Basic Assessment Flashcards

1
Q

Flow of procedures

A
  • general observation
  • history/interview
  • systems review
  • local observation
  • postural assessment
  • palpation
  • neurological screen
  • functional screen
  • ROM
  • MMT
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2
Q

What is included in general observation

A
  • patient movement and posture
  • assistive devices or external supports
  • difficulty completing paperwork
  • difficulty with ambulation
  • difficulty with transfers
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3
Q

What are the constitutional symptoms

A
  • fever
  • night sweats
  • day sweats
  • nausea/vomiting
  • change in bowel habits
  • weight loss
  • fatigue
  • sleep pattern changes
  • syncope
  • shortness of breath
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4
Q

What is included in systems review

A
  • any constitutional symptoms
  • laboratory testing
  • diagnostic imaging
  • procedures
  • integumentary
  • cardiovascular
  • pulmonary
  • neurological
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5
Q

What is included in local observation & posture

A
  • look specifically at the area of complaint
  • look at sitting posture & standing posture
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6
Q

What to look for in palpation

A
  • tone
  • atrophy/hypertrophy
  • tenderness
  • verify symptom location
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7
Q

Functional screen for outpatient

A
  • done in sitting or standing
  • ROM
  • gross strength tentatively screened with myotomes
  • transfers
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8
Q

Functional screen for inpatient

A
  • done in supine in bed
  • UE & LE ROM
  • bed mobility
  • transfers
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