UNIVERSITY OF FLORIDA COLLEGE OF NURSING COURSE SYLLABUS FALL 2013
COURSE NUMBER NGR 6002C (sections 7367, 8240, 8245)
COURSE TITLE Advanced Health Assessment and Diagnostic Reasoning
CREDITS 4 [3 credits didactic, 1 credit laboratory (45 laboratory hours)]
PLACEMENT First semester in selected tracks (Advanced Practice Nursing Core)
PREREQUISITES None
COREQUISITES None
FACULTY Jane Gannon, DNP, CNM, CNL [email protected] Jacksonville, LRC, (904) 244-5166 Office hours: Tuesday, 10:00–12:00 pm
Teresa Bruney, DNP, ARNP, PNP-BC [email protected] HPNP (352) 273-6420 Office hours Monday 7:00-8:00 am, Wed 7:00-8:00 am
Jennifer Donelan, ARNP, FNP-BC [email protected] HPNP 2225 (352) 215-5565 Office hours: Wednesdays 2-4 pm at Archer 495-2550
Cindy Figueroa, PhD, ARNP, ANP-BC [email protected] HPNP 3239, Gainesville, (352) 273-6424 Office hours: Monday 1:00-3:00 pm
Deborah Popovich, MSN, ARNP, CPNP [email protected] HPNP 2203, Gainesville, (352) 215-8990 Office hours: Tuesday, 10:30-12:30 pm
Kathleen Solomon, MS, ARNP, FNP-BC [email protected] Jacksonville (904) 244-5176 Office hours: Monday, 10:00-12:00 PM
Kim Curry, PhD, ARNP, FNP-BC [email protected] Gainesville , ((352) 273-6409 Office hours: Monday 9-11 am DEPARTMENT CHAIR Susan Schaffer, PhD, ARNP, FNP-BC [email protected] HPNP 2229, Gainesville, (352) 273-6366 Office hours: By appointment only
JACKSONVILLE CAMPUS DIRECTOR Andrea Gregg, DSN, RN [email protected] Jacksonville (904) 244-5172 Office hours: By appointment only
COURSE DESCRIPTION This course provides the student with knowledge and clinical experience in advanced health assessment of diverse clients across the life span within the context of the advanced practice role. Emphasis is on acquisition and analysis of relevant data for the development of a comprehensive and holistic assessment. A major focus is on the symptom/health problem assessment and selection and interpretation of screening and diagnostic tests in order to formulate a differential diagnosis.
COURSE OBJECTIVES Within the context of the advanced practice role, upon completion of this course the student will be able to:
1. Demonstrate proficiency in performing comprehensive health assessments including risk assessment.
2. Demonstrate proficiency in performing focused health assessments.
3. Perform a risk assessment of the client which takes into consideration life circumstance and cultural, ethnic, and developmental variations.
4. Organize and present holistic health assessment data.
5. Differentiate normal physiological alterations from pathological findings.
6. Demonstrate proficiency in performing symptom/health problem assessments based on selected chief complaints.
7. Utilize the diagnostic reasoning process in the selection and interpretation of appropriate screening and diagnostic tests.
COURSE/LABORATORY SCHEDULE Day Time Room Class Web-based NA NA
Laboratory Wednesdays 8:00AM-5:00PM JAX: CSESa GNV: NRC Aug 21 Intro/Soap/ R Simulatio Sep 11 Micro/Male/Female n Center, 2nd Sep 25 HEENT/Resp Floor, Pavili Oct 9 Abd/CV on Oct 30 Neuro/MS
*Nov 13 Skin/Genetics *ONLINE NA NA
Male/Female Clinical Exa 4 hour experience Harrell Cent Harrell Cen m in GNV, Date TB er, GNV ter, GNV D Students will sele ct 1 day Testing Nov 13, 20 or Dec 4 (Additional days if needed)
ATTENDANCE Students are expected to be present for all classes, other learning experiences and examinations. Students who have extraordinary circumstances (e.g., death in the family, illness) preventing attendance should explain these circumstances to the course instructor prior to the scheduled class or clinical lab, or as soon as possible thereafter. Instructors will make an effort to accommodate reasonable requests. Work responsibilities are not an acceptable excuse for missed lab experiences. A grade penalty may be assigned for late assignments or make-up exams. Make-up exams may not be available in all courses. There may be an opportunity to observe ARNPs in the clinical setting (Archer Clinic, Gainesville). Students will be notified and a sign-up sheet posted should the prospect arise.
ACCOMMODATIONS DUE TO DISABILITY Each semester, students are responsible for requesting a memorandum from the Disability Resource Center to notify faculty of their requested individual accommodations. This should be done at the start of the semester.
STUDENT HANDBOOK Students are to refer to the College of Nursing Student Handbook for information about College of Nursing student policies, honor code, and professional behavior.
COUNSELING AND STUDENT HEALTH Students may occasionally have personal issues that arise on the course of pursuing higher education or that may interfere with their academic performance. If you find yourself facing problems affecting your coursework, you are encouraged to talk with an instructor and to seek confidential assistance at the University of Florida Counseling Center, 352-392-1575, or Student Mental Health Services, 352-392-1171. Visit their web sites for more information: http://www.counsel.ufl.edu/ or http://www.health.ufl.edu/shcc/smhs/index.htm#urgent
ACADEMIC HONESTY The University of Florida Student Conduct and Conflict Resolution Policy may be found at http://www.dso.ufl.edu/sccr/honorcode.php
FACULTY EVALUATION Students are expected to provide feedback on the quality of instruction in this course based on ten criteria. These evaluations are conducted online at https://evaluations.ufl.edu. Evaluations are typically open during the last two or three weeks of the semester, but students will be given specific times when they are open. Summary results of these assessments are available to students at https://evaluations.ufl.edu.
TOPICAL OUTLINE 1. Characteristics of holistic assessment based on systems theory including physiological, affective and cognitive systems for client and client’s environment
2. Organization of comprehensive and focused health assessment data
3. Verbal and written communication of comprehensive and focused health assessment data
4. Advanced health assessment
5. Risk assessment taking into consideration life circumstance and cultural, ethnic, developmental, and family variations
6. Illness assessment based on common chief complaints
7. Screening tests for physical and mental health
8. Diagnostic tests for common acute and chronic illnesses
TEACHING METHODS Online lectures, clinical skill demonstration, simulation exercises, audiovisual materials, and case studies. This course will utilize a simulation lab for practice of assessment skills, not actual clinical settings with patients.
LEARNING ACTIVITIES Skills practice, role playing, system based virtual patient assessment of an online avatar prior to relevant labs, soap notes, paper, Harrell Center visit for male/female exam
EVALUATION METHODS COURSE GRADE CALCULATION Minimum Required Contact Hours for Laboratory: 45. Students are required to participate in demonstration of the male and female exam through the Harrell Professional Development and Assessment Center.
EVALUATION METHODS COURSE GRADE CALCULATION For students who achieve a satisfactory laboratory grade, the letter grade for the course will be based upon the following: 1. Satisfactory written assignments including SOAP notes, completion of virtual patient assessments and objective evaluations, online and in lab. 2. Participation in all scheduled labs (including Harrell Center). 3. Proficiency in examination of each body system. This will be evaluated by a 20 minute full PE. The student must demonstrate proficiency (84% or above) in the 20 minute check off and the Problem Focused Assessment in order to pass the course. If either of these is failed, a course grade of E will be assigned regardless of scores achieved on other assignments.
EVALUATION METHODS COURSE GRADE CALCULATION (Continued) Comprehensive H & P Paper 20% Online Quizzes 20% Lab SOAP notes or assignments 15% Virtual patient assignments 5% 20 minute check off 10% (Proficiency level is 84% score) Final Assessment 30% (Proficiency level is 84% score) 100%
ASSIGNMENT FEEDBACK Written assignments will be distributed at the next lab session.
GRADING SCALE/QUALITY POINTS A 95-100 (4.0) C 74-79* (2.0) A- 93-94 (3.67) C- 72-73 (1.67) B+ 91- 92 (3.33) D+ 70-71 (1.33) B 84-90 (3.0) D 64-69 (1.0) B- 82-83 (2.67) D- 62-63 (0.67) C+ 80-81 (2.33) E 61 or below (0.0) * 74 is the minimal passing grade
For more information on grades and grading policies, please refer to University’s grading policies: http://gradschool.ufl.edu/catalog/current-catalog/catalog-general- regulations.html#grades
REQUIRED TEXTBOOKS Goolsby M. J. & Grubbs, L. (2011). Advanced assessment: Interpreting findings and formulatin g differential diagnoses. (2nd Ed.). Philadelphia, PA: F.A. Davis.
Seidel, H. M., Ball, J. W., Dains, J. E. & Benedict, G. W. (2010). Mosby’s Guide to Physical Examination (7th ed.). St. Louis, MO: Mosby. Engel, J. (2006). Mosby’s pocket guide to pediatric assessment (5th ed.). St. Louis, MO: Mosby.
Pagana, K., & Pagana, T. (2008). Mosby’s manual of diagnostic and laboratory tests (4th ed.). St. Louis, MO: Elsevier
Students are required to purchase access to the Shadow Health Digital Clinical Experience at the following website. The cost is $89. This tool will aid students in applying concepts of assessment and diagnostic reasoning. https://app.shadowhealth.com/users/sign_in
The course PIN number is: Student Registration PIN: 9260-5787-7838-4080
RECOMMENDED TEXTBOOKS
Fitzpatrick, T. B., et al. (2013). Fitzpatrick’s color atlas and synopsis of clinical dermatology and serious diseases (7th ed.). New York: McGraw-Hill CLASS SCHEDULE*
DATE TOPIC/EVALUATION ASSIGNMENTS/READING FACULTY 8/21 LAB Module 1: Complete all readings prior to the All students will Introduction AM 29th, and begin readings for the 6/5 meet in GNV for this lab 1st lab. Room TBD: Interviewing/ Mosby’s Chapter 1, 26 Figuearoa, Bruney, Soap Construction PM Goolsby Ch 1 Popovich, Gannon, Solomon, Curry, Donelan 9/11 LAB Module 2: Pagana & Pagana Chapter 1&7 GNV: Figuearoa, Microscopy/Diagnostic Goolsby Ch 1 diagnostic portion Curry, Bruney, Reasoning AM Mosby Ch 25, and p. 589 Popovich, Donelan Online quiz Online activities prior to lab JAX: Gannon, Male PM Mosby’s Chapter 19,20 Solomon Online quiz Goolsby Ch 11,12 Female PM Mosby’s Chapter 16,18 Online quiz Goolsby Ch 9,13 Soap note (male or female)
9/25 LAB Module 4: Online learning activities GNV: Figuearoa, HEENT AM Mosby’s Chapter 9,10,11,12 Curry, Bruney, Online quiz Goolsby Ch 4,5,6 Popovich, Donelan Soap note JAX: Gannon, Pulmonary PM Online learning activities Solomon Online quiz Mosby’s Chapter 13 Soap note Goolsby Ch 8
10/09 LAB Module 5: Online learning activities GNV: Figuearoa, Abdomen AM Mosby’s Chapter 17 Curry, Bruney, Online quiz Goolsby Ch 10 Popovich, Donelan Soap note Cardiovascular PM Online learning activities JAX: Gannon, Online quiz Mosby’s Chapter 14,15 Solomon Soap note Goolsby Ch 7
10/30 LAB Module 6: Online learning activities GNV: Figuearoa, Neuro/ Mental health Mosby’s Chapter 4,22 Curry, Bruney, AM Goolsby Ch 15-17 Popovich, Donelan Online quiz Soap note, quiz Soap note JAX: Gannon, Musculoskeletal PM Online learning activities Solomon Online quiz Mosby’s Chapter 21,23 Soap note Goolsby Ch. 14 DATE TOPIC/EVALUATION ASSIGNMENTS/READING FACULTY 11/13 ONLINE Module 3: Online web module Gannon ONLINE Genetics Goolsby Ch 2 SESSION Online quiz (No on- Pedigree construction campus lab- Cultural awareness Online web module content Mosby Chapter 2, Goolsby Ch 18-20 must be Derm Mosby Chapter 8, Chap 26-page 800 completed Online quiz quiz by 11/13) Group lesion identification activity
11/13, 20, 20 Minute Phys Exam/ 12/4 Problem Focused Exam
Date TBD Harrell Center Male/ Sign-up sheet will be posted using Harrell Center Female exams the Wiki tool on the course website. Faculty 4-5 hour experience in GNV
*All assigned readings, quizzes and other learning activities are to be completed before lab is held in order to assure a productive session. Labs will have an AM session 8:00-12:00 for one content area, a break for lunch, and then a PM session 1:00-5:00 for the second content area. Soap notes are turned in at the end of each laboratory session, and will be returned at the next lab day.
Approved: Academic Affairs Committee: 5/96, 04/01 Faculty: 8/96, 05/01 UF Curriculum: 10/96, 07/01