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Medical Documentation learning module
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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
View the following video eyes
Visual Acuity Test with Snellen Eye Chart Exam
Module 8: Lesson 1- Assessment of the head and neck (including lymph)
Head & Neck
The following video demonstrates an assessment of head and neck including lymph glands
Module 8: Lesson 2- Assessment of the ears and nose
Ear and Nose Exam Health Assessment
The following video demonstrates an assessment of the ears
Module 8: Lesson 3- Assessment of the mouth and throat
Mouth and Throat
Cleft Lip
Epiglottitis
Pharyngitis
Lip and Oral Cavity Cancer Treatment (Adult) (PDQ®)
Module 9: Lesson 1- Assessment of the Lymphatic System
Lymphatic system assessment
Lymphatic System: Facts, Functions & Diseases
Anatomy, Lymphatic System
Module 9: Lesson 2- Assessment of the breast
Breast Assessment
Breast Cancer Prevention and Control
Female breast anatomy drawing (not an actual photo)
Anatomy, Thorax, Breast
Breast self exam video (fully clothed) by a physician
Module 9: Lesson 3- Assessment of the skin, hair and nails
Skin, hair and nails Assessment Population
Review the following CDC outline of Skin Cancer
Hair, skin and nails assessment video
Module 10: Lesson 1- Assessment of musculoskeletal function
Musculoskeletal Function Assessment
Physiology, Muscle In: StatPearls
Musculoskeletal exam video
Module 10: Lesson 2- Assessment of a person with a disability
Assessment of a person with a disability
Review this checklist for assessing a disabled person
Journal of preventive medicine and public health
Module 10: Lesson 3- Genetic Assessment: Genogram, Genetic diseases
Genetic Assessment
Review the following Fact Sheet on the Genetics of Cancer
Prenatal Genetic Screening
Review the following video on cancer and genetics
Module 11: Lesson 1- The general survey
The General Survey
Please view the following video
Module 11: Lesson 2- Types of assessments: initial, focused, time-lapsed and emergency.
Types of Assessments: Initial, Focused, Time-lapsed, Emergency
Review the Royal Childrens Hospital Melbourne’s guideline for a Focused Nursing assessment and a shift assessment
Module 12: Lesson 1- Assessment of the Elderly ( Note to author: focus on the unique aspect of collecting data on elderly persons)
Assessment of the Elderly
Complete the Ceufast Module on Elderly: Alzheimer’s and Dementia.
Complete the Ceufast Module on Dependent Elder Abuse
Module 12: Lesson 2- Pain Assessment
Assessing Pain
Complete the CEUfast Pain Assessment learning module
The following video explains taking a history of a headache using the OLD CARTS mnemonic
The following video gives an explanation of a pain assessment using the OPQRST mnemonic
Module 12: Lesson 3- Nutritional Assessment
Nutritional assessment
The following video is intended for a dietitian, but it gives a nice head to toe physical assessment and explanation of nutrition findings
Module 13: Lesson 1- Psychosocial Assessment
Psychosocial Assessment
Complete the CEUfast Nursing Psychosocial learning module
Module 13: Lesson 2- Cultural Assessment
Cultural Assessment and religious issues
Review the following example of an assessment demonstrating cultural awareness
Culturally Competent Nursing Care
Module 14: Lesson 1- Community Health Assessment (Note to author: focus on the individual)
Community Health – Individual-Focused
The role of nurses and community health workers in confronting neglected tropical diseases in Sub-Saharan Africa: a systematic review
Module 14: Lesson 2- Domestic Violence Screening
Domestic Violence Screening
Attitudes towards domestic violence in 49 low-and middle-income countries: A gendered analysis of prevalence and country-level correlates
Final Exam
Course and Self Evaluation & Certificate
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For our institutional partners: Full Programs/Graduate Medical Education
NIED Courses
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Public Health U - MPH
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Health Assessment Resource
Module 2: Lesson 2- The Write-up: Validating and Documenting findings
Medical Documentation learning module
Medical Documentation learning module
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Course Registration
Peer Corner
Theory Syllabus
Practicum Syllabus
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
Assessment: Environmental Considerations
Self-Awareness as a Therapeutic Tool for Nurse/Client Relationship
Subjective, and objective data
Subjective Data Vs. Objective Data in Nursing
Subjective vs Objective Data (2 minutes)
Height, Weight and Vital signs
Demonstrating vital sign assessment (9 minutes)
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
Write up validate and document
Health-History
Example of a health history interview
Performing Assessment technique
Techniques of Physical Assessment
Inspection, Palpation, Auscultation, Interpretation technique overview
Health Assessment Techniques quiz
Assessment equipment
Thorax and lungs assessment
The following video demonstrates an assessment of the thorax and lungs
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
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
Peripheral circulation assessment
The following video is a review of peripheral circulation
The following video demonstrates an assessment of peripheral vascular system
Abdominal Assessment
Abdominal assessment
Female genital assessment
The following video gives an overview/review of the system Female GU system
Male Genital Assessment
View the following image
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
Neurologic Assessment
Simplifying neurologic assessment
Eyes and vision assessment
View the following video eyes
Visual Acuity Test with Snellen Eye Chart Exam
Head & Neck
The following video demonstrates an assessment of head and neck including lymph glands
Ear and Nose Exam Health Assessment
The following video demonstrates an assessment of the ears
Mouth and Throat
Cleft Lip
Epiglottitis
Pharyngitis
Lip and Oral Cavity Cancer Treatment (Adult) (PDQ®)
Lymphatic system assessment
Lymphatic System: Facts, Functions & Diseases
Anatomy, Lymphatic System
Breast Assessment
Breast Cancer Prevention and Control
Female breast anatomy drawing (not an actual photo)
Anatomy, Thorax, Breast
Breast self exam video (fully clothed) by a physician
Skin, hair and nails Assessment Population
Review the following CDC outline of Skin Cancer
Hair, skin and nails assessment video
Musculoskeletal Function Assessment
Physiology, Muscle In: StatPearls
Musculoskeletal exam video
Assessment of a person with a disability
Review this checklist for assessing a disabled person
Journal of preventive medicine and public health
Genetic Assessment
Review the following Fact Sheet on the Genetics of Cancer
Prenatal Genetic Screening
Review the following video on cancer and genetics
The General Survey
Please view the following video
Types of Assessments: Initial, Focused, Time-lapsed, Emergency
Review the Royal Childrens Hospital Melbourne’s guideline for a Focused Nursing assessment and a shift assessment
Assessment of the Elderly
Complete the Ceufast Module on Elderly: Alzheimer’s and Dementia.
Complete the Ceufast Module on Dependent Elder Abuse
Assessing Pain
Complete the CEUfast Pain Assessment learning module
The following video explains taking a history of a headache using the OLD CARTS mnemonic
The following video gives an explanation of a pain assessment using the OPQRST mnemonic
Nutritional assessment
The following video is intended for a dietitian, but it gives a nice head to toe physical assessment and explanation of nutrition findings
Psychosocial Assessment
Complete the CEUfast Nursing Psychosocial learning module
Cultural Assessment and religious issues
Review the following example of an assessment demonstrating cultural awareness
Culturally Competent Nursing Care
Community Health – Individual-Focused
The role of nurses and community health workers in confronting neglected tropical diseases in Sub-Saharan Africa: a systematic review
Domestic Violence Screening
Attitudes towards domestic violence in 49 low-and middle-income countries: A gendered analysis of prevalence and country-level correlates
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