Nursing Health Assessment: The Foundation of Clinical by Patricia M. Dillon PhD RN

By Patricia M. Dillon PhD RN

  • Perfect your evaluation skills
  • Differentiate common from irregular findings
  • Validate your overview findings

Bridge the distance from lecture room to clinical…from thought to application.

Dillon offers with the assessment info probably to be wanted within the medical atmosphere, targeting the relationships one of the numerous physique systems.

Bulleted lists and tabular presentation make the knowledge simply available; full-color photos and step by step evaluate innovations make the content material effortless to follow.

Excellent as a stand-alone overview software or as an accompaniment to any review text!

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Extra info for Nursing Health Assessment: The Foundation of Clinical Practice

Example text

Do you smoke? • Do you bite your nails? Focused Integumentary History ■ Do you have changes in your skin, hair, or nails? ■ Do you have any food, drug, or environmental allergies? ■ Do you have any medical problems? Endocrine problems, diabetes, peripheral vascular disease, or cardiovascular disease? 1)? 1 Drugs That Adversely Affect the Integumentary System (continued) DRUG CLASS POSSIBLE ADVERSE REACTIONS DRUG Griseofulvin Isotretinoin Oral contraceptives (estrogen) Thiazide and loop diuretics Lithium Warfarin Rash, urticaria, photosensitivity, erythema multiforme or lupus-like syndrome Alopecia, photosensitivity, hirsutism, pruritus, urticaria Chloasma or melasma, rash, urticaria, erythema Photosensitivity Acne, alopecia Skin necrosis Assessment of the Integumentary System’s Relationship to Other Systems Remember, all systems are related.

Sore throat Nasal discharge Area/System: Respiratory Ask about: Cough, breathing difficulty History of respiratory disease: Chronic lung disorders such as emphysema and bronchitis may limit oxygenation to the point of cyanosis. Reactive airway disease (asthma) may be associated with atopic disorders of the skin. Inspect for: Tachypnea: Respiratory distress. Signs of hypoxia. Asymmetrical chest movement: Pneumothorax or chronic restrictive lung diseases. Auscultate for: Abnormal/adventitious breath sounds (crackles, wheezes, rhonchi, or bronchial breath sounds): Altered pulmonary function.

If your patient has a problem, start at that point. ■ Work from head to toe. ■ Compare side to side. ■ Let your patient know your findings. ■ Use your time not only to assess but also to teach your patient. ■ Leave sensitive or painful areas until the end of the examination. General Survey Get anthropometric data and vital signs, and evaluate patient’s clothing, hygiene, state of well-being, nutritional status, emotional status, speech patterns, level of consciousness, affect, posture, gait, coordination and balance, and gross deformities.

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