UNIVERSITY OF FLORIDA
COLLEGE OF NURSING
COURSE SYLLABUS
SUMMER 2016
COURSE NUMBER NGR 6002C section 7065
COURSE TITLE Advanced Health Assessment and Diagnostic Reasoning
CREDITS 4 [3 credits didactic, 1 credit laboratory (45 laboratory hours)]
PLACEMENT First semester in selected tracks
(Advanced Practice Nursing Core)
PREREQUISITES None
COREQUISITES None
FACULTY
Cynthia Figueroa, PhD, ANP-BC HPNP 3239 352-273-6424 (O) Thursday 1300 -1500
Clinical Assistant Professor- 352-682-6363 (C) and by appointment
Course Coordinator
Michael Bumbach, PhD, MSN, FNP-BC, RN HPNP 3214 352-273-6638 (O)Wednesday 1100-1300
Clinical Assistant Professor 352-484-4152 (C) Online PRN also available
COURSE DESCRIPTION This course provides the student with knowledge and clinical experience in advanced health assessment of diverse clients across the life span within the context of the advanced practice role. Emphasis is on acquisition and analysis of relevant data for the development of a comprehensive and holistic assessment. A major focus is on the symptom/health problem assessment and selection and interpretation of screening and diagnostic tests in order to formulate a differential diagnosis.
COURSE OBJECTIVES Within the context of the advanced practice role, upon completion of this course the student will be able to:
1. Demonstrate proficiency in performing comprehensive health assessments including risk assessment.
2. Demonstrate proficiency in performing focused health assessments.
3. Perform a risk assessment of the client which takes into consideration life circumstance and cultural, ethnic, and developmental variations.
4. Organize and present holistic health assessment data.
5. Differentiate normal physiological alterations from pathological findings.
6. Demonstrate proficiency in performing symptom/health problem assessments based on selected chief complaints.
7. Utilize the diagnostic reasoning process in the selection and interpretation of appropriate screening and diagnostic tests.
COURSE/LABORATORY SCHEDULE
E-Learning in Canvas is the course management system that you will use for this course. E-Learning in Canvas is accessed by using your Gatorlink account name and password at https://lss.at.ufl.edu/. There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to .
It is important that you regularly check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications.
Course websites are generally made available on the Friday before the first day of classes.
TOPICAL OUTLINE
1. Characteristics of holistic assessment based on systems theory including physiological, affective and cognitive systems for client and client’s environment
2. Cross-cultural communication
3. Organization of comprehensive and focused health assessment data
4. Verbal and written communication of comprehensive and focused health assessment data
5. Advanced health assessment
6. Risk assessment taking into consideration life circumstance and cultural, ethnic, developmental, and family variations
7. Illness assessment based on common chief complaints
8. Screening tests for physical and mental health
9. Diagnostic tests for common acute and chronic illnesses
10. Selected mnemonics, e.g., BELIEF, ETHIC
TEACHING METHODS
Online lectures, discussion, clinical skill demonstration, simulation exercises, audiovisual materials, and case studies. This course will utilize a simulation lab for practice of assessment skills, not actual clinical settings with patients.
LEARNING ACTIVITIES
Readings, skills practice, online assessment activities with a virtual patient, papers
EVALUATION METHODS/COURSE GRADE CALCULATION
Minimum Required Contact Hours for Laboratory: 45
· On campus skills performance (6 on-campus labs)
· Students will be required to participate in demonstration of the male and female exam through the Harrell Professional Development and Assessment Center. Attendance at these sessions is required (On-campus activity) arranged by student and the Harrell Center.
· Online assessment/learning activities due at the end of each week, on Friday 11:59 pm.
Grade Breakdown:
Comprehensive H & P Paper 10%
Weekly Online Quizzes 10%
SOAP Notes 10%
Face to face Participation 10%
20 minute Check-Off Exam 30% Must obtain a grade of 74% or higher.
Final Patient Assessment Exam 30% One retake allowed at the end of the day.
100%
MAKE UP POLICY
Alternative or make-up activities will only be available for notification of an excused absence that is provided prior to the missed class. Excused absences are personal illness, or death in the family. Work or vacation related activities that cause a missed assignment, quiz, exam, or attendance are not excused absences.
GRADING SCALE/QUALITY POINTS
A 95-100 (4.0) C 74-79* (2.0)
A- 93-94 (3.67) C- 72-73 (1.67)
B+ 91- 92 (3.33) D+ 70-71 (1.33)
B 84-90 (3.0) D 64-69 (1.0)
B- 82-83 (2.67) D- 62-63 (0.67)
C+ 80-81 (2.33) E 61 or below (0.0)
* 74 is the minimal passing grade
For more information on grades and grading policies, please refer to University’s grading policies: http://gradcatalog.ufl.edu/content.php?catoid=4&navoid=907#grades
PROFESSIONAL BEHAVIOR
The College of Nursing expects all Nursing students to be professional in their interactions with patients, colleagues, faculty, and staff and to exhibit caring and compassionate attitudes. These and other qualities will be evaluated during patient contacts and in other relevant settings by both faculty and peers. Behavior of a Nursing student reflects on the student's individual’s ability to become a competent professional Nurse. Attitudes or behaviors inconsistent with compassionate care; refusal by, or inability of, the student to participate constructively in learning or patient care; derogatory attitudes or inappropriate behaviors directed at patients, peers, faculty or staff; misuse of written or electronic patient records (e.g., accession of patient information without valid reason); substance abuse; failure to disclose pertinent information on a criminal background check; or other unprofessional conduct can be grounds for disciplinary measures including dismissal.
UNIVERSITY POLICY ON ACADEMIC MISCONDUCT
Academic honesty and integrity are fundamental values of the University community. Students should be sure that they understand the UF Student Honor Code at http://www.dso.ufl.edu/students.php. Students are required to provide their own privacy screen for all examination’s administered to student laptops. No wireless keyboards or wireless mouse/tracking device will be permitted during examinations.
University and College of Nursing Policies:
Please see the College of Nursing website for a full explanation of each of the following policies - http://nursing.ufl.edu/students/student-policies-and-handbooks/course-policies/.
Attendance
UF Grading Policy
Accommodations due to Disability
Religious Holidays
Counseling and Mental Health Services
Student Handbook
Faculty Evaluations
Student Use of Social Media
REQUIRED TEXTBOOKS *Check for on-line web versions
*Goolsby M. J. & Grubbs, L. (2015). Advanced assessment: interpreting findings and formulating differential diagnoses. (3rd Edition.) Philadelphia: F. A. Davis.
*Seidel, H. M., Ball, J. W., Dains, J. E. & Benedict, G. W. (2014). Mosby’s guide to physical examination (8th ed.). St. Louis, MO: Mosby.
*Pagana, K., & Pagana, T. (2008). Mosby’s manual of diagnostic and laboratory tests (5th Edition.). St. Louis, MO: Elsevier.
RECOMMENDED TEXTBOOKS
DERMATOLGY:
*Fitzpatrick, T. B., et al. (2013). Fitzpatrick’s color atlas and synopsis of clinical dermatology and serious diseases (7th Edition.). New York: McGraw-Hill
PEDS & FNP ONLY:
*Engel, J. (2006). Mosby’s pocket guide to pediatric assessment (5th ed.). St. Louis, MO: Mosby
PEDS STUDENTS ONLY:
Select one of the following (Note that PEDS faculty favor the Hurwitz text and you may be required to purchase it for PEDS clinical course. Please consult your PEDS faculty for advice).
Paller, A. & Mancini, A. (2005). Hurwitz clinical pediatric dermatology online: PIN code and user guide to continually updated online reference. St. Louis, MO: Elsevier.
OR
*Kane, K., Lio, P., Stratigos, A., & Johnson, R. (2009). Color atlas and synopsis of pediatric
dermatology (2nd ed.). New York, NY: McGraw-Hill Professional.
WEEKLY CLASS SCHEDULE
5/9/2016
Week 1
ON-CAMPUS LAB
0900-1700 NRC / Introduction to course
History taking
Soap Note Construction
Billing and Coding / Seidel Ch 1, 26
Goolsby Ch 1 / Orientation Activity/
In class SOAP Note
5/10/2016
Week 1
ON-CAMPUS LAB
0900-1700 NRC / HEENT
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Cardiovascular / Seidel Chapter 9,10,11,12
Goolsby Ch 4,5,6
------
Seidel Chapter 14,15
Goolsby Ch 7 / HEENT Quiz
SOAP Notes in Class
5/16/2016
Week 2 / Cardiovascular / Seidel Chapter 14,15
Goolsby Ch 7 / Cardiac Quiz/SOAP Note
5/23/2016
Week 3 / Pulmonary / Seidel Chapter 13
Goolsby Ch 8 / Pulmonary Quiz/SOAP Note
5/31/2016
Week 4
(Holiday 30th) / Genetics / Online web module
Goolsby Ch 2 / Submit certificates of completion to instructors via Assignment link
Genetics/Culture Quiz
Cultural competence / Online web module
Mosby Chapter 2
Goolsby Ch 18-20
June 6, 2016
Week 5 / Derm / Mosby Chapter 8, Chap 26,
p. 800 / Lesion Identification Activity
DERM Quiz
June 13, 2016
Week 6 / No Assignments
Summer Break June 20 – 24, 2016
June 27, 2016
Week 7
ON-CAMPUS LAB
0900-1700 NRC
Harrell Center Experience Dates as per sign up form
(July 7,8,14,15,18 & 20) / Male/Rectum / Seidel Chapter 19,20
Goolsby Ch 11,12 / Male Quiz
SOAP Note In Class
Harrell Center experience per your selected signup day
Female/Breast / Seidel Chapter 16,18
Goolsby Ch 9,13 / Female Quiz
SOAP Note in Class
Harrell Center experience per your selected signup day
June 28, 2016
Week 7
ON-CAMPUS LAB
0900-1700 NRC / Neuro/ Mental AM
------
Musculoskeletal
PM / Seidel Chapter 4,22
Goolsby Ch 15-17
------
Seidel Chapter 21,23
Goolsby Ch. 14 / Neuro Quiz
SOAP Note in Class
------
MS Quiz
SOAP Note in Class
July 5, 2016
Week 8
(Holiday 4th) / Microscopy/ Diagnostic Reasoning / Pagana & Pagana Chapter 1&7
Goolsby Ch 1
Mosby Ch 25, and p. 589
Online activities / No Written Assignments
7/11/2016
Week 9 / Abdomen / Seidel Chapter 17
Goolsby Ch 10 / Abd Quiz/SOAP Note
7/18/2016
Week 10 / *Comprehensive Assessment (H&P) DUE 7/18/2016
7/25/2016
Week 11 / No Assignments
August 1 or 2, 2016 FINAL EXAMS
(Times per sign-up sheet:TBA)
ON-CAMPUS LAB-NRC
Approved: Academic Affairs Committee: 05/96; 04/01; 02/14
Faculty: 08/96; 05/01; 02/14
UF Curriculum: 10/96; 07/01
6
Final Syllabus NGR 6002C Figueroa 5/4/2016