Unit 6 Flashcards
(47 cards)
when should you perform a comprehensive health assessment?
it may be performed when a patient makes initial contact within a health care system
what is a comprehensive health assesment?
it encompasses physical, psychologcal, social, and spiritual dimensions of living.
what are the components of a focused health assesment?
they include performing general serveys, taking vital signs, and assessing specific areas that relate to the problem
what is Subjective Data?
imformation on symptoms, feeling, perseptions, preferences, values, and information, that only the patient can state and validate
what is Objective Data?
directly observed or measured, such as vital signs or appearance
what is the purpose of the health assesment?
to establish a data base for the patents normal abilities, risk factors that can contribute to disfunction, and any current alterations in fuctions
what are the 3 major frameworks for ongoing assesment?
Functional health framework,head to toe framework, and body systems framework
what is functional health framework?
a functional health assessment evaluates the effects of the mind, body, and environment in relation to a persons ability to perform the tasks of daily living
what is head to toe framework?
a system for collecting data in an organized manner starting from head and proceeding systematically downward to the toes
what is body systems framework?
it focuses on the pathophysiology involved with in specific body systems
what is secondary data?
includes sources of data other than the patient, such as history or other health care providers
what is primary data?
information gathered directly from the patient during the initial stage of assesment
what is health history?
a goal-directed conversation between nurse and patient
making specific observations of physical features and behavior is what part of the physical examination
inspection
during the physical examination when should inspection be performed and what is it
inspection should be performed during the first part of the initial physical examination. inspection is making specific observations of physical features and behavior.
what is general survey?
it includes apparent state of health, level of conscienceness, and signs of distress
after inspection, what physical examination follows?
palpation
what is palpation?
the uses of hands and fingers to gather information through touch, is also used to discriminate position, texture, size, constancy, masses, and fluid
what is finger tip palpation used for?
they are used to discriminate raised verses flat skin leasions or to evaluate an arterial pulse
during a physical examination, the nurse would used the back of his hand to do what assesment?
to palpate the skin temperature of a pair
During A physical examination a nurse will use the palm of his hand the gather what tactile information?
Vibrations from within the body
Percussion during a physical examination from a nurse is defined as?
The sense of hearing involves using the fingers and hand to tap an area on the patient to produce sound
True or false
Can persuasion be used to determine whether a structure is air filled, fluid filled, or solid
True
The degree to which sound propagates is called?
Resonance
