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This course provides the students with the knowledge and skill necessary to perform a comprehensive health assessment utilizing the skills of history taking, inspection, palpation, percussion, and auscultation. Normal assessment findings, frequently seen variations from normal and cultural differences are discussed.
The course is taught online for 10 weeks and covers ten sessions which cover introduction and inquiry of health history, physical assessment from head to toe, common symptoms assessment and making nursing diagnosis, normal and common abnormal ECGs, common laboratory tests and the clinical significance of common abnormalities.
Upon successful completion of the course, the student will:
1. Demonstrate history-taking and interviewing skills necessary for comprehensive data collection.
2. Demonstrate beginning level skill in the techniques of physical exam: inspection, palpation, percussion, and auscultation.
3. Differentiate between normal and abnormal assessment findings.
4. Apply relevant anatomy and physiology to the health assessment process. 5. Integrate health assessment into the nursing process and nursing practice.
6. Differentiate between normal and abnormal ECGs and lab tests.
7. Make nursing diagnosis based on clinical cases.
This course will facilitate you to learn the clinical courses well to be a good nurse.
1. Demonstrate history-taking and interviewing skills necessary for comprehensive data collection.
2. Demonstrate beginning level skill in the techniques of physical exam: inspection, palpation, percussion, and auscultation.
3. Differentiate between normal and abnormal assessment findings.
4. Apply relevant anatomy and physiology to the health assessment process. 5. Integrate health assessment into the nursing process and nursing practice.
6. Differentiate between normal and abnormal ECGs and lab tests.
7. Make nursing diagnosis based on clinical cases.
为积极响应国家低碳环保政策， 2021年秋季学期开始，中国大学MOOC平台将取消纸质版的认证证书，仅提供电子版的认证证书服务，证书申请方式和流程不变。
电子版认证证书支持查询验证，可通过扫描证书上的二维码进行有效性查询，或者访问 https://www.icourse163.org/verify，通过证书编号进行查询。学生可在“个人中心-证书-查看证书”页面自行下载、打印电子版认证证书。
完成课程教学内容学习和考核，成绩达到课程考核标准的学生（每门课程的考核标准不同，详见课程内的评分标准），具备申请认证证书资格，可在证书申请开放期间（以申请页面显示的时间为准），完成在线付费申请。
认证证书申请注意事项：
1. 根据国家相关法律法规要求，认证证书申请时要求进行实名认证，请保证所提交的实名认证信息真实完整有效。
2. 完成实名认证并支付后，系统将自动生成并发送电子版认证证书。电子版认证证书生成后不支持退费。
Unit 1 Introduction and health history taking
1-1 Course introduction
1-2 Taking health history
1-3 Basic methods of physical assessment-inspection & palpation
1-4 Basic methods of physical assessment-percussion
1-5 Basic methods of physical assessment-auscultation & olfactory
Unit 1 Test
Unit 1 Assignment
Unit 2 General Assessment
2-1 Habitus and nutritional status
2-2 Facial features and expressions
2-3 Posture，position and gait
2-4 Skin
2-5 Lympth nodes
Unit 2 test
Unit 2 Assignment
Unit 3 Head & Neck Assessment
3-1 Head assessment I
3-2 Head assessment II
3-3 Neck assessment
Unit 3 Assignment
Unit 3 test
Unit 4 Chest wall, Thorax, Breast, and Lungs Assessment
4-1 Landmarks of the chest wall
4-2 Inspection- Chest wall and thorax assessment
4-3 Inspection- Breathing movement
4-4 Palpation
4-5 Percussion
4-6 Auscultation- Normal & abnormal breath sounds
4-7 Auscultations-Rales
4-8 Breasts Assessment
Unit 4 Test
Unit 4 Assignment
Unit 5 Heart and Vascular Assessment
5-1 Heart Anatomy
5-2 Inspection
5-3 Palpation
5-4 Percussion
5-5 Auscultation- Part I-Normal Cardiac Sounds
5-6 Auscultation- Part II-Abnormal Cardiac Sounds & extra heart sounds
5-7 Auscultation-Part III-Murmurs
5-8 Auscultation -Part IV-Murmurs & Pericardial Friction Sounds
5-9 Vascular Assessment
Unit 5 Assignment
Unit 5 Test
Unit 6 Abdomen Assessment
6-1 Landmarks of the abdominal wall and abdominal areas
6-2 Inspection I
6-3 Inspection II
6-4 Auscultation
6-5 Percussion
6-6 Palpation-General palpation
6-7 Palpation- Organ Palpation
Unit 6 Test
Unit 6 Assignment
Unit 7 Spine, Extremities, Joints and Neurological Examination
7-1 Spine, extremities and joints assessment
7-2 Sensory examinations
7-3 Motor examinations
7-4 Neurological reflex
Unit 7 Test
Unit 7 Assignment
Unit 8 Psycho-social Assessment, Symptom Assessment, and Nursing Diagnosis
8-1 Psychological assessment
8-2 Social assessment
8-3 Symptom assessment- Pain assessment
8-4 Symptom assessment-Edema assessment
8-5 Symptom assessment-Dyspnea assessment
8-6 Symptom assessment-Consciousness assessment
8-7 Nursing diagnoses
Unit 8 Test
Unit 8 Assignment
Unit 9 Electrocardiogram (ECG)
9-1Basic Knowledge of ECG
9-2 The 12-leads of ECG and hexaxial system
9-3 Vectors and axis deviation
9-4 Configuration and representation of waves and segments in ECG
9-5 Calculating heart rate
9-6 P wave-1
9-7 P wave-2
9-8 PR Interval
9-9 QRS complex -1
9-10 QRS complex-2
9-11 ST segment
9-12 T wave
9-13 Other
Unit 9 Test
Unit 9 Assignment
Unit 10 Laboratory Examination
10-1 Hematologic examination
10-2 Urine and stool examination
10-3 Kidney and liver functions & punture fluid examination
10-4 Blood biochemical examination
Unit 10 Test
Unit 10 Assignment
Prerequisites: Anatomy, Physiology, Patho-physiology, and Introduction to Nursing etc.
1．Janet Weber, Jane Kelley. Health Assessment in Nursing. 4th Edition. Lippincott Williams & Wilkins, 2010
2. Lynda Juall Carpenito-Moyet. Nursing diagnosis: application to clinical practice. 10th ed. Lippincott Williams & Wilkins, 2004.
3. Xuehong Wan. Clinical Diagnostics. 1st Edition. People's Medical Publishing House, 2017
4. Cynthia Fenske, Katherine Watkins, Tina Saunders, et al. Health & Physical Assessment in Nursing, 4th Edition, Upper Saddle River, New Jersey: Pearson Education, Inc.2019
1. Some pictures, animations and videos of this course are from the Internet, which can be used for reference in teaching. If it infringes your rights and interests, please contact us.
2. Appropriate online behavior is defined and guided by complete protection for the rights of all students and faculty to a courteous and respectful online class environment.
3. Please do not post illegal or prohibited information on this platform.
4.Plagiarism STATEMENT: It is dishonest to present oral or written work that is not entirely the student's own. Any language taken from another source, whether individual words or entire paragraphs, must be placed within quotation marks and attributed to the source.
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