Essential Health Assessment
Janice M Thompson
1st Edition
wq
,Table of Contents
wq wq
Chapterwq01wqUnderstandingwqHealthwqAssessment 1
Chapterwq02wqInterviewingwqthewqPatientwqforwqthewqHealthwqHistory 11
Chapterwq03wqTakingwqthewqHealthwqHistory 40
Chapterwq04wqAssessingwqNutritionwqandwqAnthropometricwqMeasurements 61
Chapterwq05wqAssessmentwqTechniques 88
Chapterwq06wqGeneralwqSurveywqandwqAssessingwqVitalwqSigns 99
Chapterwq07wqAssessingwqPain 128
Chapterwq08wqAssessingwqthewqSkin,wqHair,wqandwqNails 149
Chapterwq09wqAssessingwqthewqHead,wqFace,wqMouth,wqandwqNeck 188
Chapterwq10wqAssessingwqthewqEars 229
Chapterwq11wqAssessingwqthewqEyes 250
Chapterwq12wqAssessingwqthewqRespiratorywqSystem 281
Chapterwq13wqAssessingwqthewqCardiovascularwqSystem 308
Chapterwq14wqAssessingwqthewqAbdomen 335
Chapterwq15wqAssessingwqthewqPeripheralwqVascularwqSystemwqandwqRegionalwqLymphaticwqSystem 363
Chapterwq16wqAssessingwqthewqMusculoskeletalwqSystem 391
Chapterwq17wqAssessingwqthewqNeurologicalwqSystem 417
Chapterwq18wqAssessingwqthewqFemalewqBreasts,wqAxillae,wqandwqReproductivewqSystem 451
Chapterwq19wqAssessingwqthewqMalewqBreastswqandwqReproductivewqSystem 477
Chapterwq20wqAssessingwqthewqAnuswqandwqRectum 501
Chapterwq21wqAssessingwqthewqNewborn 517
Chapterwq22wqAssessingwqthewqChildwqandwqAdolescent 555
Chapterwq23wqAssessingwqthewqPregnantwqWoman 583
Chapterwq24wqAssessingwqthewqOlderwqAdult 612
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Essential Health Assessment, 1st edition (Thompson, 2018)
Chapterwq1:wqUnderstandingwqHealthwqAssessment
1. ThewqWorldwqHealthwqOrganizationwq(WHO)wqestablishedwqawqglobalwqstrategywqcalledwq―Healthw
qforwqAll.‖wqThewqgoalwqforwqthiswqstrategywqis:
1. Allwqindividualswqtowqgetwqthewqsamewqhealthwqcarewqthroughoutwqtheirwqlifewqspans.
2. Thewqgovernmentwqtowqsupplywqmoneywqtowqcarewqforwqallwqthewqpeoplewqinwqthewqworld.
3. Resourceswqforwqhealthwqcarewqtowqbewqevenlywqdistributedwqandwqaccessible.
4. Health-carewqproviderswqcanwqneverwqdenywqpatientswqhealthwqcare.
2. Healthwqassessmentwqiswqawqfoundationalwqandwqprioritywqnursingwqskill.wqThiswqessentialwqskil
lwqrequireswqregisteredwqnurseswq(RNs)wqto:
1. Diagnosewqandwqtreatwqpatients.
2. Identifywqnormalwqandwqabnormalwqfindings.
3. Referwqpatientswqwithwqabnormalwqfindings.
4. Counselwqpatientswqwithwqpsychosocialwqneeds.
3. Youwqarewqassessingwqawqpatientwqwithwqfivewqgunshotwqwoundswqonwqawqtraumawqunit.wqTherewqiswqa
wqpolicewqpresencewqoutsidewqhiswqdoorwqbecausewqthewqpatientwqiswqawqknownwqdrugwqdealerwqinwqthewqco
mmunity.wqYouwqknowwqthatwqnurseswqmustwqtreatwqallwqpatientswqaswqpersons.wqThiswqiswqcalled:
1. Caring.
2. Holisticwqprocess.
3. Person-centeredwqcarewq(PCC).
4. Standardswqofwqcare.
4. Thewqscience-
basedwqframeworkwqupdatedwqeverywq10wqyearswqbywqthewqU.S.wqDepartmentwqofwqHealthwqandwqHu
manwqServiceswqthatwqhaswqsetwqnationalwqgoalswqandwqobjectiveswqforwqhealthwqpromotionwqandwqd
iseasewqpreventionwqis:
1. HealthywqPeople.
2. HealthywqPeoplewq2020.
3. U.S.wqPreventivewqTaskwqForce.
4. WorldwqHealthwqOrganization.
5. Awq38-year-
oldwqmalewqhaswqawqfamilywqhistorywqofwqcolonwqcancer.wqHiswqfatherwqdiedwqofwqcolonwqcancerwqatwqage
48.wqThewqdoctorwqrecommendedwqthatwqthiswqpatientwqhavewqawqcolonoscopywqthiswqyear.wqThiswqiswqanwqexample
wqof:
1. Primarywqhealthwqprevention.
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Essential Health Assessment, 1st edition (Thompson, 2018)
2. Secondarywqhealthwqprevention.
3. Tertiarywqhealthwqprevention.
6. Awqpatientwqinwqthewqhospitalwqputswqonwqhiswqcallwqlightwqandwqtellswqthewqpersonwqansweringwqthatwqh
ewq―thinkswqhewqiswqrunningwqawqfeverwqandwqhaswqstomachwqdiscomfort.‖wqYouwqarewqthewqregisteredwqn
ursewqinwqcharge.wqWhatwqshouldwqyouwqdo?
1. Askwqthewqmedicalwqassistantwqtowqgowqtowqthewqpatient‘swqroomwqandwqassesswqhiswqcomplaints.
2. GowqcheckwqtowqseewqifwqthewqpatientwqhaswqanwqorderwqforwqTylenolwqforwqawqfever.
3. Pagewqthewqresidentwqonwqcallwqimmediatelywqtowqassesswqthewqpatient.
4. Gowqtowqthewqpatient‘swqroomwqandwqassesswqforwqfeverwqandwqthewqepigastricwqdiscomfort.
7. Youwqarewqleadingwqanwqinterdisciplinarywqteamwqconferencewqtowqdiscusswqhowwqtowqprovidewqbetter
wqcarewqforwqawqchallengingwqpatientwqwhowqhaswqbehavioralwqproblems.wqTherewqarewqseveralwqareaswqt
hatwqneedwqtowqbewqproblemwqsolvedwqandwqnewwqideaswqformulatedwqtowqcreatewqanwqimprovedwqplanwq
ofwqcare.wqWhatwqcognitivewqskillswqarewqyouwqusing?
1. Criticalwqthinking
2. Clinicalwqdecisionwqmaking
3. Intuitivewqthinking
4. Clinicalwqreasoning
8. Bestwqpracticewqassessmentwqtechniqueswqandwqinstrumentswqhavewqbeenwqvalidatedwqby:
1. AmericanwqNurseswqAssociation.
2. CodewqofwqEthicswqforwqNurseswqWithwqInterpretivewqStatements.
3. Researchwqandwqevidence-basedwqpractice.
4. PatientwqProtectionwqandwqAffordablewqCarewqAct.
9. Healthwqandwqillnesswqarewqdeterminedwqbywqmanywqfactors.wqWhatwqarewqthewqdeterminantswqofwqhealt
hwqidentifiedwqbywqthewqCenterswqforwqDiseasewqControlwqandwqPreventionwq(CDC)?wqSelectwqallwqthatwqa
pply.
1. Geneticswqandwqbiology
2. Genderwqandwqoccupation
3. Individualwqbehavior
4. Socialwqenvironment
5. Physicalwqenvironment
6. Healthwqservices
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