Curriculum Design And Instruction To Teach

Maternal-Newborn, and Child Nursing: Family

Centered Care: Pediatric Assessment:



Author: Charles Hayes:


Special Features Include:

Phases For Conducting A Needs Assessment:
Curriculum Design Supplement:
Curriculum Design Plan:
Curriculum Design Goals:
Curriculum Design Objectives:
Instructional Goals:
Instructional Objectives:
Instructional Evaluation Techniques:
Instructional Activities:
Standard Vocabulary:
A Limited Glimpse:



Topics Include:


A. Introduction:

I. Pediatric Assessment:

II. Anatomic and Physiologic Characteristics of

Children:

1. Obtaining The Child?s History:

a. Communication Strategies:

1. Strategies to Build a Rapport with the Family:

2. Careful Listening:

3. Data to Be Collected:

4. Patient information:

5. Physiologic Data:

6. Psychosocial Data:

7. Developmental Data:

b. General Appraisal:

A. Assessing Skin and hair Characteristics:

1. Inspection of the Skin:

2. Skin Color:

3. Palpation of the Skin:

4. Temperature:

5. Texture:

6. Moistness:

7. Resilience (Turgar):

8. Capillary Refill and Small-Vein filling Times:

9. Skin Lesions:

10. Inspection of the Hair:

11. Palpation of the Hair:

C. Assessing the Head for Skull

Characteristics and Facial Features:

1. Inspection of the Head and Face:

2. Palpation of the Skull:

3. Sutures:

4. Fontanels:

D. Assessing Eye Structures, Function, and Vision:

1. Inspection of the External Eye Structures:

2. Eye Size and Spacing:

3. Eyelids:

4. Eye Color:

5. Pupils:

6. Inspection of the Eye Muscles:

7. Extraocular Movements:

8. Corneal Light Reflex:

9. Cover-Uncover Test:

10. Vision assessment:

11. Infants and Toddlers:

12. Standardized Vision Charts:

13. Inspection of the Internal Eye

Structures Using the Ophthalmoscope:

E. Assessing the Ear Structures and Hearing:

1. Inspection of the External Ear Structures:

2. Inspection of the Tympanic Membrane:

3. Using the Otoscope:

4. Hearing Assessment:

5. Infants and Toddlers:

6. Preschool and Older Children:

7. Bone and Air Conduction of Sound:

F. Assessing the Nose and Sinuses for

Airway Patency and Discharge:

1. Inspection of the External Nose:

2. Palpation of the external Nose:

3. Nasal Patency:

4. Assessment of Smell:

5. Inspection of the Internal Nose:

6. Mucous Membranes:

7. Nasal Septum:

8. Discharge:

9. Inspection of the Sinuses:

G. Assessing the Mouth and Throat for

Color, function, and Signs of Abnormal

Conditions:

1. Inspection of the Mouth:

2. Lips:

3. Teeth:

4. Mouth Odors:

5. Gums:

6. Buccal Mucosa:

7. Tongue:

8. Palate:

9. Palpation of the Mouth Structures:

10. Tongue:

11. Palate:

12. Inspection of the Throat:

13. Tonsils:

14. Gag Reflex:

H. Assessing the Neck for Characteristics,

Range of Motion, and Lymph Nodes:

1. Inspection of the Neck:

2. Palpation of the Neck:

3. Lymph Nodes:

4. Trachea:

5. Thyroid:

6. Range of Motion Assessment:

I. Assessing the Chest for Shape, Movement,

Respiratory Effort, and Lung Function:

1. Topographic Landmarks of the Chest:

2. Inspection of the Chest:

3. Size and Shape of the Chest:

4. Chest Movement and Respiratory Effort:

5. Respiratory Rate:

6. Palpation of the Chest:

7. Chest Wall:

8. Tactile Fremitus:

9. Auscultation of the Chest:

10. Breath Sounds:

11. Vocal Resonance:

12. Abnormal Breath Sounds:

13. Abnormal Voice Sounds:

14. Percussion of the Chest:

I. Assessing the Breasts for Development and

Masses:

1. Inspection of the Breasts:

2. Stages of Development:

3. Nipples:

4. Palpation of the Breasts:

J. Assessing the Heart for heart Sounds and

Function:

1. Inspection of the Precordium:

2. Apical Impulse:

3. Abnormal Sensations:

4. Percussion of the Heart Borders:

5. Auscultation of the Heart:

6. Heart Rate and Rhythm:

7. Differentiation of Heart Sounds:

8. Splitting of the Heart Sounds:

9. Third Heart Sound:

10. Murmurs:

11. Completing the Heart Examination:

12. Blood Pressure:

13. Palpation of the Pulses:

14. Other Signs:

K. Assessing the Abdomen for Shape,

Bowel sounds, and Underlying Organs:

1. Topographic Landmarks of the Abdomen:

2. Inspection of the Abdomen:

3. Shape:

4. Umbilicus:

5. Rectus Muscle:

6. Abdominal Movement:

7. Auscultation of the Abdomen:

8. Percussion of the Abdomen:

9. Palpation of the Abdomen:

10. Light Palpation:

11. Deep Palpation:

12. Assessment of the Inguinal Area:

13. Inspection:

14. Palpation:

L. Assessing the Genital and Perineal Areas

for Pubertal Development and External

Structural Abnormalities:

1. Preparation of Children for the Examination:

2. Inspection of the Female Genitalia:

3. Mons Pubis:

4. Labia:

5. Hymen:

6. Urethral and vagin__ Openings:

7. Vagin__ Discharge:

8. Palpation of the Female Genitalia:

9. Inspection of the Male Genitalia:

10. Pen__:

11. Scrotum:

12. Pubic Hair:

13. Palpation of the Male Genitalia:

14. Pen__:

15. Testicles:

16. Spermatic Cord:

17. Enlarged Scrotum:

18. Inguinal Canal:

19. Cremasteric Reflex:

20. Inspection of the Anus and Rectum:

21. Palpation of the Anus and Rectum:

22. Patency of the Anus:

23. Rectal Examination:

M. Assessing the Musculoskeletal

System for Bone and joint Structure,

Movement, and Muscle Strength:

1. Inspection of the Bones, Muscles, and Joints:

2. Palpation of the Bones, Muscles, and Joints:

3. Range of Motion and Muscle Strength

Assessment:

4. Active Range of Motion:

5. Passive Range of Motion:

6. Muscle Strength:

7. Posture and Spinal Alignment:

8. Posture:

9. Spinal Alignment:

10. Inspection of the Upper Extremities:

11. Arms:

12. Hands:

13. Nails:

14. Inspection of the Lower Extremities:

15. Hips:

16. Legs:

17. Feet:

N. Assessing the Nervous system for

Cognitive Function, Balance, Coordination,

Cranial Nerve Function, Sensation, and

Reflexes:

1. Cognitive Function:

2. Behavior:

3. Communication Skills:

4. Memory:

5. Level of Consciousness:

6. Cerebellar Function:

7. Balance:

8. Coordination:

9. Gait:

10. Cranial Nerve Function:

11. Sensory Function:

12. Superficial Tactile Sensation:

13. Superficial Pain Sensation:

14. Infant Primitive Reflexes:

15. Superficial and Deep Tendon Reflexes:

16. Superficial Reflexes:

17. Deep Tendon Reflexes:

18. Analyzing Data from the Physical Examination:

* STATE OF THE ART CURRICULUM DESIGN:

* NEW:

* BIBLIOGRAPHICAL REFERENCES & INDEX:

* GRAPHIC AIDS:

* ILLUSTRATIONS:

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