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NUR 3069C – Health Assessment and Communication
NUR 3069C – Health Assessment and Communication
UNIVERSITY OF FLORIDA
COLLEGE OF NURSING
COURSE SYLLABUS
COURSE NUMBER NUR 3069C, Section 1185
COURSE TITLE Health Assessment and Communication
CREDITS 3 (2 credits didactic; 1 credit laboratory)
PLACEMENT BSN Program: 1st Semester Upper Division
PREREQUISITE Admission to Upper Division BSN Program
COREQUISITE NUR 3129 Pathophysiology and Psychopathology
NUR 3138 Systems of Care 1: Wellness Promotion and Illness Prevention
COURSE DESCRIPTION
This purpose of this course is to examine therapeutic communication and health assessment principles and techniques. Emphasis is on development of therapeutic communication skills and assessment of the health of individuals across the lifespan. Focus is on development of therapeutic relationships and the use of general and specialized assessment skills as a basis for clinical decision making.
COURSE OBJECTIVES
Upon completion of this course the student will be able to:
- Utilize therapeutic communication techniques within the nurse-client relationship.
- Assess health history, including environmental exposure, wellness/illness beliefs, values, attitudes, and practices of individuals, and a focused family health history.
- Identify cultural, developmental, and functional patterns, variations in the health status of individuals across the lifespan.
- Perform an integrated comprehensive physical examination using inspection, palpation, percussion, and auscultation techniques.
- Document health assessment data in accordance with legal and ethical guidelines.
- Identify principles used in electronic recording of patient care information.
COURSE SCHEDULE
Section Day Time Room
1185 Wednesday 1:00-2:50 or 3:00-4:50 NRC
Or 5:00-6:50pm And Exams: G101
Web-based modules
E-Learning in Canvas is the course management system that you will use for this course. E-Learning in Canvas is accessed by using your Gatorlink account name and password at http://elearning.ufl.edu/. There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to [email protected].
It is important that you regularly check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications.
Course websites are generally made available on the Friday before the first day of classes.
TOPICAL OUTLINE
- Communication across the lifespan
- Active listening
- Empathy
- Silence
- Touch
- Paraphrasing
- Clarifying
- Focusing
- Summarizing
- Self-disclosing
- Confronting
- Problem solving process in nursing practice
- Critical thinking and decision making
- Assessment
- Overview
- Health history
- Functional Health Pattern assessment
- Developmental assessment
- Cultural assessment
- Mental status assessment
- Physical examination
- Techniques
- System review
- Communication of health assessment data
- Collaboration with inter-professional healthcare team
- Electronic health records
TEACHING METHODS
Lecture modules, demonstration, and guided laboratory practice sessions.
LEARNING ACTIVITIES
Reading assignments, online modules, return demonstrations, and simulated laboratory experiences.
NURSING RESOURCE CENTER (NRC)
The NRC is located on the 1st floor of the Nursing HPNP building. Dress code for the NRC consists of your hospital clinical uniform and the guidelines accordingly.
EVALUATION METHODS/COURSE GRADE CALCULATION
| NRC Attendance/ Participation/ Lab Manual | 15 | % |
| Lab Manual Assignments (11) | 10 | % |
| SBAR (3) | 5 | % |
| Shadow Health Assignments (8) | 10 | % |
| Shadow Health #9 – Comprehensive Assessment | 5 | % |
| Virtual Patient Care Plan | 5 | % |
| Comprehensive Assessment Video | 5 | % |
| Exams #1-3 | 20 | % |
| Final Exam | 25 | % |
| Total | 100 | % |
GRADING
NRC Attendance/Participation: There will be a total of 11 Nursing Resource Center (NRC) times that are mandatory to the course. Three (3) points total are given for the attendance and participation in the NRC session. The three points are broken down as follows: attendance, 1.0 point will be given with the full completion of the NRC session; participation, 1.0 point will be given for prior preparation of the Jarvis (2015b); and 1.0 point will be given for lab participation. For any missed NRC sessions or incomplete chapter manuals, see Make Up Policy.
Shadow Health Activities: There are a total of nine (9) Shadow Health activities. The first eight (8) activities correspond with the lecture and lab subject material. The ninth activity is a comprehensive activity, therefore, with a higher percentage. All Shadow Health activities are mandatory and are required to be completed before the associated NRC time.
Examinations: There are a total of 3 examinations plus one (1) final, comprehensive examination. Exams 1-3 are worth 20% of the total grade. The final examination, being comprehensive, is worth 25% of the total grade. The examinations will be on campus utilizing the ExamSoft examination program. More information will be provided on the course website.
MAKE UP POLICY
Alternative, or make up activities will be only made available in the event the faculty member is notified prior to the missed event. Excused absences are limited to personal illness or a death in the immediate family. The faculty member will request documentation supporting any absence. Work, family events, vacations, or other related activities that cause a missed assignment, missed exam or missed attendance in the simulation lab are not excusable absences.
Missed NRC Session
- For an excused absence: The student will receive credit (3 points) for attending the make-up lab, preparing the lab manual prior to the make-up lab, and fully participating in the make-up lab.
- For an unexcused absence: The student will receive no credit for attending the required make-up session. However, 1 point for demonstrating adequate preparation (preparing the lab manual) may be earned and 1 point for lab participation.
Missed Examinations
- If you have an excused absence, you may make up a maximum of one missed exam per semester. The make-up examination will be scheduled during finals week; exact date and location of the examination will be TBD at availability of the instructor and a secured testing area. You may not make up more than one exam.
- If you have an unexcused absence and miss an examination, the grade for that examination is 0%.
GRADING SCALE
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: https://catalog.ufl.edu/ugrad/current/regulations/info/grades.aspx
University and College of Nursing Policies:
Please see the College of Nursing website for a full explanation of each of the following policies – http://nursing.ufl.edu/students/student-policies-and-handbooks/course-policies/.
Attendance
UF Grading Policy
Accommodations due to Disability
Religious Holidays
Counseling and Mental Health Services
Student Handbook
Faculty Evaluations
Student Use of Social Media
PROFESSIONAL BEHAVIOR
The College of Nursing expects all Nursing students to be professional in their interactions with patients, colleagues, faculty, and staff and to exhibit caring and compassionate attitudes. These and other qualities will be evaluated during patient contacts and in other relevant settings by both faculty and peers. Behavior of a Nursing student reflects on the student’s individual’s ability to become a competent professional Nurse. Attitudes or behaviors inconsistent with compassionate care; refusal by, or inability of, the student to participate constructively in learning or patient care; derogatory attitudes or inappropriate behaviors directed at patients, peers, faculty or staff; misuse of written or electronic patient records (e.g., accession of patient information without valid reason); substance abuse; failure to disclose pertinent information on a criminal background check; or other unprofessional conduct can be grounds for disciplinary measures including dismissal.
NUR 3069C – Health Assessment and Communication
UNIVERSITY POLICY ON ACADEMIC MISCONDUCT
Academic honesty and integrity are fundamental values of the University community. Students should be sure that they understand the UF Student Honor Code at http://www.dso.ufl.edu/students.php. Students are required to provide their own privacy screen for all examination’s administered to student laptops. No wireless keyboards or wireless mouse/tracking device will be permitted during examinations.
REQUIRED TEXTBOOKS
Ackley, B., & Ladwig, G. (2013). Nursing diagnosis handbook: An evidence-based guide to planning care (11th ed.). St. Louis: Mosby/Elsevier.
Jarvis, C. (2015a). Physical examination and health assessment (7th ed.). St. Louis: Saunders/Elsevier.
Jarvis, C. (2015b). Physical examination and health assessment student laboratory manual (7th ed.). St. Louis: Saunders/Elsevier.
Jarvis, C. (2015c). Pocket companion for physical examination and health assessment (7th ed.). St. Louis: Saunders/Elsevier.
Shadow Health – All students are required to purchase access to the Shadow Health Digital Clinical Experience. The cost is $99.00 and is a separate expense that is not included with the book bundle. To register for Shadow Health, please visit app.shadowhealth.com and click “Register for a Student Account.” Then enter your Fall 2016 PIN to enroll and purchase access, Course Registration PIN for Students: Fall2016-3090-7274-4950-3323
- Shadow Health Website: http://app.shadowhealth.com/
- Student Account Setup Guide: http://bit.ly/How_to_Register
- Technical Requirements: http://bit.ly/System_Requirements
- Link to Shadow Health Support: http://support.shadowhealth.com
Recommended Textbooks
Perry, A. G., & Potter, P. A. (2013). Clinical nursing skills and techniques (8th ed.). St. Louis: Mosby/Elsevier.
Potter, P. A., & Perry, A. G. (2013). Fundamentals of nursing (8th ed.). St. Louis: Mosby/Elsevier
WEEKLY CLASS/LAB SCHEDULE
NUR 3069C – Health Assessment and Communication
| WEEK/DATE (Online Open Date) | LECTURE TOPIC | READINGS/ASSIGNMENTS/
EXAMS (**NOTE – VARIOUS TIMES/ROOMS) |
LAB
DATE/TOPIC |
| Week 1:
August 22nd – 26th
Module Open: August 19th |
Course Introduction
Evidence-Based Assessment Cultural Competence The Interview (Complete Health History)
Shadow Health Digital Clinical Experience Orientation: Conversation Concept Lab |
Jarvis: Ch. 1, 2, 3, 4
Jarvis Lab Manual: Ch. 1, 3, 4 (p. 25-28) – done before NRC lab time
Lab Assignment #1: Lab Manual – p. 29-36, Initiated in lab and uploaded to Canvas, Due August 26th by 11:59pm |
Week 1:
August 24th: 1pm-6:50pm Introduction, Communication, Functional Health Assessment – Practice
Session 1: 1pm-2:50pm Clinical Groups: 1A1, 1A2, 1A3, 1B1, 1B2, Portion of 1F1
Session 2: 3pm-4:50pm Clinical Groups: 1B3, 1C1, 1C2, 1C3, 1D1, Portion of 1F1
Session 3: 5pm-6:50pm Clinical Groups: 1D2, 1D3, 1E1, 1E2, 1E3, Portion of 1F1 |
| Week 2: August 29th – September 2nd
Module Open: August 25th |
General Survey
Vital Signs Pain Assessment Skin, Hair, Nail Assessment Care Planning I
Shadow Health Assignment #1: Skin, Hair, Nails, Due: August 31st by 12pm |
Ackley: Introduction, Section I
Jarvis: Ch. 8, 9, 10, 12 Jarvis Lab Manual: Ch. 8, 9 (p.63-70), 10, 12 (p. 85-92) – done before NRC lab time
Lab Assignment #2: Lab Manual – p. 71, p. 93-94, Initiated in lab and uploaded to Canvas, Due September 2nd by 11:59pm |
Week 2:
August 31st: 1pm-6:50pm General Survey, Pain, Vital Signs, Skin, Hair Nail Assessment
Session 1: 1pm-2:50pm Clinical Groups: 1A1, 1A2, 1A3, 1B1, 1B2, Portion of 1F1
Session 2: 3pm-4:50pm Clinical Groups: 1B3, 1C1, 1C2, 1C3, 1D1, Portion of 1F1
Session 3: 5pm-6:50pm Clinical Groups: 1D2, 1D3, 1E1, 1E2, 1E3, Portion of 1F1Session 3: 5pm-6:50pm Clinical Groups: |
| Week 3:
September 5th – 9th
Module Open: September 1st |
HEENT (Head, Ear, Eyes, Nose, & Throat)
Care Planning II SBAR Introduction
Shadow Health Assignment #2: HEENT; Due September 7th by 12pm |
Ackley: Review Sections II-III
Jarvis: Ch. 13, 14, 15, 16, p. 804-805 (SBAR section only) Jarvis Lab Manual: Ch. 13 (p.97-102), 14 (p. 105-114), 15 (p.117-124), 16 (p.127-134) – done before NRC lab time
Lab Assignment #3: Lab Manual – p. 103-104, p. 115-116, p. 125-126, p. 135-136, Initiated in lab and uploaded to Canvas, Due September 9th by 11:59pm
Care Plan Assignment: Due September 9th by 11:59pm |
Week 3:
September 7th: 1pm-6:50pm Vital Signs Review HEENT Assessment
Session 1: 1pm-2:50pm Clinical Groups: 1A1, 1A2, 1A3, 1B1, 1B2, Portion of 1F1
Session 2: 3pm-4:50pm Clinical Groups: 1B3, 1C1, 1C2, 1C3, 1D1, Portion of 1F1
Session 3: 5pm-6:50pm Clinical Groups: 1D2, 1D3, 1E1, 1E2, 1E3, Portion of 1F1 |
NUR 3069C – Health Assessment and Communication
| Week 4:
September 12th – 16th
Module Open: September 8th |
Nutritional Assessment | Jarvis: Ch. 11
Jarvis Lab Manual: Ch. 11 (p.79-84)
EXAM #1: September 14th, 3:30pm-4:30pm, RM G-101
|
Week 4:
September 14th: No NRC Lab |
| Week 5:
September 19th – 23rd
Module Open: September 15th |
Breast Assessment
Pulmonary Assessment
Shadow Health Assignment #3: Respiratory Concept Lab; Respiratory; Due September 21st by 12pm |
Jarvis: Ch. 17, 18
Jarvis Lab Manual: Ch. 17 (p. 137-144), 18 (p. 149-158) – done before NRC lab time
Lab Assignment #4: Lab Manual – p. 145-146, p. 159-160, Initiated in lab and uploaded to Canvas, Due September 23rd by 11:59pm
SBAR Assignment #1: Shadow Health, Focused Exam: Cough – Danny Rivera, Due September 23rd by 11:59pm |
Week 5:
September 21st: 1pm-6:50pm Breast Assessment Pulmonary Assessment
Session 1: 1pm-2:50pm Clinical Groups: 1A1, 1A2, 1A3, 1B1, 1B2, Portion of 1F1
Session 2: 3pm-4:50pm Clinical Groups: 1B3, 1C1, 1C2, 1C3, 1D1, Portion of 1F1
Session 3: 5pm-6:50pm Clinical Groups: 1D2, 1D3, 1E1, 1E2, 1E3, Portion of 1F1 |
| Week 6: September 26th – 30th
Module Open: September 22nd |
Cardiovascular Assessment
Peripheral vascular and Lymphatic Assessment
Shadow Health Assignment #4: Cardiovascular Concept Lab; Cardiovascular; Due September 28th by 12pm |
Jarvis: Ch. 19, 20
Jarvis Lab Manual: Ch. 19 (p. 161-171), 20 (p. 175-182) – done before NRC lab time
Lab Assignment #5: Lab Manual – p. 172-174, p. 183-186, Initiated in lab and uploaded to Canvas, Due September 30th by 11:59pm
SBAR Assignment #2: Shadow Health, Focused Exam: Chest pain – Brian Foster, Due September 30th by 11:59pm |
Week 6:
September 28th, 1pm-6:50pm Cardiovascular Assessment Peripheral Vascular and Lymphatic Assessment
Session 1: 1pm-2:50pm Clinical Groups: 1A1, 1A2, 1A3, 1B1, 1B2, Portion of 1F1
Session 2: 3pm-4:50pm Clinical Groups: 1B3, 1C1, 1C2, 1C3, 1D1, Portion of 1F1
Session 3: 5pm-6:50pm Clinical Groups: 1D2, 1D3, 1E1, 1E2, 1E3, Portion of 1F1 |
| Week 7:
October 3rd – 7th
Module Open: September 29th
|
Abdominal Assessment
Genitourinary Assessment
Shadow Health Assignment #5: Abdominal Concept Lab; Abdominal; Due October 5th by 12pm |
Jarvis: Ch. 21, 24, 25, 26
Jarvis Lab Manual: Ch. 21 (p.187-194), 24 (p.223-230), 25 (p.233-238), 26 (p.241-248) – done before NRC lab time
Lab Assignment #6: Lab Manual – p.195-196, p.231-232, p.239, p. 249-251, Initiated in Lab and uploaded to Canvas, Due October 7th by 11:59pm
SBAR Assignment #3: Shadow Health, Focused Exam: Abdominal Pain – Esther Park Due October 7th by 11:59pm |
Week 7:
October 5th, 1pm-6:50pm Abdomen Assessment Genitourinary Assessment
Session 1: 1pm-2:50pm Clinical Groups: 1A1, 1A2, 1A3, 1B1, 1B2, Portion of 1F1
Session 2: 3pm-4:50pm Clinical Groups: 1B3, 1C1, 1C2, 1C3, 1D1, Portion of 1F1
Session 3: 5pm-6:50pm Clinical Groups: 1D2, 1D3, 1E1, 1E2, 1E3, Portion of 1F1 |
NUR 3069C – Health Assessment and Communication
| Week 8:
October 10th – 14th
Module Open: October 6th |
Substance Use Assessment
Domestic and Family Violence Assessments |
Jarvis: Ch. 6, 7
Jarvis Lab Manual: Ch. 6 (p. 45-52), 7 (p. 53-58)
EXAM #2: October 12th, 3:30pm-4:30pm, RM G-101
|
Week 8:
October 12th: No NRC Lab
|
| Week 9:
October 17th – 21st
Module Open: October 13th |
Musculoskeletal Assessment
Shadow Health Assignment #6: Musculoskeletal Due October 19th by 12pm |
Jarvis: Ch. 22
Jarvis Lab Manual: Ch. 22 (p.197-204) – done before NRC lab time
Lab Assignment #7: Lab Manual – p.205-208, Initiated in Lab and uploaded to Canvas, Due October 21st by 11:59pm |
Week 9:
October 19th, 1pm-6:50pm Musculoskeletal Assessment
Session 1: 1pm-2:50pm Clinical Groups: 1A1, 1A2, 1A3, 1B1, 1B2, Portion of 1F1
Session 2: 3pm-4:50pm Clinical Groups: 1B3, 1C1, 1C2, 1C3, 1D1, Portion of 1F1
Session 3: 5pm-6:50pm Clinical Groups: 1D2, 1D3, 1E1, 1E2, 1E3, Portion of 1F1 |
| Week 10:
October 24th – 28th
Module Open: October 20th |
Neurological Assessment
Mental Status Assessment
Shadow Health Assignment #7: Neurological Due October 26th by 12pm |
Jarvis: Ch. 5, 23
Jarvis Lab Manual: Ch. 5 (p.37-42), 23 (p.209-217) – done before NRC lab time
Lab Assignment #8: Lab Manual – p. 43-44, p.219-221, Initiated in Lab and uploaded to Canvas, Due October 28th by 11:59pm |
Week 10:
October 26th, 1pm-6:50pm Neurological Assessment Mental Status Assessment
Session 1: 1pm-2:50pm Clinical Groups: 1A1, 1A2, 1A3, 1B1, 1B2, Portion of 1F1
Session 2: 3pm-4:50pm Clinical Groups: 1B3, 1C1, 1C2, 1C3, 1D1, Portion of 1F1
Session 3: 5pm-6:50pm Clinical Groups: 1D2, 1D3, 1E1, 1E2, 1E3, Portion of 1F1 |
| Week 11:
October 31st – November 4th
Module Open: October 27th |
Pregnant Woman Assessment
Post-Partum Woman Assessment
Shadow Health Assignment #8: Health History Due November 2nd by 12pm
|
Jarvis: Ch. 30
Jarvis Lab Manual: Ch. 30 (p.281-296) – done before NRC lab time
Lab Assignment #9: SOAP Note from online video, bring the SOAP note to lab for critique, to be uploaded to Canvas, Due November 4th by 11:59pm |
Week 11:
November 2nd, 1pm-6:50pm Pregnant Woman Assessment Post-Partum Woman Assessment
Session 1: 1pm-2:50pm Clinical Groups: 1A1, 1A2, 1A3, 1B1, 1B2, Portion of 1F1
Session 2: 3pm-4:50pm Clinical Groups: 1B3, 1C1, 1C2, 1C3, 1D1, Portion of 1F1
Session 3: 5pm-6:50pm Clinical Groups: 1D2, 1D3, 1E1, 1E2, 1E3, Portion of 1F1 |
NUR 3069C – Health Assessment and Communication
| Week 12:
November 7th – 11th
Module Open: November 3rd |
Newborn Assessment | Online Videos (See Canvas)
Jarvis: None Jarvis Lab Manual: None
EXAM #3: November 9th, 3:30pm-4:30pm, RM G-101
|
Week 12:
November 9th: No NRC Lab |
| Week 13:
November 14th – 18th
Module Open: November 10th |
Pediatric Assessment
Growth and Development |
Jarvis: Ch. 28
Jarvis Lab Manual: Ch. 28 (p. 265-274) – done before NRC lab time
Lab Assignment #10: Functional Health Patterns (FHP); Complete patient FHP, Due November 18th, by 11:59pm |
Week 13:
November 16th, 1pm-6:50pm Pediatric Assessment Growth and Development
Session 1: 1pm-2:50pm Clinical Groups: 1A1, 1A2, 1A3, 1B1, 1B2, Portion of 1F1
Session 2: 3pm-4:50pm Clinical Groups: 1B3, 1C1, 1C2, 1C3, 1D1, Portion of 1F1
Session 3: 5pm-6:50pm Clinical Groups: 1D2, 1D3, 1E1, 1E2, 1E3, Portion of 1F1 |
| Week 14:
November 21st – 25th |
Thanksgiving Week – No Module/NRC Lab | ||
NUR 3069C – Health Assessment and Communication
| Week 15:
November 28th – December 2nd
Module Open: November 17th |
Comprehensive Health Assessment
Bedside Assessment and Electronic Health Recording Functional Assessment of the Older Adult
Shadow Health Assignment #9: Comprehensive Assessment Due November 30th, by 12 pm |
Jarvis: Ch. 27, 29, 31
Jarvis Lab Manual: Ch. 31 (p.297-303) – done before NRC lab time
Lab Assignment #11: Lab Manual – p. 255-259, Initiated in Lab and uploaded in Canvas, Due December 2nd by 11:59pm |
Week 15:
November 30th, 1pm-6:50pm Comprehensive Health Assessment
Session 1: 1pm-2:50pm Clinical Groups: 1A1, 1A2, 1A3, 1B1, 1B2, Portion of 1F1
Session 2: 3pm-4:50pm Clinical Groups: 1B3, 1C1, 1C2, 1C3, 1D1, Portion of 1F1
Session 3: 5pm-6:50pm Clinical Groups: 1D2, 1D3, 1E1, 1E2, 1E3, Portion of 1F1 |
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| Week 16:
December 5th – 7th
Module Open: November 17th |
Review |
FINAL EXAM: Wednesday December 7th, 3:30pm-5:30pm, Rm: G-101 (Comprehensive Final Exam)
|
Week 16:
December 7th: No NRC Lab |
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| Week 17:
December 12th-16th Finals Week |
No Modules | Comprehensive Head-to-Toe Video Assessment, Due December 12th by 11:59pm | Week 17:
No NRC Lab |
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| Approved: | Academic Affairs Committee:
General Faculty: UF Curriculum Committee: |
02/03, 12/03; 09/09; 02/14
02/03, 01/04; 09/09; 02/14 05/03; 10/09 |
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