110 likes | 365 Views
Health Assessment. NUR 5303 Gayle A. Richerson BSN, RN. Background image from: http:// www.animateit.net/data/media/54/myanistarback2.gif. Use of Body Waters to Assess Health. Physician looked at, smelled and tasted patient’s urine.
E N D
Health Assessment • NUR 5303 • Gayle A. Richerson BSN, RN Background image from: http://www.animateit.net/data/media/54/myanistarback2.gif
Use of Body Waters to Assess Health Physician looked at, smelled and tasted patient’s urine. Physician had patient spit into their hand to assess lungs.
Learning Objectives • Define physical assessment • Differentiate between • focused assessment • comprehensive assessment • Identify assessment “tools” • Define components of assessment Background image from: http://www.animateit.net/data/media/54/myanistarback2.gif
Definition An appraisal or evaluation of a patient’s condition by a physician or nurse, based on clinical and laboratory data, medical history, and the patient’s account of symptoms.
SEEKS TO ANSWER QUESTIONS What is observed? What does it mean? What nursing action/intervention does it prompt? Background image from: http://www.animateit.net/data/media/54/myanistarback2.gif
Comprehensive vs. Focused • Focused is a narrow assessment looking only at the presenting problem of the moment. • Comprehensive is a detailed assessment of all aspects of patient’s health.
Tools Smell Hearing Touch Sight Technology Equipment
Systematic Approach What type of assessment? Focused? http://www.oneminutepresenter.com/wp-content/uploads/2009/08/prepare-sharpen-your-focus.jpg Comprehensive? Reference: Hogan-Quigley, Palm & Bickley (2012)
Assessment Components • Focused • Presenting complaint • Gender, age • Pre-existing conditions • Current medications • Comprehensive • Cultural • Developmental • Mental • Social • Spiritual • physical
Interesting Physical Exam youtube Videos http://www.youtube.com/watch?v=EFNFEsevL_c http://www.youtube.com/watch?v=NRSPNkKsjMo http://www.youtube.com/watch?v=wjMjbw_8Y28&feature=endscreen
References Hogan-Quigley, B., Palm, M. L., & Bickley, L.(2012). Bates’ Nursing Guide to Physical Examination and History Taking. Philadelphia, PA. Lippencott Williams & Wilkins. Venes, D. (Ed.) Tabor’s Cyclopedic Medical Dictionary, (21st ed.) F. A. Davis. Background image from: http://www.animateit.net/data/media/54/myanistarback2.gif Focus image from: http://www.oneminutepresenter.com/wp-content/uploads/2009/08/prepare-sharpen-your-focus.jpg Animated buffalo: http://netanimations.net/african_20.gif http://www.animateit.net/data/media/54/myanistarback2.gif