Unit objectivesUNIT I: Introduction to Health Assessment Concepts .By the end of the unit, learners will be able to:
1. Discuss the need for health assessment in general nursing practice.
2. Explain the concepts of health, assessment, data collection, and
3. Identify types of health assessments
4. Document health assessment data using a problem oriented approach.
UNIT II: Interviewing Skills and Health History
By the end of the unit, learners will be able to:
1. Explain the purpose, process & principles of interviewing.
2. Describe the content and format used to obtain a health history.
3. Discuss the process of investigating positive findings during the health history.
4. Practice obtaining and recording a client health history.
5. Practice utilizing therapeutic skills with a learner’s partner.
6. Identify strengths and weaknesses via observation of a videotaped
interaction and self/peer analysis.
7. Interview patient in clinical and collect feedback from colleagues and
faculty about use of therapeutic communication.
UNIT III: Introduction to Physical Examination (Pe) and the General Survey .By the end of the unit, learners will be able to
1. Identify the general principles of conducting an examination.
2. Identify the equipment needed to perform a physical examination.
3. Describe the appropriate use & technique of inspection, palpation,percussion & auscultation.
4. Discuss the procedure & sequence for performing
a general assessment of a client.
5. Discuss the guidelines for documenting physical examination.
6. Document the PE findings of patients in PE documentation sheet on an ongoing basis.
UNIT IV: Assessment of the Skin, Head & Neck
By the end of the unit, learners will be able to
1. Describe the component of health history that should be elicited during the assessment of skin, head & neck.79
2. Describe specific assessments to be made during the physical examination of the above systems.
3. Document findings.
4. Describe age related changes in the above systems & differences in assessment findings.
UNIT V: Assessment of Nose, Mouth & Pharynx
By the end of the Unit, learners will be able to:
1. Describe the component of health history that should be elicited during the assessment of nose, mouth and pharynx.
2. Identify the structural landmarks of the nose, mouth and pharynx.
3. Describe specific assessments to be made during the physical examination of the above systems.
4. Document findings.
UNIT VI: Assessment of the Abdomen, Anus & Rectum By the end of the unit, learners will be able to:
1. Discuss the pertinent health history questions necessary to perform the assessment of Abdomen, Anus and Rectum.
2. Describe the specific assessment to be made during the physical examination of the abdomen.
3. Discuss components of a rectal examination.
4. Document findings.
5. List the changes in abdomen that are characteristics of aging process.
UNIT VII: Assessment of the Breast, Axilla & Genitalia By the end of the unit, learners will be able to:
1. Discuss the history questions pertaining to male and female breast and Genitalia assessment.
2. Perform a breast examination including axillary nodes and interpret findings.
3. Discuss components of a genital exam on a male or female.
4. Review components of a comprehensive reproductive history.
5. Document findings.
6. List the changes in breast, male & female genitalia that are characteristics of aging processdiagnosis.