Chapter 7 Health Assessment Flashcards
Prototypical
First drugs that we used
Health Hx basics
Pt profile Past medical Hx Review of s/sx Medication Hx Family Hx Social Hx
Maslow’s Hierarchy of Needs
Self-actualization Self-esteem Love and belonging Safety and security Physiological needs
FANCAPES
Fluids Aeration Nutrition Communication Activity Pain Elimination Socialization and social skills
Fluids
Hydration Skin turgor Mucous membranes Lung sounds Edema BP I/O
Aeration
Respirations O2 sats Lung sounds Cyanosis Medications
Nutrition
Weight
Skin
Diet
Mandible
Communication
Sending and Receiving
Appropriate
Tone/Rate/Rhythm/Annunciation
Flow of words
Activity
Ambulation
ADL/IADL
Hobbies
Pain
5th vital sign Pain scale Describe pain Where is pain Alleviating factors
Elimination
Bladder and Bowel Medications Garments or devices Urine changes/frequency/characteristics BM sinking is normal
Social Skills
Interaction with people
Friends/Family
Ability to negotiate in society
Point of functional assessment
Evaluation of person’s ability to carry out basic tasks for self-care and tasks needed to support independent living
Activities of Daily Living (ADLs)
Bathing, toileting, feeding, etc.
The whole point of the physical assessment is to:
Identify areas in which help is needed or not
When obtaining a physical assessment, make sure the individual is
Comfortable
Rested
Free of pain
Clock drawing test tests for
Constructional Apraxia
Lesions on the temporal lobe, or dementia
Signals the need for further evaluation
Fulmer SPICES
Sleep disorders Problems with eating or feeding Incontinence Confusion Evidence of falls Skin breakdown
Goal of assessment
is always to assist patient in improving quality of life
