Course Title: HEALTH ASSESSMENT

Course No.: NCM 101

Course Description:
This course deals with concepts, principles and techniques of history taking, head to toe physical examination
and psychosocial assessment using various tools and interpretation of laboratory findings to arrive at a nursing
diagnosis. The learners are expected to perform holistic nursing assessment of an individual adult client.
Course Credit: Theory: 3 units (54 hours); RLE: Skills lab – 2 units (102 hours)
Placement: First Year, Second Semester

Pre-Requisite: Anatomy and Physiology

Course Title: Health Assessment

Course No: NCM 101
Course Description:
This course deals with concepts, principles and techniques of history taking, head to toe physical examination
and psychosocial assessment using various tools and interpretation of laboratory findings to arrive at a nursing
diagnosis. The learners are expected to perform holistic nursing assessment of an individual adult client.
Course Credit: Theory: 3 units (54 hours); RLE: 2 units (Skills lab -102 hours)
Placement: First Year, Second Semester
Pre-requisites: Anatomy and Physiology
Program Outcomes:
1. Apply knowledge of physical, social, natural and health sciences, and humanities in the practice of nursing. 
2. Provide safe, appropriate, and holistic care to individuals, families, population group, and community utilizing
nursing process.
3. Apply guidelines and principles of evidence-based practice in the delivery of care.
4. Practice nursing in accordance with existing laws, legal, ethical and moral principles.
5. Communicate effectively in speaking, writing, and presenting using culturally appropriate language.
6. Document to include reporting up-to-date client care accurately and comprehensively.  
 7. Work effectively in collaboration with inter-, intra- and multi-disciplinary and multi-cultural teams.
8. Practice beginning management and leadership skills in the delivery of client care using a systems approach.
9. Engage in lifelong learning with a passion to keep current with national and global developments in general,
and nursing and health developments in particular. 
10. Demonstrate responsible citizenship and pride of being a Filipino.
11. Apply techno-intelligent care systems and processes in health care delivery.
12. Adopt the nursing core values in the practice of the profession.

Level Outcomes:
At the end of the first year, given simulated situations in selected settings, the students demonstrate basic nursing
skills in rendering safe and appropriate care utilizing the nursing process.
Course Outcomes:
1. Utilize knowledge of principles and concepts of relevant sciences and humanities in the practice of nursing.
2. Practice beginning skills in performing health assessment to individuals.
3. Apply guidelines and principles of evidence-based practice in health assessment.
4. Observe ethico-legal principles in conducting health assessment.
5. Communicate effectively in conducting health assessment.
6. Document assessment data accurately and comprehensively.
7. Value the significance of collaborative relationship of the members of the health team in conducting health
assessment.
8. Practice beginning management and leadership skills in conducting health assessment.
9. Engage in lifelong learning in developing competence in health assessment.
10. Demonstrate responsible citizenship and pride of being a Filipino when conducting health assessment.
11. Apply techno-intelligent care systems and processes in health assessment.
12. Adopt nursing core values in performing health assessment.

Sample Alignment Matrix with Course Content

 PROGRAM OUTCOMES COURSE OUTCOMES LEARNING OUTCOMES CONTENT
Apply knowledge of physical, Utilize knowledge of principles Integrate relevant concepts and Introduction to Health
social, natural and health and concepts of relevant principles of Anatomy and Assessment
sciences, and humanities in the sciences and humanities in the Physiology in health
practice of nursing.  practice of nursing. assessment. A. Overview of Nursing Process
( ADPIE )
Discuss the concepts,
principles techniques of Health B. Health Assessment in Nursing
Assessment. Practice

1. Types:
 Initial comprehensive
assessment
 On-going or partial
assessment
 Focused or problem
oriented assessment
 Emergency
assessment

C. Nurses’ role in health

assessment
Perform safe, appropriate, and Practice beginning skills in Assess one’s/peer health
holistic care to individuals, performing health assessment status/competence utilizing Steps of Health Assessment
families, population group and to individuals. correct assessment
community utilizing nursing techniques. A. Collection of subjective data
process. through interview and health
history.
Apply guidelines and principles Apply guidelines and principles Integrate evidence-based 1. Biographic Data
of evidence-based practice in of evidence-based practice in practice in conducting health 2. Reasons for seeking
the delivery of care. health assessment. assessment. health care
3. Chief complaint
4. History of:
Practice beginning Practice beginning Manage resources (human,  Present illness
management and leadership management and leadership physical and time) efficiently  Past health history
skills in the delivery of client skills in conducting health and effectively in health  Family Health History
care using a systems
approach.
Document to include reporting
up-to-date client care
accurately and
comprehensively.
Apply techno-intelligent care
systems and processes in
health care delivery.
Demonstrate responsible citizenship and pride of being a Customize health assessment
citizenship and pride of being a Filipino when conducting
Filipino.
assessment. assessment.
Maintain a safe environment in
conducting health assessment.
Document assessment data Document health assessment
accurately and data properly.
comprehensively.
Ensure accuracy,
completeness and integrity of
health assessment data.
Adhere to guidelines in
documentation related to
confidentiality of health
assessment data
Apply techno-intelligent care Use appropriate technology in
systems and processes in performing health assessment.
health assessment.
Apply systems of informatics in
health assessment.
Demonstrate responsible
process based on the culture
Health assessment. and values of the client/family.
 Current medications
 Lifestyle
 Developmental level
 -Psychosocial History
B. Collection of objective data
1. Physical Examination.
 Preparation
 Positioning
 Techniques
2. Diagnostic Test and
Procedures
3. Other sources e.g. client
chart
C. Validation of data
D. Documentation of data
1. Guidelines for
Documentation.
 Written notes
 Electronic
documentation
Holistic Nursing Assessment
1. General Status and Vital
Signs
2. Mental Status
 Children and Adolescent
 Adults
3. Psychosocial, Cognitive and
Moral development.
4. Pain
5. Violence
6. Culture and Ethnicity
7. Spirituality and Religious

Practice nursing in accordance
with existing laws, legal, ethical
and moral principles.
Communicate effectively in
speaking, writing, and
presenting using culturally
Observe ethico-legal principles
in conducting health
assessment.
Communicate effectively in
conducting health assessment.
Adhere to relevant ethico-legal
principles in conducting health
assessment.
Protect clients rights based on
“Patient’s Bill of Rights and
Obligations.”
Implement strategies/policies
related to informed consent as
it applies in health assessment.
Utilize appropriate
communication/interpersonal
techniques in conducting health
practices
8. Nutritional Status
Physical Assessment
1. Skin, hair and nails
2. Head and neck
3. Eyes
4. Ears
5. Mouth, throat ,nose and
sinuses
6. Thorax and lungs
7. Breast and lymphatic
system
8. Heart and neck, vessels
9. Peripheral vascular system
10. Assessing the abdomen
11. Musculo-skeletal system
12. Neurologic system
13. Male genitalia and rectum
14. Female genitalia and rectum
Relevant Ethico-Legal
Guidelines in Conducting
Health Assessment
1. Ethico-Legal
Considerations
 Informed Consent
2. Patients’ Bill of Rights
3. Data Privacy Act
Guidelines of an Effective
Interview and Health History
appropriate language.
Work effectively in
collaboration with inter-, intra-
and multi-disciplinary and multi-
cultural teams.
Engage in lifelong learning with
a passion to keep current with
national and global
developments in general, and
nursing and health
developments in particular.
Adopt the nursing core values
in the practice of the
profession.
Value the significance of
collaborative relationship with
the members of the health
team in conducting health
assessment.
Engage in lifelong learning in
developing competence in
health assessment.
Adopt nursing core values in
performing health assessment.
assessment.
Describe the harmonious
relationship among members of
the health team in conducting
health assessment.
Engage in self-directed
learning to enhance
competence in health
assessment.
Demonstrate caring as the core
of nursing, love of God, love of
country and love of people
when performing health
assessment.
1. Phases
2. Types of Communication
3. Special considerations related
to age, cultural and emotional
variations
Health Care Team in Health
Assessment
1. Team-based approach
2. Roles of the Nurse and
other members of the health
team
Program instructions in Health
Assessment
Core values of nursing in
conducting health assessment.

Sample Learning Plan

Learning Strategies
Learning Outcomes Content Assessment
TA Related Learning TA
Classroom Experience ( Skills
Laboratory)
Adhere to relevant Relevant Ethico-Legal
ethico-legal principles Guidelines in Conducting Flipped Classroom on Rubrics :Case
in conducting health Health Assessment Case Scenarios on Analysis on a given
assessment. 1. Ethico-Legal ethico-legal issues in scenario
Considerations conducting health Simulation in:
Protect clients rights  Informed assessment - Obtaining Individual/Group
based on “Patient’s Consent informed Feedback
Bill of Rights and 2. Patients’ Bill of consent
Obligations”. Rights
3. Data Privacy Act
Implement
strategies/policies Interactive Discussion Quiz
related to informed
consent as it applies Case Vignettes/ Rubrics: Case
in health assessment. Analysis Analysis

Learning Environment:
Classroom and Skills Laboratory
Independent Study: Use of learner’s time spent outside of the laboratory for self-directed learning using available resources
(actual and online ), equivalent to 20-30% of the total RLE hours.

Resources:
Print, Non-Print materials, and Electronic Materials, Equipment and supplies, Clinical Scenarios, Vignettes
Videos, CDs, Audio on Physical Assessment
Course Requirements:
These are major student outputs (whether individual or group outputs) reflective of the integrated attainment of course outcomes.
Grading System:
1. Includes combined grades of both Theory and Skills Lab/RLE with corresponding unit weights.
2. Assessment tools measure the learning outcomes taking into consideration the Table of Specifications
3. Follows the institutional grading system.

References:
Bibliography and Webliography (Include several appropriate and relevant references)