intro to physical assessment Flashcards
what is the purpose of physical assessments
to gather baseline data, supplement; confirm; or refute previous data, confirm and identify nursing diagnosis, evaluate physiological outcomes of care
the 2 types of data
subjective, objective
the 2 sources of data
primary, secondary
3 phases of the interview process
Orientation, working, termination
4 types of physical assessment
comprehensive, focused, system specific, ongoing
what are the elements of the history assessment
baseline history, problem based history
what are the elements of the examination assessment
vital signs, inspection, auscultation, palpation
what are the 4 used techniques for assessment
inspection, palpation, auscultation, olfaction
what sense is not used in assessments
taste
what are 3 things to remember when doing an inspection
have good lighting, drape or cover parts not being examined for privacy, use additional lighting devices when needed
what are you observing for when doing an inspection
color, shape/symmetry, movement, position
light palpation
1 cm or 1/2 in deep
deep palpation
4 cm or 2 in deep
what are 8 things you are observing when doing a palpation assessment
texture, resistance, resilience, mobility, temperature, thickness, shape, moisture
frequency
of oscillations per second generated by a vibrating object
