Chapter 1: Introduction to Health Assessment Flashcards
Subjective Data
This is what the patient says about him/herself during the interview. Symptoms.
Ex: headache, chills, nausea, etc.
Objective Data
This is what you as the nurse observe when inspecting the patient via percussing, palpating, and auscultating during the physical exam.
Ex: Lump felt in breast, swollen lymph nodes, crackling sounds in lungs.
Hypothetico-Deductive Model
Attend to cues
Formulate diagnostic hypotheses
Gather data relevant
Evaluate with ongoing data collection
Nursing Process
Assessment
Diagnosis
Planning
Implementation
Evaluation
First Level Priority
Emergent, life-threatening, and immediate
Ex: ABCs
Second Level Priority
Requires attention to avoid further deterioration
Ex: Electrolyte levels
Third Level Priority
Important to the patient’s health but can be addressed after more urgent problems are addressed
Ex: Preventative screenings, lifestyle adjustments
Evidence-Based Practice (EBP)
Integration of research evidence, clinical expertise, clinical knowledge, and patient values and preferences
Holistic Model Assessment
Incorporation of impact of external and interpersonal environment on one’s mind and body
Ex: cura personalis…we care for the whole person
Health Promotion and Disease Prevention
Link between health and personal behavior; prevention achieved through counseling from providers…patient education!
Culture and Genetics
Awareness of the emerging minority and the different cultural approaches to care