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top.gif (90 bytes) Course Description

A. Course Title: NURS701 Advanced Health Assessment
B. Description: The course is designed to assist students to refine history taking, psychosocial assessment, and physical assessment skills. Content focuses on assessment of individuals throughout the lifespan. Emphasis is placed on detailed health history taking, differentiation, interpretation, and documentation of normal and abnormal findings. The course includes lecture, discussion, and demonstration of history taking and an integrated physical assessment.
C. Prerequisites: Admission to graduate nursing program.
D. Format:

This N701 Advanced Health Assessment class is web based. Course materials and assignments will be available at the web site.

Lesson notes: PowerPoint outlines and quiz/case study assignments are available on-line. Pre-recorded CD-ROM class lectures are offered on a rental basis for this course.

N702 advanced Health Assessment Lab will continue to take place as a Practicum course, on campus, at the times listed in the schedule of courses.

The progression of course materials for advanced Health Assessment, for both the N701 didactic web course and the N702 Advanced Health Assessment Lab.

Location:

On Line Course Address:            http://nursing.twsu.edu/advhealth/

Username: advhealth
Password: student

 

E. Faculty: Heather Hull, RN-CS, MSN, ARNP, PNP
Office: 518AH
Phone: 316.978.5733
Home: 316.683.0200
Office hours: Tues. 9:00 AM - 12:00 Noon, and 4:30-5:30p.m, and by appointment
E-mail: hull@chp.twsu.edu
Course Web Addresses:
Original advanced Health Assessment:

http://www.nursing.twsu.edu/advhealth/

blackboard address:

http://blackboard.wichita.edu/

Graduate Program Secretary:
Lori Griswold 316.978.5704

School of Nursing:
Office: 1.800.516.0290
FAX: 316.978.3094
Wichita State University: http://www.wichita.edu
College of Health Professions: http://www.wichita.edu/online/academic.asp

top.gif (90 bytes) F. Major Objectives:

For individuals across the lifespan, the nurse will:

1. Collect and interpret data related to the health history, chief complaint, and history of the present illness.
2. Analyze communication methods for obtaining the health history.
3. Differentiate between variations of normal and abnormal assessment data.
4. Document assessment findings.
5. Determine health status based on assessment data.
6. Analyze and interpret data gathered during physical assessment.
G. List of Themes and Topical Outline:

Theme 1

Comprehensive health history and documentation.

Theme 2

Head to toe comprehensive assessment.

Theme 3

Integration of the physical assessment.

Topical Outline:

1. Health History: Interview, Documentation.
2. Assessment: Techniques, Documentation.
3. Integument Assessment.
4. HEENT/Neck Assessment.
5. Cardiovascular Assessment.
6. Chest/:pulmonary Assessment.
7. Abdominal Assessment.
8. Male Genitalia/Anal/Rectal assessment.
9. Female Genital/Anal/Rectal/Breast/Lactation Assessment.
10. Musculoskeletal Assessment.
11. Neurological Assessment.
12. Pediatric Assessment:
a. Newborn
b. Infant
c. Child
d. Adolescent
13. Geriatric Assessment.
14. Emergent Assessment.
15. Developmental Assessment.
top.gif (90 bytes) H. Learning Resources:

 Course Texts:

1. Swartz, Mark H. (2002). The Textbook of Physical Diagnosis: History and Physical Examination, 4th  Edition, Philadelphia: W.B. Saunders. (ISBN 0-7216-7514-X)

2. Swartz, Mark H., (1998) Pocket Companion to Textbook of Physical Diagnosis, 3rd Edition, Philadelphia: W.B. Saunders.
(ISBN 0-7216-7517-4)

Optional: Physical Assessment Textbooks:

1. Barkauskas, V., Stoltenberg-Allen, K., Baumann, L., & Darling-Fisher, C. (1998) Health & Physical Assessment, 2nd Edition, St. Louis: Mosby. (ISBN 0-8151-2776-6)

2. Bickley, L.S. & Hoekelman, R.A. (1999) Bates’ Guide to Physical Examination and History Taking , 7th Edition, Philadelphia: Lippincott. (ISBN 0-7817-1655-1)
Faculty Service Hotline, Toll Free 800-6248947
FAX: 301-714-2320
Web: http://www.lww.com and
http://www.nursingcenter.com


3. Degowin, R.L. (2000). Degowin and Diagnostic Examination, 7th Edition, New York: McGraw-Hill. (ISBN 0-07-0164436)

4.  Seidel, H.M., Ball, J.W., Dains, J.E., & Benedict, G.W. (1999). Mosby's Guide to Physical Assessment, 4th Edition, St. Louis: Mosby. (ISBN 0-323-00178-5)
1-800-222-9570

Web: http://www.mosby.com

Optional: Assessment Handbooks:

1. Bickley, L.S. (1999) A Pocket Guide to Bates’ Physical Examination and History Taking, 3rd Edition Philadelphia: Lippincott Co.(ISBN 0-7817-1869-4)

2.  Engel, Joyce (1997). Pocket Guide: Pediatric Assessment, 3rd Edition. St. Louis Mosby. (ISBN 0-8151-3157-7)

3.  Seidel, H.M., Ball, J.W., Dains, J.E. & Benedict, G.W. (1999) Mosby’s Physical Examination Handbook, 4th Edition St. Louis: Mosby. (ISBN 0323001785)

Optional Physical assessment CD-ROM - Workbook

1. The University of Texas Medical Branch. (1998) The Physical Assessment Disc: An Interactive CD-ROM Program and Student  workbook to Accompany The Physical Assessment Disk,
Multimedia Lab: Galveston.
301 University Blvd, U.T. Box 35094
1-800-424-2575
FAX# 409-747-7813
Web:
 
http://www.mmlab.utmb.edu/mmlab or http://www.multimedialab.com/ 

Optional: Specialty Assessment and Library-Building Resources:

ANATOMY

1. (2001) The World's Best Anatomical Chart: A Collection of 35 Medical School Quality Anatomy Charts in a Hand Desk-Size Format, 4th Edition, Skokie, IL: Anatomical Chart Co. (ISBN 0071360387)

2. Moore, K.L. & Agur, A.M. (1996) Essential Clinical Anatomy, Baltimore: Williams & Wilkins. (ISBN 0-683-06128-3)

EYES, EARS, NOSE AND THROAT

1. Welch Allen, Inc. (1996) EENT CD: An Interactive Guide to the Eye, Ear, Nose & Throat.
4341 State Street Road
CD-ROM
Skaneateles Falls, NY 13153-0220
1.800.535.6663 or 315.685.4560
FAX: 315.685.3361

SKIN

1. Fitzpatrick, T.B., Johnson, R.A., Polano, M.K., Suurmond, D., Wolff, K. (1997). Color Atlas and Synopsis of Clinical Dermatology, 3rd Edition, St. Louis: McGraw-Hill. (ISBN 0-07-021388-7)

 SYMPTOMS

1. Seller, Robert H. (2000) Differential Diagnosis of Common Complaints, 4th Edition Philadelphia: W.B. Saunders. (ISBN 0-7216-80178)

2. Healy, Patrice M., Jacobson, Edwin J. (2000) Common Medical Diagnosis: An Algorithmic Approach, 3rd Edition Philadelphia: W.B. Saunders (ISBN 0721677320).

3. Wasson, John (1997). The Common Symptom Guide, 4th Edition, St. Louis: McGraw-Hill. (ISBN 0-674-83339-2)

HEART

1. Criley, J.M., Criley, D., Zalace, C. (1995) The Physiological Origins of Heart Sounds and Murmurs: The Unique Interactive Guide to Cardiac Diagnosis, (CD-ROM), Blaufuss Medical Multimedia: Little, Brown and Company Boston, MA 02108.
1-800-527-0145

2. Erickson, Barbara (1997). Heart Sounds and Murmurs: A Practical Guide, 3rd Edition. St. Louis: Mosby. (Book & audiotape: required for N702 Advanced Health Assessment Lab at WSU) (ISBN 0-8151-3146-1)

LABORATORY

1. Fischbach, Francis (2000) A Manual of Laboratory and Diagnostic Tests, 6th Edition, Philadelphia: W.B. Saunders. (ISBN)

2. Cavanaugh, (1999). Nurse's Manual of  Laboratory and Diagnostic Tests, 3rd Edition, Philadelphia: F.A.Davis.(ISBN 0803603630)

ORTHOPEDICS

1. McRay, Ronald (1998). Clinical Orthopedic Examination, New York: Churchill-Livingston. (ISBN 0-443-05602-1)

NEUROLOGY

1. Goldberg, Stephen (1992). The Four-Minute Neurological Exam: An Answer to the "Neuro WNL" Problem, Miami: MedMaster, Inc. (ISBN 0-940780-05-4)

RADIOLOGY

1. Rothenberg, M.A. (1998) Understanding X-Rays: A Plain English Approach, Eau Claire, Wisconsin: Professional Education Systems, Inc. (Item #ZNM003450)(ISBN 1559579994)
PESI HealthCare
PO Box 1000
Eau Claire, WI 54702
1.800.472.6930 (Patti Johnson)
Web: http://www.pesi.com/

2. Squire, Lucy Frank & Novelline, Robert A., (1997). Fundamentals of Radiology, 5th Edition, Cambridge: Harvard University Press. (ISBN 0-674-83339-2)

 

top.gif (90 bytes) I. Expectation of Student Achievement:
Course Grading
The following formula will be used for calculating the actual grade for this course. Additional "out of class" study modules/video presentations are assigned for preparation.
1. Health history documentation 15%
2. Pediatric assessment documentation 15%
3. Geriatric assessment documentation

15%

4. Midterm exam

20%

5. Final exam

20%

6.

Scheduled assignments
Quizzes
Discussion Board  participation
Case study scenarios

15%

Total

100
Grading scale:
100-90 A
89-80

B

79-70

C

69-60

D

Health History Documentation:

The assignment for health assessment documentation is to be obtained on an audio cassette and contain the student interview of an adult patient for a complete health assessment plus dictation on findings from the interview. The audio recording of the interview and dictation is to be also accompanied by a written history documentation. The interview portion should not exceed 30 minutes and findings from the interview should be limited to no more than 20 minutes. A 5% grade deduction from this assignment will be given for each day the tape is late. Points will also be deducted for exceeding the time limit. The small audio cassettes (for pocket recorders) are preferred for recordings when possible.

The two-page Health History Documentation Guideline will be used for the client interview. The Guideline for Evaluating Health History, Interview, Dictation and  Documentation, in this syllabus will be used for grading histories.

Health History Documentation Guideline in Acrobat
Health History Documentation Guideline in Word
Health History Documentation Form in Acrobat
Health History Documentation Form in Word
Health History Documentation Form in HTML

Pediatric Assessment:

The pediatric assessment is to be a written documentation. The outline in the syllabus may be followed, but not "filled out" and turned in for the assignment. Major areas of the pediatric assessment include:

1) Pediatric History: Pediatric Lecture Notes: (Genogram & Ecomap included)

2) Development: History and Current Issues appropriate for age

3) Measurements: Growth charts/percentiles

4) Physical Assessment: Separate from History ROS

5) Assessment Interpretation and Plan: Well Child/Differential Diagnosis

The Focal Points for Assessment of Infants and Children outline in the syllabus will be used for a general orientation and sequencing of the pediatric assessment.

The Guideline for Evaluation of Pediatric Assessment in this syllabus will be used for grading pediatric assessments. The “out-of-class” video presentations/assignments are part of preparation.

Focal Points for Assessment of Infants and Children in Acrobat
Focal Points for Assessment of Infants and Children in Word
(If prompted for password, click 'Cancel')
Pediatric Assessment Form in Acrobat
Pediatric Assessment Form in Word
(If prompted for password, click 'Cancel')
Guidelines for Evaluation of Pediatric Assessment in Acrobat
Guidelines for Evaluation of Pediatric Assessment in Word
(If prompted for password, click 'Cancel')

 

Alternate Assignment designed for students in the KUMC Geriatric Concentration:  In place of the Pediatric Assessment, a Geriatric Assessment,  as assigned by faculty, may be completed.

The Focal Points for Geriatric Assessment outline in the syllabus will be used for a general orientation and sequencing of the geriatric assessment.

The Guideline for Evaluation of Geriatric Assessment Geriatric Assessment in this syllabus will be used for grading pediatric assessments. The “out-of-class” video presentations/assignments are part of  preparation.

Geriatric Focal Points in Acrobat
Geriatric Focal Points in Word
(If prompted for password, click 'Cancel')
Geriatric Assessment Form in Acrobat
Geriatric Assessment Form in Word
(If prompted for password, click 'Cancel')
Guidelines for Evaluation of Geriatric Assessment in Acrobat
Guidelines for Evaluation of Geriatric Assessment in Word
(If prompted for password, click 'Cancel')

Attendance:
Students are expected to participate in all classes. Two missed classes may result in a lowering of the final course grade by one letter.

Exams:
Exams will cover assignments, textbook readings and class discussion/presentations.

Student assessment of instructor and course: Assessments will be completed by course and instructor evaluation forms.

top.gif (90 bytes) Disability Statement

If you have a physical, psychiatric/emotional, or learning disability that may impact on your ability to carry out assigned course work, I encourage you to contact the Office of Disability Services (DS). The office is located in 173 Grace Wilkie Annex, 978.3309 (voice). DS will review your concerns and determine, with you, what academic accommodations are necessary and appropriate for you. All information and documentation of your disability is confidential and will not be released.

top.gif (90 bytes) Use of Student Material

Wichita State University School of Nursing is fully accredited. As part of the accreditation process, there is ongoing program evaluation to continue and increase the quality of the nursing program. To assist in the evaluation of the nursing program, selected student papers or other course work are used as examples of meeting course objectives. Faculty may also use student papers and other course work for educational purposes, i.e., use past papers as samples that meet the course objectives. The name of each student whose materials are used for the purpose of program review and educational purposes will remain confidential.

Participation is entirely voluntary. Consent to use a student’s papers or other course work for program review and educational purposes is hereby implied. If a student does not wish the school or faculty member to use their papers or other course work, they may withdraw their consent by putting their wishes in writing to the course instructor. A student’s decision to withdraw consent will be kept confidential and will not affect the student/faculty relationship nor grades in the course.

 

top.gif (90 bytes) Quickview Course Calendar

Wk Topic N701 Theory Assignmen Text Chapters C
Text CD Tutorials
TEXT CD TUTORIALS
1
Introduction/Hx/PE

1, 2, 5, 6, 7, 21, 26, 27
Begin CD, full program

2 Assessments

4
Continue CD Tutorial

3 Psychosocial/Behavioral 

2 &20 (pp 597-600)
CD-Neuro/Mental Status
4
Skin Assessment HEALTH HISTORY
DOCUMENTATION

6

5 HEENT

8, 9, 10, 11
CD-HEENT/Neuro Cranial Nerves
Suggest Welch Allyn HEENT CD

6 Chest/Lungs

12
CD-Posterior/Anterior Chest

7 Geriatric

24

8 Pediatric

MID TERM EXAM WEEK

22

9 Cardiovascular

13, 14
CD-Peripheral Vascular

10 Abdomen

PEDIATRIC ASSESSMENT
Documentation

16
CD-Abdomen

11 Neurological

20
CD-Neuro

12 Musculoskeletal

18
CD-Neuro/musculoskeletal

13 Breast & Female GU

GERIATRIC ASSESSMENT
Documentation

15, 18
CD-Breast & Genitalia

14 Prenatal

21

15 Male GU

17
CD-Male genitalia/rectal exam

16 Emergent  

25

Finals Week
WSU Schedule

 

top.gif (90 bytes) Course Study Guide

Week 1

Introduction
Health History & Approach to Symptoms
Physical Assessment Techniques
Evaluation & Documentation

Swartz Text:

  • Chapters 1, 2, 5, 6, 7,21, 26, 27
  • Tutorial CD-ROM:  Begin Full program


Optional Audiovisual Resources( AV):
In WSU Instructional Services Laboratory( ISL )
     
"Putting it all Together"(4143)
      "Comprehensive Health History: Key to Diagnosis(4131)
      "Efficient Assessment: A Symptoms to Admission Assessment"(4137)

Week 2 Additional Assessments

Vital Signs & Lab Values
Family Assessment
Cultural Assessment
Sexual Assessment
Nutritional Assessment
Sleep Assessment

Swartz Text:

  • Chapter 3,4

Optional Texts:

  • Barkauskas, et al, Chapters 4, 5, 6, 7

  • Engel, Pocket Guide to Pediatric Assessment

Tutorial CD-ROM: Continue Full Program
Optional AV:
     
"Assessment and Nursing Care: ( Cultural Assessment" (4173)

 

Week 3

Mental Status and Psychosocial Assessment

Swartz Text:

  • Chapter 2, and Mental Status Exam, Chapter 20, pp. 597-6000

Tutorial CD-ROM: Mental Status potion of Neurological Segment

Week 4 Skin Assessment

Swartz Text:

  • Chapter 7

Optional Texts:

  • Fitzpatrick, et al. Color Atlas and Synopsis of Clinical Dermatology

Optional AV:

  • Integumentary (4059) 

 

Week 5

Head and Neck Assessment

Swartz Text:

  • Chapters  8, 9, 10, 11

Tutorial CD-ROM: HEENT Assessment and Cranial Nerve Assessment in Neurological Segment

"HEENT CD-ROM" by Welch Allyn

Optional Text:

  • Bates, Chapter 7

Optional AV:

  • "Head, Eyes and Ears: A Visual Guide to Physical Examination," Bates, 3rd edition, Lippincott, 1995.

  • "Assessment: The Eye,"  Insight Media. (4127)

  • “Head and Neck,” Medcom (4051)

  • “Head and Neck,” Bates, Lippincott (2724)

  • “Branched Exam of the Ear, Nose & Throat,” Concept Media (HSC) (4141)

  • Neurological Assessment videotapes also.

  • Glaxo Educational Resource Center Videos: (With Assessment notebooks)

  • Living Video Anatomy and Pathology in ENT:

1) The Ear
2) The Nose
3) The Throat

 

 

Week 6 Thorax and Lung Assessment

Swartz Text:

  • Chapter 12

Optional Texts:

  • Frank-Squire, Fundamentals of Radiology

  • Rothenberg, Understanding X-Rays

Tutorial CD-ROM: Posterior and Anterior Chest Assessment

Optional AV: (References are for WSU students.  Students from other institutions should check with their college's resource departments)

  • "The Lungs," Medcon. (4052)
  • "Thorax", Bates, Lippincott. (2719)
  • "Respiratory System," Springhouse (4212)
  • "Assessing Breath Sounds," Springhouse (4003)
Week 7 Geriatric Assessment: The Older Adult: Special Considerations & Assessment Tools:

Swartz Text:

  • Chapter 24

Optional AV: (References are for WSU students.  Students from other institutions should check with their college's resource departments)

Assessing the Elderly

  • Functional Assessment (4219)
  • Physical Assessment, Part I (4217)
  • Normal Physiologic Changes (4216)
  • Mental and Socioeconomic Assessment (4220)
  • Geriatric Assessment (4012)
  • The Frail Elderly
Week 8

Pediatric Assessment

Swartz Text:

  • Chapter 22

Optional Text:

  • Engel, Pocket Guide: Pediatric Assessment
  • Barkauskas, et.al, Chapter 25


Optional AV: (References are for WSU students.  Students from other institutions should check with their college's resource departments)

  • "Pediatric Assessment," 5 videotapes by TS Media
    (4197, 4198, 4199, 4200, 4201)
  • Williams & Wilkins Pediatric Assessment videotapes:

Infants & Toddlers
Preschool & School-age Children
The Adolescent

  • Mosby Neonatal Physical Assessment videotapes (Dianne S. Charsha)

Gestational Age & Growth Evaluation
Respiratory & Cardiovascular Assessment
Neurologic, Gastrointestinal, Genitourinary, Musculoskeletal, & Skin

  • Communicable Diseases (N701/Hull)
Week 9 Cardiovascular and Peripheral Vascular Assessment

Swartz Text:

  • Chapters 13, 14

Optional Texts:

  • Bass, EKG Video-Workbook: How to Interpret EKG's Correctly.

  • Erickson, Heart Sounds and Murmurs.

  • Carrick, Color Coding EKG's: 12 Lead MI Visual Learning Aid.

Tutorial CD-ROM: Peripheral Vascular Assessment

Optional AV: (References are for WSU students.  Students from other institutions should check with their college's resource departments)

  • "The Heart," Medcon (4053).
  • "Heart,"Bates, Lippincott. (2716)
  • "Vascular System," Springhouse.(4211)
  • "Assessing Heart Sounds," Springhouse (4004)
  • "Reading "EKG's," Springhouse (4006)
  • "Assessment: Heart & Lungs: Auscultation of Heart Sounds," Concept Media (4128)
  • "Using a 12 lead EKG to Document Myocardial Infarction," AJN. (4135)
  • "Physiological Origins of Heart Sounds and Murmurs:"  CD-ROM
Week 10

Abdominal Assessment

Swartz Text:

  • Chapter 16

Optional Physical Assessment CD-ROM: Abdominal Assessment

Tutorial CD-ROM: Abdominal Assessment

Optional AV: (References are for WSU students.  Students from other institutions should check with their college's resource departments)

  • "The Abdomen," Medcom. (4054)
  • "Abdomen," Bates, Lippincott (2718)
  • "Gastrointestinal System," Springhouse (4215).

 

Week 11 Neurological Assessment

Swartz Text:

  • Chapter 20

Optional Text:

  • Goldberg, The Four-Minute Neurological Exam


Tutorial CD-ROM: Neurological Assessment

Optional AV: (References are for WSU students.  Students from other institutions should check with their college's resource departments)

  • "The Neurological System," Medcom
  • "Neurologic," Bates, Lippincott
  • "Nervous System," Springhouse
  • Two Neurologic Videotapes Bates, Lippincott
  • "Cranial Nerves & Sensory System"
  • "Motor System & Reflexes"

 

Week 12

Musculoskeletal Assessment

Swartz Text:

  • Chapter 18

Optional Texts:

  • Bates, Chapter 17

  • Frank-Squire & Novelline, Fundamentals of Radiology

  • Rothenberg, Understanding X-Rays

Tutorial CD-ROM: Neurological and Musculoskeletal Assessment

Optional AV: (References are for WSU students.  Students from other institutions should check with their college's resource departments)

  • "The Musculoskeletal System," Medcom (4056)
  • "Musculoskeletal," Bates, Lippincott (2725)
  • "Musculoskeletal System," Springhouse (4214)

 

Week 13

Breast, Axillae and Female Genitalia Assessment

Swartz Text:

  • Chapters 15, 18

Tutorial CD-ROM: Female Breast and Genitalia Assessment

Optional AV: (References are for WSU students.  Students from other institutions should check with their college's resource departments)

  • "The Female Reproductive System," Medcon (4058)
  • "Breasts & Axillae," Bates, Lippincott (2715)
  • "Female Genitalia, Anus, Rectum," Bates, Lippincott (2722)
  • "Reproductive & Urinary System" Springhouse (4210)
  • "Gynecological Teaching Associate: Instructional Program on Breast & Pelvic Examination, Parts I & II," HSC (4156/4157)

 

Week 14

Prenatal Assessment

Swartz Text:

  • Chapter 21

 

Week 15 Male Genitalia, Hernia, Anus, Rectum and Prostate Assessment

Swartz Text: 

  • Chapters 17

Tutorial CD-ROM: Male Genitalia and Rectal Assessment

Optional AV:

  • "The Male Reproductive System," Medcom (4057)
  • "Male Genitalia, Anus, Rectum," Bates, Lippincott (2723)
  • "Reproductive & Urinary System," Springhouse (4210)
Week 16

Emergent Assessment: The Acutely III Patient


Optional Text: 

  • Swartz Text, Chapter 25

 

Mid Term and Final Exams will be scheduled at each University site

 

top.gif (90 bytes) Participating Schools

This course is sometimes shared among students from Ft. Hays State University, Pittsburg State University, the University of Kansas Medical Center, and Garden City Community College.

 

wsufooter.gif (2683 bytes)

©2000
Wichita State University
School of Nursing