College of Nursing
UW-Milwaukee College of Nursing
NURS 211: Health Assessment
Spring 2015
Course number and title:NURS 211 - Health Assessment
Number of credits:Three credits Lec: Wednesday 3:00-4:50PM CUN 151
Lab: Please see schedule
Clinical Faculty:Dr. James A. Bockeloh, DNP, FNP-BC, APNP, RN
Clinical Instructor
Email:
UWM Office 522, Cell 262-880-6415
Office hours by appointment
Lab Instructors:Per Schedule of Classes, see individual assigned lab section.
Level Coordinator:Rochelle Nelson, MS, CNS
Clinical Assistant Professor
UW-Milwaukee/UW-Parkside Consortial Nursing Program
(262)595-2179 Parkside office
(414)229-6050 UWM office
Course Description:
The course Health Assessment is designed to help you apply concepts and skills used in comprehensively assessing the health status of individuals. History taking, physical examination techniques, developmental, and other assessments are presented through in-person and on-line teaching methods, lecture demonstrations, laboratory practice with return demonstrations, and independent study.
The components of the history and physical exam, taken collectively, provide the basis for comprehensively assessing health along 11 Functional Health Patterns; Health Management and Perception, Self Perception and Concept, Values and Beliefs, Roles and Relationships, Coping and Stress Tolerance, Sleep and Rest, Nutritional and Metabolic, Activity and Exercise, Elimination, Cognitive and Perceptual, and Sexuality and Reproduction. In addition to learning the range of normal in health assessment, you will begin to identify frequently occurring health concerns or problems of individuals encountered by baccalaureate nursing graduates. You will utilize a framework of body systems across the lifespan of individuals who are representative of diverse groups. You will be encouraged to view health as a process as well as an outcome of health services delivered in a wide range of patient care endeavors and health care systems.
The course is organized around two major components:
- Lecture (2 hours weekly)
- Practice laboratory with return demonstration (2 hours weekly)
Course Objectives:
Upon completion of the learning experiences, you will be able to:
1. Complete and record a comprehensive health history.
2. Perform physical examination procedures for assessing multiple body/organ systems.
3. Differentiate between the components included in a comprehensive health history of a well
versus a sickpatient, and of patients across the lifespan.
4. Document physical examination findings relative to the techniques of observation/inspection,
palpation,percussion, and auscultation.
5. Identify age-related differences in the physical examination of patients.
6. Differentiate between normal and abnormal physical examination findings.
Textbook/Materials:
Jarvis, C. (2012). Physical Examination & Health Assessment (6th ed.). St. Louis: Elsevier.
The materials for this course are included in the FCP 1 bundle. You will also need a stethoscope which is not included in the bundle - you will receive information on how to obtain a stethoscope through the UWM Nursing Student Association. You can also obtain a stethoscope on your own – please note that regardless of where you order, your stethoscope needs to have both diaphragm and bell functions for this course, and for your clinical experiences.
Methods of Instruction: Lecture and lab. Lab will be the chance for you to engage in hands-on practice of concepts you will be learning through your readings, your review of the ATI website skills modules, and what you learn in lecture. “Lecture” is probably not an appropriate term for this class because it implies a one-way direction of learning. I prefer “Discussion and Discourse”, which suggests a two-way communication and learning process. Please feel free to ask questions of me before, during, and after class, or via email and I will do my best to answer them to your satisfaction. I will also ask YOU questions as a way of encouraging the growth of your thought processes and critical thinking. Both lecture and lab are safe environments to ask questions so please ASK! I firmly believe that we all teach each other and we all learn from each other.
Methods of Evaluation: Grades will be determined according to the percent of total points accrued, using the grading scale established by the CON. There will not be any “curving” of grades.
Attendance: As a professional courtesy, I expect you to notify (email is fine) me if you will not be in lecture, or notify your lab instructor if you will not be in their lab on a particular day. Lecture and Lab Attendance is Mandatory! Attendance will be taken in both lecture and lab on a weekly basis. Excessive absences and missed deadlines in lecture or lab will impair your ability to do well in this course. The purpose of this course is to teach basic physical assessment and interview skills and concepts, and in order to achieve this, regular class attendance is required.
Academic Performance: If you are having difficulties with something in lecture, I expect you to come to me to discuss it - if the trouble is in lab, then please speak with your lab instructor first. We cannot help you if we are unaware that you are struggling. If around the midterm point in the semester I feel you are not achieving to your potential as indicated by your overall performance to date in lecture and/or, I will ask for a conference with you to discuss what will need to take place to facilitate your learning and improve your grade. This is a two-way process, you can also request a conference with me at any time, either to review your progress, discuss material you are having problems with, or identify study strategies to help you best utilize your time.
Assignments and quizzes: There will be six (6) quizzes throughout the semester and the dates are on your weekly schedule. Quizzes will be available for you to take on the D2L website on the specified dates. Quizzes will be worth 25 points each and will consist of 25 multiple choice questions. You must have an average quiz and final lecture exam score of 79% or greater in order to pass the course regardless of your average in lab. You can make-up one quiz if extenuating circumstances prevent you from coming to lecture. If you need a make-up quiz, you must have notified me of your absence PRIOR to class, via either email or phone. Make-up quizzes occur during the week everyone else took it in class at a time mutually agreeable between the instructor and the student. Failure to make up a missed quiz will result in a score of zero for that quiz. If you have already taken a make-up quiz and miss another quiz, that second missed quiz, and any subsequent missed quizzes will all receive a grade of zero. As course coordinator I reserve the right to adjust quiz dates (always postpone, never move up) to accommodate the needs of the entire class and other course requirements.
You will be assigned ahealth historywrite-up and aphysical exam write-up (see due dates on schedule). Both assignments are posted on D2L and should be submitted to the designated drop box. These are graded by your lab instructor. Hard copies of these assignments will not be accepted. Each assignment is worth 35 points. Late work submitted to the drop box will be accepted but your grade will be reduced 5 points for each day the assignment is late.
Final Physical Assessment (PE) Exam: You will perform a finalfocused physical assessment(please see schedule) at the end of the course during your lab session. This assessment consists of a physical assessment (in which you demonstrate a general head to toe physical assessment to your lab instructor). You must score a 79% or greater on both of these components – failure to do so means that you fail the course regardless of your quiz average in lecture. A rubric for this practical can be found in this syllabus packet and in the content section of the D2L site. For this mastery, you will be allowed to bring notes (to be used during the physical examsparingly) – these notes will be limited to one side of an 8-1/2 x 11 sheet of paper.
Exams: There will not be a midterm exam in this course. Your midterm grade will be calculated based on your total points earned out of the points available to date. There will be a comprehensive final exam given around 9, 11-15 MAY15, date and room will be announced when that information becomes available from the University. Due to University policy, you will be unable to change this exam time unless you experience a conflict with another class.
Lab Specifics
Each lab period will begin with a brief rundown of the assessments you’ll be doing that day. After that, there will be a short, instructor-led demonstration of the assessment techniques. Then, it will be your time to practice and show us what you know! Your instructor will be circulating through the lab during this practice time – please ask questions! Have them watch you as you practice your skills and ask them how you can do something more effectively. They love to help and they want to see all of you succeed!!
It is essential that you come to lab prepared. Assessment modules for adult and pediatric physical assessment by ATI will be utilized for this course, available on line. Students will receive access instructions and ATI account sign up information before lab sessions start, given during orientation class. You are expected to view the assigned lab material for the day BEFORE coming to lab. Additionally, youmust bring your lab skills/check off sheets (available on D2L)to your lab on a weekly basis – completion of these will serve as evidence of your progress in the lab portion of this course.
Attendance in your assigned lab is expected and required. Your lab only meets once per week and your attendance and participation in the activities for the day are essential to your success in this class. If you need to be absent from lab due to illness, injury, or an emergency, it is your responsibility to contact your lab instructor, preferably before the lab you’ll be missing. If that is not possible, then contact your lab instructor within 12 hours of your missed lab time. One make-up lab will be allowed and will be made up at your instructor’s discretion.
The following rubric will be used to determine the lab point distribution:
Per week assessment of lab participation (10 lab weeks – can earn up to 2 points per week):
2 points = active, engaged, asks appropriate questions, prepared, used full lab time allotted
1 point = occasionally active, moderately prepared, somewhat engaged, left early without
practicing, orpracticed minimally and left early
0 points = unexcused absence; disinterested, low activity level, unprepared
Total Class and Study Time
This class consists of one 2 Hour lecture, and one 2 Hour Lab session per week. To prepare adequately for this class and lab time, the student should plan at least 4-5 hours of preparation per week for each hour of class time. So, for N211, the student should allow a minimum of 16 – 20 hours per week of study and preparation time.
Lab Instructors/Sections/Days/Times
211 LEC 401 W 3:00-4:4001/26-05/07Bockeloh
211 LAB 800 M 10:00-11:5001/26-05/07Triesman
211 LAB 801 T 1:00-2:5001/26-05/07Bockeloh
211LAB 802 W 8:00-9:5001/26-05/07Klingbeil
211 LAB 803 R 1:00-2:5001/26-05/07Kottwitz
211 LAB 804 R 3:00-4:4001/26-05/07Kottwitz
211 LAB 805 W 10:00-11:5001/26-05/07Tsiampas
211 LAB 806 T 1:00-2:5001/26-05/07Swaney
211 LAB 807 R 1:00-2:5001/26-05/07Pacala
211 LAB 808 M 3:00-4:5001/26-05/07Klingbeil
211 LAB 810 M 10:00-11:5001/26-05/07Tsiampas
Academic integrity statement and Academic misconduct:
Students are expected to demonstrate academic integrity in all course activities. Academic integrity requires honesty concerning all aspects of academic work including:
• Correct procedures for citing sources of information, words and ideas.
• Ways to properly credit collaborative work with project team or study group members.
• Strategies for planning and preparing for exams, papers, projects and presentations.
Students are encouraged to consult with faculty regarding any questions about appropriate behaviors to maintain academic integrity. Any violation of academic integrity will result in sanctions consistent with university policy.
The Associate Dean for Academic Affairs serves as the College of Nursing investigating officer for academic misconduct. Please contact Dr. Kim Litwack () if you suspect academic misconduct. UWM policies about the process for investigating and acting on
academic misconduct can be found at:
Course Grading
Evaluated ActivityNumber of Points Grading Scale as per CON Policy:
Lecture quizzes x 6150 A95-100%C79-82%
Lab points 20 total A-93-94%C-77-78%
Final comprehensive exam 100 B+91-92%D+75-76%
Final Physical Assessment 60 total B87-90%D72-74%
Health History Write Up 35 B-85-86%D-70-71%
Physical Exam Write Up 35 C+83-84%F<70%
Total points for course: 400
LECTURE & QUIZ DATES / LECTURE CONTENT(Text readings) / LAB DATES: / LAB CONTENT / ATI On-Line Modules
Week 1 –Jan 28 / Chapters 1-4
Intro to class
Taking a health history / Jan 26,27,28,29,30 / Intro to the lab environment & “getting to know you” activity / ATI Plan, getting started with ATI
Week 2 –Feb 4 / Chapters 9 & 10
Vital signs / Feb 2,3,4,5,6. / Practice history taking; nursing dx; subject/objective data / ATI Physical Assessment Adult, Vital Signs
Week 3 –Feb 11
QUIZ 1 / Chapters 12 & 13
Skin, Hair, Nails, Head, Neck with Lymphatics / Feb 9,10,11,12,13 / Practice vitals; hands on otoscope & ophthalmoscope use / ATI Vital Signs
Week 4 –Feb 18 / Chapters 14-16
Eyes, Ears, Nose, Sinuses, Mouth, and Throat / Feb 16,17,18,19,20 / Practice skin, hair, nails, head/lymphatics / Review appropriate ATI modules for all lab sessions
Week 5 – Feb 25
QUIZ 2 / Chapter 23
Neurological / Feb 23,24,25,26,27 / Practice eyes, ears, nose, sinuses, mouth & throat
Week 6 –Mar 4 / Chapter 18
Thorax and Lungs / Mar 2,3,4,5,6 / Practice neuro
Week 7 –Mar 11 / Chapter 19
Heart and Neck Vessels / Mar 9,10,11,12,13 / Practice thorax & lungs
Mar 15-22 / UWM Spring / Break / No Classes
Week 8 –Mar 25
QUIZ 3 / Chapter 20
PV and Lower Lymphatics / Mar 23,24,25,26,27 / Practice heart & neck vessels / Health history due 3/27 in the drop box
Week 9 – Apr 1 / Documentation: How to document what you find;
Pediatric Assessment / Mar 30, 31, Apr 1,2,3 / Review all lab material to date, also documentation practice
Week 10–Apr 8
QUIZ 4 / Chapters 21 & 22
Musculoskeletal & Abdominal / Apr 6,7,8,9,10 / This week lab: practice heart and neck vessels
All labs: practice PV and lower lymphatics; catch up day for check offs; practice integration of all content to date
Week 11–Apr 15 / Chapter 17
Breasts and axillae / Apr 13, 14, 15, 16, 17 / Practice musculoskeletal and abdominal
Week 12 – Apr 22
Quiz 5 / Chapters 24-26
Male/female genitalia, and Rectal / Apr 20, 21, 22, 23, 24 / Final Physical Exam Check Off Review
Week 14–Apr 29 / Chapters 29 & 30
Assessments of the Elderly and Pregnant Clients / Apr 27, 28, 29, 30, May 1 / Final Physical Exam Check Off
Week 15–May 6
QUIZ 6 / Final Exam Review / May 4, 5, 6, 7 / Final Physical Exam Check Off / Physical Exam Write Up due 05/01 in the drop box
COMPREHENSIVE FINAL EXAM:
9, 11-15MAY15, Date and Room TBA
The College of Nursing reserves the right to modify, amend, or change this syllabus as the curriculum or program requires.
Information for students who are taking a course that uses Desire2Learn (D2L) for its Web site
Materials for this course are available on a course Web site. You may see these materials there anytime you wish, using a standard Web browser such as Netscape or Internet Explorer. You may print it (or parts of it) at your convenience.
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