Each shift, the pressure of time feels constant. We want to give our best to patients but have to prioritize, with the time that is available. We know how instrumental our physical assessments are. They constantly contribute to the patient’s picture – the plan of care, evaluating if the patient is improving….or declining.
We can not afford to miss important clues that are available to us, through a top-notch assessment. The American Medical Association shared this staggering statistic….8 in 10 misdiagnoses were due, in part, to problems in the patient encounter, such as errors during the physical exam or medical history taking.” How many times in the past might you have missed identifying a concern with a patient? Do you want to be sure that does not happen again?
Angelica F. Dizon, MD, MSN, MBA-HCM, BSN, RN, NP-C, will share from her extensive years in practice, working as a physician and advance practice nurse. She has collected pearls of insight that will help you, too, to finally grasp assessment strategies at an advanced level.
Whether you need to perform a rapid, focused patient assessment or a more comprehensive evaluation of the patient, Angelica will elevate your own clinical skill set. Often patient care becomes very complex with multiple conditions and diagnoses overlapping. At the end of this comprehensive training, you will be able to target your clinical assessments, challenge your critical thinking and gain confidence in the interventions that you initiate — on your very next shift!
Speaker
Angelica Dizon, MD, MSN, MBA-HCM, BSN, RN, NP-C
Angelica Dizon, MD, MSN, MBA-HCM, BSN, RN, NP-C, is a physician, advanced care practitioner and a registered nurse, with more than two decades of experience in clinical practice. Angelica serves as the director of clinical services in one of the leading home healthcare agencies in Maryland. She has extensive past experiences both in the acute care and long-term care settings as well. Her diverse experiences provide her with unique perspectives on the importance of an in-depth understanding of pathophysiology. As a clinician, she sees complicated patient cases that require a keen understanding of overlapping disease processes. Angelica enjoys sharing her expertise and excels at putting complex topics in to a plain English approach. As such, she is a sought-after presenter, sharing her vast knowledge with experienced interdisciplinary audiences across the country.
Speaker Disclosures:
Financial: Angelica F. Dizon is a faculty member for Radians College. She receives a speaking honorarium from PESI, Inc.
Non-financial: Angelica F. Dizon has no relevant non-financial relationships to disclose.
Objectives
Assess where and why vesicular, bronchovesicular and bronchial sounds can be normal or abnormal and the significance of the abnormalities.
Appraise pathophysiology and differential diagnoses for crackles, wheezes, rhonchi and rubs.
Develop management of obstructive vs. restrictive lung disease.
Practice a thorough 6-part neurological exam and document findings.
Evaluate primary causes of mental status changes and patients most at risk for delirium for quick intervention.
Distinguish whether abnormal S1 and S2 heart sounds are pathological or benign.
Determine whether systolic and diastolic murmurs indicate cardiac disease.
Outline
Head-to-Toe Approach – Learn tips, tricks, and tools to conduct a quick and precise head-to-toe assessment
Assess the patient using the most comprehensive approach
Evaluate baseline and identify patient status changes
Devise tips and tools to perform a more efficient exam without missing key clues
Neurological Exam – Mastering the 6-Part components of a Neuro exam in less time
Unraveling the 6-Part components of a thorough Neurological Examination
ABCT Components of Mental Status
Key points and clues of using Confusion Assessment Method (CAM) Instrument and what can be diagnosed as a result
Evaluate an efficient and accurate assessment of normal vs. abnormal findings for: altered mental status, cranial nerves, motor, sensory, cerebellar functions, reflexes
Danger Signs for abnormal findings and how to identify diseases by physical examination
Respiratory Exam – Identifying the different breath sounds and their locations to narrow down diagnosis
Physical assessment of the respiratory system – key points of normal anatomy to remember
Identification of normal, abnormal, decreased or absent breath and lung sounds
Assessment and techniques of Tactile Fremitus, percussion, lung auscultation
Interpreting what you are hearing and what you should expect to hear:
Learning the adventitious sounds like Crackles, Rhonchi, Stridor, Wheezes and what to do with them
What Lung Sounds to expect in different disease states
Cardiac Exam – Knowing the different murmurs, their presentation, sounds and location to accurately pinpoint the disease process
Examination of mitral, tricuspid, pulmonary, and aortic
Auscultation sites, sequencing and skills
Characteristics of a functional murmur
How to identify?
7-point classification
When does a murmur become pathologic?
Strategies for detection of abnormal cardiac sounds
Target Audience
Nurses
Nurse Practitioners
Physician Assistants
Occupational Therapists
Occupational Therapy Assistants
Physical Therapists
Physical Therapist Assistants
Reviews
JUNGHWA P
“great assessment classes with an amazing instructor”
Shelley W
“Insructor is very smart,pleasant and explains things well.”
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