NUTRITION TOOLS, STANDARDS, AND GUIDELINES NUTRIENT Flashcards
seeks to guarantee that all patients get prompt and uniform nurse evaluations
PHYSICAL ASSESSMENT
• Provide care for client that use individualize, holistic, effective and efficient.
PHYSICAL ASSESSMENT
- Initial assessment
- Problem-Focused
- Emergency
- Time-Lapsed
4 TYPES OF ASSESSMENT
age and developmental stage of the child.
PA considerations
Implement behaviors that show respect for child’ s age, gender, cultural values and personal preferences.
PA considerations
• Modify language and communicate style to be consistent with child’ s needs.
PA considerations
• Modify language and communicate style to be consistent with child’ s needs.
PA considerations
Gather as much information as possible by observation first
PA considerations
important to all levels of nursing practice.
PHYSICAL ASSESSMENT
an essential skill that falls within the scope of nursing practice. It can be helpful because it can help determine the status of your health.
PHYSICAL ASSESSMENT
help you have open communication with your doctor and give you an opportunity to share information about your symptoms and overall health.
PHYSICAL ASSESSMENT
help you assess which areas of your health need attention so they don ’t cause bigger issues later on.
PHYSICAL ASSESSMENT
• Blood Pressure
• Cholesterol
• Blood glucose level
• Body mass index
PHYSICAL ASSESSMENT example
- Inspection
- Palpation
- Percussion
- Percussion
4 TECHNIQUES USED IN PHYSICAL ASSESSMENT
It involves using vision to differentiate between normal and abnormal discoveries. Examining body parts for color, shape, symmetry, motion, and texture
Inspection
It involves the use of hands to touch body parts for data collection. It detects body temperature, moisture, turgor, texture, tenderness, thickness, and distention.
Palpation
It is the technique in which one or both hands are used to strike the body surface to produce a sound called percussion note. The character of the sound determines the location, size and density of underlying structure to verify abnormalities.
Percussion
It is a general term that refers to the process of listening to the sound within the body , usually using a stethoscope
Auscultation
SKIN
HAIR
NAILS
INTEGUMENTARY
client’ s skin is consistent in tone, free of blemishes, and feels pleasant. He has healthy skin turgor and a normal range for skin temperature.
SKIN
thick, silky hair that is uniformly spaced out and varying amounts of body hair. Additionally, no evidence of illness or infestation has been found.
HAIR
are light brown and have a convex curve in their shape. It is smooth and the epidermis is still present.
NAILS
revert to their normal color in less than 3 seconds when pushed between the fingers (Blanch Test).
NAILS
The customer has a rounded, symmetrical, normocephalic head.
HEAD
• When the skull is palpated, there are no nodules, masses, or depressions.
HEAD
uniformly smooth, without any nodules or lumps, and with consistent consistency.
FACE
Make sure there is good communication between management and staff
VISION AND THE EYES
hair is spread equally
equivalent amount of movement
Eyebrows:
even distribution and a modest outward curl.
Eyelashes
no discharges, no discoloration, and closed symmetrically with 15-20 unconscious blinks a minute.
Eyelids
translucent and had few visible capillaries.
Bulbar conjunctiva
white
sclera
pink, lustrous, and smooth.
palpebral conjunctiva
neither torn or edematous.
lacrimal gland