Week 2: Health Assessment, General Survey, Mental Health

Question 1

Subjective data

Answer 1

• symptoms

- what the patient says about themselves

Question 2

Objective data

Answer 2

• signs

- what the HCP observes upon physical examination

Question 3

Four types of HAs

Answer 3

1. Complete Health Assessment
   a. Complete interview and full physical evaluation
2. Episodic of Problem Based Assessment
   a. Limited or short-term problem, targeted toward a primary concerns
3. Follow-up assessment
4. Emergency assessment

Question 4

Subjective Assessment (7)

Answer 4

1. Biographical data
2. Reason for seeking care
3. History of current illness
4. Past medical histpry
5. Family history
6. Review of systems (head-to-toe)
7. Functional Asessment (ADLs and IADLs)

Question 5

ADL

Answer 5

Activity of daily living

E.g., bathing, dressing, eating, walking

Question 6

IADL

Answer 6

Instrumental Activity of daily living

E.g., Housekeeping, food shopping, cooking, finances

Question 7

PQRSTU-AAA

Answer 7

Subjective

P- Provokes
Q- quality/quantity
R- region/radiation
S- severity
T- timing
U- understanding patient's perception
A- associated factors
A- alleviating factors
A- aggravating factors

Question 8

IPPA

Answer 8

Objective

I - Inspection
P - Palpation
P - Percussion
A - Auscultation

Question 9

Socio-cultural considerations of health assessment

Answer 9

• SDOH
• Dangers of “culturalism” (assume people behave in particular ways or have a particular ability because of their culture) racism, systemic racism

Question 10

The General Survey

Answer 10

The overall impression or appearance of the client
Should occur each time you meet the client
Not a formal assessment, done very quickly

(spidey sense)

1. Physcal Appearance (LOC, skin, face)
2. Body structure (symmetry, position, posture)
3. Mobility (gait, ROM)
4. Behaviour (mood, speech, dress, hygiene)

Question 11

Mental Health

Answer 11

a person’s emotional and cognitive well-being

Question 12

Mental Illness

Answer 12

can take many forms, affects mood, thinking, behaviour, cause significant distress and impair one’s ability to function in every day life

Question 13

ABCT

Answer 13

Mental Health assessment

A- Appearance (general presentation)
B- Behaviour (speech, mood/affect)
C- Cognition (LOC, orientation (who and where they are, and what time), attention/concentration, memory, comprehension/reasoning)
T- Thinking (process- can I follow them? Content is this consistent and logical? Insight and judgement, perception- are they aware of reality? Attending to internal stimuli?