(NURS 2106) Unit 3 Introduction to
Assessment [Holistic, Comprehensive,
Focus]
Auscultation - ANS-listening to sounds (stethoscope) within the body
Bronchial (sound) - ANS-Loud, high pitched, expiration longer than inspiration
May indicate pneumonia or pleural effusion
Chest assessment - ANS-To check and assess if there's any abnormal breathing
sounds
Components of Abdominal assessment (in order) - ANS-1. Inspection
2. Auscultation (peristalsis)
3. Palpation
Components of Peripheral Vascular Assessment - ANS-Colour - Warmth - Movement -
Sensation (CWMS)
Components of Respiratory assessment (in order) - ANS-1. Inspection
2. Palpation
3. Auscultation
Core concepts of Holistic Nursing - ANS-- Acceptance, free of judgement
- Enquire about client's mind, body and spirit
- Know what works for the client to self-heal and awareness
- Discover Client's interest in self care and responsibility
- Enquire about traditional practices, treatment or therapies are used and valued
Crackles (sound) - ANS-Medium or course sounds, "rubbing hair between fingertips"
Early signs of heart failure or pneumonia
CW (circulation) - ANS-Colour and Warmth
Focused assessment - ANS-Respiratory, Abdominal, Peripheral Vascular Assessment
Assessment [Holistic, Comprehensive,
Focus]
Auscultation - ANS-listening to sounds (stethoscope) within the body
Bronchial (sound) - ANS-Loud, high pitched, expiration longer than inspiration
May indicate pneumonia or pleural effusion
Chest assessment - ANS-To check and assess if there's any abnormal breathing
sounds
Components of Abdominal assessment (in order) - ANS-1. Inspection
2. Auscultation (peristalsis)
3. Palpation
Components of Peripheral Vascular Assessment - ANS-Colour - Warmth - Movement -
Sensation (CWMS)
Components of Respiratory assessment (in order) - ANS-1. Inspection
2. Palpation
3. Auscultation
Core concepts of Holistic Nursing - ANS-- Acceptance, free of judgement
- Enquire about client's mind, body and spirit
- Know what works for the client to self-heal and awareness
- Discover Client's interest in self care and responsibility
- Enquire about traditional practices, treatment or therapies are used and valued
Crackles (sound) - ANS-Medium or course sounds, "rubbing hair between fingertips"
Early signs of heart failure or pneumonia
CW (circulation) - ANS-Colour and Warmth
Focused assessment - ANS-Respiratory, Abdominal, Peripheral Vascular Assessment
