Maryville College

Normal findings in elderly mouth/pharynx: ■ The lips have increased vertical markings and appear dryer. ■ The buccal mucosa is thinner, less vascular, and less shiny ■ Tongue may appear more fissures, and veins on its ventral surface ■ Oral tissues may be dryer (xerostomia) especially with medications ■ Natural teeth may be worn down, shortening the crown, and altering enamel thickness. General findings in elderly mouth/pharynx:  Chronic disease increases the burden of oral d...

NURS612 Key Points to Review for Exam 1  Key Point to Review - Health History STUDENT NOTES What are the concepts of developing a relationship with the patient? -Be flexible & eager to deal w/ Q and explanations -Be honest -Primary Objective- discover details about patient’s concern, explore expectations for the encounter, and display genuine interest, curiosity and partnership Clinical Pearls- each patient and each encounter w/ them is unique and part of the development of the p...

Key Point to Review - Health History STUDENT NOTES What are the concepts of developing a relationship with the patient? -Be flexible & eager to deal w/ Q and explanations -Be honest -Primary Objective- discover details about patient’s concern, explore expectations for the encounter, and display genuine interest, curiosity and partnership Clinical Pearls- each patient and each encounter w/ them is unique and part of the development of the patient relationship -Appropriate care satisf...

Plan (treatment, education, and follow up plan) C hief C o m plaint What brought you here today (eg. headache) “I got into a little fender bender a week ago and I've been getting these headaches ever since.” Histo r y of P r ese nt Illn ess Chronological order of events, state of health before onset of CC, must include OLDCARTS in paragraph form Onset Patient is a 28-year-old African American woman who presented to the clinic complaining of a headache and neck stiffne...

Select the correct statement regarding skin turgor. A. It reflects the elasticity of the skin. Correct B. It is measured by using skin calipers. C. It is used to assess hydration status in elderly patients. D. It is assessed in the dorsum of the hand in elderly patients. Skin turgor reflects the elastic quality of the skin. The skin is pinched up and then released. Calipers are used to measure skinfold thickness in the triceps to estimate body fat stores. Elderly persons naturally have ...

Assessment (diagnosis [primary and differential diagnosis]) Plan (treatment, education, and follow up plan) C hief C o m plaint What brought you here today (eg. headache) “I got into a little fender bender a week ago and I've been getting these headaches ever since.” Histo r y of P r ese nt Illn ess Chronological order of events, state of health before onset of CC, must include OLDCARTS in paragraph form Onset Patient is a 28-year-old African American woman who presen...

Select the correct statement regarding skin turgor. A. It reflects the elasticity of the skin. Correct B. It is measured by using skin calipers. C. It is used to assess hydration status in elderly patients. D. It is assessed in the dorsum of the hand in elderly patients. Skin turgor reflects the elastic quality of the skin. The skin is pinched up and then released. Calipers are used to measure skinfold thickness in the triceps to estimate body fat stores. Elderly persons naturally have ...

Key Point to Review – Chest / Lungs STUDENT NOTES What are examples of appropriate history of present illness questions you may ask a patient with a chief complaint of a respiratory issue?  Do you have a cough?  Is your cough sudden, gradual?  What is the duration of your cough?  Please describe your cough. Is it dry, moist, wet, hacking, hoarse, barking, whooping, bubbling, productive, nonproductive?  Do you have sputum when you cough? What does the sputum lo...

NURS 612 EXAM 2 REVIEW Dr. Elizabeth Johns, DNP, AGACNP-BC, CHPN Maryville University CARDIAC Cardiac Disorders ◦Hypertension ◦Cardiac Murmurs ◦Syncope ◦Coronary artery disease ◦Chest pain/Acute Myocardial Infarction ◦Atrial Fibrillation ◦Congestive Heart Failure/LVD Hypertension ◦Risk Factors ◦Age ◦Gender ◦Race ◦Obesity ◦Family History ◦Excessive Alcohol Intake ◦Sedentary Lifestyle ◦Cigarette smoking ◦Psychological stress

NURS 603 Discussion Board 5.1: The Future of Nursing and the APRN Role