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Digital Seminar

Mastering Physical Assessment Skills: Identify Cardiac, Respiratory and Neurological Disorders


Speaker:
Diane S Wrigley, BS, PA-C
Duration:
6 Hours 23 Minutes
Format:
Audio and Video
Copyright:
Mar 25, 2014
Product Code:
POS005665
Media Type:
Digital Seminar


Description

You will learn:

  • Strategies to detect and identify abnormal heart and lung sounds
  • Case Studies and audio playback to enhance learning
  • Crackles, wheezes, rubs, gallops, clicks and snaps
  • Full discussion and how this leads to proper differential diagnoses
  • Characteristics and causes of heart murmurs
  • Complete 6-part neuro exam made simple - exam will be demonstrated
  • Discussion and work-up for mental status changes

Attend this seminar and learn to identify the different variants in the cardiac, respiratory and neurological assessments. National speaker and expert, Diane Wrigley, BS, PA-C, has developed a CD that accurately plays both abnormal and normal heart and lung sounds. Diane will teach you the origin and significance of these sounds utilizing the auditory portion of the CD. Differential diagnoses are considered and a systematic six-part neurological assessment is reviewed and demonstrated for you.

Case studies will be presented for discussion to help reinforce the physical assessment skills and listening techniques. Diane will also illustrate the proper methods to document your assessments and findings. You will feel confident leaving this seminar with information you can utilize for your future patient assessments.

Past attendees applaud Diane Wrigley and this seminar:

“The incorporation of real-life heart and lung sounds make this presentation come alive.”

“I would love to attend another seminar by this presenter! I liked the clinical assessment situations and the step by step helpful hints provided!”

 


 

 

Credit


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.


Nurses, Nurse Practitioners, and Clinical Nurse Specialists

This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

CE Broker


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Diane S Wrigley, BS, PA-C Related seminars and products


Diane S. Wrigley, BS, PA-C, currently works in family practice and emergency room settings in Maine's mid-coast hospitals. A Physician Assistant for 27 years, she has seen all ages from the young pediatric patients to the very elderly patients. Her clinical experience includes preventative health care, as well as managing acute problems and chronic illnesses such as diabetes, COPD, asthma and heart disease. Diane's years in a broad-based family medicine practice prepared her for being the provider in a 15-bed coastal hospital ER. Her responsibilities included being the house officer for the in-patients as well as taking call for five out-lying family medicine practices after hours. She is also an adjunct faculty at the University of New England Physician Assistant program, lecturing and precepting PA students in a rural health care rotation.

Diane's current practice is in a rural setting, where many assessment and treatment modalities found in large metropolitan areas are not readily available. Because of that, she has developed strong critical thinking skills, plus excellent assessment skills, as she cares for patients from start to finish. Diane's strategies and techniques have systematically and comprehensively improved patient outcomes.

Diane received her BS from Tufts University in Medford, Massachusetts, and her Physician Assistant certificate from University of California, Davis, Medical School, Physician Assistant/Nurse Practitioner Program. She was a faculty member in the Davis PA/NP Program teaching advanced clinical medicine. She has been a lecturer in the Ship's Medicine Course at the Maine Maritime Academy, where she trained ship medical officers to render medical aid when out to sea. Diane authored nine chapters in "Primary Care for Physician Assistants," edited by Dr. Rod Moser, PA-C. Please join Diane for this exciting and valuable seminar. It will improve the care you provide you patients the very next day.

Speaker Disclosures:
Financial: Diane S. Wrigley is receiving a fee for speaking at today's educational activity.
Nonfinancial: Diane S. Wrigley has no relevant nonfinancial relationships to disclose.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Objectives

  1. Determine where and why vesicular, bronchovesicular and bronchial sounds can be normal or abnormal and the significance of the abnormalities.
  2. Determine pathophysiology and differential diagnoses for crackles, wheezes, rhonchi and rubs.
  3. Evaluate management of obstructive vs. restrictive lung disease.
  4. Demonstrate a thorough 6-part neurological exam and document findings.
  5. Assess primary causes of mental status changes and identify which patients are at risk for delirium and how to respond.
  6. Distinguish whether abnormal S1 and S2 heart sounds are pathological or benign.
  7. Measure whether systolic and diastolic murmurs are benign or indicate cardiac disease.

Outline

Respiratory Exam

Abnormal Lung Sounds

    • Pneumonia
    • Atelectasis
    • URI
    • Bronchial Breathing
    • Bronchophony
    • Egophony
    • Whispered Petroliloquy
    • Death Rattle
    • Absent Breath Sounds
    • Pneumothorax
    • Hemothorax
  • Crackles
  • Rhonchi
  • Stridor
  • Wheezes
    • Asthma
    • COPD
    • Emphysema
  • Pleural Friction Rub

Strategies for Detection

  • Chronic Bronchitis
  • Pneumonia
  • Emphysema
  • Acute Asthma
  • Croup

NEUROLOGICAL EXAM

Mental Status

  • Mnemonic to Cover All Bases
    • Stroke
    • Overdose
    • Infection
    • Toxic states
    • Mental illness

Cranial Nerves

  • Techniques to Cover I-XII Quickly and Completely
  • Motor
  • Evaluate Strength and Symmetry

Sensory

  • Quick Field/Bedside Assessment

Coordination

  • Simple Test to Assess

Reflexes

  • Systematic Approach/Technique

Head Injury Evaluation

  • Glasgow Coma Scale

Abnormalities of Consciousness

Clinical Clues

  • Delirium
  • Stupor
  • Coma

Altered Mental Status

  • Confusion Assessment Method (CAM)

CARDIAC EXAM

Auscultation Sites, Sequencing and Skills

  • S2 split
  • S3
  • S4
  • Gallop
  • Opening Snap
    • Mitral and Tricuspid Valves
  • Clicks
    • Mitral Valve Prolapse
  • Systolic Ejection Sounds
    • Hyperdynamic State

Murmurs

  • Intensity (Grade I - VI)
  • Location
  • Radiation
  • Pitch
  • Quality
  • Timing
  • Pattern or Configuration
  • Functional vs. Pathologic Murmur

Strategies for Detection of Abnormal Cardiac Sounds

  • Innocent Systolic Ejection Murmur
  • Mitral Valve Prolapse
  • Aortic Stenosis
  • Systolic Regurgitation
  • Mitral Regurgitation
  • Tricuspid Regurgitation

Diastolic Murmurs

  • Aortic Regurgitation
  • Aortic Stenosis
  • Mitral Stenosis
  • Patient Ductus Arteriosis

Prosthetic Heart Sounds

  • Pericardial Rubs
  • Mediastinal Crunch

 

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists Respiratory Care Practitioners, Paramedics, Physician Assistants

Reviews

5
4
3
2
1

Overall:      4.8

Total Reviews: 12

Comments

Karla K

"Diane was excellent, one of the best I have had with CE."

Loretta O

"Diane is fabulous. I love her method of teaching with content followed by good case studies. Also got the CD of sounds which I use in my own class."

Karen C

"Great speaker. Very knowledgeable. Loved the case studies. "

Maureen B

"Ms Wrigley was an excellent presenter. Her delivery was clear, concise. I appreciated having the heart/lung sounds audible while seeing a slide tht pictured what I was hearing. Her practice pearls were very helpful as well. "

Katie K

"The presenter was very knowledgeable and I enjoyed learning from her. "

Ann N

"Wonderful and thorough. I feel that I have increased my knowledge and skill level."

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
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