Health Assessment Flashcards
What is the current accepted concept of health in Canada and which two concepts did it succeed?
The Socioenvironmental approach (current), Behavioural approach (1970s), Biomedical approach (most of 20th century)
What is the biomedical approach to health?
Health = absence of disease
What is the behavioural approach to health?
Pushed the behavioural aspects of health promotion and prevention. Characterized by the Lalonde report. Involved social campaigning to get people thinking about healthy choices, placing them as responsible for their own health.
What is the socioenvironmental approach to health?
Established in the mid 80’s and expanded off the Lalonde report. Realized that targeted lifestyle changes could only be implemented by the wealthy/educated. Believed health is closely tied to socioenvironmental context in which you live. Ottawa charter.
What is the Ottawa charter?
The worlds first conference on public health, recognized health as a fundamental human right. 9 prerequisites to health: peace, chelter, education, food, income, stable ecosystem, sustainable resources, equity
What is health assessment?
The collection of data about an individuals health state (subjective + objective)
What are the 4 types of health assessments?
- Complete health assessment (ex. yearly check-up)
- Episodic or problem based (ex. focused on one area, ie. cardiac)
- Follow-up (ex. revisit problems post-intervention)
- Emergency (ex. rapid collection of data at same time as procedure)
Why is health assessment important?
Assessment data gathered is used to pass clinical judgments.
You enter a patients room who is a new client to hospital what is your first step in the gathering of complete health history?
a) gather biographical data
b) ask reason for seeking care
c) introduce yourself
c) introduce yourself
What are the main components you must document in the subjective portion of complete health history?
- biographical data
- source of history
- reason for seeking care
- history of current illness + PQRSTU-AAA
- past health
- family history
- review of systems
- functional assessment (DONT FORGET SLEEP)
Which of the following is NOT part of the functional subjective complete health assessment?
a) self-esteem
b) preferred pronouns
c) sleep/rest
d) substance use (vaping too)
b) preferred pronouns
this is part of the subjective health assessment, however it it not part of the functional assessment but rather should be inquired during introductions.
What are the main components you must document in the objective portion of complete health history?
- vital signs
- measurements
- IPPA (inspection- compare side2side , palpation, percussion, auscultation)
You notice a staff nurse palpating around a lesion with her fingertips, what are they assessing for?
a) temperature
b) consistency
c) shape
d) texture
d) texture
tips of the fingers are best for fine discrimination
What are a few things you are palpating for in IPPA?
- texture
- temperature
- moisture
- organ size/location
- vibrations
- lumps
- tenderness
Define inspection?
Concentrated watching
Which part of the hand is best for assessing thrills?
a) ulnar surface
b) back of hand
c) fingertips
d) thumbs
a) ulnar surface
What is percussion and when would it be used?
Percussion is a method of tapping on a surface to determine the density of the underlying structures. It is used to map out size and location of an organ, provide information as to density, detecting a mass, eliciting pain, tendon reflexes
What is the general health survey?
A survey of the overall impression of appearance of the client.
What are the 4 components of a general health survey?
- Physical appearance
- Body structure
- Mobility
- Behaviour
A client comes in for a scheduled appointment and you notice their face looks scruffy and they smell less than ideal, when they usually come clean shaven and with no noticeable odour. What aspect of the general survey are they noticing?
a) physical appearence
b) body structure
c) mobility
d) behaviour
d) behaviour
Physical appearence- refers to LOC, skin condition, facial features, acute signs of distress
Body structure- refers to symmetry, posture, position
Mobility- gait, ROM
Behaviour- facial expressions, mood/affect, speech, dress, personal hygiene
Mental health is a person’s _______ and ______ well being.
emotional, cognitive
Mental illness is a disorder that affects a person’s _____, ______, and ______. It can cause distress and impair on’e ability to function in everyday life.
mood, thinking, behaviour
What acronym is used for mental health assessment?
a) ABCT
b) ADPIE
c) PQRSTU-AAA
d) ABCs
a) ABCT
Appearence: general behaviour
Behaviour: speech, mood
Cognition: LOC, orientation, attention/concentration, memory, comprehension/reasoning
Thinking: process, judgment, content, perception
