Far Eastern University

Institute of Nursing

Course Title Health Assessment Course Code HA

Credits 2 units lecture, 1 unit RLE Course Prerequisite Theoretical Foundations of Nursing, General Psychology,
36 lecture hours, 1 unit RLE Anatomy-Physiology, Chemistry 2 & NCM 100
Course Description The course deals with concepts, principles & techniques of history taking using various tools, physical examination (head to toe), psychosocial
assessment and interpretation of laboratory findings to arrive at a nursing diagnosis on the client across the lifespan in community and hospital settings.
Course Outcome At the end of the course and given simulated and actual conditions/situations, the student will be able to:
1. Differentiate normal from abnormal assessment findings,
2. Utilize concepts, principles, techniques and appropriate assessment tools in the assessment of individual client with varying age group and
development; and,
3. Observe bioethical concepts/principles and core values and nursing standards in the care of clients.

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 Learning Strategies
Learning Related Learning Experience Evaluative
Content Resources
Outcome Classroom Skills Clinical Community Assessment
Laboratory
FEU Vision and mission
1 Standards of Classroom Management, Policy
and guidelines
Requirements
Grading system
Given an Interactive Laptop Clinical content
advanced I. Review of the Nursing Process discussion DLP based
assignment, the Speaker test(CCBT):
1. Assessment
Lapel
student will: 1) History Taking Multimedia 1) Recitation
Extension
2) Physical Assessment Presentation; cord 2) Q and A
Recall the steps 3) Laboratory and Diagnostic exams Flash drive 3) NCP
of the nursing 2. Planning Group White presentation
process 1) Identification of nursing problem Presentation board 4) Case based
of a nursing care White discussion
2) Analysis of nursing problem identified
Report a nursing plan. board (CBD0
3) Prioritization of nursing problem maker
care plan. 4) Formulation of the nursing care plan 5) MCQ
Eraser
(1) Stating the subjective and objective HA Books
Depend the cues Prepared
nursing care (2) Analysis of the nursing problem; guide
plan presented. cause and effect questions
Past
(3) Formulation of goals and objectives
students
to solve the client’s needs or problem case study.
(4) Choosing the best evidenced based
intervention appropriate to the
nursing problem
(5) Identify possible evaluation
parameters that will indicate that the
plan is effective
3. Intervention

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 Learning Strategies
Learning Related Learning Experience Evaluative
Content Resources
Outcome Classroom Skills Clinical Community Assessment
Laboratory
Application of the nursing care plan;
implementation of the nursing actions
to resolve the nursing problem
4. Evaluation of the effectiveness of the Laptop
nursing interventions rendered. Interactive Exposure in DLP Clinical content
II. Health History Guidelines Discussion the Speaker based
Lapel
A. Interview community/ test(CCBT):
After Multimedia Extension
participating in 1. Purpose school setting: cord 1) Recitation
presentation
classroom and 2. Structure Video on actual Flash drive 2) Q and A
clinical 3. Guidelines of an effective interview Interview interview of White 3) Case based
activities, the Ethical Guidelines for Conducting an Interview client. board discussion
student will: with a Client White (CBD0
1. Request an interview in advance. Demonstration board Skills based
Conduct an 2. Come prepared with a list of written using the maker
exercises(SBE)
interview using questions. interview guide Eraser
the interview 3. If you wish to tape the interview, you must HA Books Demo with
questions and
guide questions ask permission first. guidelines in return demo on
and guidelines. 4. Take notes during the interview, even if you interviewing Interview Interview
use a tape recorder. guide Clinical content
5. Be flexible. questions based
6. Try a variety of questioning techniques. test(CCBT):ora
7. If you transcribe the interview and use it
l interview with
for any other purpose. (Adapted from Lisa
Ede’s Work in Progress, 4th Edition. New York: an actual client
Clinical
St. Martin’s Press, 1998. Performance
Evaluation
Tool.

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 Learning Strategies
Learning Related Learning Experience Evaluative
Content Resources
Outcome Classroom Skills Clinical Community Assessment
Laboratory
After III. Health History Clinical content
participating in A. Personal profile Interactive Demonstration Interview a Laptop based
classroom and 1. Chief complaint of present illness Discussion with Return client in the DLP test(CCBT):
related learning school and Speaker
2. Past medical history demonstration: 1) Recitation
activities, the community Lapel
student will: 3. Current medications Multimedia Interview co setting 2) Q and A
Extension
4. Personal habits & patterns of living Presentation classmate using utilizing the cord 3) Case based
Discuss the 5. Psychosocial history Health history the health history interview Flashdrive discussion
contents of a. Mental stats assessment format format and guide White (CBD0
 Children and adolescent guidelines questions and board
health history
guidelines. White
taking in  Adults
board Skills based
consideration B. Functional assessment
maker
client’s age. 1. Adults exercises(SBE)
Eraser
2. Physical activities of daily living Demo with
Explain how (PADC) Guide return demo on
functional 3. Instrumental activities of daily questions Interview
assessment will living (IADL) Clinical
be done C. Functional Assessment Tests scenarios Clinical content
according to 1. Newborn – Apgar scoring system based
the growth and 2. Infants & children – MMDST test(CCBT):ora
development 3. Adults l interview with
stage of clients. a. Katz Index of Independence in an actual client
ADL using the health
Demonstrate the b. Barthel index history format. .
correct D. Review of systems (symptoms)
technique and E. Assessment in pregnancy (e.g. LMP,
sequence of EDC)
taking health F. Pediatric additions to health history (e.g.
history. head circumference, weight, height,

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 Learning Strategies
Learning Related Learning Experience Evaluative
Content Resources
Outcome Classroom Skills Clinical Community Assessment
Laboratory
immunization)
G. Geriatric additions to the Health
History (e.g. immunization, current
prescription medications, over the
counter medications, ADL, social
support, etc.)
After III. Physical Examination Clinical content
6 participating in A. Preparation guidelines Interactive Demonstration Laptop based
7 classroom and B. PE guidelines discussion with return DLP test(CCBT):
related learning Speaker
C. Techniques in physical assessment demonstration: 1) Recitation
activities, the Lapel
student will: 1. Inspection Multimedia 1) Techniques 2) Case based
Extension
2. Auscultation presentation of physical cord discussion
3. Percussion assessment Flashdrive (CBD0
1) Demonstrate 4. Palpitation Demonstration 2) Use of White 3) Multiple
the correct D. Continuing assessment on techniques in physical board choice
1. Pain physical assessment White questions
techniques
2. Fever assessment tools board Skills based
and maker
sequence of E. Pediatric adaptation 3) Sequence of exercises(SBE)
Eraser
physical 1. General guidelines physical Demo with
assessment 2. Specific age groups examination return demo on
F. Geriatric adaptations physical
1. General guidelines assessment
2. Modifications Clinical content
G. Cultural considerations based test
1. Sequence of PE (CCB) physical
(adult/pedia/geriatric adaptations) assessment
a. Overview with an actual
2) Conduct b. Integument Physical client.

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 Learning Strategies
Learning Related Learning Experience Evaluative
Content Resources
Outcome Classroom Skills Clinical Community Assessment
Laboratory
actual c. Head Demonstration of Return Actual assessment
assessment d. Neck physical Demonstration of physical tools: Clinical content
of either a e. Back Assessment of: physical assessment of BP based
pedia/adult/ f. Anterior trunk Integument assessment a real client. apparatus, test(CCBT):
or geriatric Chest, heart and lungs Head Utilizing the stethoscope 1) Case based
client g. Posterior trunk Neck 1) Neurological techniques, Thermomet discussion
3) Complete Spine and kidneys Back assessment sequence. er, penlight, (CBD0
with h. Abdomen Anterior trunk inclg the Actual Percussion 2) Multiple
level of
confidence Stomach, liver, intestines, Abdomen documentation hammer, choice
consciousness
the physical uterus, fallopian tubes , ovaries Musculoskeletal 2) Integument of findings. salt, questions
assessment i. Musculoskeletal system system 3) Head and Actual vinegar, Skills based
from head to Upper and lower extremities Neurological neck analysis of sugar, exercises(SBE)
toe of an j. Neurologic system system and assessment findings coffee, Demo with
actual client k. Genitourinary system genitourinary 4) Chest and identifying perfume, return demo on
4) Documents Reproductive organs and urinary system. back deviations snellen physical
5) Abdomen
the system. from normal chart, assessment,
6) Genitourinary
information H. Clinical alert 7) Musculoskelet Actual health otoscope documentation,
gathered I. Documentation of findings al teaching to the Evaluation and health
from J. Patient & family education & home Upper and lower client and Tool: Hard education
physical health teaching extremities family. copy Clinical content
assessment Clinical based
5) Perform Performanc test(CCBT):
actual health e physical
teachings to Evaluation assessment
client. and Tool with an actual
family. (CPET) client
CPET
16 Given IV. Diagnostic tests (routine laboratory exams) Laptop
DLP
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 Learning Strategies
Learning Related Learning Experience Evaluative
Content Resources
Outcome Classroom Skills Clinical Community Assessment
Laboratory
laboratory and Laboratory Exams Speaker Clinical content
17 diagnostic test 1) Blood count (CBC) Lapel based
results, the (1) Haemoglobin Extension test(CCBT):
cord
18 student will be (2) Hematocrrit 1) Recitation
Flashdrive
able to (3) Blood type White 2) Case based
1) Analyze the (4) Platelet board discussion
data of the (5) WBC differential count White (CBD0
tests 2) Blood Coagulation tests board 3) Multiple
2) Interpret the 3) Blood sugar tests maker choice
findings in 4) Lipid tests Eraser questions
relation to 5) Arterial blood gases Skills based
the handled 6) Electrolyte tests exercises(SBE)
case. 7) Enzyme and protein blood tests Demo with
3) Formulate 8) Thyroid blood tests return demo on
the 9) Urinalysis Intervew
appropriate 10) Stool examination .
nursing 11) Others
diagnosis Diagnostic tests
based on the 1) X-rays / Ultrasound
assessment 2) Scans
findings. 3) MRI
4) Biopsy
5) Endoscopy
6) Prenatal testing
7) Genetic testing
8) Others
V. Appropriate nursing diagnosis

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Grading System:
10% - Class Standing
20% - Group Work
30% - Quizzes
40% - Unit Exam
100% - Final Grade for Midterm & Final Grading

70% - Lecture Grade

30% - Related Learning Experiences
100% - Final Concept Grade

References:
Weber, Kelly, Sprengel , Health Assessment in Nursing, 3rd edition, Lippincott, Williams and Wilkins 2007(Prescribed Book Textbook and laboratory Manual)
Hogan-Quigley, Beth. Bates' nursing guide to physical examination and history taking. Philadelphia : Wolters Kluwer Health/Lippincott Williams & Wilkins, c2012.
Estes, Mary Ellen Zator. Health assessment & physical examination. 4th ed. Clifton Park, NY : Delmar Cengage Learning, c2010.
Jarvis, Carolyn. Pocket companion for physical examination & health assessment. 6th ed. St. Louis, Mo. : Elsevier/Saunders, c2012.
Brunner & Suddarth's handbook of laboratory and diagnostic tests. Philadelphia : Wolters Kluwer/Lippincott Williams & Wilkins, c2010.
Cardiorespiratory assessment of the adult patient : a clinician's guide. Edinburgh : Elsevier, 2012
Jensen, Sharon, 1955-. Nursing health assessment : a best practice approach. Philadelphia : Wolters Kluwer/Lippincott Williams & Wilkins Health, c2011.