1 NRSG125 HEALTH ASSESSMENT

1. Introduction to physical assessment techniques

LEARNING OUTCOMES:

At the successful completion of this session students will be able to:

* Demonstrate the techniques of inspection, palpation, percussion and auscultation at a beginning level

* Discriminate between intensity, duration, pitch and quality of percussion sounds at a beginning level * Differentiate between light and deep palpation * Identify the components of a stethoscope.

* Identify and describe the use of a variety of equipment used for health assessment * Establish an environment suitable for conducting a physical assessment.

* Describe safety precautions and legal considerations when performing a physical assessment.

PRE-LAB READING:

Prior to attending this lab students should read the following:

* Estes, M, E, Z., Cajella,P.,Thoebald, K.,Harvey, T., (2013). Health assessment and physical examination (1st ed.) South Melbourne, Vic., Australia; Cengage Learning. pp 81-96.

* Tollefson, J. (2012) Clinical psychomotor skills (5th ed.) South Melbourne, Vic. Australia.: Cengage Learning. pp 23-28

List the physical assessment techniques in the correct order, and provide two examples of findings.

Assessment | Description | Example of findings | technique | | | | | | Inspection | Examination conducted by looking at the body parts being examined, through observation, focus images, coulur, shapes, | Yellow eyes( jaundies) Bluish skin (eynarios) |

Laboratory 1 NRSG125 HEALTH ASSESSMENT

Assessment | Description | Example of findings | technique | | | | | | Palpation | Technique that uses the sense of touch, hands and fingers are sensitive instruments used to collect data | Temp, turgor, endenra | Percussion | Examination by ways of tapping certain parts of the body surface with other body parts with the goal of producing sound | Aim to identify location, size, shape | Auscultation | Physical examination performed by listening to ted sound produced by the body | Stethoscope, wheezing noises |

Label the components of the stethoscope ear tips---------------------------------- is used to listen to

Detect sturdy heart ________________ bell diaphragm is used to listen to

Frequency of sounds _______________

________________ tubing Name 2 considerations when undertaking a physical assessment?

1. Establish a positive nurse? Patient rapport--- decreases stress
2. communicates special instructions to patient (what you intend to do, how you can help)

Laboratory 1 NRSG125 HEALTH ASSESSMENT

2. Introduction to a comprehensive health history

LEARNING OUTCOMES:

At the successful completion of this session students will be able to:

* Identify legal and ethical considerations for the health history

* Identify components of the complete health history

* Conduct a comprehensive health history

* Document a complete health history

PRE-LAB READING:

Prior to attending this lab students should read the following:

* Estes, M, E, Z., Cajella,P.,Thoebald, K.,Harvey, T., (2013). Health assessment and physical examination (1st ed.) South Melbourne, Vic., Australia; Cengage Learning. pp 876-896.

* Tollefson, J. (2012) Clinical psychomotor skills (5th ed.) South Melbourne, Vic. Australia.: Cengage Learning. pp 23-28

Provide an example of open and closed- ended question that can be used when gathering information on Present health and history of the present illness and Past health history.

Present health and history of the present illness

Open
Can you describe the pain?
________________________________________________________________

Closed
Does the pain radiate elsewhere?
________________________________________________________________

Past health history

Open
Who in your family has been diagnosed with…
________________________________________________________________

Closed
Have you taken any medication before
________________________________________________________________

Laboratory 1 NRSG125 HEALTH ASSESSMENT

In each element of competency 1 & 2 of the NMBA Competency standards for the RN, provide a consideration when conducting a health assessment.

Competency Consideration

1.1 - Complies with relevant legislation and common law

1.2 - Fulfils the duty of care

2.1 - Practices in accordance with the nursing profession’s codes of ethics and conduct

2.3 - Practices in a way that acknowledges the dignity, culture, values, beliefs and rights of individuals/groups

2.5 - Understands and practices within own scope of practice

2.6 - Integrates nursing and health care knowledge, skills and attitudes to provide safe and effective nursing care

Laboratory 1 NRSG125 HEALTH ASSESSMENT

Linkage to unit Learning Outcomes

* These outcomes link to the unit Learning Outcomes:

* 3/. Demonstrate introductory skills in assessment of physical, psychosocial, and cognitive health across the lifespan.

* 5/. Obtain and integrate relevant diverse information into the health assessment in order to initiate a therapeutic plan.

* 8/. Communicate findings of the health history and physical assessment to appropriate members of the health team using oral and written reporting methods at a beginning level.

Linkage to unit Graduate Attributes

* They also link to the ACU Graduate Attributes:  | GA3 | apply ethical perspectives in informed decision making |  | GA9 | demonstrate effective communication in oral and written English | | language and visual media |