Week 9 - Patient Assessment Fall 2024 PDF

  ▪ ▪ ▪ ▪  ▪ objective finding ▪ subjective indication as perceived by examiner perceived by the patient ▪ things you can see, hear, ▪ things you can’t see feel, or read on the Eg: Headache, fatigue, patient’s chart; o...

  ▪ ▪ ▪ ▪  ▪ objective finding ▪ subjective indication as perceived by examiner perceived by the patient ▪ things you can see, hear, ▪ things you can’t see feel, or read on the Eg: Headache, fatigue, patient’s chart; or, weakness, pain, nausea, information given by etc. another health care worker. ▪ Eg: swelling, high blood pressure, low blood sugar, etc. A B D C   → → → → Image: Tiphero. 2018. Retreived Nov 2018 from: https://tiphero.com/hospital-wristband-color-meanings/ Image: WebMD. 2018. Retrieved Nov 26, 2018 from: https://www.webmd.com/cancer/vital-signs-monitor#1 ▪ ▪ ▪ ▪ ▪  ↑ ↑ ↑  ℉ ℉ (36.5℃ to 37.2℃)  ℉ ℉ (36.5℃ to 37℃)  ℉ ℉ (37.2℃ to 37.6℃) A person can die with temperatures above 105.8℉ to 111.2℉ (41℃ to 44℃) or below 93.2℉ (34℃). ℉ (37℃) ℉ (36.4℃) ℉ (37.5℃)* ℉ ℉ (36.4℃ to 36.7℃) ▪ ▪ How low can an athlete’s resting HR/pulse be? Image: Rob3000. Biology Reference Forum. Retrieved on Nov 26, 2018 from: http://www.biologyreference.com/Re-Se/Respiration.html     o Orthopnea: difficulty breathing when laying down ▪ often a result of cardiac/lung disease ▪ abdominal contents press up ▪ these patients breath easier when sitting up High Fowler Position Head raised 45-90 degrees  Apnea Cheyne Stokes SOB Cyanosis Stridor Image: Medscape. How important is it to measure blood pressure. Retrieved on Nov 26, 2018 from: https://www.quora.com/How-important- is-to-monitor-the-high-blood-pressure-and-what-is-the-cheapest-way-to- do-it-presently Image: American Diagnostic Corporation. 2018. Retrieved Nov 26, 2018 from: https://www.adctoday.com/blog/intro-blood-pressure  Image: Harvard Health Publishing. 2018. Retrieved Nov 25, 2018 from: https://www.health.harvard.edu/heart-health/reading-the-new-blood-pressure-guidelines ▪ ▪ ° ° ▪ ° ° ▪ ▪ ▪ ▪  ▪ ▪  Why would we acquire height/weight information in MRIT? Definitions: ▪ Ideal body weight (IBW) is the optimal weight recommended for optimal health ▪ Body mass index (BMI) is an indicator of changes in body fat stores and whether a person's weight is appropriate for height https://www.mayoclinic.org/diseases-conditions/obesity/symptoms-causes/syc-20375742 ▪ ▪ ▪ ▪  Image: Spero, D. Diabetes Self Management. 2018. Retrieved Nov 27, 2018 from: https://www.diabetesselfmanagement.com/blog/what-is-a- normal-blood-sugar-level/ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪  Sensory Deficits – hearing impaired/visually impaired Level of consciousness Orientation, memory, hallucinations, speech patterns, etc. Developmental Delays Substance Abuse 7 4  Working with Visually Impaired Patient Video Reference: Vista Centre for the Blind and Visually Impaired. 2012. Retrieved on Nov 27, 2018 from https://www.youtube.com/watch?v=X-yVUMc5hvQ  Falls Risk Assessment Risk Assessment and Prevention of Ulcers Mobility? Posture, gait, appropriateness of movements Patient Cold/Hot? Need bathroom/assistance to bathroom/urinal or bedpan? Comfort on imaging/therapy bed? Stay still for duration of test? Image: Mayo Clinic. Retrieved Nov 26, 2018 https://www.mayoclinic.org/diseases-conditions/bed- sores/symptoms-causes/syc-20355893  Adapted from Figure 4: BBSE Model of Fall-Related Risk Factors taken from Safer Care Now. Reducing Falls and Injuries from Falls. 2013.Retrieved from: http://www.patientsafetyinstitute.ca/en/toolsResources/Documents/Interventions/Reducing%20Falls%20and%20Injury%20from% 20Falls/Falls%20Getting%20Started%20Kit.pdf Anxiety Fear Personal hygiene Appropriateness of clothing Perception – do you understand why you’re here? Mental illness   Ethnicity, Religious/cultural beliefs, practices and norms- Issues with touch? With eye contact? Language- Need for interpreter? Diverse communities Support Systems Image: Health Access Project. 2018. Retrieved Nov 27, 2018 from: http://healthaccessproject.org/interpreter-hospital/