Suffolk County Community College s11

SCHOOL OF NURSING

NUR 123 Health Assessment

Course outline

3 Credits

1 Health Assessment

NUR 123

Course Description: This course focuses on the health assessment of individuals from multi- cultural and diverse backgrounds. Psychosocial and spiritual dimensions are also assessed. A systems approach is used as a guide for establishing a comprehensive nursing data base. This approach allows for a systematic and standardized approach to data collection. It includes the skillful collection of subjective data during the interview; the analysis of objective data by inspection, palpation, percussion, and auscultation of each body system, and the synthesis of the combined information to formulate a nursing diagnosis, determine priorities and therapeutic nursing interventions. This provides the student with the opportunity to develop proficiency in health assessment skills which will increase the student’ ability to make effective decisions in order to diagnose, plan, implement, and evaluate health care. It will provide students with guidance in meeting the core components of our program.

Credit Hours: Lecture: 2 hours per week Laboratory: 2 hours per week

Course Objectives: Upon completion of this course the student will be able to:

1. Critically analyze findings from the collection of subjective and objective data and to distinguish between the data consistent with health, and the data which indicates alteration in health.

2. Obtain a health assessment using proficient interviewing skills.

3. Conduct a nursing health history, which includes the systematic collection of subjective data to determine health status including collection of physiological, psychological, socio cultural, developmental, and spiritual data.

4. Identify nursing diagnoses by using data obtained in the assessment.

5. Develop a therapeutic plan of care identifying outcomes and specific nursing measures that include resources to promote and maintain health.

6. Complete a physical assessment using: inspection, auscultation, palpation, and percussion.

7. Communicate a therapeutic plan of care to others.

Grant Nursing Faculty Office Phone Number E-mail Address

Sharon Niggemeier, RN, MS A 204 851-6530 [email protected] Victoria Siegel, RN, MSN, EdD A 207 851-6962 [email protected] Colleen Prunier, RN, MS A 207 851-6428 [email protected] Joy Borrero, RN, MSN, ANP A 207 851-6429 [email protected]

2 All full time faculty have a mailbox located in the Health, Sports and Education Center, in room MA 202. Adjunct faculty mailboxes are located in room 203.

Teaching Methods

1. Lecture 2. Demonstration and return demonstration 3. Audio Visual 4. Reading Assignments 5. Written Assignments 6. Independent lab practice 7. CD-ROM/Internet Access

Evaluation Methods

1. Weekly physical assessment and recording of findings, SO notes P/F 2. Health history, review of systems (ROS) paper 10% 3. Three exams; 2 exams & cumulative final 60%

4. Performance Examination (one out of the four below) 30%

 Thorax and lungs  Cardiovascular System  Abdomen  Neuro

Absence Policy:

Please refer to the college policy.

Required Textbooks:

Jarvis, Carolyn (2008) Physical Examination and Health Assessment, 5th Edition, Philadelphia, PA. W.B. Saunders Co.

Jarvis, Carolyn (2008) Laboratory Manual for Physical Exam and Health Assessment, Philadelphia, PA. W.B. Saunders Co.

Recommended:

Jarvis, Carolyn (2008) Pocket Guide to Physical Examination and Health Assessment, Philadelphia, PA. W.B. Saunders Co.

3 LAB AND LECTURE SCHEDULE

TOPIC READING ASSIGNMENT

Introduction to course Chapters 1, 2, 3, 5, 8, Review of Health History Physical Assessment Techniques: Inspection Percussion, Palpation Auscultation

General Survey and Pain Chapters 9, 10

Assessment of Thorax & Lungs Chapter 18

Assessment of Cardiovascular and Peripheral Chapters 19, 20 Vascular system.

Written Examination # 1 (30 questions)

Smoking Cessation (in lab)

Assessment of Skin, Skin Cancer, Hair and Nails Chapter 12

Assessment of Abdomen, Male GU Chapters 21, 24

Assessment of the Neurological system Chapters 6, 23

Written Examination # 2 (30 questions)

Assessment of Eyes Chapter 14 Nutrition Chapter 11

Assessment of Ears; Assessment of Breast Chapters 15, 17

Assessment of Head, Neck, Nose, Mouth and Pharynx Chapters 13, 16

Assessment of the Musculoskeletal system Chapter 22 Domestic Violence Chapter 7

Performance Evaluations

Cumulative Written Examination #3 (50 questions)

4 NUR 123 Health History Paper

Part I

Complete chapter 5 of the workbook, mental status exam, p. 47 and nutritional assessment, p. 88.

Part II

Based on the evaluation of the health history, compile a list of health prevention, maintenance and other appropriate learning needs.

Include a reference page, using APA format.