進階身體評估
Advanced Physical Assessment
| 節 | 週五 |
|---|---|
1 08:00–08:50 | 進階身體評估 YN414 2 節連堂 |
2 09:00–09:50 |
* 根據陽明交大上課時間表所列
Course Description The purposes of the course are to advance students' physical assessment, clinical reasoning and debriefing skills 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. 該課程的目的是增進學生的身體評估、臨床推理和反饋技巧,以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 client’s chief compliant to assess physical and psychosocial status of adult clients 2. Perform relevant physical assessment based on the client’s information 3. Synthesize the findings from the health history and physical examination provide differential diagnoses and problem list according to evidence-based practice 4. Develop case scenario and plan physical assessment skill examination 5. Understand role and function of instructor, rater and feedback provider 6. Demonstrate debriefing skills for physical assessment skill examination 1.根據病人的病歷紀錄,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.根據綜合健康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.制定案例情境並考核其身體評估技能 5.了解評估者和反饋提供者的角色和功能 6.展現身體評估技能及反饋技巧
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.
Course Evaluation 1. Class preparation and participation (10 %) 2. Group discussion (10%) 3. Final skill examination (40%) 4. Presentation of special topic 1 (20%) Oral presentation and presentation slides 5. Presentation of special topic 2 (20%) Oral presentation and presentation slides
| 週次 | 主題 |
|---|---|
| 第 1 週 | 6/13(五) Course introduction (Online) |
| 第 2 週 | 6/13(五) History taking and interviewing Clinical reasoning and differential diagnosis (Online) |
| 第 3 週 | 6/20(五) Abdominal Pain and Cognitive impairment History taking and interviewing Clinical reasoning and differential diagnosis (Online) |
| 第 4 週 | 6/20(五) Abdominal Pain GI system/Physical examination skills Cognitive impairment Conscious change/mental status change (Online) |
| 第 5 週 | 7/4(五) Chest pain and Dyspnea History taking and interviewing Clinical reasoning and differential diagnosis (Online) |
| 第 6 週 | 7/4(五) Chest pain and Dyspnea Cardiovascular system /Physical examination skills Respiratory system /Physical examination skills (Online) |
| 第 7 週 | 7/18(五) Low back pain and Headache History taking and interviewing Clinical reasoning and differential diagnosis (Online) |
| 第 8 週 | 7/18(五) Low back pain and Headache Musculoskeletal system/Physical examination skills Neurological system /Physical examination skills (Online) |
| 第 9 週 | 7/25(五) How to develop physical assessment skill examination (OSCE: The objective structured clinical examination) (Online) |
| 第 10 週 | 7/25(五) Debriefing introduction Debriefing skill practice (Online) |
| 第 11 週 | 8/1(五) Physical assessment skill review (Online) |
| 第 12 週 | 8/8(五) Physical assessment skill review (實體R414) |
| 第 13 週 | 8/15(五) Final skill examination (OSCE) / Final written test (實體R414) |
| 第 14 週 | 8/22(五) Presentation of special topics 1 and topic 2 (Online) |
| 第 15 週 | 8/29(五) Presentation of special topics 1 and topic 2 (Online) |
| 第 16 週 | 9/5(五) Discussion and Course evaluation |
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. Seidel, H.M., Ball, J.W., Dains, J.E., & Benedict, G.W. (2017). Seidel’s Guide to Physical Examination. (8/e) St Louis: Mosby.