New Life College of Nursing
POST RN BScN Degree Program
Year- I, Semester-I
Presentation Schedule (Health Assessment)
Contact Address: A-173, Railway Housing Society, Gulshan-e-Jamal,
Block-C, Opp.Millennium Mall, Karachi.
Phone: +92-21-36018124 / 36018121 / 36033748
Website: www.newlifecon.com
Dated: 16-10- 2014
Subject: Tableof Specification for “HEALTH ASSESSMENT “Course, Designed for Mid Term
and Final Term Exam 2014 of Post RN BSc Nursing Year I Semester I.
Week
GROUP
#
GROUP MEMBER
TOPIC
DATE
MID-TERM UNITS.
1.
1
Shahzad Bashir
Unit – I A
Introduction to health
assessment concepts
6th to 15th
Oct.2014
2.
2
Shahzad Bashir
Unit – I B
Interviewing skills and
health history
20th -21th
Oct.2014
Shahzad Bashir
UNIT II:
Introduction to
physical examination &
general survey
22th -27th
Oct.2014
Abdul Fatah
Abdul Wahab
Abid Ali
UNIT III:
Assessment of the skin,
head & neck
28th -29th
Oct.2014
3.
3
4.
4
5.
Quiz-I (5%) 03rd Nov.2014
5
Amjad Ali
Arish Asgher
Ashfaq Gul
UNIT IV:
Assessment of nose,
mouth & pharynx
04th -5th
Nov.2014
6.
6
Bilqees Bano
Fouzia
Javeed Hussain
UNIT V:
Assessment of the
abdomen, anus &
rectum
10th -11th
Nov. 2014
7.
7
Mahmood Ahmed Khan
Mansoor Ahmed
Muhammad Akram
UNIT VI:
Assessment of
peripheral vascular
&musculoskeletal
system
12th -17th
Nov. 2014
Quiz-II (5%) 18th Nov. 2014
FINAL –TERM UNITS.
8.
8
Muhammad Kashif
Muhammad Ramzan
Nazia
UNIT VII:
Assessment of thorax
and lungs
Raheel Basharat
Rashid Arshad
Rukhsana
UNIT VIII:
ASSESSMENT OF
CARDIOVASCULAR
SYSTEM
03rd - 8th
Dec.2014
UNIT IX:
Assessment of the
breast, axilla & genitalia
09th -10th
Dec.2014
UNIT X:
Assessment of the eyes,
& ears
15th – 16th
Dec.2014
01st -2nd
Dec.2014
9.
12
10.
13
Sajida Adeline
Shahzad Sikander
Sobia Shaheen
14
Tahir Hussain
11.
Quiz-III (5%) 17th Dec.2014
12.
15
Shahzad Bashir
16
Shahzad Bashir
UNIT XI:
Assessment of the
mental status and
sensory Neuro
system
22nd – 23rd
Dec.2014
13.
14.
17
Shahzad Bashir
UNIT XII:
Assessment of the an
elderly client
29th -30th
Dec.2014
UNIT XIII:
Assessment of the
pediatric client
05th -6th
Jan.2014
Quiz-V (5%) 21th Jan.2014
Revise Classes
NO
Topics
1
Part I. Introduction to health assessment concepts:
Objectives:
1.
2.
3.
4.
Discuss the need for health assessment in general nursing practice.
Explain the concepts of health, assessment, data collection, and diagnosis.
Identify types of health assessments
Document health assessment data using a problem oriented approach.
References Book:


Health Assessment in Nursing (5th Edi.) 2014, By Janet R. Weber & Jane H.
Kelley, Wolters Kluwer Health, Lippincott Williams & Wilkins. Chapter No.01 p.n
01-65
Bate’s guide to physical examination & health history (11th Edi.) 2013 By Lynn S.
Bickley & Peter G. Szilagyi, Wolters Kluwer Health, Lippincott Williams &
Wilkins Chapter No.01 p.n 01-24
Part II. Interviewing skills and health history:
Objectives:
1. Explain the purpose, process & principles of interviewing.
2. Discuss the process of investigating positive findings during the health history.
3. Practice obtaining and recording a client health history.
4. Describe the content and format used to obtain a health history.
5. Practice utilizing therapeutic skills with a student partner.
6. Identify strengths and weaknesses via observation of a videotaped interaction and
self/peer analysis.
7. Interview patient in clinical (CIN / AHN) and collect feedback from colleagues and
faculty about use of therapeutic communication.
References Book:
 Bate’s guide to physical examination & health history (11th Edi.) 2013 By Lynn S.
Bickley & Peter G. Szilagyi, Wolters Kluwer Health, Lippincott Williams &
Wilkins Chapter No.05 p.n 55-95
2
Introduction to physical examination & general survey:
Objectives:
1. Explain the purpose, process & principles of interviewing.
2. Discuss the process of investigating positive findings during the health history.
3. Practice obtaining and recording a client health history.
4. Describe the content and format used to obtain a health history.
5. Practice utilizing therapeutic skills with a student partner.
6. Identify strengths and weaknesses via observation of a videotaped interaction and
self/peer analysis.
7. Interview patient in clinical (CIN / AHN) and collect feedback from colleagues and
faculty about use of therapeutic communication.
References Book:
 Health Assessment in Nursing (5th Edi.) 2014, By Janet R. Weber & Jane H.
Kelley, Wolters Kluwer Health, Lippincott Williams & Wilkins. Chapter No.01 p.n
01-65
 Bate’s guide to physical examination & health history (11th Edi.) 2013 By Lynn S.
Bickley & Peter G. Szilagyi, Wolters Kluwer Health, Lippincott Williams &
Wilkins. Chapter No.05 p.n 55-95
3
Assessment of the skin, head & neck
Objectives:
1. Describe the component of health history that should be elicited during the
assessment of skin, head & neck.
2. Describe specific assessments to be made during the physical examination of the
above systems.
3. Apply braden scale to assess the bed sores of patient
4. Document findings.
5. Describe age related changes in the above systems & differences in assessment
findings.
References Book:


4
Health Assessment in Nursing (5th Edi.) 2014, By Janet R. Weber & Jane H.
Kelley, Wolters Kluwer Health, Lippincott Williams & Wilkins. Chapter
No.14&15 p.n 239-294
Bate’s guide to physical examination & health history (11th Edi.) 2013 By Lynn S.
Bickley & Peter G. Szilagyi, Wolters Kluwer Health, Lippincott Williams &
Wilkins. Chapter No.06 & 07 p.n 171-250
Assessment of nose, mouth & pharynx:
Objectives:
1. Describe the component of health history that should be elicited during the
assessment of nose, mouth and pharynx.
2. Identify the structural landmarks of the nose, mouth and pharynx.
3. Describe specific assessments to be made during the physical examination of the
above systems.
4. Document findings.
References Book:
 Health Assessment in Nursing (5th Edi.) 2014, By Janet R. Weber & Jane H.
Kelley, Wolters Kluwer Health, Lippincott Williams & Wilkins. Chapter No.14
&15 p.n 239-294
 Bate’s guide to physical examination & health history (11th Edi.) 2013 By Lynn S.
Bickley & Peter G. Szilagyi, Wolters Kluwer Health, Lippincott Williams &
Wilkins. Chapter No.06 & 07 p.n 171-250
5
Assessment of the abdomen, anus & rectum:
Objectives:
1. Discuss the pertinent health history questions necessary to perform the assessment
of Abdomen, Anus and Rectum.
2. Describe the specific assessment to be made during the physical examination of the
abdomen.
3. Discuss components of a rectal examination.
4. Document findings.
5. List the changes in Abdomen that are characteristics of aging process.
Reference Book:
 Health Assessment in Nursing (5th Edi.) 2014, By Janet R. Weber & Jane H.
Kelley, Wolters Kluwer Health, Lippincott Williams & Wilkins. Chapter No.23 &
25 p.n 473-506 & 582-611
 Bate’s guide to physical examination & health history (11th Edi.) 2013 By Lynn S.
Bickley & Peter G. Szilagyi, Wolters Kluwer Health, Lippincott Williams &
Wilkins. Chapter No.11 & 15 p.n 433-468 & p.n 577-589
6
Assessment of peripheral vascular &musculoskeletal system:
Objectives:
1. Discuss the pertinent health history question necessary to perform the assessment of
Peripheral Vascular System (PVS) and Musculoskeletal System (MS) system.
2. Discuss critical observations to assess PVS.
3. Assess musculo - skeletal functions including muscles strength, symmetry, size,
contour, ROM and its characteristics.
4. Document findings.
5. List the changes in the given systems that are characteristics of aging process.
Reference Book:
 Health Assessment in Nursing (5th Edi.) 2014, By Janet R. Weber & Jane H.
Kelley, Wolters Kluwer Health, Lippincott Williams & Wilkins. Chapter No.22 &
24 p.n 447-472 & 507-544
 Bate’s guide to physical examination & health history (11th Edi.) 2013 By Lynn S.
Bickley & Peter G. Szilagyi, Wolters Kluwer Health, Lippincott Williams &
Wilkins. Chapter No.12 & 16 p.n 489-510 & p.n 597-633
7
Assessment of thorax and lungs:
Objectives:
1. Describe the components of health history that should be elicited during assessment of
respiratory system.
2. Describe the following:
a. Chest contour and symmetry
b. Respiratory rate and pattern
c. Tactile fremitus
d. Chest expansion
e. Density of lung fields
f. Diaphragmatic excursion
g. Auscultated lung sounds
3. Assess the respiratory system including inspection, palpation, percussion and
auscultation.
4. Document findings.
5. List the changes in respiratory system that are characteristics of aging process.
Reference Book:
 Health Assessment in Nursing (5th Edi.) 2014, By Janet R. Weber & Jane H.
Kelley, Wolters Kluwer Health, Lippincott Williams & Wilkins. Chapter No.19 p.n

8
369-395
Bate’s guide to physical examination & health history (11th Edi.) 2013 By Lynn S.
Bickley & Peter G. Szilagyi, Wolters Kluwer Health, Lippincott Williams &
Wilkins. Chapter No.08 p.n 293-319
ASSESSMENT OF CARDIOVASCULAR SYSTEM:
Objectives:
1. Describe the components of health history that should be elicited during the
assessment of cardiovascular system.
2. Identify the landmarks of the chest.
3. Describe the following:
a. Pulse rate, rhythm and pulsation characteristics
b. PMI
c. Heart sounds
4. Discuss systolic and diastolic murmurs.
5. Assess the cardiovascular system systematically.
6. Document findings.
7. List the changes in cardiovascular system that is characteristics of aging process.
Reference Book:
 Health Assessment in Nursing (5th Edi.) 2014, By Janet R. Weber & Jane H.
Kelley, Wolters Kluwer Health, Lippincott Williams & Wilkins. Chapter No.21 p.n
416-445
 Bate’s guide to physical examination & health history (11th Edi.) 2013 By Lynn S.
Bickley & Peter G. Szilagyi, Wolters Kluwer Health, Lippincott Williams &
Wilkins. Chapter No.09 p.n 333-385
9.
Assessment of the breast, axilla & genitalia:
Objectives:
1. Discuss the history questions pertaining to male and female breast and Genitalia
assessment.
2. Perform a breast examination including axillary nodes and interpret findings.
3. Discuss components of a genital exam on a male or female.
4. Review components of a comprehensive reproductive history.
5. Document findings.
6. List the changes in breast, male & female genitalia that are characteristics of aging
process.
Reference Book:
 Health Assessment in Nursing (5th Edi.) 2014, By Janet R. Weber & Jane H.
Kelley, Wolters Kluwer Health, Lippincott Williams & Wilkins. Chapter No.20 p.n
396-415
 Bate’s guide to physical examination & health history (11th Edi.) 2013 By Lynn S.
Bickley & Peter G. Szilagyi, Wolters Kluwer Health, Lippincott Williams &
Wilkins. Chapter No.10 p.n 406-428
10 Assessment of the eyes, & ears:
Objectives:
1. Identify the component of health history necessary for the examination of eye & ear.
2. Describe the following:
a. Eye structure and position
b. Upper and lower eyelids
c. Gross visual perception
d. Characteristics of the cornea, sclera, pupil, and lens fundi.
e. Peripheral fields
f. Color, shape, and location of auricle
g. External ear canal and tympanic membrane
h. Gross hearing
3. Perform the examination of eye and ear.
4. Document findings.
5. List the changes in eye and ear that are characteristics of aging process.
Reference Book:
 Health Assessment in Nursing (5th Edi.) 2014, By Janet R. Weber & Jane H.
Kelley, Wolters Kluwer Health, Lippincott Williams & Wilkins. Chapter No.16 &
17 p.n 295-345
 Bate’s guide to physical examination & health history (11th Edi.) 2013 By Lynn S.
Bickley & Peter G. Szilagyi, Wolters Kluwer Health, Lippincott Williams &
Wilkins. Chapter No.07 p.n 207-209
Following Topics will be included for Health Assessment, Final Term Examination of BSc Nursing (Post
RN) Year I Semester I.
Final Term Examination Topics:
NO
Topics
11
Assessment of the mental status and sensory Neuro system
Objectives:
1. Perform mental status examination of a client.
2. Assess cranial nerve, sensory, sense of proprioception and cerebellar
functions and deep tendon reflexes.
3. Document findings.
4. List the changes in the nervous system that are characteristics of the aging
process.
Reference Book:
 Health Assessment in Nursing (5th Edi.) 2014, By Janet R. Weber & Jane H.
Kelley, Wolters Kluwer Health, Lippincott Williams & Wilkins. Chapter
No.16 & 17 p.n 295-345
 Bate’s guide to physical examination & health history (11th Edi.) 2013 By
Lynn S. Bickley & Peter G. Szilagyi, Wolters Kluwer Health, Lippincott
Williams & Wilkins. Chapter No.15 & 17 p.n 141-162 & 681-740
12
Assessment of the an elderly client
Objectives:
1. Describe the common structural changes brought on by aging in various body
systems.
2. Recognize the geriatric syndrome.
3. Discuss the variations in history taking for an elderly client.
4. Examine elderly client by modifying examination techniques.
5. Describe assessment abnormalities in elderly clients.
6. Describe how communication should be varied to communicate with
elderly clients
Reference Book:
 Health Assessment in Nursing (5th Edi.) 2014, By Janet R. Weber & Jane H.

13
Kelley, Wolters Kluwer Health, Lippincott Williams & Wilkins. Chapter
No.32 p.n 787-826
Bate’s guide to physical examination & health history (11th Edi.) 2013 By
Lynn S. Bickley & Peter G. Szilagyi, Wolters Kluwer Health, Lippincott
Williams & Wilkins. Chapter No.20 p.n 917-954
Assessment Of The Pediatric Client
Objectives:
1. Discuss how children differ in structure and function from adults and how these
differences affect physical assessment.
2. Explain components of pediatric history.
3. Evaluate the growth and developmental patterns of infants, toddlers,
preschoolers, school goers and adolescents.
4. Describe how to assess the neurological system in the pediatric client.
5. Differentiate health assessment norms and variations for infants, and children.
6. Identify common examination techniques/skills for pediatric health assessment
Reference Book:
 Health Assessment in Nursing (5th Edi.) 2014, By Janet R. Weber & Jane H.
Kelley, Wolters Kluwer Health, Lippincott Williams & Wilkins. Chapter
No.30 p.n 693-729
 Bate’s guide to physical examination & health history (11th Edi.) 2013 By
Lynn S. Bickley & Peter G. Szilagyi, Wolters Kluwer Health, Lippincott
Williams & Wilkins. Chapter No.18 p.n 765-819
Mr.Sohail Sajid
Principal
New Life College of Nursing
Shahzad Bashir
Lecturer
New Life College of Nursing