Section: Module 2: Lesson 2- The Write-up: Validating and Documenting findings | Health Assessment Course Resource

Section: Module 2: Lesson 2- The Write-up: Validating and Documenting findings | Health Assessment Course Resource | NextGenU.org

Learning Objectives:

Explain the significance of documenting the findings from a health interview and physical assessment.

Describe strategies to recheck, clarify or verify data.

Outline the components of documenting the findings of a health assessment.

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Course Syllabus

Theory Syllabus

Practicum Syllabus

Module 1: Lesson 1- Introduction to Health Assessment

Introduction to health assessment

Admission Assessment and Examination

Barriers of physical assessment skills among nursing students in Arab Peninsula

M1: L1- Introduction to Health Assessment

Module 1: Lesson 2- Performing an assessment: Environmental considerations

Assessment: Environmental Considerations

Self-Awareness as a Therapeutic Tool for Nurse/Client Relationship

Module 1: Lesson 3- Subjective and Objective Data

Subjective, and objective data

Subjective Data Vs. Objective Data in Nursing

Subjective vs Objective Data (2 minutes)

Module 1: Lesson 4- Assessment of height, weight and vital signs

Height, Weight and Vital signs

Demonstrating vital sign assessment (9 minutes)

Module 2: Lesson 1- The Patient Interview

The patient interview

Age Specific Practice learning module

Active Listening

Here is a 2 minute YouTube video that shows a patient interview that could use some improvement:

Here is a 2 minute YouTube video of an interview that was done well:

M2 L1: The Patient Interview

M2:L1- The Patient Interview

Module 2: Lesson 2- The Write-up: Validating and Documenting findings

Write up validate and document

Medical Documentation learning module

Module 2: Lesson 3- Health History

Health-History

Example of a health history interview

Module 3: Lesson 1- Performing an Assessment: Assessment Techniques

Performing Assessment technique

Techniques of Physical Assessment

Inspection, Palpation, Auscultation, Interpretation technique overview

Health Assessment Techniques quiz

Module 3: Lesson 2- Performing an Assessment: Equipment for assessment

Assessment equipment

Module 3: Lesson 3- Assessment of the thorax and lungs

Thorax and lungs assessment

The following video demonstrates an assessment of the thorax and lungs

Module 4: Lesson 1- Heart Assessment Part 1: Basic structure and function, Adults & Elderly

Heart Assessment

Cardiac Emergencies: Assessment, Angina, and MI

This is a 1 minute video reviewing the basics of how the blood flows through the heart/lungs

The following video demonstrates and explains basic adult heart assessment

Quiz Module 4

Module 4: Lesson 2- Heart Assessment Part 2: Infants and Children

Heart Assess Infants and children

Baby circulation right after birth

Review the following graphic on neonatal circulation:

Congenital heart disease symptoms

Rheumatic fever

Heart Assessment Quiz

Module 4: Lesson 3- Assessment of peripheral circulation

Peripheral circulation assessment

The following video is a review of peripheral circulation

The following video demonstrates an assessment of peripheral vascular system

Module 5: Lesson 1- Assessment of the abdomen

Abdominal Assessment

Abdominal assessment

Module 5: Lesson 2- Assessment of female GU system

Female genital assessment

The following video gives an overview/review of the system Female GU system

Module 5: Lesson 3- Assessment of male GU system

Male Genital Assessment

View the following image

Module 6: Lesson 1- Assessment of Cranial Nerves

A Crainal Nerve assessment

The following video is a visual/explanation of function of cranial nerves

The following video demonstrates the assessment/testing of cranial nerves

Module 6: Lesson 2- Assessment of neuro function (CNS/PNS)

Neurologic Assessment

Simplifying neurologic assessment

Module 6: Lesson 3- Assessment of the eyes and vision

Eyes and vision assessment

Head & Neck

Lymphatic System: Facts, Functions & Diseases