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Week 1

week 2

Week 3

Week 4


Week 5


Week 6


Week 7


Week 8


Week 9


Week 10


Week 11


Week 12


Week 13


Week 14


Week 15


Week 16


Week 1
8/26/97
8/27/97

Objectives

  1. Contrast the nursing health assessment with the medical examination.
  2. Examine assessment data to differentiate between nursing, medical, and collaborative problems.

Topics
Activities
Readings & Assignments
  • Orientation to Course

  • Introduction to Health Assessment and Health Promotion

  • Empowerment

  • Environment

  • Health

  • Healing
  • Overview of Course Syllabus/ Web Page

  • Orientation to Netscape and WWW

  • Discussion Bulletin Board
  • Readings:
    Edelman & Mandle
    Chapter 1

    Additional reading
    Lybecker. C.J. (1997). A nurse explores the Internet. AJN, 97(6), 42-51.

    Assignments:
    Technology Survival Skills -- Self Assessment complete by 9/2/97

    Establish Self Learning Goals complete by 9/29/97

    Select Grading Option complete by 9/2/97


    Audiovisual:

    Lab:
    There will be no scheduled lab this week.

    The class will use the assigned lab time to complete the following: review course syllabus on Web Page complete technology assessment complete learning goals


    Week 2
    9/2/97
    9/3/97

    Objectives

    1. Explain the purpose and components of a health history and health assessment.
    2. Describe modifications needed to accommodate a client's cultural beliefs and developmental differences.
    3. Identify effective and ineffective interviewing techniques.
    4. Demonstrate techniques of inspection, palpation, percussion, and auscultation.
    5. Demonstrate how to assess and document vital signs.
    6. Assess client's dietary patterns and nutritional status.
    Topics
    Activities
    Readings & Assignments
    1. History
    2. Interviewing Skills
    3. Documentation
    4. Terminology and Equipment
    5. Techniques of the Physical Examination
    6. Considerations Related to Culture
    7. Growth, Development, and Nutritional Assessment
    8. Slides
  • Health History Case Study
  • Small Group Exercise

    Discussion Bulletin Board

    Case Study 1

    Case Study 2
  • Readings:
    Thompson & Wilson -- Chapters 2, 3, 4 ,5, 6, 7
    Edelman & Mandle -- Chapters 2, 12

    Assignments:
    Technology Assessment

    Establish Self Learning Goals

    Select Grading Option

    Audiovisual:
    Taking a health history
    Examination techniques
    The general survey

    Lab:
    Health History Practice
    Practice Techniques of Inspection, Palpation, Percussion, and Auscultation


    Week 3
    9/9/97
    9/10/97

    Objectives

    1. Identify health history questions for assessment of skin, hair, and nails.
    2. Demonstrate health assessment of the skin.
    3. Differentiate between normal and abnormal integumentary assessment findings.
    4. Identify health promotion needs of clients based on findings of integumentary assessment.
    Topics
    Activities
    Readings & Assignments
    Health Assessment and Health Promotion Related to:
  • Small group exercise
  • Skin slides

    W Bulletin Board

    Skin Assessment (Handout)
  • Readings:
    Thompson & Wilson -- Chapter 8


    Audiovisual:

    Required Equipment:

  • Centimeter ruler or tape measure (clear, see-through plastic preferred)
  • Penlight

    Lab:
    Demonstrate health assessment of the integumentary system


  • Week 4
    9/16/97
    9/17/97

    Objectives

    1. Identify health history questions for assessment of the eyes.
    2. Demonstrate health assessment of the eyes.
    3. Differentiate between normal and abnormal assessment findings of the eye.
    4. Identify health promotion needs of clients based on findings of eye assessment.
    Topics
    Activities
    Readings & Assignments
    Health Assessment and Health Promotion Related to:
  • Small group exercise
  • Readings:
    Thompson & Wilson -- Chapter 13


    Audiovisual:
    Bates: A Visual Guide to Physical Examination
      1) Head, Eyes, and Ears

    Required Equipment:

  • Penlight
  • Cotton tipped applicator

    Lab:
    Demonstrate health assessment of the eyes.


  • Week 5
    9/23/97
    9/24/97

    Objectives

    1. Identify health history questions for assessment of the ears.
    2. Demonstrate health assessment of the ears.
    3. Differentiate between normal and abnormal ear assessment findings.
    4. Identify health promotion needs of clients based on findings of ear assessment.

    Topics
    Activities
    Readings & Assignments
    Health Assessment and Health Promotion Related to:
    • Ears

    Ear Assessment (Handout)
  • Small group exercise
  • Course Feedback (1)

  • Slides on Goal Setting
  • Readings:
    Thompson & Wilson -- Chapter 12


    Audiovisual:
    Bates: A Visual Guide to Physical Examination
      1) Head, Eyes, and Ears

    Required Equipment:

  • Penlight

    Lab:
    Demonstrate health assessment of the ears.


  • Week 6
    9/30/97
    10/1/97

    Objectives

    1. Identify health history questions for assessment of the head, neck, lymph nodes, mouth, nose and throat.
    2. Demonstrate health assessment of the head, neck, lymph nodes, mouth, nose and throat.
    3. Differentiate between normal and abnormal assessment findings of the head, neck, lymph nodes, mouth, nose and throat.
    4. Identify health promotion needs of clients based on findings of the head, neck, lymph nodes, mouth, nose and throat assessment.
    Topics
    Activities
    Readings & Assignments
    Health Assessment and Health Promotion Related to:
    • Head and Neck
    • Lymph Nodes
    • Mouth
    • Nose
    • Throat
  • Small group exercise

  • Head & Neck Handout



  • Course reserve materials

  • Readings
    Thompson & Wilson -- Chapters 9, 10 ,11

    Assignments:
    Write self learning goals. Goals due week of 9/29/97

    Comprehensive Health History Due (Optional project)

    Mini Health History Due (Optional project)


    Audiovisual:
    Bates: A Visual Guide to Physical Examination
      1) Nose, Mouth & Neck

      2) Head, Eyes, and Ears

    Mosby's Physical Examination Video Series

      1) Lymphatic System

    Lab:
    Demonstrate health assessment of the:

    • Head and Neck
    • Lymph Nodes
    • Mouth
    • Nose
    • Throat


    Week 7
    10/7/97
    10/8/97

    Objectives

    1. Demonstrate history taking and health assessment skills on clients of various ages, genders, and cultures.
    Topics
    Activities
    Readings & Assignments
    Quiz 1

    Slides (Exam1)

    More Slides for Exam 1

    Readings
    Review readings assigned weeks 1-6

    Assignments:
    Prepare for Quiz 1

    Audiovisual:
    Physical Assessment: Integrated Adult Exam Video

    Lab:

    • Formative Evaluation of Assessment Techniques
    • Review and demonstrate health assessment of the integumentary system, eyes, ears, head, neck, lymph nodes, mouth, nose, and throat.
    • Complete a mock practicum exam.


    Week 8
    10/14/97
    10/15/97

    Objectives

    1. Identify health history questions for assessment of the thorax and lungs.
    2. Demonstrate health assessment of the thorax and lungs.
    3. Differentiate between normal and abnormal assessment findings of the thorax and lungs.
    4. Identify health promotion needs of clients based on findings of the assessment of the thorax and lungs.
    Topics
    Activities
    Readings & Assignments
    Health Assessment and Health Promotion Related to:
    Clients Experiencing Respiratory Challenges
    Small group exercise

    Lung Assessment Handout

    Readings:
    Thompson & Wilson Chapter 14

    Assignments:
    Self Evaluation of Learning Goals

    Audiovisual:
      Bates: A Visual Guide to Physical Examination

      1) Thorax and Lungs

    Lab:
    Demonstrate health assessment of the lungs and thorax.



    Week 9
    10/21/97
    10/22/97

    Objectives

    1. Identify health history questions for assessment of the cardiovascular system.
    2. Demonstrate health assessment of the cardiovascular system.
    3. Differentiate between normal and abnormal cardiovascular assessment findings.
    4. Identify health promotion needs of clients based on findings of cardiovascular assessment.
    Topics
    Activities
    Readings & Assignments
    Health Assessment and Health Promotion Related to:
    Clients Experiencing Cardiac Challenges

    Clients Experiencing Vascular Challenges

    Small group exercise

    Handout on Cardiovascular Assessment

    Readings
    Thompson & Wilson Chapter 15

    Assignments:

    The Auscultation Assistant
    This is the best! Use this site for learning heart and breath sounds. You will need a computer with a sound card and speakers.

    Cut to the Heart
    This is a Nova site that has some great information on Cardiac Anatomy and Heart Disease.


    Audiovisual:
      Bates: A Visual Guide to Physical Examination

      1) Cardiovascular: Neck Vessels and Heart

      2) Cardiovascular: Peripheral Vascular System

    Lab:
    Demonstrate health assessment of the neck vessels, heart, and peripheral vascular system.


    Week 10
    10/28/97
    10/29/97

    Objectives

    1. Identify health history questions for assessment of the breast, axilla, male genitourinary, and female genitourinary systems.
    2. Demonstrate health assessment of the breast, axilla, male genitourinary, and female genitourinary systems.
    3. Differentiate between normal and abnormal assessment findings of the breast, axilla, male genitourinary, and female genitourinary systems.
    4. Identify health promotion needs of clients based on findings of the breast, axilla, male genitourinary, and female genitourinary systems assessment.
    Topics
    Activities
    Readings & Assignments
    Health Assessment and Health Promotion Related to:
    Breast and Axilla

    Male Genitourinary Systems

    Female Genitourinary Systems

    Small group exercise

    HANDOUT for Assessment of the Breasts and Axillae

    HANDOUT for Assessment of the Testes and Scrotum

    Slides for Examination of Male Genitalia

    Readings
    Thompson & Wilson Chapters 16, 18, 19

    Assignments:


    Audiovisual:
      Bates: A Visual Guide to Physical Examination

      1) Breasts and Axillae

      2) Male Genitalia, Rectum and Hernias

      3) Female Genitalia, Anus and Rectum

      Examination of the Pregnant Woman
    Lab:
    Demonstrate health assessment of the breast and axilla (male and female).

    Demonstrate testicular exam on testicular exam models.

    Discuss examination of the pregnant woman.


    Week 11
    11/4/97
    11/5/97

    Objectives

    1. Identify health history questions for assessment of abdomen.
    2. Demonstrate health assessment of the abdomen.
    3. Differentiate between normal and abnormal abdominal assessment findings.
    4. Identify health promotion needs of clients based on findings of the abdominal assessment.
    Topics
    Activities
    Readings & Assignments
    Health Assessment and Health Promotion Related to:
    Clients Experiencing Gastrointestinal Challenges

    Small group exercise Small group exercise

    HANDOUT for Assessment of the Abdomen

    Readings
    Thompson & Wilson Chapter 17

    Assignments:


    Audiovisual:
      Bates: A Visual Guide to Physical Examination

      1) Abdomen
    Lab:
    Demonstrate health assessment of the abdomen and kidneys.


    Week 12
    11/18/97
    11/19/97

    Objectives

    1. Identify health history questions for assessment of the musculoskeletal system.
    2. Demonstrate health assessment of the musculoskeletal system.
    3. Differentiate between normal and abnormal musculoskeletal system assessment findings.
    4. Identify health promotion needs of clients based on findings of the musculoskeletal system assessment.
    Topics
    Activities
    Readings & Assignments
    Health Assessment and Health Promotion Related to:
    Clients Experiencing Musculoskeletal Challenges

    Small group exercise

    HANDOUT for Assessment of the Musculoskeletal System

    Readings
    Thompson & Wilson Chapter 21

    Assignments:
    Case Study Exam (Optional project)

    Case Study Exam Questions


    Audiovisual:
      Bates: A Visual Guide to Physical Examination

      1) Musculoskeletal System

    Lab:
    Demonstrate health examination of the musculoskeletal system.


    Week 13
    11/25/97
    11/26/97

    Objectives

    1. Identify health history questions for assessment of the neurologic system.
    2. Demonstrate health assessment of the neurologic system.
    3. Differentiate between normal and abnormal assessment findings of the neurologic system.
    4. Identify health promotion needs of clients based on findings of the neurologic assessment.


    Topics
    Activities
    Readings & Assignments
    Health Assessment and Health Promotion Related to:
    Clients Experiencing Neurological Challenges

    Small group exercise

    HANDOUT for Neurological Assessment

    Readings
    Thompson & Wilson Chapter 22

    Assignments:
    Health Assessment/Health Promotion Paper due (Optional Project)

    Guidelines for Health Assessment/Health Promotion Paper
    Audiovisual:
      Bates: A Visual Guide to Physical Examination

      Neurologic: Cranial Nerves & Sensory System

      Neurologic: Motor System & Reflexes

    Lab:
    Demonstrate health assessment of the neck nervous system
      cranial nerves, sensory system, motor system, and reflexes.


    Week 14
    12/2/97
    12/3/97

    Objectives

    1. Demonstrate history taking and health assessment skills on clients of various ages, genders, and cultures.



    Topics
    Activities
    Readings & Assignments
    Quiz 2

    Practice Exam Question Slides for Exam 2


    Results for Quiz 2 are Posted!


    Results of Case Study Exam, Practicum Exam and Paper Option!

    Guidelines for Practicum Exam
    Readings
    Review readings assigned for weeks 8-13.

    Assignments:



    Audiovisual:
      Physical Assessment: Integrated Adult Exam Video
    Lab:
    Formative evaluation of assessment techniques

    Demonstrate mental status examination.

    Review and demonstrate a health examination of the thorax and lungs, cardiovascular system, breasts and axilla, abdomen, musculoskeletal system, and neurologic system.

    Complete a mock practicum examination.


    Week 15
    12/9/97
    12/10/97

    Objectives

    1. Identify health history questions for assessment of the neurologic system.
    2. Demonstrate health assessment of the neurologic system.
    3. Differentiate between normal and abnormal assessment findings of the neurologic system.
    4. Identify health promotion needs of clients based on findings of the neurologic assessment.
    Topics
    Activities
    Readings & Assignments
    Health Assessment and Health Promotion Related to:
    Clients Experiencing Neurological Challenges

    Small group exercise Readings
    Thompson & Wilson Chapter 23

    Assignments:
    Lab Practicum Exam


    Audiovisual:
    Overview of the Physical Examination

    Examination of the Child

    Examination of the Elderly Client

    Lab:
    Summative Evaluation of Assessment Skills-Lab Practicum Exam


    Week 16
    12/14/97

    Objectives

    Final Exam Week


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