Nursing Health Assessment: A Critical Thinking, Case Studies by Patricia M. Dillon PhD RN

By Patricia M. Dillon PhD RN

The "Nursing health and wellbeing overview" selection of texts can be used independently or jointly for you to offer educators with the mix that most closely fits their wishes. every one part deals an alternative choice to texts with strategy overview with a non-integrated concentration. This suite of goods makes use of case stories, supported through strategy, to motivate severe pondering whereas contemplating reason and influence concerns at the different platforms and probably individual. This middle overall healthiness evaluation textual content is case study-based and makes use of an built-in method of the evaluate and documentation of the traditional adult's actual, psychological, religious, psychosocial, cultural and environmental well-being prestige in quite a few settings. the key topics integrated through the textual content are wellbeing and fitness merchandising, wellbeing and collaboration. The sound CD incorporated with the booklet positive factors 87 tracks containing 136 center, lung and belly sounds, starting from basic first and moment middle sounds, break up sounds and murmurs to aortic stenosis, crackles, rhonchi and bruit. All are recorded from genuine sufferers (including children). The booklet illustrates the relationshiop of every physique method to all different physique structures and there are chapters devoted to evaluation of unique events, reminiscent of non secular overview, dietary evaluation and the developmental degrees of newborns, young ones, pregnant girls and older adults. The textual content assists within the differentiation among common and irregular, in order that scholars understand while to refer consumers to a doctor or different member of the healthcare crew.

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Extra resources for Nursing Health Assessment: A Critical Thinking, Case Studies Approach (2003)

Example text

Be aware of your position in relation to your client. H E A LT H A S S E S S M E N T A N D T H E N U R S E 13 Assessment entails working in close proximity to your client—about 3 to 4 feet when taking the health history and much closer, within your client’s personal or intimate space, when performing the physical assessment. Be sure to explain what you are doing, and look for clues that your client is becoming uncomfortable. If so, you may need to back off and try another approach. Touch Touch is a means of communication.

Once you have completed the focused health history, remember to document any pertinent findings (Table 2–1). A. Davis Company CHAPTER 2 T H E H E A LT H H I S TO RY 25 Table 2–1 Components of Health Histories COMPLETE HEALTH HISTORY Biographical data Reason for seeking care Current health status and symptom analysis if indicated Past health history Family history Review of systems Psychosocial profile Developmental considerations Ethnic considerations FOCUSED HEALTH HISTORY Biographical data Reason for seeking care Current health status and symptom analysis Past health history only as it relates to specific reason for seeking care Check for history of the most prevalent diseases in the United States: heart disease, hypertension, cancer, diabetes, and alcoholism Family history only as it relates to specific reason for seeking care Review of systems only as it relates to specific reason for seeking care Psychosocial profile only as it relates to specific reason for seeking care Developmental considerations only as they would affect the acute problem Ethnic considerations only as they would affect the acute problem Which Type to Do?

During inspection, look at your client and compare his or her appearance to what you know as normal. Use your sense of smell to detect any unusual odor that may warrant further investigation into a possible health problem. During palpation, use light touch to assess surface characteristics, to put your client at ease, and to convey concern and caring. Use deep palpation to assess organs and masses. During percussion, you use direct, indirect, and fist percussion to assess organ size and areas of tenderness.

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