Lamar State College - Port Arthur

House Bill 2504

Spring 2016 Course Syllabus

RNSG-1300-74 - Health Assessment Lifespan

 
Printer Friendly Syllabus
 
Faculty Information
SemesterSpring 2016
InstructorReid, Stephen Larry
Phone(409) 984-6356
E-mailreidsl@lamarpa.edu
Department
Allied Health
Chair:Sheila Trahan
Phone:(409) 984-6239
E-mail:trahansc@lamarpa.edu
Office
Hours:M-W 0800-1500 when not in class or clinical
Building:Allied Health (AH)
Room:124
MyLamarPA Be sure to check your campus E-mail and Course Homepage using MyLamarPA campus web portal (My.LamarPA.edu). When you’ve logged in, click the email icon in the upper right-hand corner to check email, or click on the “My Courses” tab to get to your Course Homepage. Click the link to your course and review the information presented. It is important that you check your email and Course Homepage regularly. You can also access your grades, transcripts, and determine who your academic advisor is by using MyLamarPA.
Course Information
Course Number11537
Course Description Development of skills and techniques required for comprehensive nursing health assessment of clients across the lifespan:?pediatric, adult and geriatric. Includes assessment of patients’ health promotion and maintenance, illness and injury prevention and restoration, and application of the nursing process within a legal/ethical framework
Course Prerequisites BIOL 2401 (143) and BIOL 2401 (144) Human Anatomy and physiology.
Required Textbooks Jarvis, C. (2016). Physical examination & health assessment. (7th ed.). St. Louis: Elsevier.
ISBN: 9781455728107 * Requires online access code for online course components
Shadow Health. (2016). Digital Clinical Experience (DCE) (Version 4.0) [Software].
Available from http://www.shadowhealth.com
For registration and purchase of Shadow Health
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• Registration directions:
https://shadow.desk.com/customer/portal/articles/980991-how-to-registerwith-
shadow-health
• Enter Course PIN - [January2015-8009-6029-9047-3097]
• Cost $99
NOTE:
• Students must have access to a PC laptop or desktop with:
o Ready access to a PC or Macintosh laptop or desktop with:
o Windows Vista or 7; or MacOSX 10.7.5 or later
o Latest version of Mozilla FireFox, Google Chrome browser, and/or
Internet Explorer
o Shadow Health recommended web browser is Mozilla Firefox
o Standard browser plug-ins: Adobe Flash, Adobe Acrobat Reader,
Apple Quicktime, Java
o Computer hardware less than three years old with working webcam
and microphone
• Students must have High Speed Internet Connection:
• Wired DSL or Cable Broadband access
• Wireless or Wireless Mobile Broadband connections are not recommended
for use during testing but may be used during course browsing
• Mobile Devices and the Blackboard Mobile App
• Students cannot complete a course using only a mobile device or the
Blackboard Mobile App
• Blackboard does not support browsers on mobile devices (iOS or Android)
• Shadow Health is not supported on tablets
• Students must have access to Microsoft Office 2010 or higher.
• Students must have access and use of a scanner
Shadow Health Support:
• Contact Shadow Health with any questions or technical issues regarding Shadow
Health before contacting your instructor.
• Support is available 24/7 with senior technicians available from 6am - 3am at
http://support.shadowhealth.com.
Attendance Policy Research has shown a cause and effect relationship between attendance and college
success. Policies for this course are described below:
• Students cannot meet the objectives of the course without completing course
assignments. Students put at risk their success in the course if they miss any
assignment deadlines.
• It is the student’s responsibility to notify the instructor if they are unable to
meet an assignment deadline.
• A student who is absent from course activities for more than three (3) days
may be dropped from the program by the Program Director.
Course Grading Scale 90-100 = A 80-89 = B 75-79 = C 60-74 = D Below 59 = F
Determination of
Determination of Final Grade A final course grade of 75% is necessary for the student to pass this course. The final
course grade is calculated as follows:
Exam 1 = 20%, Exam 2 = 20%, Lab grade = 30% and Final Exam = 30%.
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Lab grade (30% of final course grade) Includes: 1. Online Jarvis course lab Multiple-
Choice Review quizzes (hosted on Evolve course website) are mandatory assignments
and will be averaged and counted as 15% of your lab grade. 2. Shadow Health
assignments count as 60% of lab grade. 3. Integrated Physical Assessment counts as
25% of lab grade provided 75% or higher is attained on this final assessment.
Jarvis Online Course Quizzes: All assigned online chapter quizzes must be properly
completed in the Evolve-Elsevier online course to receive credit. These assignments
will count as 15% of the Lab grade average.
Shadow Health Assessment Assignments: These are mandatory assignments and the
average counts as 60% of your lab grade.
1. Orientation and Conversation Lab are mandatory Pass/Fail assignments.
2. Focused Exams (3) and Concept Lab assignments are mandatory Pass/Fail
assignments. Students are allowed more than one attempt and must turn in an attempt
of their choice. Information on this option can be reviewed at:
https://shadow.desk.com/customer/en/portal/articles/2077574-useful-tips-and-tricks
3. Health History and System assignments: Expectation is 60% for overall score and
the amount of time spent on each assignment should be a minimum of 45 minutes.
Students are allowed more than one attempt and will turn in an attempt of their choice.
4. Comprehensive Assessment assignment: Expectation is 60% for overall score and
the amount of time spent on this assignment should be a minimum of 60 minutes.
Students are allowed more than one attempt and will turn in the attempt of their
choice.
Integrated Physical Assessment: You are required to earn a C or better for this Final
lab assignment. The integrated physical assessment is a mandatory assignment and
counts as 25% of your lab grade; any grade on this assignment below a C (75%) is
considered failing. Failure of this assignment results in failure of the entire course
regardless of the grades for other assignments. Your BSN or higher RN Observer (that
you choose) is required to complete the appropriate documents and submit a summary
of your assessment via email to the faculty listed on the observer form before end of
day on the Tuesday of Week 8 (it is your responsibility to follow up and make sure
they have done this). If your assignment comments are not available to the faculty by
10 pm on the Tuesday of Week 8 then you may receive a zero for the assignment and
will fail the course. You will be required to submit the assignment documents within
the course in Week 8.
Point deductions: Late points, up to ten points per day, will be deducted if an
assessment assignment is submitted after the date and time due – No Exceptions.
Exams: All exams must be taken. Students will be allocated a specific amount of time
for each exam. Students unable to take a scheduled exam due to an extreme
emergency must notify the instructor prior to the exam. Students must download and
install Respondus LockDown Browser. Exams 1-2 must be taken using the Respondus
LockDown Browser. Instructions and link for installation will be provided in the course.
The Final Exam must be taken using ProctorU or on campus. There is a testing fee of
$25.00 to ProctorU for this service. More details regarding the proctored exam will be
provided in the course.
Examinations are based on course objectives. Course content from the biological and
behavioral sciences as well as previous nursing knowledge is included on exams, as
appropriate.Evaluation of Examinations: After each exam, the faculty uses psychometric principles
to evaluate the examination. Items missed by 50% or more of the course are reviewed.
If an item is found to be flawed, the faculty may give credit for more than one answer
or nullify the item. When an item is nullified, the key is changed so that all answers are
credited as correct. That is, if a student answered the item as originally keyed, a student
will retain the credit for the item. If a student’s answer differs from the one originally
keyed, a student is credited for the nullified item. In other words, everyone gets credit
for the item and no one loses credit.
Final Exam Date March 9, 2016 - 7:00 AM   Through  March 9, 2016 - 5:00 PM
Major Assignments Exam I – Tuesday February 9, 2016 from 0700-1900
Exam II – Tuesday March 1, 2016 from 0700-1900
Final Exam – Wednesday March 9, 2016 from 0700-1900 (monitored by ProctorU) or
on campus at 0900.
Integrated Physical Assessment: The integrated physical assessment is the culminating
assignment for the course and involves completion of a cephalocaudal physical
assessment at the end of the course. Written notes, study guides, and materials should
not be used during the integrated physical assessment. You will be evaluated based on
the integrated physical assessment form criteria. No student written assignment is
required to complete the integrated physical assessment. You are expected to complete
the assessment in 75 minutes. After 75 minutes, the observer will stop you. You are
required to earn a C or better for the integrated physical assessment. Any grade
below a C (75%) is considered failing. Further, the integrated physical assessment is a
mandatory assignment. Failure of this assignment results in failure of the entire
course regardless of the grades for other assignments. Your observer is required to
submit their written summary of your assessment via email to the faculty listed on
the observer form before 10 pm on the Sunday of Week 7 (it is your responsibility to
follow up and make sure they have done this). If your assignment comments are not
available to the faculty by 10 pm on the Sunday of Week 7 then you may receive a
zero for the assignment and will fail the course.
Calendar of Lecture Topics and Major Assignment Due Dates Calendar of
Lecture Topics and
Major Assignment
Due Dates
Week 1
• Shadow Health DCE Orientation Module
• Shadow Health Conversation Concept Lab
• Evidence-Based Assessment - Chapter 1
• Cultural Competence - Chapter 2
• The Interview - Chapter 3
• The Complete Health History - Chapter 4
• Shadow Health: Health History Assignment (due end of Week 2)
• Mental Status Assessment - Chapter 5
• Jarvis Health Assessment online course assignments/quizzes
Week 2
• Substance Use Assessment - Chapter 6
• Domestic Violence Assessment - Chapter 7
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• Assessment Techniques and the Clinical Setting - Chapter 8
• General Survey, Measurement, Vital Signs - Chapter 9
• Pain Assessment: The Fifth Vital Sign - Chapter 10
• Nutritional Assessment – Chapter 11
• Jarvis Health Assessment online course assignments/quizzes
Week 3
• Skin, Hair, and Nails - Chapter 12
• Shadow Health: Skin, Hair, and Nails assignment
• Head, Face, and Neck, Including Regional Lymphatics- Chapter 13
• Eyes - Chapter 14
• Ears - Chapter 15
• Nose, Mouth, and Throat - Chapter 16
• Shadow Health: HEENT assignment
• Jarvis Health Assessment online course assignments/quizzes
Week 4
Exam I – Tuesday February 9, 2016 from 0700-1900 (Covers Weeks 1, 2 & 3)
• Breasts and Regional Lymphatics - Chapter 17
• Thorax and Lungs - Chapter 18
• Shadow Health: Respiratory Concept Lab
• Shadow Health: Respiratory assignment
• Heart and Neck Vessels - Chapter 19
• Peripheral Vascular and Lymphatic System - Chapter 20
• Shadow Health: Cardiovascular Concept Lab
• Shadow Health: Cardiovascular Assignment
• Jarvis Health Assessment online course assignments/quizzes
Week 5
• Abdomen – Chapter 21
• Shadow Health: Abdominal Concept Lab
• Shadow Health: Abdominal assignment
• Musculoskeletal System – Chapter 22
• Shadow Health: Musculoskeletal assignment
• Neurological System – Chapter 23
• Shadow Health: Neurological assignment
• Jarvis Health Assessment online course assignments/quizzes
Week 6
• Male Genitourinary System – Chapter 24
• Anus, Rectum, and Prostate – Chapter 25
• Female Genitourinary System – Chapter 26
• Shadow Health: Focused Exam: Cough
• Shadow Health: Focused Exam: Chest Pain
• Shadow Health: Focused Exam: Abdominal Pain
• Shadow Health: Comprehensive Assessment (due end of Week 7)
• Jarvis Health Assessment online course assignments/quizzes
Week 7
Exam II – Tuesday March 1, 2016 from 0700-1900 (Covers Weeks 4, 5, &6)
• The Complete Health Assessment: Putting it all Together - Chapter 27
• Shadow Health: Comprehensive Assessment (began in Week 6)
• Jarvis Health Assessment online course assignments/quizzes
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• Begin Integrated Physical Assessment Lab
Week 8
• Jarvis Health Assessment online course assignments/quizzes
• Submit Integrated Physical Assessment Lab
Final Exam – Wednesday March 9, 2016 Time: 0700-1900 (monitored by ProctorU) or
on campus at 0900 (Comprehensive Exam).
General Education/Core Curriculum Student Learning Outcomes
Communication skills:Students will demonstrate effective written, oral and visual communication.

Critical Thinking Skills:Students will engage in creative and/or innovative thinking, and/or inquiry, analysis, evaluation, synthesis of information, organizing concepts and constructing solutions.

Empirical and Quantitative Skills:Students will demonstrate applications of scientific and mathematical concepts.

Teamwork:Students will demonstrate the ability to work effectively with others to support a shared purpose or goal and consider different points of view.

Social Responsibility:Students will demonstrate intercultural competency and civic knowledge by engaging effectively in local, regional, national and/or global communities.

Personal Responsibility:Students will demonstrate the ability to connect choices, actions and consequences to ethical decision-making.

Program Student Learning Outcomes Communication Skills: Students will demonstrate effective written, oral and visual
communication.
Critical Thinking Skills: Students will engage in creative and/or innovative thinking,
and/or inquiry, analysis, evaluation, synthesis of information, organizing concepts and
constructing solutions.
Empirical and Quantitative Skills: Students will demonstrate applications of scientific
and mathematical concepts.
Teamwork: Students will demonstrate the ability to work effectively with others to
support a shared purpose or goal and consider different points of view.
Social Responsibility: Students will demonstrate intercultural competency and civic
knowledge by engaging effectively in local, regional, national, and/or global
communities.
Personal Responsibility: Students will demonstrate the ability to connect choices,
actions and consequences to ethical decision-making.
Program Student
Learning
Outcomes
The Upward Mobility Nursing Program provides educational experiences that offer
opportunities for the student to:
PSLO ALPHA: Reading skills - Demonstrates comprehension of content-area reading
material.
PSLO 1. Practices within the legal, ethical and regulatory standards for the professional
nurse.
PSLO 2. Uses a systematic problem-solving process to provide individualized, evidencebased
nursing care and coordinate care for a limited number of patients who have
complex needs in various health care settings.
PSLO 3. Employs an approach to nursing practice that promotes safety for patients,
significant others, self, and members of the healthcare team.
PSLO 4. Collaborates with members of the interdisciplinary health care team to provide
optimum, evidence-based, and safe care to patients.
Course Student Learning Outcomes In accordance with the mission of Lamar State College - Port Arthur, this course
encourages the student to develop the particular skills, knowledge, and attitudes
needed for success in the field of Associate Degree Nursing. Upon completion of RNSG
1300, the student will have the opportunity to:
1. Demonstrate techniques utilized in the health assessment of individuals across the
lifespan.
2. Perform systematic physical assessment using appropriate equipment and
techniques for all body systems
3. Utilize cognitive and psychomotor skills in assessing clients' physiologic health and
psychosocial status.
4. Document findings utilizing appropriate terminology and legal/ethical format.
5. Identify legal and ethical standards related to health assessment.
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6. Identifies all main ideas, supporting details, and vocabulary in reading material;
demonstrates a full understanding of the reading
Academic Honesty Academic honesty is expected from all students, and dishonesty in any form will not be tolerated. Please consult the LSC-PA policies (Section IX, subsection A, in the Faculty Handbook) for consequences of academic dishonesty.
Facility Policies
  • No food or tobacco products are allowed in the classroom.

  • Only students enrolled in the course are allowed in the classroom, except by special instructor permission.

  • Electronic devices (including but not restricted to cell phones, MP3 players, and laptop computers) shall not be used during examinations unless specifically allowed by the instructor.

  • Use of electronic devices during normal class hours distracts other students, disrupts the class, and wastes valuable time. Instructors have an obligation to reduce such disruptions.

  • Turn your cellphones to vibrate when you enter the classroom.

    Statement of

    Workplace

    Competencies

    1. Prioritizes patient needs according to Maslow's hierarchy of needs.

    2. Acquires and evaluates information through use of the nursing process.

    3. Communicates information to and receives input from the health care team to

    enhance the quality of care provided for patients.

    4. Works well with patients and family caregivers from a variety of ethnic, social, and

    educational backgrounds.

    5. Identifies need for patient data, obtains it from existing sources, and evaluates its

    relevance and accuracy.

    6. Demonstrates knowledge of own skills and abilities though clinical competency.

    Academic Honesty Academic dishonesty in any form will not be tolerated. Please consult the Student

    Handbook for consequences of academic dishonesty. These policies will be strictly

    enforced. Plagiarism, cheating, and other forms of scholastic dishonesty are prohibited

    and are grounds for disciplinary action according to the LSC-PA Student Handbook.

    Anyone who copies more than six consecutive words from a source and does not

    document the source has committed plagiarism. Students guilty of academic

    misconduct either directly or indirectly through participation or assistance, are

    immediately responsible to the instructor of the class. In addition, to other possible

    disciplinary sanctions which may be imposed through the regular LSC-PA procedures as

    a result of academic misconduct, the instructor has the authority to assign an F or a

    zero for the exercise or examination or to assign an F in the course. Electronic devices

    (including but not restricted to cell phones, MP3 players, and laptop computers) shall

    not be used during examinations or upon review of exams unless the Special

    populations coordinator has determined that such a device is a reasonable

    accommodation for a disability. Under any other circumstances, the use of an electronic

    device during an examination shall be considered academic dishonesty, and will result

    in appropriate sanctions as outlined in the Course Syllabus, in the Faculty Handbook

    (Section IX-1) and in the Student Handbook (“Academic Dishonesty”)

    TEXAS BOARD OF NURSING CHAPTER 213 PRACTICE AND PROCEDURE

    RULE 213.27 Good Professional Character:

    (a) Good professional character is the integrated pattern of personal, academic and

    occupational behaviors which, in the judgment of the Board, indicates that an individual

    is able to consistently conform his or her conduct to the requirements of the Nursing

    Practice Act, the Board's rules and regulations, and generally accepted standards of

    nursing practice including, but not limited to, behaviors indicating honesty,

    accountability, trustworthiness, reliability, and integrity. Facility Policies • No food or tobacco products are allowed in the classroom/lab.

    • Only students enrolled in the course are allowed in the classroom, except by special

    instructor permission.

    • Electronic devices (including but not restricted to cell phones, MP3 players, and

    laptop computers) shall not be used during examinations unless specifically allowed

    by the instructor.

    8

    • Use of electronic devices during normal class hours distracts other students, disrupts

    the class, and wastes valuable time. Instructors have an obligation to reduce such

    disruptions.

    • According to the Lamar State College policy unauthorized use of college computer

    account(s), computer data files, and/or computer facilities, is considered a breach of

    conduct, and is not in keeping with the educational aims, purposes, and philosophy of

    the college and subjects student(s) to disciplinary action.

    No cell phones should be visible during testing or while completing lab assignments.

    Additional classroom policies include:

    • The following behaviors will result in the student being asked to cease the action,

    lose five (5) points on the next exam, and/or leave the classroom or labs: using cell

    phones, talking while the instructor is giving instructions or during class

    discussions/presentations; or displaying a rude or negative attitude/behavior to the

    instructor or other students.

    Equal Opportunity

    Affirmative Action

    Notice

    Lamar State College-Port Arthur is an equal opportunity/affirmative action institution

    that does not discriminate on the basis of race, color, sex, religion, age, handicap, or

    ethnic origin.

    Important Information

    ADA

    Considerations

    The Americans with Disabilities Act (ADA) is a federal anti-discrimination statue that

    provides comprehensive civil rights for persons with disabilities. Among other things,

    this legislation requires that all students with disabilities be guaranteed a learning

    environment that provides for reasonable accommodation of their disabilities. If you

    believe you have a disability requiring an accommodation, please contact the Special

    Populations Coordinator, Room 210D, in the Madison Monroe Building. The phone

    number is (409) 984-6251.

    Copyright

    Violations

    Some material in this course may be copyrighted. They may be used only for

    instructional purposes this semester, by students enrolled in this course. These

    materials are being used fairly and legally. No one may distribute or share these

    copyrighted materials in any medium or format with anyone outside this class, including

    publishing essays with copyrighted material, uploading copyrighted material to

    Facebook or YouTube, or painting or performing copyrighted material for public display.

    Copyright violation is not the same thing as plagiarism. Plagiarism is intellectual

    dishonesty. Offenses of plagiarism result in lower grades or failing scores, and

    professors and the college strictly enforce plagiarism rules. There is never any

    acceptable use of plagiarism. Copyright violation is a legal offense, punishable by large

    fines and penalties.

    Copyrighted material can be used if permission from the material’s creator is

    obtained, or if its use meets the standards of fair use in an educational setting. For

    example, a student can quote a line from Shakespeare’s Hamlet in a report without

    violating copyright but still be guilty of plagiarism if the quotation is not properly

    documented.

    If you are in doubt about what material can be freely used, ask your professor or

    contact Peter Kaatrude, Dean of Library Services, at 984-6216.

    Assessment

    Statement

    Assessment is a process by which LSCPA can help you learn better and gauge the

    level of progress you have made to attain knowledge, skills, beliefs, and values. It also

    helps your professors understand how to improve teaching and testing methods in your

    9

    classes, and it helps each department understand and improve degree and certificate

    programs.

    Periodically LSC-PA will collect assessment data for research and reporting purposes,

    including statistical data and sometimes copies of your work. Be assured that all

    material the college uses for assessment purposes will be kept confidential. To ensure

    anonymity, your name will be removed from any material we use for assessment

    purposes, including video-recorded performances, speeches, and projects.

    If you object to allowing LSC-PA to use your material for assessment purposes,

    submit a letter stating so to your professor by the 12th class day. You will still be

    required to participate in whatever assessments are being done; we just won’t use your

    data.

    What’s the difference between assessment and grades? The grades you get on

    papers, projects, speeches, and assignments are specific types of focused assessment.

    LSC-PA’s assessment efforts include class grades, surveys, standardized tests, and other

    tools.

    Privacy Notice Federal privacy laws apply to college students. This means that college employees,

    including instructors, cannot divulge information to third parties, including parents and

    legal guardians of students. Even if the students are minors, information about their

    college work cannot be shared with anyone except in very limited circumstances.

    Anyone requesting information about a student should be referred to the Registrar.

    Instructors will be notified in writing by that Office about what information may be

    released and to whom.

    Please remember that releasing private information about a student, however

    innocuous it may seem, can be a violation of federal law, with very serious

    consequences.

    Circumstances under which information may be released

    An adult student may submit, to the Registrar, a handwritten, signed note granting

    permission for release of information. The note must specify what information may be

    divulged, and it must specify the name of the person to whom the information may be

    given.

    A parent or guardian may be given access to information about a student by

    providing a copy of a filed tax return that shows that the student was listed as a

    dependent of that parent or guardian. The tax return must be for last complete tax

    year. Again, this documentation must be submitted to the Registrar’s Office.

    A parent or guardian may be given access to information about a student if the

    student logs on to My.LamarPA.edu and sends an email to the Registrar granting

    permission. The email must specify what information may be given and the name of the

    person to whom it may be given.

    Co-enrollment students are protected by the same privacy laws as adult students.

    The Registrar’s office is in Student Center 303B, and the phone number is 984-6165.

    College-Level

    Perspectives

    This course helps add to the students’ overall collegiate experience in the following

    ways:

    ท Establishing broad and multiple perspectives on the individual in relationship to

    the larger society and world in which s/he lives, and to understand the

    responsibilities of living in a culturally and ethnically diversified world.

    ท Stimulating a capacity to discuss and reflect upon individual, political, economic,

    and social aspects of life in order to understand ways in which to be a responsible

    member of society.

    10

    ท Developing a capacity to use knowledge of how technology and science affect

    their lives.

    ท Developing personal values for ethical behavior.

    ท Developing the ability to make aesthetic judgments.

    ท Using logical reasoning in problem solving.

    ท Integrating knowledge and understand the interrelationships of the scholarly

    disciplines.

    Degree Plan

    Evaluation

    A Degree Plan Evaluation will help you determine which classes you need to complete

    your program.

    1. Sign in to your my.lamarpa.edu account.

    2. Click on the “My Services” tab.

    3. Click on the “Student” tab.

    4. Click on Student Records.

    5. Click on Degree Evaluation.

    6. Select the term you are planning on registering for (i.e. Summer I, Summer II, Fall, or

    Spring)

    7. Verify that the Curriculum Information (your MAJOR) is correct

    8. Click on “Generate New Evaluation” at the bottom of the screen.

    9. Click the radio button next to Program

    10. Click on the Generate Request button.

    All of the classes that you have taken that apply to your declared major will be listed

    on the right. If you have a class that still needs to be completed, a “NO” will be listed on

    the right next to the required class.

    HB 2504 This syllabus is part of LSC-PA’s efforts to comply with HB 2504.

    Lamar State College - Port Arthur

    Mission

    Lamar State College - Port Arthur, a member of The Texas State University System, is an open-access,

    comprehensive public two-year college offering quality and affordable instruction leading to associate

    degrees and a variety of certificates. The College embraces the premise that education is an ongoing process

    that enhances career potential, broadens intellectual horizons, and enriches life.

    Core Values

    • Shared commitment by faculty, staff and administration to a mission characterized by student learning,

    diversity, and community involvement

    • General education/core curriculum that develops the values and concepts that allow the student to make

    a meaningful contribution in the workplace or community

    • Academic and technical programs designed to fulfill our commitment to accommodate students with

    diverse goals and backgrounds, using a variety of delivery methods, on and off campus

    • Technical education programs that provide for the acquisition of the knowledge, skills and behavior

    necessary for initial and continued employment

    • Student achievement characterized by attainment of individual goals and measured by successful

    accomplishments and completion of curriculum

    • Co-curricular opportunities that develop social, financial and civic acuity

    Principles

    11

    Lamar State College - Port Arthur operates in the belief that all individuals should be:

    • treated with dignity and respect;

    • afforded equal opportunity to acquire a complete educational experience;

    • given an opportunity to discover and develop their special aptitudes and insights; and,

    • provided an opportunity to equip themselves for a fulfilling life and responsible citizenship in a world

    characterized by change.

    Last Day to Drop or Withdraw:

    Last Day to Drop or Withdraw w/o Academic Penalty – February 3, 2016

    Last Date to Drop or Withdraw Academic Penalty Possible - February 29, 2016

    NOTE: Reading assignments are given as a guideline and are not all inclusive. Information covered in

    your VN Program, in course, on handouts, and in other resources used in instruction may be included

    on exams.

    The instructors reserve the right to modify the course syllabus as needed during the course. Students

    will be notified of modifications as soon as possible.

    AVAILABLE SUPPORT SERVICES:

    1. Gates Memorial Library located at 317 Stillwell.

    2. Student Success Center: located at 1500 Procter St, 409-984-6248

    3. Information Technology Services: IT Help Desk, 409-984-6150, helpdesk@lamarpa.edu

    4. Special Populations Coordinator: Laurie Marcantel, 409-984-6241, marcantella@lamarpa.edu

    5. Campus Bookstore (Barnes & Noble), 409-984-6388

    6. Any campus contact information not found above is available on the Online Department

    Directory

    7. NSNA WEBSITE: http://www.nsna.org/

    8. Shadow Health: Support is available 24/7 with senior technicians available from 6am - 3am at

    http://support.shadowhealth.com.

    9. Textbook Publisher’s Website: https://evolve.elsevier.com/cs/store?role=student

    10. TEXAS BOARD OF NURSING WEBSITE: http://www.bon.state.tx.us/

    11. NATIONAL COUNCIL OF STATE BOARDS OF NURSING: http://www.ncsbn.org/

    12. NCSBN Learning Extension: http://www.learningext.com/

    13. NCLEX-RNฎ Detailed Test Plan:

    https://www.ncsbn.org/2013_NCLEX_RN_Detailed_Test_Plan_Candidate.pdf

    14. Pearson VUE - NCLEX-RNฎ testing company: http://www.pearsonvue.com/
Additional Information Chapter Objectives
Week 1
Evidence-Based Assessment - Chapter 1
• At the completion of this chapter, the student will:
• Discuss the role of assessment as the starting point of all models of clinical reasoning.
• Describe the use of diagnostic reasoning in clinical judgment.
• Discuss the use of the nursing process in clinical judgment.
• Differentiate between novice, proficient, and expert practitioner.
• Describe the use of critical thinking in diagnostic reasoning and clinical judgment.
• Differentiate first-level, second-level, and third-level priority problems.
• Use a conceptual framework to guide nursing practice.
• Contrast medical diagnosis with nursing diagnosis.
• Discuss the expanded concept of health and relate it to the process of data collection.
• Relate the patient situation to the amount of data collected.
• Relate the patient age and health status to the frequency of health assessment.
• Consider life cycle and cross-cultural factors when performing a health assessment.
• Discuss the importance of high-level assessment skills.
Cultural Competence - Chapter 2
• At the completion of this chapter, the student will:
• Describe the basic characteristics of culture and the steps to cultural competence.
• Describe the concept of heritage consistency.
• Explain the concept of ethnicity.
• Discuss the influence of religion and spirituality on health and illness perception.
• Discuss areas of potential cultural conflicts between nurses and patients of different ethnic
groups.
• Discuss components of the health belief system and their influence on health practices and
illness expressions.
• Examine the sources that influence the culture and beliefs the student embraces.
• Provide care that reflects an acceptance of the patient as a unique individual.
The Interview - Chapter 3
• At the completion of this chapter, the student will:
• Demonstrate the ability to establish the parameters for a health interview.
• State the factors that affect communication.
• Describe the three phases of the interview.
• Use the outlined communication techniques appropriately to gather data.
• State the 10 traps of interviewing.
• Discuss the meaning of common nonverbal modes of communication.
• Modify communication techniques as indicated by each patient’s developmental stage, special
needs, or cultural practices.
• Discuss working with and without an interpreter to overcome communication barriers.
The Complete Health History - Chapter 4
• At the completion of this chapter, the student will:
• State the purpose of the complete health history.
• List the categories of information contained in a health history.
• Describe the data or information that must be gathered for each category of a health history.
• Describe the eight characteristics included in the summary of each patient symptom.
• Relate developmental care during a health history for a child or older adult.
Mental Status Assessment - Chapter 5
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• At the completion of this chapter, the student will:
• Define the behaviors that are considered in an assessment of a person’s mental status.
• Describe relevant developmental care related to the mental status examination.
• State the purpose of a mental status examination.
• List the four components of mental status assessment.
• Complete a Mini-Mental State Examination.
• Discuss developmental care for infants, children, and aging adults.
Week 2
Substance Use Assessment - Chapter 6
• At the completion of this chapter, the student will:
• Identify current statistics related to alcohol use and abuse.
• Identify risk factors associated with increased alcohol use.
• Identify current statistics related to drug and abuse.
• Incorporate the use of alcohol and drug abuse tools into the assessment of patients in the
health care environment.
• Identify and assess substance abuse in individuals across the life span.
Domestic Violence Assessment - Chapter 7
• At the completion of this chapter, the student will:
• Recognize health care professionals’ role as mandatory reporters of abuse.
• Discuss the health effects of violence.
• Describe the use of the Abuse Assessment Screen (AAS) when one is screening for intimate
partner violence.
• Explain the aspects of assessment and history taking for suspected abuse.
• Describe the components of the physical examination of the known survivor of IPV or elder
abuse and use correct forensic terminology.
• Discuss the importance of and procedures for both written and photographic documentation of
IPV and elder abuse.
• Assess for the risk of homicide when working with suspected IPV cases.
• Determine what steps to take if a patient denies IPV but abuse is still suspected.
Assessment Techniques and the Clinical Setting - Chapter 8
• At the completion of this chapter, the student will:
• Describe the use of inspection as a physical examination technique.
• Describe the use of palpation as a physical examination technique.
• Relate the parts of the hands to palpation techniques used in assessment.
• Differentiate between light, deep, and bimanual palpation.
• Describe the use of percussion as a physical examination technique.
• Describe direct and indirect percussion.
• Identify the components of a percussion note.
• Describe the use of auscultation as a physical examination technique.
• Identify the equipment needed for the screening physical examination.
• Discuss appropriate infection control measures used to prevent spread of infection.
• Discuss developmental care needed for patients.
General Survey, Measurement, Vital Signs - Chapter 9
• At the completion of this chapter, the student will:
• List the information considered in each of the four areas of a general survey: physical
appearance, body structure, mobility, and behavior.
• Discuss measurement of weight and height.
• Describe various routes of temperature measurement and special consideration for each route.
• Describe the four qualities considered when one assesses the pulse.
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• Describe the appropriate procedure for assessing normal respirations.
• Describe the relationships among the terms blood pressure, systolic pressure, diastolic pressure,
pulse pressure, and mean arterial pressure (MAP).
• List the factors that affect blood pressure.
• Relate the use of a blood pressure cuff of improper size to the possible findings that may be
obtained.
• Discuss relevant developmental care in relation to a general survey.
Pain Assessment: The Fifth Vital Sign - Chapter 10
• At the completion of this chapter, the student will:
• Define pain.
• Discuss the function of nociception and the patient’s sensation of pain.
• Differentiate the different types of pain.
• Compare acute and chronic pain.
• Describe developmental care as well as cross-cultural and gender considerations regarding pain.
• Describe the initial pain assessment.
• Compare available pain assessment tools.
• Compare acute and chronic pain behaviors (nonverbal behaviors of pain).
• Describe the physical changes that may occur because of poorly controlled pain.
Nutritional Assessment – Chapter 11
• At the completion of this chapter, the student will:
• Define nutritional status.
• Describe the unique nutritional needs for various developmental periods throughout the life
cycle.
• Describe the role cultural heritage and values may play in an individual’s nutritional intake.
• State the purposes of a nutritional assessment.
• Describe the components of a nutritional assessment.
• Discuss the strengths and limitations of the methods used for collecting current dietary intake.
• Use anthropometric measures and laboratory data to assess the nutritional status of patients.
• Use nutritional assessment in the provision of health care and for health promotion.
Week 3
Skin, Hair, and Nails - Chapter 12
• At the completion of this chapter, the student will:
• Relate the anatomic structures of the skin to its functions.
• Describe the significant differences between the skin of the very young, the older adult, and the
healthy adult.
• Cite examples of health care implications presented by skin alterations.
• Describe the differentiation between normal and abnormal skin color for various ethnic groups.
• State the significance of skin tone changes.
• Complete an assessment of hair, skin, and nails using appropriate technique for all
developmental stages.
• Incorporate health promotion concepts when performing an assessment of the hair, skin, and
nails.
Head, Face, and Neck, Including Regional Lymphatics- Chapter 13
• At the completion of this chapter, the student will:
• Describe the significant features of the head.
• Identify the structures and landmarks of the neck.
• List the names of the lymph nodes of the neck and their locations.
• Describe the assessment that would follow the palpation of an abnormal lymph node.
• Identify relevant developmental care for the head and neck.
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• Incorporate health promotion concepts when performing an assessment of the head, face, and
neck.
Eyes - Chapter 14
• At the completion of this chapter, the student will:
• Identify the external anatomical features of the eye.
• Describe the internal anatomy of the eye.
• Name the functions of the ciliary body, the pupil, and the iris.
• Describe the compartments of the eye.
• Identify the structures viewed through the ophthalmoscope.
• Define pupillary light reflex, fixation, and accommodation.
• Identify age-related changes in the eye.
• Discuss the three most common causes of decreased visual functioning in the older adult.
• Incorporate health promotion concepts when performing an assessment of eyes.
Ears - Chapter 15
• At the completion of this chapter, the student will:
• List the anatomic landmarks of the external ear.
• Describe the tympanic membrane and its anatomic landmarks.
• List the functions of the middle ear.
• State the functions of the inner ear that can be assessed.
• Differentiate among the types of hearing loss.
• Relate the anatomic developmental differences that alter hearing.
• Incorporate health promotion concepts when performing an assessment of the ears.
Nose, Mouth, and Throat - Chapter 16
• At the completion of this chapter, the student will:
• Name the functions of the nose.
• List the anatomic landmarks of the external nose.
• Describe the nasal cavity.
• Name the paranasal sinuses and their functions.
• Identify the structures of the oral cavity.
• List the functions of the mouth.
• Identify the effects of some of the age-related changes that take place in the mouth.
• Incorporate health promotion concepts when performing an assessment of the nose, mouth,
and throat.
Week 4
Breasts and Regional Lymphatics - Chapter 17
• At the completion of this chapter, the student will:
• Identify significant breast anatomy.
• Describe the composition of breast glandular tissue.
• Relate the changes that occur in Cooper’s ligaments with cancer.
• Describe the ways of documenting clinical findings from a breast examination.
• Relate the anatomy of the breast lymphatic system.
• Review breast development in the adolescent female.
• Review breast changes that occur during pregnancy.
• Describe the procedure for teaching breast self-examination and incorporating health
promotion concepts when performing an assessment of the breasts.
Thorax and Lungs - Chapter 18
• At the completion of this chapter, the student will:
• Name the components of the thoracic cage.
• Describe the surface landmarks on the thorax.
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• List the contents of the mediastinum.
• Describe the borders of the lung.
• Describe the anatomic demarcation of the five lobes of the lungs.
• Describe the pleurae and their function.
• List the structures that compose the respiratory dead space.
• Discuss the location and functions of the trachea and bronchial tree.
• Summarize the mechanics of respiration.
• Discuss developmental care associated with the thoracic cavity.
• Incorporate health promotion concepts when performing an assessment of the thorax and
lungs.
Heart and Neck Vessels - Chapter 19
• At the completion of this chapter, the student will:
• Relate anatomic structures to the correct landmark or anatomic location.
• List the significant anatomic features of the heart.
• Relate the name of the heart sound to the physiologic cause.
• State why two distinct components to each heart sound exist.
• List three conditions that result in cardiac murmurs.
• Describe the characteristics of heart sounds.
• Summarize the spread of the cardiac impulse through the heart.
• Describe the carotid artery pulse.
• Discuss the significance of jugular vein assessment.
• Describe the function of the foramen ovale and the ductus arteriosus.
• Cite the risk factors associated with heart disease and stroke.
• List the hemodynamic changes that occur with aging.
• Incorporate health promotion concepts when performing an assessment of the heart and neck
vessels.
Peripheral Vascular and Lymphatic System - Chapter 20
• At the completion of this chapter, the student will:
• Relate the structure and functions of arteries and veins.
• List the pulses accessible to examination.
• Describe the mechanisms that keep blood moving toward the heart in the venous system.
• Explain the term “capacitance vessels.”
• List the risk factors for venous stasis.
• Relate the structure and functions of the lymph vessels.
• Describe the function of the lymph nodes.
• Cite the location of superficial groups of lymph nodes that are accessible to examination.
• Name the related organs and functions of the lymphatic system.
• Incorporate health promotion concepts when performing an assessment of the peripheral
vascular system.
Week 5
Abdomen – Chapter 21
• At the completion of this chapter, the student will:
• Identify the organs located within each of the four abdominal quadrants.
• Identify pertinent topics that must be reviewed during the abdominal portion of the interview.
• Use measures that will enhance abdominal wall relaxation.
• Use the correct sequence of examining techniques.
• Interpret findings obtained during inspection of the abdomen.
• Interpret findings obtained during auscultation of the abdomen.
• Interpret findings obtained during percussion of the abdomen.
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• Interpret findings obtained during palpation of the abdomen.
• Incorporate health promotion concepts when performing an assessment of the abdomen.
Musculoskeletal System – Chapter 22
• At the completion of this chapter, the student will:
• List the functions of the musculoskeletal system.
• List the three types of muscles and their movements.
• Differentiate between synovial and nonsynovial joints.
• Describe the shape and surface landmarks of the spine.
• Describe the location and function of the various joints in the body.
• Discuss the developmental care regarding the musculoskeletal system.
• Incorporate health promotion concepts when performing an assessment of the musculoskeletal
system.
Neurological System – Chapter 23
• At the completion of this chapter, the student will:
• Name the two parts of the nervous system.
• Describe the various functions of the central nervous system.
• Describe the function of the PNS.
• Relate the name and function of each of the 12 cranial nerves to its assessment.
• Relate the term “dermatome” to the spinal nerves.
• Describe the term “reflex arc.”
• Describe the autonomic nervous system.
• List developmental considerations for infants and older adults.
• Differentiate among the three types of neurologic examinations.
• Incorporate health promotion concepts when performing an assessment of the neurologic
system.
Week 6
Male Genitourinary System – Chapter 24
• At the completion of this chapter, the student will:
• List the structures of the male genitals.
• Name the major structures of the penis.
• Describe the function of the cremaster muscle.
• Identify the structures that provide transport of sperm.
• Relate the significance of the inguinal canal and the femoral canal.
• Discuss the importance of teaching testicular self-examination as health promotion during
assessment.
Anus, Rectum, and Prostate – Chapter 25
• At the completion of this chapter, the student will:
• Summarize the anatomy of the anus and rectum.
• Describe the prostate gland.
• Outline structures that can be examined through the rectum.
• Describe developmental care for examination of anal, rectal, and prostate structures.
Female Genitourinary System – Chapter 26
• At the completion of this chapter, the student will:
• List the external structures of the female genitalia.
• Describe the structures of the internal female genitalia.
• Outline the changes observed during puberty.
• Cite changes found during pregnancy.
• Outline the changes observed during the perimenopausal period.
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• Incorporate health promotion concepts when performing an assessment of the female
genitourinary system.
Week 7
The Complete Health Assessment: Putting it all Together - Chapter 27
• At the completion of this chapter, the student will:
• Use recommended techniques to perform a complete history and physical examination.
Week 8
Final Exam – Wednesday March 9, 2016 Time: 0700-1900 or 0900 on campus (Comprehensive Exam)
Important Information
ADA Considerations The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Special Populations Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.
Copyright Violations Some material in this course may be copyrighted. They may be used only for instructional purposes this semester, by students enrolled in this course. These materials are being used fairly and legally. No one may distribute or share these copyrighted materials in any medium or format with anyone outside this class, including publishing essays with copyrighted material, uploading copyrighted material to Facebook or YouTube, or painting or performing copyrighted material for public display.

Copyright violation is not the same thing as plagiarism. Plagiarism is intellectual dishonesty. Offenses of plagiarism result in lower grades or failing scores, and professors and the college strictly enforce plagiarism rules. There is never any acceptable use of plagiarism. Copyright violation is a legal offense, punishable by large fines and penalties.

Copyrighted material can be used if permission from the material’s creator is obtained, or if its use meets the standards of fair use in an educational setting. For example, a student can quote a line from Shakespeare’s Hamlet in a report without violating copyright but still be guilty of plagiarism if the quotation is not properly documented.

If you are in doubt about what material can be freely used, ask your professor or contact the Dean of Library Services, at (409) 984-6216.
Assessment Statement Assessment is a process by which LSCPA can help you learn better and gauge the level of progress you have made to attain knowledge, skills, beliefs, and values. It also helps your professors understand how to improve teaching and testing methods in your classes, and it helps each department understand and improve degree and certificate programs.

Periodically LSC-PA will collect assessment data for research and reporting purposes, including statistical data and sometimes copies of your work. Be assured that all material the college uses for assessment purposes will be kept confidential. To ensure anonymity, your name will be removed from any material we use for assessment purposes, including video-recorded performances, speeches, and projects.

If you object to allowing LSC-PA to use your material for assessment purposes, submit a letter stating so to your professor by the 12th class day. You will still be required to participate in whatever assessments are being done; we just won’t use your data.

What’s the difference between assessment and grades? The grades you get on papers, projects, speeches, and assignments are specific types of focused assessment. LSC-PA’s assessment efforts include class grades, surveys, standardized tests, and other tools.
Privacy Notice Federal privacy laws apply to college students. This means that college employees, including instructors, cannot divulge information to third parties, including parents and legal guardians of students. Even if the students are minors, information about their college work cannot be shared with anyone except in very limited circumstances.

Anyone requesting information about a student should be referred to the Registrar. Instructors will be notified in writing by that Office about what information may be released and to whom.

Please remember that releasing private information about a student, however innocuous it may seem, can be a violation of federal law, with very serious consequences.

Circumstances under which information may be released:

An adult student may submit, to the Registrar, a handwritten, signed note granting permission for release of information. The note must specify what information may be divulged, and it must specify the name of the person to whom the information may be given.

A parent or guardian may be given access to information about a student by providing a copy of a filed tax return that shows that the student was listed as a dependent of that parent or guardian. The tax return must be for last complete tax year. Again, this documentation must be submitted to the Registrar’s Office.

A parent or guardian may be given access to information about a student if the student logs on to My.LamarPA.edu and sends an email to the Registrar granting permission. The email must specify what information may be given and the name of the person to whom it may be given.

Co-enrollment students are protected by the same privacy laws as adult students.

The Registrar’s office is located in the Student Center room 303B, and can be reached at (409) 984-6165.

College-Level Perspectives This course helps add to the students’ overall collegiate experience in the following ways:

  • Establishing broad and multiple perspectives on the individual in relationship to the larger society and world in which s/he lives, and to understand the responsibilities of living in a culturally and ethnically diversified world.

  • Stimulating a capacity to discuss and reflect upon individual, political, economic, and social aspects of life in order to understand ways in which to be a responsible member of society.

  • Developing a capacity to use knowledge of how technology and science affect their lives.

  • Developing personal values for ethical behavior.

  • Developing the ability to make aesthetic judgments.

  • Using logical reasoning in problem solving.

  • Integrating knowledge and understand the interrelationships of the scholarly disciplines.

Degree Plan Evaluation A Degree Plan Evaluation will help you determine which classes you need to complete your program.

  1. Sign in to your my.lamarpa.edu account.

  2. Click on the “My Services” tab.

  3. Click on the “Student” tab.

  4. Click on Student Records.

  5. Click on Degree Evaluation.

  6. Select the term you are planning on registering for (i.e. Summer I, Summer II, Fall, or Spring)

  7. Verify that the Curriculum Information (your MAJOR) is correct

  8. Click on “Generate New Evaluation” at the bottom of the screen.

  9. Click the radio button next to Program

  10. Click on the Generate Request button.

All of the classes that you have taken that apply to your declared major will be listed on the right. If you have a class that still needs to be completed, a “NO” will be listed on the right next to the required class.

HB 2504 This syllabus is part of LSC-PA’s efforts to comply with Texas House Bill 2504.

Lamar State College - Port Arthur

Mission

Lamar State College - Port Arthur, a member of The Texas State University System, is an open-access, comprehensive public two-year college offering quality and affordable instruction leading to associate degrees and a variety of certificates. The College embraces the premise that education is an ongoing process that enhances career potential, broadens intellectual horizons, and enriches life.

Core Values

  • Shared commitment by faculty, staff and administration to a mission characterized by student learning, diversity, and community involvement

  • General education/core curriculum that develops the values and concepts that allow the student to make a meaningful contribution in the workplace or community

  • Academic and technical programs designed to fulfill our commitment to accommodate students with diverse goals and backgrounds, using a variety of delivery methods, on and off campus

  • Technical education programs that provide for the acquisition of the knowledge, skills and behavior necessary for initial and continued employment

  • Student achievement characterized by attainment of individual goals and measured by successful accomplishments and completion of curriculum

  • Co-curricular opportunities that develop social, financial and civic acuity

Principles

Lamar State College - Port Arthur operates in the belief that all individuals should be:

  • treated with dignity and respect;

  • afforded equal opportunity to acquire a complete educational experience;

  • given an opportunity to discover and develop their special aptitudes and insights; and,

  • provided an opportunity to equip themselves for a fulfilling life and responsible citizenship in a world characterized by change.

 
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