Health Assessment. (ch 25) Flashcards
Ongoing partial assessment
Concentrates on identified health problem to monitor positive or negative changes and evaluate effectiveness of interventions.
Conducted at regular intervals.
Comprehensive assessment
Health history and complete physical examination.
Conducted when patient first enters heal are setting and provides a baseline for later assessments
Emergency assessment
Rapid focused assessment conducted to determine potentially fatal situations. ABC’s
Focused assessment
Assesses specific problems.
Inspection
Performing deliberate purposeful observations in a systematic manner.
Visual
Palpation
Uses sense of touch.
Assess skin temp, turgor, texture, moisture, and variations within the body- shape and structures
Percussion
Striking one hand/finger against another to produce sound.
Used to assess location, size, and density of tissues.
Auscultation
Listening to sounds produced by the body using a stethoscope
Assess:
1. Pitch. 2. Loudness 3. Quality 4. Duration
Erythema
Redness of the skin
Seen more in face and neck. Associated with sunburn, inflammation, fever, trauma, and allergic reactions.
Cyanosis
Bluish or grayish discoloration of the ski in response to inadequate oxygenation.
Blue tinge in whites, dullness in darker patients
Jaundice
Yellow coloring resulting for liver or gallbladder disease, some types of anemia and excessive hemolysis. (Breakdown of RBCs)
Pallor
Paleness of the skin
Caused by decrease in the amount of circulating blood or hemoglobin causing inadequate oxygenation of body tissues
Ecchymosis
A collection of blood in the sub Q tissues causing purple discoloration.
Bruising
Petechiae
Small hemorrhagic spots caused by capillary bleeding.
Assess color, location, and size.
Turgor
Fullness or elasticity of the skin. Usually assessed on the sternum or under the clavicle by pinching skin.
