HEALTH ASSESSMENT
TFN NCM 101
Week 1
RLE Rules and Regulations
1. Gonceptual Overview of Nursing Health Assessment.
Review of the Phases of the Nursing
Process focusing on AssessIment.
Weber, Janet; Kelley, Jane H. (2010) Health Assessment in Nursing" 4th Edition p.1 -7
Week 2
A. Critical Thinking in Relation to Health Assessment
1. Definitions
2. Collection of Information
3. Analysis of Situation
4. Generation of Alternatives
5. Selection of Alternatives
6. Evaluation
7. Components /Elements
• Diagnostic Reasoning Process
*Developing Diagnostic Reasoning
*Analysis Data
Weber, Janet; Kelley, Jane H. (2010) Health Assessment in Nursing" 4th Edition p.48- 59
Week 3
B. Nurse's Role in Health Assessment
1. Collecting and Analyzing data
2. Evolution of Nurse's role in Health Assessment
3. Introduction to Health Assessment in Nursing
4. Focus of Health Assessment in Nursing
5. Framework of Health Assessment
6. Types of Assessment
7. Steps of Health Assessment
Week 4
II. Data Collection, Documentation and Analysis
A. Data collection methods/ process (observation, interview techniques, physical assessment)
B. Phases of Interview
C. Types of Communication
• Techniques
• Communication to Avoid
• Considerations on Interview
• Gerontologic Variations
• Cultural Variation
• Emotional Variation
Weber, Janet; Kelley, Jane H. (2010) Health Assessment in Nursing' Edition p.9-13 4th
Week 5
D. Collecting Subjective Data
1. Health History
a. Biographical Data
b. Reasons for Seeking health care
C. History of present health concern
d. Past health history
e. Family History
f. Review of Systems (ROS) for Current health problems
g. Lifestyle and health Practices Profile
• Nutrition and Weight Management
Activity Level andExercise
• Sleep and Rest
• Medication and Substance Use
Self-concept and Self-care responsibilities
• Social Activities
• Relationships
• Values and Belief System
• Education and Work
• Stress level and Coping Style
• Environment
h. Developmental Level
Weber, Janet; Kelley, Jane H. (2010) Health Assessment in Nursing' Edition 4th p. 14- 26
Week 6
2. Pain Assessment
a. Definition of Pain
b. Physiology of pain
c. Classification oPain (acute, chronic, cancer pain)
d. Nature of Pain
e. Concepts Associated with Pain
f. Factors Influencing Pain
g. Pain Assessment /5th Vital Sign
Tools/Equipment
1. PORST
2. COLDSPA
3. Verbal Descriptor
4. Wong-Bakers faces (FACES)
5. Numeric Rating Scale (NRS)
6. Visual Analog Scale (VAS)
7. Feet legs activity, Crying, Consolability (FLACC)
8. Oucher's Scale
9. CRIES Scale
Udan, Josie Q. (2009),"Health Assessment and Physical Examination" (18t edition).Manila
Educational Publishing House.p. p.207- 250
Weber, Janet; Kelley, Jane H. (2010) Health Assessment in Nursing Edition 4th p.77-95
Week 7
PRELIM EXAMINATION
E. Collecting Objective data
1. Taking vital signs (Review)
2. Physical Assessment
a. Preparation for the physical assessment- seting ,oneself and positioning the client
b. Equipment and materials
C. Patientclient considerations
Udan, Josie Q. (2009), Health Assessment and Physical Examination" (1at
edition).Manila Educational Publishing Housep. 149- 174
Weber, Janet;MKelley, Jane H. (2010) Health Assessment in Nursing" 4th Edition p.35-38E
Week 8
Udan, Josie Q. (2009),"Health Assessment and Physical Examination" (1st
edition).Manila Educational Publishing House p.493- 534
d. Techniques in Physical assessment
e. Physical assessmet procedure
e.1 Inspection guidelines
e.2 Palpation -characteristics identified through palpation types of palpation
e.3 Percussion- uses types of palpation ,differenttones in percussion
e.4 Auscultation - use of stethoscope, auscultation techniques, classification of asucultated
sounds.
Week 9
f. Developmental considerations when performing physical assessment
3. Diagnostic procedures
a. Types -invasive and non-invasive
b. Laboratory Test- urinalysis, fecalysis, CBC
4 Nursing Process
(Review)
• Assessment
Diagnosis
Planring
Implefnentation
• Evaluation
An Introduction to Health and PhysicalAssessment, Low Edition D'Amico; Barbarito Price p. 11 - 13
Week 10
5. Functional Assessment
a. Gordon's functional Pattern (NANDA)
b. Activities of Daily Living (ADL)
G. Katz Index of Independence
d. Barthel index
F. Validation of Data
• Purpose of validation
• Data requiring validation
• Methods of validation
Weber, Janet; Kelley, Jane H. (2010) Health Assessment in Nursing Edition p.39-47
Week 11
G. Documentation of Data
a. Purposes of assessment documentation
b. Guidelines in documentation
• Written Notes
*Electronic documentation
C. Assessment forms for Health documentation.
F. Analysis of Data Using Critical Thinking Skills
1. Introduction
2. Essential Elements of (Critical Thinking
3. Diagnostic Reasoning Process
4. Diagnostic Reasoning Expertise and Avoiding Pitfalls
5. Analysis of Data Throughout Health Assessment in Nursing
Weber, Janet; Kelley, Jane H. (2010) Assessment in4th Nursing Edition p.48 - 53
Week 12
II. Nursing assessment of the whole person
A. Person as a bio-psycho-spiritual being.
B. Promoting a Safe environment during physical assessment
C. General Survey and it's components
1. General impression appearance
2. Mental Status Examination (MSE) and Psychosocial Developmental Level
Children and Adolescent
Adults
MIDTERM EXAMINATION
Weber, Janet; Kelley, Jane H. (2010) Health Assessment in Nursing" Edition 4th p. 55-75
Udan, Josie Q. (2009), Health Assessment and Physical Examination" (1t ecition).Manila Educational
Publishing House p. 113- 147
Week 13 and 14
D. Physical Assessment General Survey
1. Skin, Hair Nail Assessment
2. Head
3. Eyes
4.Ears
5. Nose and Sinuses
6. Mouth and pharynx
7. Neck
8. Thorax and Lungs
9. Breast and axillae
10, Heart
11.Abdominal Region
12.Female and Male genitalia
13.Anus, Rectum, Prostate
14. Musculoskeletal
15.Neurologic Assessment
E. Methods of Recording the results of Physical assessment
Note: This will be thoroughly discussed in the Related Learning Experiences (RLE) of Health
Assessment
"Weber, Janet; Kelley, Jane H. (2010) Health Assessment in Nursing" 4th Edition p.173-565
Udan, Josie Q. (2009),"Health Assessment and Physical Examination" (18
edition).Manila Educational Publishing House.p 175- 449
Week 15
IV. Physiologic Assessment
A. Nutritional Assessments
a. Definition
b. Bio-chemical Measurements
C. Cultural Considerations for Nutritional Assessment
d. Nutritional Assessment Across the Life Span
e. Nutritional Screening and Assessment Tools
Weber, Janet; Kelley, Jane H. (2010) Health Assessment in Nursing 4t Edition p.137-152
Week 16
f.General Nutrition Status
g. Anthropometric Measurements
h. Nutrition Problens
i. Hydration Assessment
B. Psychological Assessment
a. Definition
b. Factors Influence Psychological Assessment,
C. Nursing Process in the Psychological Assessment
C. Principles of Growth and Development
a. Theories of Development
b. Stages of Development
C. Growth and Development in Health Assessment
d. Factors that Influence Growth and Development
D. Spiritual Being Assessment
a. Introduction to spiritual assessment
b. Spiritual assesment and nursing care
c. Role of Religion and Spirituality
d. Approach to spiritual assessment
e. Spiritual Assessment Technigque
An Introduction to Health and Physical Price Assessment D'Amico: p. 137–152 and p. 47-67
Week 17
E. Ethico-Legal Guidelines in Conducting Health Assessment
a. Ethico-legal considerations
*informed consent
b. Patient's Bill of Rights
c. Data Privacy Act
Week 17
F. Health Care Team in Health Assessment
a. Team-based Approach
b. Roles of the nurse and other members of the health team
G. Program Instructions in Health Assessment
H. Core Values of Nursing in Conducting Health Assessment
FINAL EXAMINATION
RA10173 Data Privacy Act of 2012 (Available @ https://www.privacy.gov.ph/data-privacy-act/
