Course Catalogue

3.1     Title of the module: HAN201 Health Assessments and Nursing Process

 

Programme: Bachelor of Science in Nursing and Midwifery

 

Level: Year 2, Semester 1

 

Credit Value: 12 credits (T = 60hrs, L= 30hrs, P = 80 hrs.) Module Leader: Phuntsho Om

Module Tutor(s): Dr. Ripa Chakma/Manikala Moktan

 

 

General Objectives

This  module  enables  the  students  to  understand  principles  and  application  of  the  health assessment for nurses and nursing process for providing total patient care. The module also develops student’s ability to integrate health assessment skills within the dimensions of path physiologic changes that occur during alterations in health. Considerations for health assessment will include growth and cognitive development, psychological, socio-cultural and spiritual health of individuals. The student will practice in a clinical setting to perform health assessment and apply the nursing process to manage individual patients.

 

 

Learning Outcomes

On completion of this module, the students will be able to:

  1. Explain the basic concepts and purpose of nursing process.
  2. Describe the purpose of assessment
  3. Apply nursing health assessment using Gordon’s 11 functional health pattern.
  4. Describe the phases of nursing process.
  5. Identify and apply different methods of data collection.
  6. Perform physical and psycho-social health assessment with appropriate equipments and techniques.
  7. Interpret the findings of physical and psycho-social health assessment.
  8. Classify and cluster subjective and objective data.
  9. Explain the components of all types of nursing diagnosis using NANDA.
  10. Set the priorities in planning using Maslow’s hierarchy of needs.
  11. Establish the goals/expected outcomes for the stated problems.
  12. Develop nursing care plans using the guidelines.
  13. Develop appropriate and pertinent nursing intervention.
  14. Explain the use of nursing interventions classification for planning care.
  15. Describe the purpose of implementation phase.
  16. Explain and use various forms to document the steps of the nursing process.
  17. Explain purpose and process of evaluation phase in nursing process
  18. Describe the steps involved in reviewing and modifying the client’s care plan.
  19. Apply steps of nursing process in providing comprehensive patient care.

 

 

 

 

 

 

Skills to be developed

- History taking, Physical examination and Review of systems

 

 

Teaching and Learning approach

  • Lecture
  • Discussion
  • Bed side clinical presentation
  • Assignment
  • Self study
  • Case scenario
  • Case study/Case analysis
  • Laboratory practice
  • Assigned reading Mode of assessment Formative
  • Feedbacks
  • Observation
  • Questioning

 

 

Ongoing                                            50%

Theory:                                               40%

  • Presentation
  • Class test
  • Assignment
  • Course test

 

Summative:                                         100

  • Final written examination      60%

 

Ongoing 50% Practical

Health Assessment: 40

Nursing process: 60

 

Pre-requisite knowledge

  • ANP 101 Anatomy and Physiology
  • NMD 101 Nursing and Midwifery Development

 

 

Resource required: LED/Computers, VCD/DVD/USB on specific topics

Equipments for physical examination: Vital signs tray containing thermometer(oral/rectal), stethoscope, BP instrument, weighing machine, height measurement tape, tape measure, torch, ophthalmoscope, Snellens chart, wisp of cotton, tuning fork, nasal speculum, forceps, tongue depressor,  a laryngeal  mirror, kidney tray,  paper bag,  throat  swabs,  gauze pieces,  antiseptic solution, sterile swabs, sterile vaginal speculum, sterile gloves, proctoscope, water soluble jelly, percussion hammer, safety pins, Patient assessment forms, Nurses’ notes.

 

Subject Matter of the module

 

Session

(hrs.)

 

Topics

 

Methods of T/L

 

Remarks

1(3 hrs.)

Introduction to Health assessment

·   Health assessment in Nursing practice

·    Gordon’s 11 functional health patterns

·    Purpose of Health assessment

Lecture

Discussion

 

2(5 hrs.)

Nursing assessment process

·  Gathering objectives data

·  Gathering Subjective information provided by the client, family and other members of the health team

·  Assess   the   actual   problems(   problems present in the patient)

·  Assess the potential problems( patient has high risk)

·  The human response

·  Data collection methods

·  Validating      and      documenting      data

(Document the data clearly and concisely)

Lecture

Discussion

Role play

 

3(3 hrs.)

Health assessment Process

·    Health  assessment  interview  and  health history

- Initial health assessment interview

History taking process Head to toe examination Systemic Physical examination

·    Inspection

·    Palpation

·    Percussion

·    Auscultation

Lecture

Discussion Case scenario Group work Demonstration and re-demonstration

 

4(2 hrs.)

Assessing Vital signs- (Review)

·    Temperature

·    Arterial Pulse

·    Respiratory Rate

·    Blood Pressure

·    Interpretation of the findings of vital signs

Lecture

Discussion Case scenario Group work Demonstration and re-demonstration

 

 

 

 

Session

(hrs.)

 

Topics

 

Methods of T/L

 

Remarks

5(2 hrs.)

Nutritional and Metabolism assessment

·  Nutrition interview

·  Diet Evaluation

·  Diagnostic studies of nutritional status

·  Anthropometric assessment

·  Interpreting   physical   finding   related   to nutritional status

Lecture

Discussion Group work Demonstration and re-demonstration

 

6(15 hrs.)

Systemic examinations

·    Integumentary system

·    Respiratory system

·    Cardiovascular system

·    Musculo-skeletal system

·    Gastro-intestinal system

·    Nervous system

·    Renal system

·    Reproductive system

Lecture

Group work Demonstration and re-demonstration

 

7(2 hrs.)

Assessing Elimination

·    Bowel and Bladder pattern

Lecture

Discussion

Group work

 

8(2 hrs.)

Assessing Activities and Exercise

·    Interpreting  physical  examination  finding related to physical activities and exercise

Lecture

Discussion

Group work

 

9(2 hrs.)

Assessing Cognition and Perception

·  Assessing mental status and interpretation of findings

·  Pain: assessment

Lecture

Discussion

Group work

 

10(2 hrs.)

Assessing Sleep and Rest

·    Sleep and rest pattern history

·    Interpreting physical examination findings related to sleep and rest

·    Sleep pattern observation

Lecture

Discussion

Group work

 

11(2 hrs.)

Assessing Self-concept, Values and Beliefs,

Practices, Tradition and Lifestyle

·    Self concept interview

·    Values and belief interviews

·    Values and belief pattern

Lecture

Discussion

Group work

 

12(2 hrs.)

Assessing    Sexuality    and    Reproductive

pattern

·    Sexuality and  reproduction interview and physical examination

Lecture

Discussion

Group work

 

13(2 hrs.)

Assessment   of   Psychosocial   and   Coping

Mechanism

·    Stress and coping interview

·    Identification of suicide potential

Lecture

Discussion

Group work

 

 

90

 

 

 

Session

(hrs.)

 

Topics

 

Methods of T/L

 

Remarks

 

·    Interpretation     and     documentation     of findings.

 

 

14(4 hrs)

Data Analysis

·   Pathophysiology of disease

·   Recognize Signs and Symptoms

·   Comparison  of  theory  with  the  patient’s

signs and symptoms

Lecture

Discussion

Group work

 

15(5 hrs.)

Nursing Diagnosis

·   Definition

·   Types of Nursing Diagnosis

·    Components   of   a   NANDA-I   Nursing diagnosis

·   Classify the types of nursing diagnosis

Lecture

Discussion Case study Group work

 

16(3hrs.)

Planning or Setting priority

·   Steps in planning:

·    setting priorities,

·    establishing    patient     goals/expected outcome

·  selecting  nursing  interventions  based  on scientific principles(scientific rationales)

·    developing plan of care

·    develop discharge plan

·    communicate the plan with patient and family

Lecture

Discussion Group work Case scenario

 

17(3 hrs.)

Implementation of Nursing care

Implementing process

·  Provide  appropriate  and  pertinent  nursing intervention

·  Execute the care in a safe manner

·  Provide a safe and therapeutic environment

·  Employ teaching learning opportunities for the patient (Health education)

·    Documentation methods

·    Reporting/confidentiality

Lecture

Discussion Case scenario Assignments

 

18(3 hrs.)

Evaluation

Evaluation process:

· Characteristics of evaluation phase

· Process of evaluating client responses

· Comparing the gathered data with the outcomes

· Review goals

· Care plan modification

·    Documentation (Recording and Reporting)

Lecture

Case scenario Assignments Group work Presentation

 

19 (L-30hrs)

Simulation

Demonstration and

re-demonstration

 

91

 

 

 

Session

(hrs.)

 

Topics

 

Methods of T/L

 

Remarks

20 (P-80hrs)

Clinical posting

Case study in wards

Application of nursing process

 

 

Reading List: Main Text:

Seaback, W. W. (2005). Nursing process: concepts & application. (2nd  ed) - Australia: Delmar

Thomson Learning.

Weber, J. & Kelley, J.H. (2007). Health assessment in Nursing. (3rd ed.)Philadelphia: Lippincott

Williams & Wilkins

Berman. A., et al. (2010). Kozier & Erb’s Fundamentals of Nursing Vol. I (1st  ed.) Australia: Pearson.

Additional Readings:

Ashalatha, P. R. (2007). Textbook of Anatomy & Physiology for Nurses. (1st ed). New Delhi:

Jitendar P Vij.

Tortora, G. (2003). Principles of Anatomy & Physiology.(10th ed.). USA: Willey. J.N. Sons.

Alfaro-LeFevre,  R.  (2002).  Applying  Nursing  Process  Promoting  Collaborative  Care.  (5th

ed.). Philadelphia: Lippincott Williams & Wilkins.

Ackley, B.J. & Ladwig, G.B. (2002). Nursing Diagnosis Handbook: A guide to planning care.

(5th ed.). London: Mosby.

 

 

 

 

 

 

 

 

Date: March 24, 2016

 
Royal Thimphu College