Clinical Examination and Nursing Diagnosis

Course Code:

ΝΟΣ0403

Semester:

4th Semester

Specialization Category:

Specialized Mandatory ( ΜΕ )

Course Hours:

Theory 2 - Lab 1

ECTS:

3



Course Tutors

Govina Ourania

 

STUDENT PERFORMANCE EVALUATION

    1. Written final exam (50%) that includes:
      • Multiple choice questions
      • short answer questions
      • Judgement Questions
    2. Laboratory (50%)

 

LEARNING OUTCOMES

After the end of the course students will be able to:

  • Apply ways of collecting information from the patient and his environment.
  • Apply physical examination methods to properly assess the patient’s condition
  • Collect material for diagnostic tests.
  • Evaluate clinical findings and make a nursing diagnosis
  • Recognize in time the possible risks of the patient’s situation in order to intervene, contributing to the reduction of morbidity and mortality

 

GENERAL COMPETENCES

  • Teamwork.
  • Adaptation to new situations.
  • Respect for diversity and multiculturalism.
  • Promotion of free, creative and inductive thinking.
  • Work in an international environment
  • Work in an interdisciplinary environment
  •  Decision making

The aim of this course is to give students scientific knowledge to acquire the ability of critical scientific thinking as to recognize and evaluate symptoms, clinical signs, needs, problems and patient behaviors and to make nursing diagnoses of individuals who are hospitalized or come to the primary health units.

 

Course Outline

 

SYLLABUS

THEORY 

This course provides knowledge and skills for the nursing assessment of the patient and includes the following sections:

  • Nursing diagnostics / clinical signs as a guide to nursing care plan development.
  • Ways to get and write nursing history.
  • Assessment of vital functions and signs: pulse, respiration, temperature, blood pressure, fluids output.
  • Equipment, environment and infection prevention during clinical examination.
  • Physical Examination: System Examination Methods (Nutrition status, Skin, head, eyes, nose, ears, oral cavity and pharynx, cervix, thyroid, breasts and armpits, chest and lungs, heart, abdomen, musculoskeletal system, hernia, female genitalia, anus, rectum and prostate, peripheral vascular system, nervous system and mental state).
  • Physical examination of special categories of patients: pregnant, children, adolescents, elderly and acute cases.
  • Common Nursing Diagnosis.
  • Health education and counseling in the context of diagnostic nursing

 

LABORATORY

Students practice in the laboratory of pathological-surgical nursing where demonstration of specific techniques and skills that serves for diagnostic purposes take place. In particular, the laboratory includes the following nursing units / procedures:

  • Nasogastric intubation (Levin) in order to obtain and examine gastric fluid
  • Diagnostic paracentesis
  • Urine Bladder catheterization for diagnostic purposes
  • Collection and sending cultures (urine culture, blood culture, peripheral catheter culture, wet trauma culture, tracheobronchial secretions culture, stoma culture)
  • Drug susceptibility test and interpretation of findings
  • Blood sugar control and interpretation of findings
  • Detection of ketone bodies and sugar in the urine
  • Central Venous Pressure Measurement and Interpretation of Findings
  • Arterial blood pressure measurement with placement of arterial line
  • Swan-Ganz catheter placement and interpretation of findings
  • Performing and interpreting electrocardiography
  • Air blood gases and interpretation of results