PRESRIBED TEXT FOR:
Institution: Australian Catholic University - St Patrick 's (Melbourne) - Semester 1 2016
Course Code: NRSG125
Subject: NRSG125 (Health Assessment)
Health Assessment and Physical Examination is designed to teach students to assess a patient s physical, psychological, cultural and emotional dimensions of health as a foundation of nursing care. The skills of interviewing, inspection, percussion, palpation, auscultation, and documentation are refined to help students to make clinical judgements and promote healthy patient outcomes. A strong emphasis on science encompasses all the technical aspects of anatomy, physiology, and assessment, while highlighting clinically relevant information. Emphasis on caring is displayed through themes of assessment of the whole person, which also encourages nurses to think about care for themselves as well as patients.
Table of Contents
UNIT 1: Laying the foundation
1. Critical thinking and nursing process as a basis for clinical decisions
2. Patient interview.
3. Complete health history including documentation
4. Physical assessment techniques
5. Cultural and spiritual assessment.
UNIT 2: Physical examination
6. Examination requirements for every patient
7. Mental status and neurological
8. Skin, hair, nails
9. Head, neck, regional lymphatics
11. Ears, nose, mouth and throat
12. Breast and regional nodes
13. Thorax and lungs
14. Heart and blood vessels
15. Abdomen and Nutrition
17. Female genitalia
18. Male genitalia
19. Anus, rectum and prostate
UNIT 3: Specific Lifespan Populations
20. The pregnant patient
21. The paediatric patient
22. The older adult
UNIT 4: Putting it all together
23. The complete health history and physical examination
Assessment in Brief - Tear out cards
About the Authors
Mary Ellen Zator Estes
Mary Ellen Zator Estes is an RN, MSN, FNP-BC, NP-C Family Nurse Practitioner in Internal Medicine, in Fairfax, Virginia and Nursing Consultant, Vienna, Virginia. Mary Ellen Zator Estes obtained her baccalaureate and Master's degrees in nursing and her Family Nurse Practitioner certificate from the University of Virginia. She has taught at the University of Virginia, Marymount University, Northern Virginia Community College, and The George Washington University Medical Center. She has also served as Clinical Faculty for Ball State University. With over 25 years' experience as a clinician and academician, Ms. Estes has taught health assessment and physical examination courses to nurses and nursing students from a variety of backgrounds. Her hands-on approach in the classroom, clinical laboratory, and health care setting has consistently led to positive learning experiences for her students. Ms. Estes' professional development is well demonstrated at the local, regional, and national levels. She has delivered numerous presentations through- out the country. She has been an active member of the Virginia Council of Nurse Practitioners, the American Academy of Nurse Practitioners, Sigma Theta Tau, American Association of Critical Care Nurses, American Nurses Association, and Virginia Nurses Association. Ms. Estes has been listed in Who's Who in American Nursing and Who's Who in American Education. She is currently a nurse practitioner at an internal medi-cine practice in Fairfax, Virginia, and a Nursing Consultant.
Pauline's nursing background has spanned many specialty areas over the past 18 years and included teaching students health assessment, physical examination and clinical reasoning in clinical and academic settings. Her experiences in special projects include teaching Indigenous Primary healthcare workers, developing capacity for clinical teaching in Vietnam and developing leadership skills in Australian clinical teachers. Pauline has taught at Queensland University of Technology, University of the Sunshine Coast, James Cook University and within various clinical and vocational education settings. Professional associations include College of Emergency Nursing Australasia, Australian Society for Simulation in Health Care and the Royal College of Nursing Australia.
Karen has over 25 years of nursing clinical and education experience. The majority of Karen's teaching is in the areas of health assessment; acute care nursing; advanced life support; and supporting clinical teaching of students by clinical staff. Karen has spent the greater part of her teaching time in various roles at Queensland University of Technology and has undertaken teaching in hospital settings as well as supervision of higher degree research students. She has a close association with professional organisations such as the Australian College of Critical Care Nurses and the Australian Resuscitation Council (Queensland Branch).
Theresa has over 30 years of clinical and nursing education experience. Her clinical experiences incorporate various nursing and midwifery practice. In recent years her education focus has been teaching health assessment and physical examination in undergraduate programs and supporting students' clinical learning in their transition to practice. Theresa has had a large role in development of clinical teachers to support students on practicum both in Australia and Viet Nam. Theresa has taught at Queensland University of Technology, Australia Catholic University (Brisbane), and Northern Sydney Area Midwifery School / Ryde Hospital. Professional associations include Australian Society for Simulation in Health Care and Theresa is also a Fellow of the Royal College of Nursing Australia.
The easy to follow ENAP format - Examination, Normal findings, Abnormal findings and Pathophysiology - provides a useful and valuable collection of information for students for each examination and assessment. Pathophysiology is included for each abnormal finding, acknowledging that nurses' clinical decisions need to be based on scientific rationale
Clinical Psychomotor Skills (CPS) Icons throughout the text direct students quickly and easily to relevant clinical skills information and videos in the Clinical Psychomotor Skills text by Joanne Tollefson and Elspeth Hillman
Case studies are included in each of the examination chapters to encourage students to apply critical thinking skills to real-life scenarios. These include a patient profile and detailed health history. Evaluation and Clinical Reasoning discussions at the end of each case study guide students in adopting a disciplined, creative and reflective approach, combined with critical thinking, and applying it to their understanding of the case study
This text is structured around the Assessment, Plan, Implement and Evaluate (APIE) framework that fits within Australian and New Zealand government programs making it easy to follow and more relevant to students and their clinical experience
Clinical Reasoning boxes throughout the text explain the decision-making processes to enable students to develop and enhance their clinical judgment skills
Health Histories outline all areas of assessment related to each body system using a standard format. This encourages consistency and organisation when discussing topics with patients during the health history interview
Reflection in Practice boxes introduce ethical controversies and realistic clinical situations to encourage students to question issues in a personal context as well as to stimulate critical thinking, effective decision making and active problem solving
Health Promotion Considerations provide opportunities to promote healthy patient outcomes and to emphasise assessment of the whole person
Assessment in Brief checklists throughout the text show the steps for performing each type of assessment. Assessment in Brief tear-out cards at the back of the book can be used as pocket-sized clinical references and for easy student revision
The Estes CourseMate Express Study Guide website includes assessments, audio of real heart and lung sounds, an audio glossary, chapter activities, and much more for interactive student revision
New to Edition
NEW 'Putting it in Context' boxes give students a better understanding of the application of health assessment and physical examination theory in different clinical situations they may encounter in the real world
Go online margin notes guide students to useful online resources for further study and revision.
Enhanced text design for easier student navigation and identification of the urgent findings or red flags that they must be aware of in critical situations in the clinical environment
Extended access to the online student resources including the CourseMate Express study guide resources and SearchMe! Nursing database to allow students to continue to use this critical resource throughout their nursing studies.