Physiological dimension

Question 1

what is a physiological assessment.

Answer 1

Collection of data about the person’s health status

systematic assessment of body parts

Looks at the patient’s body symmetrically observing all there is to be seen

assists in identifying deviations from that which is normal

Question 2

what are the techniques used?

Answer 2

communication and interview skills

INSPECTION (color, size, location, texture, symmetry, odors, and sounds)

PALPATION (texture, temp, moisture, motion, consistency)

PERCUSSION (tenderness, sounds)

AUSCULTATION (heart, breath, bowel sounds)

Question 3

What is one of the most important things to do when assessing?

Answer 3

explain procedure and purpose

Question 4

What are the guidelines for assessment? 7

Answer 4

• explain procedure and purpose
• follow planned order of examination of each system
• assess both structure and function of each body part
• when I.D. abnormality, assess further data on extent and client responses to abnormality
• integrate patient teaching
• allow opportunity for questions
• document and report abnormalities

Question 5

What should go in the subjective data and history boxes?

Answer 5

any medical history collected from patient or chart relevant to the system

complaints, concerns, and info provided by patient

Question 6

How is subjective data gathered?

Answer 6

from charts and with communication/interview skills

Question 7

What is objective data?

Answer 7

what you have observed, palpated, percussed and auscultated

Question 8

What should go in the additional assessment box?

Answer 8

any subj or obj data collected that you feel can be further elaborated on

secondary sources whose imput is relevant to the system (data collected from family or staff members)

Question 9

What should go in the analysis box?

Answer 9

discuss how all the subj and obj data collected is related to medical history, developmental stage, diagnostic test results and medication