(Health Assessment in Nursing)
Length:
Course 1: 104 hours (13 weeks); includes 52 hours of theory, 17 hours of nursing laboratory experience, and 35 hours of supervised clinical experience. Course 2: 104 hours (13 weeks); includes 52 hours of theory, 12 hours of nursing laboratory experience and 40 hours of supervised clinical experience. Course 3: 135 hours (9 weeks); includes 45 hours of theory, 13 hours of nursing laboratory experience and 77 hours of supervised clinical experience.
Location:
Arnot-Ogden Medical Center, Roe Avenue, Elmira, NY.
Dates:
Course 1: May 1990 - August 1999.* Course 2: May 1990 - August 1999.* Course 3: August 1990 - August 1999.*
Instructional delivery format:
Traditional classroom model
Learner Outcomes:
Course 1: Identify moral, legal, ethical and professional standards for nursing practice; identify scientific principles underlying selected nursing actions to promote and/or maintain health; differentiate between the components of the nursing process utilized to assist individual client's achievement and/or maintenance of health/wellness; describe the process of effective communication in promoting interaction with individual clients, faculty, peers and nursing teams; recognize teaching and learning principles as they apply to selected client teaching situations; actively participate in the learning process through shared experiences, discussions and group interactions. Course 2: Utilize moral, legal, ethical and professional standards of practice, with guidance, in selected situations; implement selected nursing actions based on scientific principles to promote healthy client response; apply the nursing process with guidance to assist hospitalized individual adult clients to achieve and/or maintain optimum level of health/wellness; employ facilitative communication skills, with guidance, in interacting with individual clients, faculty, peers and nursing teams; utilize teaching actions appropriate to the individual's learning needs to achieve a healthier existence; adapt assertiveness skills in identifying and meeting one's own learning needs. Course 3: Apply moral, legal, ethical, and professional standards in health assessment of selected individual clients; demonstrate assessment skills based on scientific principles in determining an individual's healthy physiological and psychosocial response; utilize assessment skills in individualizing the nursing process to clients at various developmental levels; modify communication skills to the individual client to facilitate the effective implementation of the nursing process; apply teaching concepts and principles appropriate to the individual's developmental level in assisting the individual client to achieve a healthier existence; utilize the problem-solving approach to assess one's own learning needs and to develop a plan of action.
Instruction:
Course 1: Nursing Theory and Concepts: historical, legal, ethical and professional issues; health and illness: individual, family, community; holism; nursing and health care delivery system; homeostasis; Maslow's hierarchy of human needs; stress/adaptation. Nursing Process: assessment, diagnosis, planning, implementing, and evaluating; nutrition in health; teaching learning concepts: the theoretical basis for client teaching; legal aspects of documentation; techniques used to develop a therapeutic relationship; group dynamics; mental health concepts of self and self-esteem. Application of the Nursing Process to the following: therapeutic environment, client safety/comfort, restraints, body mechanics, and asepsis-microbial safety; personal care/hygiene; mobility/immobility; body alignment; movement. Course 2: Major concepts include: concept of crisis; adaptations to acute and chronic illness/disability; anxiety as a common response to stress of illness; culture, ethnicity, spirituality and religious beliefs as factors that affect response in health and illness. Application of nursing process to the following: vital signs measurement; medication administration; pain; sensory alterations; wound care and healing; thermal applications; oxygen administration; gastrointestinal and urinary elimination; and rest and sleep. Course 3: The nurse's application of developmental, family and socio-cultural aspects used in gathering the health history are stressed throughout the course. History taking and physical assessment of the individual throughout the lifespan to include inspection, palpation, auscultation and percussion is addressed. The emphasis is on normal findings and developmental variations; adverse effects of medications, and laboratory data are incorporated. Health promotion and education are seen as vital components in this course. Assessments are also discussed in admission, pre-and post-operative care and in discharging an individual in an acute care setting. Assessment tools, i.e., (DDS), are examined.
