lecture 1: holistic health assessment 1

Question 1

What is Holistic Health Assessment

Answer 1

collecting information, determining interventions, evaluating outcomes
- individualized to the client, based on their context of health

Question 2

Health Assessment

Answer 2

• includes history and physical assessments

Question 3

Nursing health history assessments include:

Answer 3

OLDCARTSS (onset, location, duration, characteristics, aggravating factors and alleviating factors, radiation, timing, severity, social determinant)

Question 4

Physical assessment - techniques

Answer 4

1. inspection
2. palpation
3. percussion
4. auscultation

Question 5

inspection

Answer 5

using senses to observe body parts
- expose only body part being observed
- provide comfortable/private room
- observe for colour, size, location, symmetry, movements, odours, sounds

Question 6

palpation

Answer 6

touching and feeling body parts with your hands
- texture
- temperature
- moisture
- motion
- consistency of structures

Question 7

percussion

Answer 7

tapping portion of the body for tenderness or sounds that vary with density of underlying structures due to air, fluid, solids.
- determine size and location of body organs
- stimulate reflexes

Question 8

auscultation

Answer 8

use of a stethoscope
- listen for various breath, heart, vascular and bowel sounds
- diaphragm for high pitched sounds
- bell for low pitched sounds

Question 9

clinical judgement model

Answer 9

• nurses need critical thinking and clinical judgement
• (what do I notice about the patient, their environment)

Question 10

general survey: noticing

Answer 10

physical exam where patients mental state and behaviours of client are being seen
- can be used by next clinician

Question 11

general survey: ASEPTIC

Answer 11

A - appearance & behaviour
S - speech
E - emotion
P - perception
T - thought process
I - insight
C - cognition