進階身體評估案例討論

Course Description The purposes of the course are to advance students' physical assessment, clinical reasoning, differential concept and debriefing skills through holistic and whole body system scientific based to play a role of advance practice nurse. Students will be able to take a comprehensive health history to assess physical and mental status of the clients. The students will also learn how to develop an appropriate scenario and conduct a physical assessment examination. 該課程的目的是架構在完整全身系統科學知識基礎以增進學生的身體評估、臨床推理和反饋技巧,發揮並提升護理專業。學生將能夠獲取全面的健康史,以評估病人的身心狀況。學生將學習如何發展適當的教學方案與進行身體評估檢查。 Course Objectives 1.Taking history based on patient’s chief compliant to assess physical and psychosocial status of adult clients 2. Perform relevant physical assessment based on the patient’s information 3. Synthesize the subjective and objective findings from the disease history and physical examination provide differential diagnoses and problem list according to evidence-based practice. 4. Perform advanced skills to collect subjective and objective data to facilitate differential diagnosis process. Subjective data refers to history taking, review of system and interview related to underlying health conditions. Objective data refers to physical examination results 5. Develop case scenario and plan physical assessment skill examination 6. Understand role and function of instructor, rater and feedback provider 7. Demonstrate debriefing skills for physical assessment skill examination 1.根據病人的主訴收集病史以評估成年病人的身體和心理社會狀況 2.根據病人的資料進行相關的身體評估 3.根據綜合主客觀資料來自病史和身體檢查的結果,以實證提供鑑別診斷和可能之健康問題 4. 執行進階技能來收集主觀和客觀數據,以完善鑑別診斷過程。 主觀數據是指藉由跟健康狀況相關的病史與訪談及系統性回顧。 客觀數據是指身體檢查結果。 5.制定案例情境並考核其身體評估技能 6.了解評估者和反饋提供者的角色和功能 7.展現身體評估技能及反饋技巧

Teaching & Learning Methods This course will be delivered by lecturing and class discussion along with various topics as listed on the weekly class schedule. Each topic will be deliberate by the lecturer first which provide the possible differential diagnosis under a specific symptom or more symptoms through clinical reasoning process. Then, followed by case discussions with a student-centered manner and practice physical assessment to narrow down differential diagnosis through evidence based scientific knowledge and critical thinking. Classes will be hold in hybrid fashion that online and in person lectures will be conducted alternatively. 本課程將透過講課和討論以及每週課程表中列出的各種主題進行授課。 每個主題將由教師首先授課,透過臨床推理過程提供在特定症狀或更多症狀下可能的鑑別診斷。 然後,以學生為中心的方式進行案例討論,並通過基於證據的科學知識和批判性思維進行身體評估,以聚焦鑑別診斷的範圍。 課程將以混合方式舉行,在線講座和面對面講座將交替進行。

Course Evaluation 1. Class preparation and participation (10 %) 2. Group discussion (10%) 3. Physical assessment skill practice (40%) 4. Charting (SOAPIE)(40%)

Required reading: 1. Dains, E. J., Baumann, C. L. & Scheibel, P. (2017). Advanced Health Assessment & Clinical Diagnosis in Primary Care.(5/e) St Louis: Mosby. 2. Daniel Maldonado (2018). SOAP for Family Medicine. Wolter Kluwer 3. Seidel, H.M., Ball, J.W., Dains, J.E., & Benedict, G.W. (2017). Seidel’s Guide to Physical Examination. (8/e) St Louis: Mosby. Suggested reading: 1. Bickley, S. L. (2016). Bates’ physical examination. New York: Lippincott. 2. Friedman, H.H. (2017). Problem-oriented medical diagnosis. New York: Lippincott Williams & Wilkins. 3. Seller, H.S. (2017 ). Differential diagnosis of common complaints. Philadelphia: W.B. Saunders.