TIME FRAME WEEK1

OBJECTIVES At the end of the session, the learner will be able to: - discuss components of critical thinking - define nursing process - describe the steps in the nursing process - explain the distinction among actual, risk, and wellness nursing diagnosis

LEARNING CONTENT Critical thinking Review of nursing process - Assessment - Nursing diagnosis - Planning - Implementation - Evaluation Documenting the nursing process Health history guidelines a. Interview - purpose - structure guidelines of an effective interview

LEARNING STRATEGIES lecture group work

VALUES INTEGRATION

EVALUATION Quiz Presentation of group output

REMARKS

lecture film viewing

Feedback on film viewing Quiz

WEEK 2 At the end of the concept, learners will be able to: - prepare an appropriate interview setting - define effective interviewing techniques

Health history A. Personal profile - chief complaint - history of present illness - past health history - current medications - personal habits and patterns of living

- lecture - film viewing - simulation - actual patient interview in the hospital setting

Honesty Respect for individuality

output from actual patient interview

adapt the interview process according to the individual needs of the patients

psychosocial history *mental status assessment *children and adolescent *adults

At the end of the concept, the learners will be able to: - identify components of the complete health history - demonstrate sensitivity to patients of different races, religions, ethnic backgrounds, sexual orientation and socioeconomic status when conducting a health history - conduct a comprehensive and relevant health history utilizing different health assessment tools and record the data

B. Functional assessment - adults - physical activities of daily living - instrumental activities of daily living C. Functional assessment Tests - Newborns- APGAR scoring - Infants and children- MMDST - Adults- Katz Index of Independence, Barthel Index, Gordons Functional Patterns D. Review of systems E. Assessment in pregnancy (EDC, LMP, age of gestation) F. Pediatric additions to health history (head circumference, weight, height, immunization) G. Geriatric addition to health history (immunization, current prescription, medications, OTC

medications, ADL, social support etc)

WEEK 3 to WEEK 5 At the end of the concept, the learners will be able to: - describe how to maintain precautions during the physical assessment - establish an environment suitable for conducting a physical assessment - describe how to perform inspection, palpation, percussion, and auscultation, and which areas of the body are assessed with each technique. - demonstrate inspection, palpation, percussion, and auscultation in the skills laboratory - document/record findings in the physical assessment - formulate appropriate nursing diagnosis based on physical assessment

PHYSICAL EXAMINATION A. Preparation guidelines B. PE Guidelines C. Techniques in Physical Assessment - inspection - auscultation - percussion - palpation D. Continuing assessment pain fever E. Pediatric Adaptation general guidelines specific age groups F. Geriatric adaptation general guidelines modifications G. Cultural considerations -sequence of PE

Lecture Film viewing Demonstration/simulation

Respect Sensitivity Empathy

Quiz Return demonstration

findings

a. overview b. integument c. head d. neck e. back f. anterior trunk g. abdomen h. musculoskeletal system i. neurologic system j. genitor-urinary system H. Clinical alerts I. Documentation J. Patient and family education and Home Health Teaching

References: Estes, Mary Ellen; Health Assessment and Physical Examination, 3rd ed; Thomson Delmar Learning, USA, 2006 Weber, J., Jane H. Kelly; Health Assessment in Nursing, 3rd ed; Lippincott Williams and Wilkins, USA, 2007