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									                            UNIVERSITY OF FLORIDA
                             COLLEGE OF NURSING
                              COURSE SYLLABUS
                                SUMMER/2008

COURSE NUMBER              NUR 3069C – Section #8485

COURSE TITLE               Communication and Health Assessment

CREDITS                    3   (2 credits didactic, 1 credit laboratory)

PLACEMENT                  BSN Program- Accelerated and RN to BSN Tracks

PREREQUISITE               Admission to the College of Nursing

COREQUISITE                None

FACULTY                      OFFICE               PHONE           OFFICE HOURS
David J Derrico RN, MSN       HPNP            352-273-6341        Monday 11:15 -12:15
Assistant Clinical Professor  3202     (cell) 352-562-6305        Thursday 12:15 -1:15
derridj@ufl.edu              Course Coordinator

Carla Anderson, MN, RN             VAMC       352-376-1611        by Appointment
VA-UF Courtesy Assistant Professor E441-1          ext 5068
Carla.Anderson1@VA.gov

Tom Bedard, MSN, BSEd              VAMC 1-800-324-8387            Tuesday 2:00-4:00
VA-UF Courtesy Assistant Professor E436        ext 7575
etbedard@ufl.edu

Sharon Bradley, MSN, RN HPNP                  352-273-6423       Tuesday 09:00-11:00
Assistant Clinical Professor 3201
sbradley@ufl.edu

Beverly Childress, PhD, ARNP       VAMC 352-376-1611               by Appointment
VA-UF Courtesy Assistant Professor #440-1   Ext 7576
Beverly.childress@va.gov

Cynthia Figueroa-Haas, PhD, ARNP                352-273-6424      Tuesday 10:30-12:30
Assistant Clinical Professor HPNP
cindiarn@ufl.edu             3231

James Jessup, PhD, RN      HPNP                 352-273-6355      Tuesday 1:00-3:00
Associate Professor        3221
jessujv@ufl.edu

Anne Lafayette-Lucy, MSN, ARNP                  352-273-6319       by Appointment
Assistant Clinical Professor HPNP
lafayam@ufl.edu              3229

Faye, Medley, MSN, RN        HPNP                352-273-6351      Tuesday 2:30-3:30
Assistant Clinical Professor 3212                                  Wednesday 3:30-4:30
medlecf@ufl.edu
Karen Reed, DHSc, RN          HPNP               352-273-6097       Monday 11:00-12:30
Assistant Professor           3225                                  Thursday 12:00-1:00
ksreed@ufl.edu

Linda Sigsby, MS, RN          HPNP               352-273-6385       Monday, 09:00-11:00
Assistant Professor           3228
lmsigsby@ufl.edu

Laura Sutton, PhD, RN        HPNP                 352-273-6358    Wednesday, 2:00-4:00
Assistant Clinical Professor 3218                                 and by appointment
lsutton@ufl.edu

Bryan Weber, PhD, ARNP        HPNP               352-273-6327     Tuesday 1000-1200
Assistant Professor           3219               Cell-222-0359    Call for appointment
bweber@ufl.edu

Sunny Yoon, PhD, RN           HPNP               352-273-6418     Wednesday 2:00-4:00
Assistant Professor           3223
yoon@ufl.edu

DEPARTMENT CHAIR
Maxine Hinze, PhD, RN, CNL HPNP                 352-273-6431     By Appointment
Assistant Clinical Professor 3230
hinzemm@ufl.edu

COURSE DESCRIPTION
This course provides knowledge and skills necessary for therapeutic communication with
clients and client evaluation using health assessment techniques. Emphasis is on
principles of therapeutic communication and assessment of health status from
conception through death. Focus is on use of communication and assessment skills as
a basis for clinical decision making and development of therapeutic relationships.

COURSE OBJECTIVES
Upon completion of this course the student will be able to:
      1. Utilize therapeutic communication within the nurse-patient relationship.

       2. Utilize communication skills as an adjunct to performing a health assessment.

       3. Correctly use the proper techniques of inspection, palpation, percussion, and
          auscultation in performing a physical assessment.

       4. Identify cultural and developmental variations in the health state of clients
          based upon the health assessment.

       5. Perform assessment of the individual including a health history and a
          comprehensive physical exam.

       6. Record the health assessment data in accordance with legal and ethical
          guidelines in a clear, accurate, and relevant manner.




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COURSE SCHEDULE

       Day                    Time                                         Room
       Monday                 08:30-11:15 AM                Didactic       G301

       Tuesday                1:00 – 2:30 PM                Lab Practice NRC

                              2:30 - 3:30 PM            Nursing Process    NRC

       Wednesday              07:00 – 12:00 AM Clinical laboratory - beginning week 3
                              (time shared between NUR 3026C & NUR3069C)

       Thursday               1:30 – 3:30 PM            Lab Check-offs     NRC

ATTENDANCE

        Students are expected to be present for all classes, other learning experiences
and examinations. Students who have extraordinary circumstances preventing
attendance should explain these circumstances to the course instructor prior to the
scheduled class or clinical lab, or as soon as possible thereafter. Instructors will make
an effort to accommodate reasonable requests. A grade penalty may be assigned for
late assignments or make-up exams. Make-up exams may not be available in all
courses.
        For clinical courses, students are expected to be present for all seminars and
scheduled clinical dates and times. Students who have extraordinary circumstances
preventing attendance would explain those circumstances to the clinical instructor prior
to the scheduled seminar or clinical date. The clinical instructor will make an effort to
accommodate reasonable requests. A grade penalty may be assigned for unexcused
seminar and/or clinical absences.

Minimal Requirements for Appearance in Clinical Practice Areas

       * Any faculty member has the right to remove any student from a clinical area if, in the
       faculty member's judgment, the student presents an unprofessional appearance or in anyway
       is a threat to patient safety or comfort.
       1.      Undergraduate students are identified with an official College of Nursing emblem and
               Health Science Center ID badge and graduate students with the Health Science Center
               ID badge in clinical settings.
       2.      Undergraduate students wear white uniform and shoes for the first two semesters of the
               program in clinical settings.
       3.      Graduate students wear clean, pressed, white lab coats over professional attire in
               clinical settings.
       4.      Undergraduate students wear scrub uniforms during laboratory practice and during
               check-off exams in the Nursing Resources Center (NRC) .
       5.      Overall appearance conveys a professional image.
       6.      Personal hygiene and grooming are of a standard that insures the safety and comfort of
               clients.
       7.      Students arrive in clinical areas with all the required equipment (e.g., stethoscope)
               necessary for client care.
       8.      Activated cell phones and pagers are not allowed in the clinical setting.




                                            3
ACCOMMODATIONS DUE TO DISABILITY

        Each semester, students are responsible for requesting a memorandum from the
Office for Students with Disabilities to notify faculty of their requested individual
accommodations. This should be done at the start of the semester.

STUDENT HANDBOOK

        Students are to refer to the College of Nursing Student Handbook for information
about College of Nursing student policies, honor code, and professional behavior. Of
particular importance for this course are the sections on appearance in clinical practice
areas, personal liability insurance, and student safety.

TOPICAL OUTLINE

       1. Nursing process
       2. Principles of therapeutic communication
              Active listening
              Empathy
              Silence
              Touch
              Paraphrasing
              Clarifying
              Focusing
              Summarizing
              Self-disclosing
              Confronting
       3. Overview of health assessment
              Cultural variations
              Developmental variations
              Critical thinking and decision making
       4. Techniques of assessment
              Interviewing and history taking
              Inspection, Palpation,         Percussion, Auscultation
       5. Developmental assessment
       6. System review
              Mental status
              Skin
              Head and neck
              Cardiovascular
              Respiratory
              Digestive
              Genitourinary
              Reproductive
              Musculoskeletal
              Neurological
       7. Communication of health assessment data
              Consultations
              Documentation
       8. Functional health patterns




                                            4
LEARNING ACTIVITIES

Lecture, discussion, demonstration, videotapes, practice sessions, simulation laboratory,
and laboratory practice sessions.

EVALUATION METHODS/COURSE GRADE CALCULATION

Evaluation in this course will be based on numerical values from 3 objective exams and
a clinical paper. In addition, a satisfactory grade in clinical laboratory performance and
integrated health exam must be achieved.

      Final course grade is based on the exam and clinical paper average described
       below:
               Exam #1                     25%
               Exam #2                     25%
               Exam #3                     25%
               Clinical Paper              25%
               Total                      100%

      Clinical Laboratory performance is graded:
               S = satisfactory
               U = unsatisfactory

Clinical laboratory evaluation will be evaluated through faculty observation, verbal
communication with student, written work, and agency staff reports. Faculty reserve the
right to alter clinical experiences, including removal from patient care areas, of any
student to maintain patient safety and to provide instructional experiences to support
student learning.

  The Clinical Laboratory performance evaluation is based upon:
               1.    Viewing weekly videos located on the EVOLVE course website:
                     http://evolve.elsevier.com/Home prior to each Tuesday lab.
                     (note there are no videos until week #4)
               2.    Successfully completing assessment check-offs each week.
               3.    Attending weekly clinical laboratory and seminar experiences as
                     scheduled.

      Integrated Health Exam is graded:
               S = satisfactory
               U = unsatisfactory

      Examinations are used to demonstrate the student’s application, analysis, and
       synthesis of the course content. You must be present for all scheduled exams.
       Early testing is not an option. Make-up exams are given only for exceptional
       circumstances. Students must discuss the absence circumstances with David
       Derrico (352-273-6341) prior to the scheduled exam and must be made up within
       one week.

      A rating of less than satisfactory in any area at semester end will constitute a
       course grade of E.

      All missed exams or check-offs must be rescheduled within one week.

                                             5
GRADING SCALE

       A       94-100        C      74-81*
       B+      92- 93        D+     72-73
       B       84-91         D      64-71
       C+      82-83         E      63 or below
      74 is the minimal passing grade

REQUIRED TEXTS

Ackley, B. & Ladwig, G. (2005). Nursing diagnosis handbook: A guide to planning Care
       (7th ed.). Philadelphia: Saunders.

Jarvis, C. (2008). Physical examination and health assessment (5th ed.)
        Online Package. St. Louis: Saunders.

Jarvis, C. (2008). Pocket companion for physical examination and health assessment
        (5th ed.). St. Louis: Saunders.
WEEKLY CLASS SCHEDULE
    Date                      Topics                                Readings                     Faculty
   Week 1   Course Orientation                                      Jarvis: Chapter 1, 2, 3, 4
 May 12-16  Overview of Health Assessment                                                        Derrico
            Systems Theory
            Developmental Assessment
            Introduction to the Nursing Process                                                  Reed
            Communication
            Critical Thinking
            Cultural Considerations
            Functional Health Patterns
   Week 2   Techniques of Assessment                                Jarvis: Chapter 5, 8, 9
 May 19-23  Vital Signs & Measurements                                                           Derrico
            General Survey
            Communication Lab                                                                    Reed
            Complete Health History
   Week 3   Pain & Nutrition                                        Jarvis:Chapter 10. 11        Derrico
 May 26-30
   Week 4   EXAM #1
  June 2-6  Skin, Hair, & Nail Assessment                           Jarvis: Chapter 12           Derrico

    Week 5             Head & Neck Assessment                       Jarvis: Chapter 13, 16       Derrico
   June 9-13           Nose, Mouth, Throat Assessment

    Week 6             Eye Assessment                               Jarvis: Chapter 14, 15       Derrico
  June 16-20           Ear Assessment

                                                     SUMMER BREAK
   Week 7              Breast Assessment                            Jarvis: Chapter 17, 18       Derrico
June 30-July 4         Thorax & Lung Assessment

     Week 8            EXAM #2
    July 7-11          Heart & Neck Vessel Assessment               Jarvis: Chapter 19, 20       Derrico
                       Peripheral Vascular Assessment
    Week 9             Abdomen Assessment                           Jarvis: Chap 21,24,25,26     Derrico
   July 14-18          Genito-urinary Assessment

    Week 10            Musculoskeletal Assessment                   Jarvis: Chapter 6, 22, 23    Derrico
   July 21-25          Neurological Assessment

   Week 11             Clinical Paper Due July 28 at 0830
 July 28-Aug 1         Integrated Health Exam                       Jarvis: Chapter 27,28        Derrico
   Week 12             Integrated Health Exam                                                    Faculty
  August 4-8           FINAL EXAM

***Please refer to course calendar for specific dates and times

Approved:          Academic Affairs Committee: 2/03, 12/03
                   Faculty:                           2/03, 1/04
                   UF Curriculum:                     5/03



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