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

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
• Conduct proper assessment skills - inspection, palpation, percussions, auscultation

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
• LIVE PARTNER DEMOS: Practice with case studies and proper assessment
  • Key clues you can’t miss
  • Risk factors, readings, subjective and objective data
  • Plan of care

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:
• Bronchial, Broncho-vesicular, Vesicular Breath Sounds
• Bronchophony, Egophony, Whispered Petroliloquy
• Death Rattle, Absent Breath Sounds
• Learning the adventitious sounds like Crackles, Rhonchi, Stridor, Wheezes and what to do with them
• What Lung Sounds to expect in different disease states
• LIVE PARTNER DEMOS: Practice with sounds: Listen, assess, and learn

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
• LIVE PARTNER DEMOS: Practice and learn with examples

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. Disclosures:

Financial: Angelica F. Dizon is a faculty member for Radians College. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Angelica F. Dizon has no relevant nonfinancial relationships to disclose.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

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.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. 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 professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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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.

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.

Copies of the evaluation may be sent to the IBON. 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.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, and other Healthcare Professionals