ࡱ> y wVbjbj :{{Na DDDDDXXX84X8h6 !8#8#8#8#8#8#8$ ;=zG8DG8DD\8E$E$E$hDD!8E$!8E$E$-h.@g{{O!3. 8r808C.6>#X6> ..6>D/`E$G8G8E$86> : UNIVERSITY OF FLORIDA COLLEGE OF NURSING COURSE SYLLABUS FALL 2012 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 FACULTY OFFICE PHONE OFFICE HOURS David J Derrico RN, MSN HPNP 352-273-6341 Tuesday 1115-1315 Clinical Assistant Professor 3202 cell 352-562-6305 HYPERLINK "mailto:derridj@ufl.edu"derridj@ufl.edu Course Coordinator Sheri Curtis MSN, ARNP, PNP-BC HPNP 352-273-6409 Thursday 1030-1230 Clinical Assistant Professor 2222 HYPERLINK "mailto:shecu@ufl.edu"shecu@ufl.edu Anna Hall Kelley, MSN, ARNP HPNP 352-273-6422 Monday 0930-1130 Clinical Assistant Professor 2221 cell 352-494-8053 HYPERLINK "mailto:alkelley@ufl.edu%20"alkelley@ufl.edu  Karen Reed, RN, MSN, DHSc HPNP 352-273-6097 Monday 1300-1500 Clinical Assistant Professor 3235 cell 352-514-8565 HYPERLINK "mailto:ksreed@ufl.edu"ksreed@ufl.edu Maryann Walker, PhD. ARNP VAMC 352- 376-1611 X 5281 by Appointment Courtesy Clinical Assistant Professor E442 cell 352- 871-4972 HYPERLINK "mailto:Maryann.Walker@va.gov"Maryann.Walker@va.gov NRC FACULTY Cynthia Figueroa-Haas, PhD, APRN-BC HPNP 352-273-6424 Tuesday 1300-1500 Clinical Assistant Professor 3239 & by Appointment HYPERLINK "mailto:cindiarn@ufl.edu"cindiarn@ufl.edu Sandra J. Knapp, PhD, CCRN, CNL HPNP 352 273-6319 Tuesday 1300-1500 Assistant Clinical Professor 3212 cell 352 260-2358 HYPERLINK "mailto:sjknapp@ufl.edu"sjknapp@ufl.edu NRC FACULTY continued Saunjoo Yoon, PhD, RN HPNP 352-273-6418 Friday 1030-1230 Associate Professor 3223 HYPERLINK "mailto:yoon@ufl.edu"yoon@ufl.edu Nancy Young, RN, ARNP, CPNP HPNP 352-273-6403 Monday 1330-1530 Clinical Assistant Professor 2218 HYPERLINK "mailto:ngyoung@ufl.edu"ngyoung@ufl.edu DEPARTMENT CHAIR Joyce Stechmiller, PhD, ACNP-BC, FAAN Associate Professor HPNP 352 273-6394 by Appointment Adult and Elderly Nursing 3230 HYPERLINK "mailto:stechjk@ufl.edu"stechjk@ufl.edu 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. COURSE SCHEDULE Day Time Component Room Thursday 0830-1025 Lecture G101 Monday 0700-0950 or 1000-1250 Lab/Practice NRC Check-off weeks 7,9,12,15,16 NRC Sakai is the course management system that you will use for this course. Sakai is accessed by using your Gatorlink account name and password at HYPERLINK "http://lss.at.ufl.edu"http://lss.at.ufl.edu. There are several tutorials and student help links on the Sakai login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to HYPERLINK "mailto:helpdesk@ufl.edu"helpdesk@ufl.edu. It is important that you regularly and frequently 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. ATTENDANCE Requirements for class attendance and make-up exams, assignments, and other work are consistent with university policies that can be found at: HYPERLINK "https://catalog.ufl.edu/ugrad/current/regulations/info/attendance.aspx"https://catalog.ufl.edu/ugrad/current/regulations/info/attendance.aspx . Students are expected to be present for all scheduled clinical laboratory sessions. Students who have extraordinary circumstances preventing attendance should explain these circumstances to David Derrico prior to the scheduled clinical laboratory session. Communication by email is preferred. An effort will be made to accommodate reasonable requests. A grade penalty may be assigned for unexcused clinical laboratory absences. NRC Uniform required for laboratory and simulation, consists of white pants and a navy top made of scrub or uniform material. Socks, stockings, and belts are required to all be white. Shoes must be closed heel and toe, nonporous, and primarily white. A white lab coat is optional.  Overall appearance must convey a professional image. Personal hygiene and grooming should be of a standard that insures the safety and comfort of clients.  Students must arrive to the NRC with all the required equipment (e.g., stethoscope) necessary  for scheduled NRC activities. Activated cell phones and pagers must be turned off in the NRC. OPEN LAB For students who desire or need additional practice time with skills, there will be open lab in the NRC on Fridays from 1300-1400. 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. UNIVERSTY COUNSELING AND MENTAL HEALTH SERVICES HYPERLINK "http://www.counseling.ufl.edu/cwc/"http://www.counseling.ufl.edu/cwc/ (352) 392-1575 STUDENT HANDBOOK Students are to refer to the College of Nursing Student Handbook for information about University & College of Nursing policies, honor code, and professional behavior. HYPERLINK "http://con.ufl.edu/currentStudents/e_docs/Undergraduate%20Handbook%202011.pdf"http://con.ufl.edu/currentStudents/e_docs/Undergraduate%20Handbook%202011.pdf HYPERLINK "https://catalog.ufl.edu/ugrad/current/advising/info/student-honor-code.aspx" \l "honesty"https://catalog.ufl.edu/ugrad/current/advising/info/student-honor-code.aspx#honesty 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 Mental status assessment Physical examination Techniques System review Communication of health assessment data Collaboration with inter-professional healthcare team TEACHING METHODS Lecture, demonstration, and guided laboratory practice sessions. LEARNING ACTIVITIES: Reading assignments, videos, return demonstrations, and simulated laboratory experiences. CLASSROOM ETIQUETTE Classroom Behavior is covered under the Regulation of the University of Florida, Regulation 2.019. (j) Conduct Disruptive to the University Community. All students are expected to comply with UF policies http://regulations.ufl.edu/chapter4/4041.pdf. The UF policy defines disruption of a class or curricular activity as follows: Classroom or other academic workplace behavior that interferes with either (a) the instructors authority or ability to conduct the class or (b) the ability of other students to benefit from the instructional program EVALUATION METHODS/COURSE GRADE CALCULATION Evaluation in this course is based on an average of numerical values from 4 objective exams, a satisfactory grade in clinical laboratory performance and integrated health exam demonstration. Exam scores are averaged and rounded to the nearest whole number to determine the final course grade. Final course grade is based on the exam average described below: Exam #1 25% Exam #2 25% Exam #3 25% Exam #4 25% Total 100% Clinical Laboratory performance is graded: S = Satisfactory U = Unsatisfactory The Clinical Laboratory performance evaluation is based upon: Viewing weekly assigned videos Being prepared for Clinical laboratory sessions as evidenced by arriving to scheduled laboratory sessions on time with pre-lab preparation as assigned. Participating in clinical laboratory and seminar experiences as scheduled. Successfully completing assessment check-offs as scheduled. Integrated Health Exam is graded: S = Satisfactory U = Unsatisfactory Examinations are used to demonstrate the students application, analysis, and synthesis of the course content. You must be present for all scheduled exams. Early testing is not an option. Make-up exams are given only for exceptional circumstances. Students must discuss the absence circumstances with David Derrico (352-273-6341) prior to the scheduled exam and a missed exam must be made up within one week. Missed check-offs will be rescheduled within a week with David Derrico. GRADING SCALE Letter GradePointsQuality PointsA95 1004.0A-93 943.67B+91 923.33B84 903.0B-82 832.67 C+80 812.33C74* - 792.0 *74% is the minimum passing gradeC-72 731.67D+70 711.33D64 691.0D-62 63.67E61 or below0.0For more information on grades and grading policies, please refer to Universitys grading policies: HYPERLINK "https://catalog.ufl.edu/ugrad/current/regulations/info/grades.aspx"https://catalog.ufl.edu/ugrad/current/regulations/info/grades.aspx REQUIRED TEXTS Ackley, B. & Ladwig, G. (2011). Nursing diagnosis handbook: An evidence-based guide to planning care (9th ed.). St. Louis: Mosby/Elsevier. Berman, A.J., Snyder, S., Kozier, B.J., Erb, G., (2012). Kozier & Erb's Fundamentals of Nursing (9th ed.),. Upper Saddle River, New Jersey: Pearson/Prentice Hall Jarvis, C. (2012). Physical examination and health assessment (6th ed.) St. Louis: Saunders/Elsevier. Jarvis, C. (2012). Pocket companion for physical examination and health assessment (6th ed.). St. Louis: Saunders/Elsevier. Mosbys Nursing Video Skills. (2009). Basic, intermediate, & advanced skills: Student version 3.0. St. Louis: Mosby/Elsevier Mosbys Nursing Video Skills. (2007). Physical examination and health assessment. St. Louis: Mosby/Elsevier Schuster, P. & Nykolyn, L. (2010). Communication for nurses: How to prevent harmful events and promote patient safety. Philadelphia: F.A. Davis Silvestri, L.A. (2011). Saunders comprehensive review for the NCLEX-RN examination (5th ed.). St. Louis:Saunders/Elsevier. RECOMMENDED TEXTS Venes, D. (2010) Tabers cyclopedic medical dictionary (21st ed.). Philadelphia: F.A. Davis WEEKLY CLASS SCHEDULE (see p.8 for detailed schedule, concepts, & NRC activities) LECTURE DATESTOPICSASSIGNMENTS: READINGS & VIDEOSFACULTY8/23 Week 1Intro. Priorities, Problem SolvingJarvis: Chapter 1,3,4 &5 Ackley: Chapter 1Derrico 8/30 Week 2 (NRC 8/27)G & D assessment Communication LectureBerman: pp 354-371 Jarvis: Chapter 10 Schuster: Chapter 1,2, & 3Curtis Walker9/6 Week 3General Survey, Vital Signs, & Pain assessment Cultural Competence Jarvis: Chapter 2, 8, 9 & 10 Mosby Videos: Vital Signs: all Assessing PainDerrico Stephen9/13 Week 4EXAM 1 Skin, Hair, & Nails 0830 Computer Testing Center Jarvis: Chapter 2,12 Mosby Videos: Skin, hair, nails Derrico 9/17 Week 5Head & Neck, Nose, Mouth, & Throat assessmentJarvis: Chapter 13 & 16 Mosby Videos: Head, & neck, Nose, Mouth & throatDerrico 9/27 Week 6Eyes & Ears assessmentJarvis: Chapter 14, & 15 Mosby Videos: Eyes & EarsDerrico 10/4 Week 7Assessment of Children: Vital Signs, Pain, Head EENT, Mouth & ThroatBerman: Child health content in chapters 12 - 16, pp. 203-381 Jarvis: Chapter 13-16Curtis10/11 Week 8EXAM 2 Pregnancy Assess Web0830 Computer Testing Center  Kelley10/18 Week 9Pulmonary assessment Cardiovascular assessmentJarvis: Chapter 18, 19 & 20 Mosby Videos: Lungs & Thorax, Heart & neck vessels, & PV Jarvis: Chapter 29Derrico 10/25 Week 10Abdomen Assessment Nutritional Assess Web GU Assess Web . Jarvis: Chapter 11 & 21 Mosby Videos: Abdomen Male & Female GenitourinaryDerrico 11/1 Week 11Breast Assessment CV & Pulmonary assessment of childrenJarvis: Chapter 17, 24, 25, & 26 Child health in Ch 18, 19, 20, 21 Mosby Videos:Breast assessmentCurtis 11/8 Week 12EXAM 3 Musculoskeletal Assessment0830 Computer Testing Center Jarvis: Chapter 22 Mosby Videos: MusculoskeletalDerrico 11/15 Week 13Neurological Assessment Jarvis: Chapter 6 & 23 Mosby Videos: Neurologic: Mental status & cranial nerves, Motor & sensoryDerrico 11/22 Week 14Thanksgiving HolidayNO CLASS11/29 Week 15Integrated Health Exam MS & neurological assessment of childrenJarvis: Chapter 27 & 28 Jarvis Chapters 22 & 23 Mosby videos: Head to ToeDerrico Curtis12/6 Week 16Reading DaysNO CLASSFinals weekFinal Exam 12/12/100800 Computer Testing Center WEEKLY CALENDAR LAB & DATES LECTURE & DATES Week 1: Thursday 8/23 2h lecture Introduction . Assessment, Priorities, & Problem Solving ______________________________________________________________________________ Week 2: Monday 8/27 Thursday 8/30 1h lab Problem Solving 2h lecture Growth and Development 2h lab Communication ____________________________________________________________________________ Week 3: Monday 9/3 Thursday 9/6 LABOR DAY NO LAB 2h lecture Assessment Techniques Vital Signs, General Survey, Pain Concepts: Oxygenation & Perfusion Cultural Competence Web Week 4: Monday 9/10 Thursday 9/13 1h lab Problem Solving 75m EXAM #1: Computer Testing Center 2h lab Interviewing Skills 30m lecture Skin, hair, & nail assessment Concepts: Protection & Perception __________________________________________________________________ Week 5: Monday 9/17 Thursday 9/20 3h lab Vital Sign Assessment 2h lecture Head & Neck, Nose, Mouth, & Skin, Hair, Nails Throat assessment After practice stations (20 min.each) Concept: Perception 1.Problem Solving & Documentation 2.Communication: Communicating with children 3.Temperature assessment 4.Electronic blood pressure and oxygen saturation assessment ______________________________________________________________________________ Week 6: Monday 9/24 Thursday 9/27 Check off:Vital Sign assessment 2h lecture Concept: Perception Skin, Hair, Nails Eyes & Ears assessment ______________________________________________________________________________ LAB & DATES LECTURE & DATES Week 7: Monday 10/1 Thursday 10/4 3h lab Head & neck, Nose, 2h lecture Concept: Perception Mouth, Throat, Eyes & ears Assessment of Children: Vital Signs, Pain, Eyes/Ears, After practice stations (20 min.each) Head/neck, Nose/Mouth/Throat. 1. Problem Solving & documentation 2. Communication: Collecting data in the community & inpatient settings 3. Denver Developmental Screening Tool (DDST) assessment 4. Vital Signs in Children ______________________________________________________________________________ Week 8: Monday 10/8 Thursday 10/11 Check off: Assessment 75m EXAM #2: Computer Testing Center Head & neck, Eyes & ears Concept: Reproduction Pregnancy Assessment- Web ______________________________________________________________________________ Week 9: Monday 10/15 Thursday 10/18 NRC Lecture: Concept: Oxygenation 2h lecture Concepts: Oxygenation & Pulmonary Assessment Perfusion Cardiovascular assessment __________________________________________________________________ Week 10: Monday 10/22 Thursday 10/25 3h lab CV and Pulmonary 2h lecture Concepts: Nutrition & Elimination Assessment Abdominal Assessment Nutritional assessment Web After practice stations (20 min.each) GU assessment Web 1. Problem Solving & Documentation 2. Communication: Communicating pregnancy concerns 3. Heart & Lung Sounds 4. Assessment of the Pregnant Woman ______________________________________________________________________________ Week 11: Monday 10/29 Thursday 11/1 3h lab Abdomen, Breast/GU 2H lecture Concepts: Sexuality Assessment Breast assessment Concepts: Oxygenation & Perfusion: After practice stations (20 min.each) Pulmonary/CV assessment of children 1. Problem Solving & Documentation 2.Communication:Addressing personal space/boundaries & personal touch 3. Breast Assessment 4. Assessment of the Pregnant Woman ______________________________________________________________________________ LAB & DATES LECTURE & DATES Week 12: Monday 11/5 Thursday 11/8 Check off: CV/ Pulmonary 75m EXAM #3: Computer Testing Center Abdomen, GU Assessment 30m lecture: Musculoskeletal assessment Concepts: Mobility ______________________________________________________________________________ Week 13: Monday 11/12 Thursday 11/15 No Class: Veterans day 2h lecture Concepts: Cognition, Mobility, & Perception Neurologic assessment ______________________________________________________________________________ Week 14: Monday 11/21 Thursday 11/24 3h lab#7 MS and Neuro NO CLASS- Thanksgiving Holiday After practice stations (20 min.each) 1. Problem Solving & Documentation 2. Communication:Client issues r/t sensory deficits/nonverbal behaviors 3. Assessment of the Postpartum Woman 4. Normal Newborn Assessment ______________________________________________________________________________ Week 15: Monday 11/26 Thursday 11/29 Check off: 2h lecture Integrated Health Exam (IHE) Musculoskeltal & Neurological Concepts: Cognition, assessment Activity/Mobility, & Perception Musculoskeletal & Neurological Assessment of children ______________________________________________________________________________ Week 16: Monday 12/3 Thursday 12/6 Integrated Health Exam Reading Day NO CLASS __________________________________________________________________ Finals Week: EXAM #4 12/12 0800 Computer Testing Center Approved:Academic Affairs Committee: General Faculty: UF Curriculum Committee:02/03, 12/03; 09/09 02/03, 01/04; 09/09 05/03; 10/09     NUR3069C (1185) Fall 2012 - Derrico NUR3069C (1185) Fall 2012 - Derrico 9=>BDQ]hlnz|   + , 1 ǿϴϜ|tmimh&k hG>hG>hG>hG>>*hG>hB*H*phhG>hB*phh5B*phh&kB*phhysB*phhCkB*phhG>hsB*phh/}B*phh.B*phhG>h}e>*B*phh; B*phh";B*phh4QWB*phhG>h}eB*ph))9CDmn  F G g   0^`0gd)@0^`0gdG>m$ 0^`0gd,n$a$gd,n1 2 > ? 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