Chabot College Fall, 2002 Course Outline for Physiology 2L PHYSICAL ASSESSMENT Catalog Description Physiology 2L Physical Assessment ½ - 1 unit Methodologies employed in physical assessment in the clinical setting. Focus on breast and testicular examination, and advanced techniques utilized in assessing the status of neurological cardiac, and peripheral vascular, thoracic, musculoskeletal, integumentary, and abdominal systems. Laboratory and diagnostic tests (such as techniques of respiratory arterial blood gas analyses, pulse oximetry, and basic cardiac dysrhythmia interpretation). Health data base interviewing. Prerequisites: Satisfactory completion of Physiology 1 and Microbiology 1 (or equivalent) and: (1) satisfactory completion of (or concurrent enrollment in) Nursing 69 and Nursing 70, possession of a valid California LVN license, or satisfactory completion of all required nursing courses in the first year of the nursing curriculum, and concurrent enrollment in the third semester of the nursing program and Physiology 2, or possession of a valid California RN license. ½ - 3 hours laboratory. [Typical contact hours: 8.75 - 52.5] Prerequisite Skills: Before entering the course, the student should be able to: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. apply concepts of clinical pharmacology in the care of clients; apply principles of human anatomy and physiology and microbiology in the care of clients; complete an assessment of the thorax, skin, abdomen, oral cavity, and peripheral vascular system, including verbalizing normal physiological changes across the life span; complete a post-partum assessment of a mother; complete a newborn assessment; apply the components of the nursing process; develop a nursing diagnosis based on physical assessment; apply the principles of aseptic technique in the care of a patient; identify principles involved in the care of the immediate post-operative patient; utilize therapeutic communication in groups and with individuals; verbalize components of “-ostomy” care; incorporate principles and methods of teaching involved in the care of the patient in acute and chronic illness; demonstrate competency in the insertion of a nasogastric tube and care for a patient with a nasogastric tube; list the assessments and care required for patients with portable suction devices. Expected Outcomes for Students: Upon completion of the course, the student should be able to: 1. 2. 3. 4. 5. 6. correctly develop a problem list through utilization of the health data base in an interviewing scenario; perform a breast examination correctly; perform a testicular examination correctly; perform a cardiac assessment in the appropriate sequence; perform a peripheral vascular assessment in the appropriate sequence; perform an ophthalmic examination; Expected Outcomes for Students- continued: 7. 8. 9. 10. 11. 12. perform an abdominal examination correctly; perform a thoracic assessment correctly; perform a neurological assessment in the appropriate sequence; interpret basic cardiac dysrhythmias correctly; correctly explain standard principles involved in the treatment of basic cardiac dysrhythmias; correctly interpret arterial blood gas analysis; Chabot College Course Outline for Pysiology 2L, page 2 Fall 2002 13. correctly interpret pulse oximetry results through application of the principles of the oxyhemoglobin dissociation curve. Course Content: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Health data base interviewing Problem list development Breast examination Testicular examination Diagnostic procedures for suspected breast and testicular pathologies Cardiac assessment Cardiac case analysis Basic cardiac dysrhythmias Standard dysrhythmia treatment Ophthalmic examination Neurological assessment Neurological case analysis Advanced techniques of thoracic, abdominal, and peripheral vascular assessment Respiratory arterial blood gases and pulse oximetry analysis Methods of Presentation: 1. 2. 3. Seminar discussions Demonstration Audio-visual aids Assignments and Methods of Evaluating Students: 1. Typical Assignments a. Case study assignments 1) Cardiac patient 2) Patient with respiratory failure b. Class projects 1) Draw chest components on a T-shirt 2. Methods of Evaluating Student Progress a. Return demonstration b. Participation in discussions c. Written tests/assessments including a final exam Textbook(s) (typical): Physical Assessment, Jarvis, 5th ed., Mosby, 1999 Special Student Materials: Stethoscope Watch with sweep second hand Lab coat Revised 2/7/2002