Quiz 1 - week 1 + 2 content Flashcards
Define Health Assessment
it’s collective and holistic -> making a judgement and having a conversation with the patient about their history
Forms of data collection
Subjective: patient’s perception about their health probelm
Objective: physical examination, results of diagnostic test and measurements
What does SOAPIE stand for?
S - Subjective
O - Objective
A - Assessment
P - Plan
I - Intervention
E - Evaluate
What is involved in the health assessment interview?
- a meeting b/w you and the patient
- record a complete person-centred health history
- gather subjective data
What is health history?
provides info abt the perosn’s health strengths + problems
- combined with objective data
make a clinical judgement abt their state of health
Level of measurements
nominal scale: categories
ordinal scale: ordered categories
interval scale: differences in measurements; no absolute 0
ratio level: differences in measurements; has abosulte 0
Nursing and Technology
technique: not only one thing -> describes the approach to thinking
artefacts + resources: greater ability to communicate with more immediacy
knowledge + skills: need it to meet the needs of patients
What are the considerations of instruments (BP module)?
Validation: checking the presure gauge of a monitor against a reference manometer
Calibration: comparing the pressure guage agaisnt a known accurate reference manometer + adjsting the pressure guage to have the same readings
What human variations need to be considered?
- coexisting disease/injury
- drug therapy
- pre-existing state of health
- age
- rapidity of a health state
What is interpersonal communication?
- agjust and accommodate the use of effective communication skills in response to specfic clinical contexts
- spoken, written and non-verbal
- non-judgemental
- active listening
What is the purpose of performing health assessment?
- the collection of data
- performed frequently to detect subtle changes -> inidicate deterioriation
What is primary and secondary assessment?
Primary
- A-G approach
- 1st elemetn in every patient encounter
- identify threats
Secondary
- head to toe
- more focused
- body systems
What are the assessment approaches for different situations?
Primary Survey
- done in emergency + non-emergency situations
- A-G used
Comprehensive Survey
- preformed on patient’s initial admission to the hospital
- includes complete health hisotry + relevant physical examination
- describes current + past health state
Focused (episodic) assessment
- short-term problem
- shorter health assessment
- concerns mainly one problem
Ongoing Assessment
- evaluate at regular and appropiate intervals
- acute care setting: monitoring following a surgical procedure, one frequent neurological observation
- primary care setting: ongoing monitoring
What are the frameworks for assessment?
- head-toe assessment
- body systems approach
- functional health approach -> focused on the whole person, explores the impact of health issues, identify potential health risks
Describe the physical examination techniques
IAPPA
I - Inspection
- detailed and purposive obervation
- watch all movements + non-verbal cues
- pay attention to detail
P - Palpation
- compare both sides
- make delicate and sensitive measurements e.g. roughness/temp.
P- Percussion
- tapping the body with fingertips
- sigalling the density of a structure
- direct percussion - striking hand directly contacting the body to produce a sound
- indirect percussion - striking hand contacts the stationary hand fixed on the person’s skin
A- Auscultation
- listening to sounds
- loudness
- qaulity
- duration
