Nursing Health History Flashcards
Purpose of Health Assessment
Obtain Data
See if something deviates from normal
discover patient’s strengths and weaknesses
pinpoint actual/potential problem
Provide Privacy
Explain procedure to client
make use of teasing opportunity
Frameworks for Physical Examinations
- Head to Toe
- Body Systems
- Functional
Subjective Data
What the patient tells you
Objective Data
What tests are telling you
Primary source
Information from the patient
Secondary Source
Information from anyone/anything aside from the patient
3rd Step to physical assessment
Identify the patient with two identifiers
2nd Step to physical assessment
use of standard precautions
First step to physical Assessment
Introduce yourself
Exam Techniques for a physical exam
Inspection, Palpation, Percussion, auscultation
Exam techniques for an abdominal exam
Inspection, Auscultation, Percussion, Palpation
Diaphragm
Listens for high-pitched sounds
Bell
Listens for low pitched sounds
Before you touch a patient
Must obtain consent to do so
5 social determinants of Health
Economic Stability,
education access,
healthcare access,
access to healthy food,
social/community context