Health Assessment 2

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Health Assessment 2

 

 

Course Description:

This course of health assessment is 2 credit hours. An introduction to the content and skills needed to assess the basic health status of individuals of varying ages. These skills can be applied to nursing care in a wide variety of clinical settings. This course emphasizes history taking and physical examination skills.


Course Objectives:

By the completion of this course you will be able to:

1. Systematically assess the health status of an individual by obtaining a complete health history using interviewing skills appropriately.

2. Utilize proper techniques of observation and physical examination in assessing various body systems.

3. Differentiate normal from abnormal findings.

4. Record findings in an appropriate manner.

5. Demonstrate an awareness of the need to incorporate health assessment as part of their general nursing practice skills.

6. Apply knowledge of growth & development, anatomy, physiology, & psychosocial skills in assessment & analysis of data collected.

 

Teaching/Learning Strategies:

These methods will be used for this course. Pre readings, experiential learning, videotaping, role playing, lecture/discussion, quizzes, demonstration, movies & lab practice.

 

Evaluation Criteria:

According to the new evaluation criteria, 30% marks will be internal and 70% will be of KMU or other university.

Midterm 30%

Performance Exam 30%

Final Exam 40%

Total 100%

 

UNIT OBJECTIVES:

The health assessment part 2 course consists of the following list of topics.

Unit No

Topics

1.     

Assessment of the Peripheral Vascular and Musculoskeletal Systems

 

2.     

Assessment of the Mental Status and Sensory Neuro System

 

3.     

Assessment of Cardio Vascular System

 

4.     

Assessment of Thorax and Lungs

 

 

5.     

Assessment of the Eyes, & Ears

6.     

        Assessment of an Elderly Client

 

7.     

    Assessment of Pediatric Client

 

If you wanted to download all lecture at only one pdf form, then Click Here. Otherwise just go down and read your desired unit.  

 

 

UNIT 1: Assessment of the Peripheral Vascular and Musculoskeletal Systems

By the end of the unit, you will be able to:

1. Discuss the patient health history question necessary to perform the assessment of Peripheral Vascular System (PVS) and Musculoskeletal System (MS) system.

2. Discuss critical observations to assess PVS.

3. Assess musculoskeletal functions including muscles strength, symmetry, size, contour, ROM and its characteristics.

4. Document findings.

5. List the changes in the given systems that are characteristics of aging process.

 


 

UNIT 2: Assessment of the Mental Status and Sensory Neuro System (Downlaod)

By the end of the unit, you will be able to:

1. Perform mental status examination of a client.

2. Assess cranial nerve, sensory, sense of proprioception and cerebellar functions and deep tendon reflexes.

3. Document findings.

4. List the changes in the nervous system that are characteristics of the aging process.

 

 

UNIT 3: Assessment of Cardio Vascular System (Download)

By the end of the unit, you will be able to:

1. Describe the components of health history that should be elicited during the assessment of cardiovascular system.

2. Identify the landmarks of the chest.

3. Describe the following:

·      Pulse rate, rhythm and pulsation characteristics

·      PMI

·      Heart sounds

·      Discuss systolic and diastolic murmurs

4. Assess the cardiovascular system systematically.

5. Document findings.

6. List the changes in cardiovascular system that is characteristics of aging process.

 

 

UNIT 4: Assessment of Thorax and Lungs (Downlaod)

By the end of the unit, you will be able to:

1. Describe the components of health history that should be elicited during assessment of respiratory system.

2. Describe the following:

·      Chest contour and symmetry

·      Respiratory rate and pattern

·      Tactile fremitus

·      Chest expansion

·      Density of lung fields

·      Diaphragmatic excursion

·      Auscultated lung sounds 

3. Assess the respiratory system including inspection, palpation, percussion and auscultation.

4. Document findings.

5. List the changes in respiratory system that are characteristics of aging process.

 

 

UNIT 5: Assessment of the Eyes, & Ears (Download)

By the end of the unit, you will be able to

1. Identify the component of health history necessary for the examination of eye & ear.

2. Describe the following:

·      Eye structure and position

·      Upper and lower eyelids

·      Gross visual perception

·      Characteristics of the cornea, sclera, pupil, and lens fundi.

·      Peripheral fields

·      Color, shape, and location of auricle

·      External ear canal and tympanic membrane

·      Gross hearing

3. Perform the examination of eye and ear of a healthy patient.

4. Document findings.

5. List the changes in eye and ear that are characteristics of aging process.

 

 

 UNIT 6: Assessment of an Elderly Client (Download)

By the end of the unit, you will be able to

1. Describe the variations in history taking for an elderly client.

2. Differentiate health assessment variations for elderly clients.

3. Identify any differing examination techniques or skills for elderly client

 

 

UNIT 7: Assessment of Pediatric Client (Download)

By the end of the unit, you will be able to:

1. Describe the component of a thorough pediatric history, including differences for developmental levels.

2. Differentiate health assessment norms for infants, and children.

3. Identify common examination techniques/skills for pediatric health assessment.

 

 

References:

1. Bicklay, L. S. (1999). Bates’ guide to physical examination and history taking (7th ed).Philadelphia: J. B. Lippincott.

2. Cox, C. H. (1997). Clinical applications of nursing diagnosis (3rd ed).

3. DeGowin, R. L., & Brown, D. D. (2000). Degowin’s diagnostic examination (7th ed.). New York: McGraw-Hill.

4. Fuller, J. & Schaller Ayers, J. (2000). Health Assessment: A Nursing approach. (3rd ed.). Philadelphia: J. B. Lippincott.

5. Jarvis, C. (1996). Physical examination & health assessment (2nd ed).Philadelphia: Saunders.

6. McFarland, G. K, et. al. (1997). Nursing diagnosis and intervention planning for patient care chapter 1 & 2 (3rd ed).

7. Munro, J. F., & Campbell, I. W. (2000). Macleod’s clinical examination (10th ed). Edinburgh: Churchhill Livingstone.

8. Thompson, B. (1991). Clinical manual of health assessment. (4th ed).St. Louis: Mosby.

9. Weber, J. R. (2001). Nurses' handbook of health assessment (4th ed). Philadelphia: Lippincott.

10. Wilson, S. F; Giddens J. F. (2001). Health assessment for nursing practice (2nd ed).St. Louis: Mosby.