NURS 5352 Advanced Health Assessment for Nurse Practitioners

Advanced Health Assessment for the Nurse Practitioner Student NURS 5352
Summer 2022
Course Description
This course is intended for the nurse practitioner. Incorporates integration of advanced health assessment principles and skills for a comprehensive examination of clients that leads to differential diagnosis. Focus will be on common deviations from normal.
Populations across the lifespan will be included.  Prerequisite: Pre-Requisite or Co-Requisite of NURS 5350 AND Admission to NP programs or Pre-Requisite or Co-Requisite NURS 5350 AND Admission to NP Cert program.
Student Learning Outcomes
Upon successful completion of this course, the student will be able to:

1.  Demonstrate the ability to obtain and document a comprehensive health history for individuals across the lifespan.

2.  Perform a risk assessment of the patient including the assessment of lifestyle and other risk factors.

3.  Assess health promotion behaviors of individuals across the lifespan.

4.  Perform and document a complete advanced physical examination of individuals across the lifespan utilizing the full extent of the student’s education and training.

5.  Perform basic assessment tests and interpret pertinent laboratory and diagnostic data.

6.  Relate assessment findings to underlying pathophysiology.

7.  Analyze assessment data to determine differential diagnoses.

8.  Analyze assessment data to determine nursing diagnoses.

9.  Develop an effective and appropriate plan of care for the patient that is research-based (evidence-based practice) and takes into consideration life circumstances, cultural, ethnic, and developmental variations.

10.  Utilize the skills of advanced nursing assessment and an understanding of advanced practice nursing roles and evidence-based data collection to provide effective continuity of care among collaborating healthcare providers.

Summer 2022 NURS 5352 – Bundle ISBN 9780323941716
The bundle contains the following:

Shadow Health Advanced Health Assessment ISBN 9780323753661
Ball: Seidel’s Guide to Physical Exam 9e ISBN 9780323481953
Habif: Skin Disease: Diagnosis & Treatment 4e ISBN 9780323442220 • Symons & Seller: Differential Diagnosis 7e ISBN 9780323512329
Habif: Skin Disease: Diagnosis & Treatment 4e ISBN 9780323442220 • Symons & Seller: Differential Diagnosis 7e ISBN 9780323512329

Required Application and Readings:
**If you are in a clinical course, all students are required to have an active InPlace subscription.

***The only access code needed is for the Shadow Health bundle!
PLEASE NOTE THAT THE FOLLOWING BOOK BUNDLE (including Shadow Health) IS AVAILABLE THROUGH THE UTTYLER BOOKSTORE AND MAY SAVE YOU MONEY.

AUTHOR
TITLE
EDITION
PUBLISHER & or ISBN

Rhoades &
Petersen
Advanced Health Assessment and Diagnostic Reasoning This text can be accessed from the library’s guide:
https://libguides.uttyler.edu/textbooks
Required
4th ed.
978-1284170313

Habif, Campbell, & Chapman.
Skin Disease: Diagnosis and Treatment Required
4th ed.
978-0323442220

Ball, Dains, & Flynn
And
Shadow Health
Bundle
Seidel’s Physical Examination Handbook
With Shadow Health Bundle Elsevier website: Advanced Health Assessment Digital Clinical Experience Course ID:
The ISBN for the NURS 5352 bundle is9780323975322. Required
9th ed.
978-0323545327

Seller and
Symons
Differential Diagnosis of Common Complaints No access code is needed. Required
7th ed.
978-0323512329

American Psychological
Association
Publication Manual of the American Psychological Association- Required
7th ed.
978-1433832178

Recommended Textbook:
Pocket Guide:
▪ Tarascon Pocketbook Family Practice (Primary Care, Internal Medicine)
▪ Pocket Primary Care (Pocket Notebook Series) Second Edition
EBook:
▪ Pocket Notebook—Pocket Medicine 5-Minute Clinical Consult (5MCC)
Special Course Note:
First Week of School:  See Canvas for information to have your Diagnostic Kit shipped to you or you may pick it up on campus (see times).  This is MANDATORY for course completion and MUST be completed by Friday of the first week of school.
IMPORTANT DATES:
Census Date: May 23, 2022
Exam Dates:  June 2, June 30, July 28, August 11, 2022
Mid-Term Checkoff On-Campus:  June 20, 2022
Last Date to Withdraw: July 12, 2022 https://www.uttyler.edu/registrar/registration/withdrawals.php
Final Checkoff Date:  August 1, 2022
Skills Training/Q&A sessions via Zoom: (may watch the recording if work-related conflict). Supplemental trainings/meetings may be requested by individual students or groups at any time!!
Please take advantage of this!
Zoom Time for all sessions will be 7:30pm CST:
May 16, May 23; June 6, June 13, June 27; July 11, July 18, July 25; August 1
Zoom Invitation Link for all meetings:
https://uttyler.zoom.us/j/92931021086?pwd=WnBXdEdpd3V0N1VBZlpNajIxdWtnQT09
Passcode: NURS5352
One tap mobile; Dial by your location:
+13126266799,,92931021086#,,,,*49054751# US (Chicago)
+16468769923,,92931021086#,,,,*49054751# US (New York)
Meeting ID: 929 3102 1086
Proctoring Notice
This course will utilize ProctorU-auto for all four Exams.  However, the exams will NOT utilize a live proctoring service, but will utilize AUTO Proctoring.  Do NOT contact ProctorU to reserve exam times. Do Not pay for ProctorU.  All four exams will be accessed through Canvas at the appropriate day/time. You need only to download the appropriate extension for the browser you will be using.  See Canvas for more details.
Alternate Locations of Class:  This course is online except for TWO MANDATORY on-campus date, Monday, June 20, 2022.  The Final Checkoff date is August 1, 2022, for the clincal practicum or intensive component of this course.
Assignments and Weights/Point Values:

Criteria for Evaluation:
Percentage of Grade:

Exam #1
15%*

Exam #2
15%*

Exam #3
15%*

Exam #4
15%*

Advanced Practice Education Associates (APEA) Modules/ Exam
10%

Module Quizzes (12 quizzes total)
5%

Pediatric SOAP Note
5%

Adult/Geriatric SOAP Note
5%

Denver Developmental
5%

Shadow Health Modules
5%

Dermatology for Primary Care
5%

Participation in Learning Intensive
P/F**

Midterm Practicum & SOAP Note
P/F**

Final Practicum SOAP Note
P/F**

Course Clinical Practice Hours (20)
P/F**

Grading Scale:
Specific guidelines and grading criteria for all assignments are in the Modules. Final grades for the course will be determined based upon the following point assignments:
A – 90-100
B – 80-89
C – 70-79
D – 60-69
F – Below 60
Grades will NOT Be rounded up when calculating the average (79.5 is not rounded to 80 and 89.5 is not rounded to 90). Students are required to achieve an average of 80% (B) to successfully complete this course.
Exam and homework materials, questions, and problems are the intellectual property of faculty, UT Tyler, or publishers.

These materials may not be distributed without permission.
Distributing them or uploading them to online resources destroys the integrity of the assignments and the course, allowing others an unfair advantage by letting them view the materials.
Uploading these materials to online resources is a violation of UT Tyler’s academic misconduct policies and may result in formal conduct charges.

Sanctions for uploading or otherwise divulging the contents of these materials can include:
a reduced or failing grade on an assignment
a reduced or failing grade for the course
removal from the Nursing program
removal from UT Tyler

Late Policy
There will be a 5% will be deduction from the potential points for any late assignment for each day it is past due unless prior arrangements have been made with your course faculty. Extenuating circumstances may apply.
Repeating a Course
A student who repeats this course may not use previously submitted assignments nor utilize the same patients for an assignment. Submitting the same or slightly modified assignments from previous semesters is considered self-plagiarism and is subject to academic discipline, including failing the assignment or the course.
Attendance and Make-up Policy
Attendance/participation is expected. Make-up for exams, quizzes, assignments, clinical time missed is at the discretion of the instructor.
Graded Course Requirements Information:
REQUIRED COURSE EQUIPMENT
(These items should be used during all Advanced Practice Skills Learning Sessions and utilized in the on-campus AHA Intensives on June 20, 2022.)

Quality stethoscope, at least a Cardiology 3 or 4
Clear plastic ruler, 5-6 inches long
Penlight
Small Magnifying glass (with light)
Small portable mirror – to evaluate feet
Lab coat
Watch with second hand/function, or digital clock with timer function
UT Tyler student name badge ($15.00)
UT Tyler patch – purchased locally at CR Scrubs
Cell phone or other device with internet access
Web Cam for your computer

PROVIDED COURSE EQUIPMENT
You will be issued a Diagnostic kit (otoscope, ophthalmoscope, percussion hammer, and tuning fork), as well as a Denver Developmental kit, at the beginning of the semester. Please be aware that students should pick up the kits on campus, if at all possible.  If you do choose to come to campus to pick this up, please make sure you arrive on a pre-confirmed date/time.  This will be posted as an Announcement in Canvas.  Otherwise, you may make arrangements to have the kits mailed to you at your expense, should you so desire.  See Canvas Course for additional ‘first week of school’ details about ordering your diagnostic kit.  This will be an important part of getting started in the course.
The kits must be returned after completion of the FINAL PRACTICUM.  Those who fail to return these items, whether lost or stolen, will be responsible for the cost of replacing these items which total $1000.  Return Diagnostic Kit and Denver Kit by date outlined in the Course Calendar – This is the date the equipment must be received by the university.  You will not receive an official grade until all equipment is returned.
*Denver Developmental
The Denver Developmental Screening Test (DDST) was devised to provide a simple method of screening for evidence of slow development in infants and preschool children. The test covers four functions: gross motor, language, fine motor-adaptive, and personal-social.  This test is useful as a quick screen to determine whether a child is achieving developmental milestones in these areas. It can be used with children from birth to 6 years of age.  The Denver test equipment comes in your Diagnostic Kit for your review AND you will be required to actually use it this semester.  However, information on the Denver Test will be embedded in Course Modules and you will see questions on your exams regarding it.
****REQUIRED COURSE TECHNOLOGY****
Please see the Canvas Page that discusses each item, cost, or component specifically.

ProctorU-auto: no cost to student.
Shadow Health —Shadow Health may be purchased as part of a book bundle through the UTTyler bookstore or may be purchased separately. During the progression of the course, please consult your faculty or  Elsevier for questions about Shadow Health. To access Shadow Health, you must go through  Elsevier.  For other technical issues, contact the Shadow Health Help Desk:  support.shadowhealth.com & 1-800-860-3241

InPlace– As part of your orientation checklist, you should have purchased an InPlace subscription.  When you obtain your InPlace subscription and successfully complete this course with an A or a B, the 20 clinical hours you will achieve upon completion of this course will be automatically loaded into your InPlace account, so be sure to have this set up prior to completion of the course.  You will use InPlace throughout your program.
Dermatology for Primary Care- There will be several assigned learning modules in Dermatology for Primary Care (see Canvas Assignments).  More information to come when the semester starts.  See Canvas and attend all Zoom sessions for the course! You will use Derm for Primary Care throughout your program.
APEA: Advanced Practice Education Associates – Year 1 Bundle will be available for purchase for this course and is a required component (see Canvas for further instructions). This mandatory component will also be for other courses as you move through the program.  If you are in other courses now and have already purchased the Year 1 Bundle, there is no need to purchase again.  The subscription for Year 1 starts when faculty make it available for you to purchase (and after you have completed the purchase).  This will be an important component of your preparation for predictor exams throughout your program which you will be required to pass to move forward each semester.

To purchase:  First, please provide your name and email address to Dr. Tanya Schlemmer, course facilitator, for relaying to APEA. This will enable you to purchase through UTTyler with a considerable discount.  Follow in-course instructions on Canvas.
The Question Banks and Learning Modules will be very valuable to you as you move through your program and prepare for the certification exam after graduation.
Estimated Time Commitment Required for AHA Course Assignments
Reading of professional materials (books, journals, etc.) is an integral aspect of role development as a nurse practitioner. It is recommended that students spend a minimum of 2hours daily for materials related to assigned readings, clinical topics, and professional issues associated with the NP role and competencies. As a rough guide, you should plan to spend six to eight hours per week on this course, and more hours may likely be necessary, depending on the individual. This estimate includes the time you will spend reading, researching particular items for more information, and completing assignments.  Note that considerably more additional hours may be necessary to fully comprehend the didactic content as well as the clinical skills.
Every student is responsible for completing the recommended reading, completing the course module components, assignments, quizzes, and exams according to due dates in the course calendar. Reading assignments consist of associated materials in the course textbooks and this list may be viewed on the course calendar and in each module.  All assignments are made with the assumption that required reading assignments will be completed prior to completion of the assignments.
SPECIAL COURSE NOTES:
*The average of your exams must be greater than or equal to 80% in order to pass the course. Even if you have enough points to pass otherwise, you will not pass the course without making an 80 average on the four exams.
** Only when the clinical component is passed will the student be awarded a course grade based on the scored evaluation items listed above.  Failing to complete any clinical component satisfactorily will result in an overall course grade no higher than a C.
***You must pass the Mid-term and Final practicums to pass the course. Even if you have enough points to pass otherwise, you will not pass the course without passing the practicums. You will receive a percent grade for the Midterm and Final SOAP notes but understand that these components are Pass/Fail and the percent grade is simply for your own information so that you may improve upon this component as the semester progresses.
**** Dermatology for Primary Care is an online course that offers CEs with every completed module.  The use of pattern recognition and key diagnostic clues for common skin diseases makes learning much easier.  Please see Canvas for more details. Important Course Dates: Note: The complete course schedule is also available in the Course Canvas site.
Calendar of Topics, Readings, and Due Dates
Review the Summer 2022 Course Calendar
**Corresponding chapters of newer book editions may have changed.  Consult table of contents in each text.
Please see the Course Schedule Inside the Canvas Syllabus Tab
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