: C1

C3

1. Analyze the different phases of the nursing process in health assessment.

I. Conceptual overview of Nursing Health Assessment:

2. Demonstrate critical thinking skills in health assessment.

B. Critical Thinking in Health Assessment

A. Nurse’s Role in Health Assessment: Collecting & Analyzing Data ; Evolution of Nurse’s role in health assessment .







Post Test

 Competence

Lec:1.5hr



Case Presentation Submission of group output Peer evaluation

 Cooperation  Unity  Respect

Lab:3 hrs

Lecture

Small group discussion - Students will be grouped accordingly, each group will be given a situation to discuss/study and apply learned knowledge/skills in Health assessment. Group preparation is 1 hr, time allotted for the presentation of all groups is also 1 hour. 

 

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C2

3. Discuss the relevance of culture/ spirituality/Family as part of health assessment.

Given a case, the students will be able to: C2

C3

A. The client in the Context: Culture, Spirituality, and Family Culture Cultural competence Cultural Beliefs & Practices Role of culture in illness Culture-bound Syndromes Cultural Awareness Spirituality Family Role of family in illness

 Lecture  Interactive discussion

 

  Case Analysis -Group activity wherein  an interview of a family/religious sect in the locality of Ilagan to  assess cultural beliefs/practices. An assessment tool will be utilized as a guide in data gathering

Post Test Recitation

 Awareness  Respect

Lec:2 hrs

Case Presentation Submission of written output/ group Peer evaluation

 Cooperation  Initiative  Unity

Lab:5 hrs

Awareness Courtesy Honesty Assertiveness

Lec:2 hrs

II. Data collection Documentation and analysis

1. Collect subjective and A. Data collection process objective data through -General Survey effective techniques. -Interview 1. Purpose 2. Structure 3. Guidelines of an effective interview 2. Classify objective from B. Collecting subjective data subjective data. COLD SPA (mnemonic) Health History a. Biographical data b. Chief complaints c. Present Health History d. Past health history e. Family history f. Psychosocial history g. Activities of daily living h. Review of systems

 Given as assignment  Lecture/Discussion

 Class participation  Post Test

 Interactive discussion

 Recitation

 Self confidence

Lec:2 hrs

 Role playing on proper interview techniques, and collection of subjective & objective data.

 Peer Evaluation  Submission of written output/ group

 Cooperation  Creativity

Lab:5 hrs

   

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C3

3. Differentiate C. Collecting objective data normal/abnormal - Vital signs (TPR,BP) findings, and explain - Physical Assessment deviations from normal - Diagnostic procedures result.

 Interactive discussion  Review of proper taking of vital signs and physical assessment

 Class Participation

 Accuracy  Awareness

Lec:2 hrs

 Return demonstration on vital signs

 Honesty

Lab:3 hrs

C5

4. Combine and organize D. Validation/Rationalization of information based on subjective/objective data gathered subjective/ Objective data.

 Lecture

 Recitation

 Critical thinking  Competence

Lec:2 hrs

C3

5. Demonstrate legal practices in documentation

 Given as assignment  Lecture

 Pre Test  Recitation

 Awareness  Self discipline

Lec:4 hrs

E. Documentation of data - Purposes of assessment documentation -Guidelines for documentation -Assessment forms used for documentation -Ethical and Legal considerations on documentation

 Case Analysis  Submission of  Self reliance  Worksheet on proper accomplished  Accuracy documentation documenta Independence tion report/output

Lab:5 hrs

FINALS Given a case, the students will be able to:

III. Nursing Assessment of the Whole Person

C3

1. Utilize the concept of man as bio-psychosocio-spiritual being

A. Man as Bio-psycho-social-spiritual Being

C3

2. Conduct health assessment utilizing cephalo-caudal and focused approaches

B. Guidelines in Conducting Health Assessment -Preparing the client - Preparing equipment -Preparing the environment

 Given as assignment  Evocative discussion

 Given as assignment: 1. Content of general survey form 2. Review of anatomy and physiolog  Evocative discussion

 Pretest

Submission of output Post test

 Respect  Awareness

Lec:30min

 Critical thinking  Respect

Lec:1.5 hr

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C3

C3

3. Apply the correct steps in health assessment

4. Demonstrate or perform techniques in newborn assessment using different newborn screening tests.

C. General Survey 1. Physical Assessment a. Skin, Hair, Nails b. Eyes, ears, &Nose c. Head and Neck d. Thoracic & Lung e. Breast &Lymphatic f. Peripheral Vascular g. Abdominal h. Female& Male Genitalia i. Anus, Rectum & Prostate j. Musculoskeletal k. Neurological l. Endocrine m. Immune System/blood 2. Newborn/Infants a. Newborn assessment - APGAR scoring, Ballard Scale, and Denver developmental screening test - Reflexes b. All system with emphasis on the infant head, genitalia, anus, rectum, skin, EENT for special senses

 Lecture/Discussion

Post-test

 Accuracy  Self awareness

Lec:7 hrs

 Demonstration of complete health assessment

Return demonstration

 Self confidence  Critical thinking  Respect

Lab:16 hrs

 Research work  Evocative discussion

Submission of output Post test

 Awareness  Accuracy  Competence

Lec:3 hrs

 Presentation/ demonstration of different newborn assessment tools

Return demonstration utilizing dummies

 Self awareness

Lab:5 hrs

c. Children/Adolescents - Immunization schedule - Play therapy - Growth &development with emphasis on sexual maturity; agespecific interview; Menstruation

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C4

C3

C2

5. Analyze pain assessment data, perform accurate pain assessment.

6. Utilize appropriate tool in assessing physical, mental, social, and spiritual well being based on nutritional status.

7. Identify strategies to promote and maintain psycho social well ness.

3.Physiological Assessment a. Pain - Physiology of pain - Pain Assessment b. Nutrition - Anthropometric measurements - Filipino food pyramid - Normal caloric intake - Computation of calories - Nutritional food alternatives - Food groups

7. Psychosocial Assessment Elderly a. Social support b. Family and relationship

 Lecture

Graded recitation

 Self Awareness

Lec:1 hr

 Sharing of individual pain experiences

Presentation /submission of output.

 Accuracy  Confidence

Lab: 3 hrs

 Research work  Lecture-Discussion  Sample problems on Computation of calories

Submission of output Seat work on computation of calories

 Competence  Critical thinking

 Demonstration on anthropometric measurement

Return demonstration

 Cooperation

 Group activity - To formulate a nutritional assessment tool for individuals

Presentation /submission of output.

 Creativity

 Evocative discussion

 Graded recitation



Lec:4 hrs

Lab:6 hrs

on

Lec:1 hr Awareness

Prepared and submitted by:

Reviewed and Checked by:

Approved by:

Health Assessment Team CANDY CHERRY C. NAGUM, RN (Team Leader) NESTLEE S. CABACCAN, RN, MSN MARIA CECILIA R. RAMIL, RN, RPh GILBERT C. SALACUP, RN JOLO R. GALABAY, RN

MARILOU A. MALABUG, RN,RM,MSN Program Coordinator

EVELYN C. ONG, RN,MSN Dean

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