why learn health assessment

Question 1

inspection

Answer 1

collects the most data
guides ur physical exam
general to specific
compares side to side
identifies "cues"

Question 2

questions involving inspection

Answer 2

any signs of distress?
is the patient symmetrical?
does it look the same on the left and right?
are the colour, size and shape within normals?
any unusual smells? Drainage?
unusual sounds?

Question 3

palpation

Answer 3

sense of touch to collect data
usually follows inspection
reveals surface characteristics
identifies tenderness or pain
light, deep or bimanual (types of palpation

Question 4

things to notice

palpation

Answer 4

size 
shape
symmetry
swelling
temperature
tenderness
moisture
masses
vibrations
pulsations
rigidity
spasticity (contractions)

Question 5

light palpation

Answer 5

1-2cm

one hand

Question 6

deep palpation

Answer 6

2-4cm

2 hands

Question 7

bimanual palpation

Answer 7

2 hands on both sides

often used for uterus or kidneys

Question 8

what works best for palpation

Answer 8

fingertips

opposing fingers and thumb

Question 9

before palpation make sure to

Answer 9

warm hands/concent/wash hands

Question 10

what kind of motion to use for palpation

Answer 10

circular

Question 11

why palpate tender areas last

Answer 11

might not let u tough them again after experiencing painful palpation

Question 12

what is percussion

Answer 12

technique of striking part of the body with short, sharp taps of the fingers

Question 13

what can be assessed with percussion

Answer 13

location, size, position, and density of underlying organs

Question 14

different ways of percussion

Answer 14

direct or indirect

Question 15

what is auscultation?

Answer 15

listening to sounds produced by the body

Question 16

what things can u use to auscultate?

Answer 16

ear alone or stethoscope

Question 17

what is a general survey

Answer 17

an overall impression of the patient

observations only

Question 18

4 areas of general survey

Answer 18

appearence behaviour mobility

Question 19

appearence (general survey)

Answer 19

age
sex
level of consciousness (often goes into orientation)
skin colour
facial features
any acute signs of distress

Question 20

things involving body structure

Answer 20

stature
posture
build
position (includes if they are on the floor)
symmetry
nutrition
any deformities

Question 21

mobility

Answer 21

gait
range of motion
absence of involuntary movements

Question 22

kyphosis

Answer 22

flexed posture

Question 23

a wide gait can be a sign of what?

Answer 23

fear of falling

Question 24

behaviour

Answer 24

facial expression
mood and affect
speech
dress
personal hygiene
hair

Question 25

what measurements and vital signs to look for

Answer 25

height 
weight
temp.
pulse
respiration
bloood pressure

Question 26

ethnocentrism

Answer 26

view your own way of life as the most desirable and act accordingly

Question 27

family

Answer 27

identify key decision makers

identify primary caregivers

Question 28

pain

Answer 28

universally recognized
private and personal experience
subjective
influenced by cultural heritage

Question 29

culture and disease previlance

Answer 29

sickle cell anemia (black, west indian)
lactose intolerance
thalassemia (abnormal form of hemoglobin, body destroys RBC)
cystic fibrosis (upper respiratory problems, no cure, heretitary)

Question 30

assessment techniques

IPPA

Answer 30

inspection palpation percussion auscultation

IPPA