Advanced Adult Health Nursing N-260

MODULE 4

• Introduction

   A thorough and systematic assessment guides prioritization of patients, leads to the identification of appropriate problems, sets patient-response targets, and informs individualized care plans.

   This module aims to enhance your skills in conducting comprehensive patient assessment and the use of appropriate screening for rapid assessment that inform your plan of care. In addition, this will utilize your competencies in Advanced Pathophysiology (N-204) to develop a case analysis diagram.

   Learning Outcomes

  At the end of this module, you should be able to: 

  1. Perform comprehensive nursing health history and risk factor assessment.
  2. Perform thorough physical and psychosocial assessment.

   Learning Activities

  This module will cover two weeks.

  1) Week 1: Self-directed learning activities and a Laboratory session where we will review assessment techniques.

  2) Week 2: Assessment of an actual patient.

  WEEK 1

  Read the following materials. 

  These are made available to you in our Learning Management System. Those marked with (*) are required reading.

  1.  Bate’s Physical Examination
  2. Any reference books on:

  • • Fundamentals of Nursing book chapter/s on Health Assessment
    • Diagnostic and Laboratory Examinations
    • Medical-Surgical Nursing
    • Pathophysiology

  3. FORMS: Health Assessment (Nursing Health History, Physical Examination)

  Watch the following.

  Here are video series to guide you in enhancing your existing understanding of the Nursing Process and your skills in assessment (*must watch)

  1. Health Assessment and Risk Factor screening (Lecture Video)
  2. Conducting a Physical Examination Video Resources
  3. Head-To-Toe series: https://youtube.com/playlist?list=PL4SQSkirVusO2-9DSEMX4NHqZ2UjtoIiE 
  4. Older Adult: https://youtu.be/s7LSCrGWCys  
  5. Complete Head-To-Toe: https://youtu.be/gG8kh8MfnGY  
  6. Mental Status Assessment: https://youtu.be/CX63gVIhD6w 

  Mark as done
• Let's Practice Our Assessment Skills! Assignment

  Opened: Tuesday, 25 February 2025, 12:00 AM

  Due: Monday, 3 March 2025, 5:00 PM

  Mark as done

  After reviewing your skills in assessment, let's practice on an actual adult client in your chosen setting. 

  You will need to practice a complete assessment of one (1) adult patient with an existing medical condition. Your assessment documentation will be part of your Portfolio.

  Guidelines:

  1. Select one (1) patient from your current practice setting. Secure their informed consent to participate as your patient.
  2. Use the forms provided (Nursing Health History and Physical Assessment). You may use other forms based on existing guidelines depending on the condition of your patient (e.g., Dyspnea scale for COPD, Functional Ability Scale).
  3. Conduct a complete Nursing Health History.
  4. Perform a complete physical assessment.
  5. Use an appropriate Risk Factor Assessment tool (e.g., Cardiovascular-Kidney-Metabolic Screening, STEPwise approach to NCD screening, etc.) and incorporate this in your overall Health Assessment.
  6. [Optional] Present your client's latest lab results, if any, and their medication list.
  7. Create a document presenting the summary of your pertinent findings.
  8. Submit these in the Assignment Bin for feedback using the file name [SURNAME_ICF], [SURNAME_NHH], [SURNAME_PE], [SURNAME_RFA], [SURNAME_Lab and Meds], [SURNAME_Assessment Summary]

  Evaluation:  You will be evaluated based on the completeness and accuracy of your documentation. Likewise, the synthesis of your findings will be evaluated in terms of its ability to highlight the priority needs of your patients.

  Note:  Please submit by March 3, 5:00 PM so we can have a brief discussion about your output on our March 6 Synchronous session.