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History Taking and Physical Assessment for Nursing Practice

Module Objective: To develop knowledge, skill and competence in the taking of a detailed clinical history and performing a head to toe physical examination.



Module Content: Principles of Patient Assessment and Clinical Reasoning. Taking a history, demonstration and practice. Vital signs and global physical assessment. Assessment of the gastro-intestinal, cardiovascular, respiratory and neurological systems; demonstration and practice. The 'complete physical' examination. Legal and professional considerations.



Learning Outcomes: On successful completion of this module, students should be able to:

  • Take an appropriate history from a patient presenting with a health problem or problems
  • Apply knowledge of the body's systems to demonstrate understanding of the implications and relevance of an accurate clinical assessment
  • Conduct a head to toe physical examination
  • Demonstrate the ability to develop assessment, diagnostic reasoning and patient management skills
  • Record their findings and interpretation accurately and comprehensibly in written and oral formats.