Health Assessment FINAL Exam Review PDF

FINAL EXAM REVIEW NOTES communication techniques for health history Questioning Open...

FINAL EXAM REVIEW NOTES communication techniques for health history Questioning Open : us close ended /yes or no ? ) forms of hearing difficulties a Conductive hearing loss - when sound wave transmission through the external ear or middle ear is disrupted cananswe e blockage by cerumen or fluid Restatement : relates to the content of communication Sensorineural hearing 3) It loss (SNHL) - results from problem somewhere beyond the middle ear , sounds like this or you said that from Innerear to auditory cortex ex)Presbycusis : gradual (happens with aging but more Reflection : Summarizing the main themes of communication concerning for young adults ; degeneration of sensory hairs and nerves ex) you sound nervous why do you feel that way Tinnitus - buzzing or or both ears does not correspond with external ear , ringing in one Elaboration : Assessment findings that would demonstrate throat difficulties Assists patients to more completely describe difficulties oral or ex)Go If patient has decreased food in put on... (encouraging) Silence Purposefully : weight changes allow patients time to gather thoughts focusing : Redirecting patients to perfinent topics being discussed · Reduced activity (bowel) ex) When you want to leave let's address Priority Urgent assessment related to the cardiovascular system and associated interventions a concern , oh help you with... , right now we can Clarification : Questions to ascertain the patients when word choice or ideas are unclear Priority symptoms : meaning chest pain tissue perfusion prinadequate · Typesof Heathstor ang or unstable situation · Sob (shortness of abnormal BP narratea Aronythmia : sheck level of conciousness and Obtain the BP to evaluate peripheral perfusion fluid volume overload ; decompensated heart fallure pulmonary edema is the priority ava Documenting normal peripheral vascular findings Comprehensive : complete health history and physical assessment performed : seven Ps · pulselessness : lack of pulse via palpation auscultation Annually for outpatients , · · Pain · Upon hospital/long-term care admission paralysis : complete loss of muscle function pallor : pale skin color · focused smaller but increased depth of specific issue(s) : occurs in all settings , in scope · Polkilo thermia : inability to regulate core body temp. · Perfusion : capillary refill based on patient needs purpose of data collection and healthcare setting pare thes las : numbness, tingling Purpose of the four 70dmstrunghten assessment techniques Making sure to : Inspection : gain overall impression of patient and to assess the severity of the Situation (only looking) Inspecti palpate : Auscultate : Auscultation : listening order adot) to sounds of movement from organs (using steth) ·Timea b and tissues to assess function skin color Desuit , · Percussion : produce sound elicit tenderness or , dense tissues , are quiet or flat , and air is louder · Edema moderate pressure I dense tissue - belly , lungs will have loudest +issue) 35 Increased pulse ; · vicers · Tenderness Palpation : Use of touch with the hands to assess texture , temp , moisture , size , shape , location , position on · wall beds 4 + f Ul 1 Down ding ; sann of obliterate Influencing factors on blood pressure Basic method of auscultating the lungs Age-older the higher BP) not normal but expected) Diurnal Cycle-high BP · 12 posterior spots anterior spots 1 Time of Day) Gender-Female higher BP - Ethnicity BP Emotion /Stress/smoking/meds-Y BP Once a full breath cycle is finished more to the next spot - Black pop have higher & BP Pain - BP Lifespan Consideration for breast +issue Weight - The more weight Pain Types · Pregnancy causes breath enlargement Acute pain : colostrum : Milk precursor , rich in protein , carbohydrates , and antibodies but low in fat ( yellower Recent tissue damage , warns the body that same type of insult Chronic Pain : Lasts · Newborns & Infants may experience "Witch's milk" during the first few weeks of life (normone changes) beyond the normal healing period and has no useful role Adolescents breast development · experience over a three-year period High-Impact Chronic Pain (HACP) : pain that limits at least one major life activity · Tanner staging visceral pain : Abdominal organs (spasm) · Menarche : causes normonal fluctuations that may cause duct enlargement and inflamed tissue Somatic pain : Muscles bones and joints , Breasts males assigned at birth , · in may experience gynecomastia & utaneous pain : Dermis , epidermis , and subcutaneous tissues (skin related (Iburns ( usually away after puberty (17 years) Perky breasts goes · Referred pain : Experienced at another site along the innervating nerve Order for Phantom pain : conducting an abdominal assessment Neuropathic pain in an extremity or body part that is no longer there about tenderness or pain · Asking patient Neuropathic pain Constant stimulus system modification transmission that may : resulting In nervous in pain Inspecting the abdominal are a causeand ofpanseverresult of inflammatory process. Non painful touch pressure becomes panf a · Auscultating the four quadrants are to percussing the four quadrants hypersensitivity Nociplastic Palpatingthequadrant is pain : Pain that · has no identifiable cause ex) fibromyalgia CRP) , Chronic low back pain , Irritable bowel syndrome headaches restlessing syndrome a , , erectile dysfunction , , Neuronal Windup understanding : Tissues in the affected area to become extremely sensitive to pressure areas not visually identified consistency attain maintain sufficiently rigid erect penis to intercourse In as paint j ( - Erectile Dysfunction (ED) : failure to a allow for penetration during I normal happen with aging not expected). (younger adults see a vrologist) Nutritional Guidelines Lifespan consideration for female nutrient dense food/customize genitally the food to fit the palate Infants Childredescents External adolescents should a : , genitalia engorged at birth with pink discharge , Tanner staging , Sexual active Substitute use real food or fruits + instead of soda d juice Role of Priority Urgent Assessment and treatment for concerning findings in pregnancy Integumentary Glands Estopic : fertilization happens fallopian tubes Sudoriferous Glands : produce sweet to maintain normal body temp pregnancy in but fetus is implanted somewhere other than uterus Check : breathing a safety a) Eccrine Glands : Open directly on to the skin surface and secrete a weak saline solution known as sweat ↑ yelonephritis : Inflammation of Kidneys , infection response to environmental palms , nose sweat In or psychological stimuli. (Does not smell > - treatment : Immediate IV antibiotics b) Apoctine Glands : open during puberly Symptoms Into hair follicles and become active Secrete thicker , milky sweat urine color , consistency , fever , flank an as after with skin bacterial flora creates the scent of body color. that mixing sebaceous glands - produce moisture , happens at the start of puberty -> causes done Assessing structure and function in newborns & Infants Motor development : Ability to control body movements (011 glands) Pattern : Priority Assessment for symptoms of head and neck · ephalocardully > - head control before leg control Acuteheadandensuresandneurological changes including strength central to distal , vision changes , warrant urgent assessme a > - inward strength before outward to fine gross > draw before - they can write adults Teaching NeckDunisvaymuscetension andspasm & Health promotions for childrens d adolescents , assessment tools used in older a n ou menists · Adolescents Older Adults Lymphatics > Iomi fixed , Irregular, hard , or rubbery · promotion of contraception Nutritional Assessment tool (MUST) ReaEmergencyinvestigationforcaneare t abolism in many system and STI prevention · Skin Assessment tool Braeden Scale. Don't dridde w is Common Sign-Tachycardia Tachypnea Nausea , Vomiting , Diarrhea , Abdominal Pain fever and weakness , , , seatbelts , Acute bacterial thyroiditis : prevention of substanced swelling · neck , pain , and fever Prevention of dental · High Risk for airway compromise as well as thyroid Dysfunction health carries & Iconol abuse Teaching/Health promotion for at-risk groups related to eye problems Sunlight exposure increases risks for cataracts and conjunctival disorders > - cataracts older adults D let : leas has no blood supply Drink fluids Eve healthy food : deep water fish , fruits , and vegrables Diabetes mellitus ↑ risks for eye problems diabetic , including retinopathy , cataracts , and glaucoma (older adults) Inadequate diabetes control or pregnancy may require further appropriate medical intervention ↑ the proportion of adults who have had a comprehensive eye exam - use of protected eyewear