GRADED .Buy Quality Materials!
Systematic approach to nursing care includes...?
- critical thinking
- clinical judgment
- nursing process (assessment, planning, implementation and evaluation)
Core concepts of Holistic Nursing
- 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
What are the principles of Holistic Assessment?
Mind, Body, Spirit
Focused assessment
Respiratory, Abdominal, Peripheral Vascular Assessment
When to do a focus assessment?
- Conflict in QPA identified or suspected
- a client/family member makes a complaint
- A change or decline
- a focus assessment is part of data collection related to medical/nursing diagnosis
Components of Respiratory assessment (in order)
1. Inspection
2. Palpation
3. Auscultation
How many locations on anterior chest during auscultation?
6
How many location on posterior chest during auscultation?
8
Components of Abdominal assessment (in order)
1. Inspection
2. Auscultation (peristalsis)
3. Palpation
Inspection
general observation of the patient as a whole, progressing to specific body areas
Palpation
to examine by touch
Auscultation
listening to sounds (stethoscope) within the body
Components of Peripheral Vascular Assessment
Colour - Warmth - Movement - Sensation (CWMS)
CW (circulation)
Colour and Warmth