Free Essay

Health Assessment Top 10

In: Other Topics

Submitted By rogers556
Words 720
Pages 3
#1 EQUIPMENT

EQUIPMENT











Clean Hands
Stethoscope
Penlight
Ophthalmoscope/Otoscope
Near Vision Card/ Snellen Eye Chart
Tongue Blade
Gloves
Cotton Balls/Cotton Tipped Applicator
Cup of Water
Lemon Juice, Sugar, Salt

TECHNIQUES OF PHYSICAL
ASSESSMENT

Inspection
Palpation
Percussion
Auscultation

#2 GENERAL
SURVEY

GENERAL SURVEY
 Visible skin
 Facial expression/Mood (Grimace, Flat
Affect, Pleasant, Distress, SOB)
 Nutritional Status (Cachexia, Obesity,
Well-nourished)
 Grooming/Hygiene (UnKempt, Neat,
Poor Hygiene)
 Gross Anatomical Deformities

EXAMPLES

#3 SKIN

SKIN
• Integument
• Color
Pigmentation
Cyanosis
Jaundice
Erythema






Moisture
Temperature
Texture
Turgor

SKIN (CONT’D)
Vascularity
Edema
Lesions

ABCD:
 Asymmetry
 Border irregularity
 Color
 Diameter

HAIR AND SCALP
Hair:
Color
Distribution
Quantity
Thickness
Texture
Lubrication

NAILS
Condition of nails reflects: General health
State of nutrition
Occupation
Level of self-care
Age

#4 NEUROLOGICAL
SYSTEM

““

SMILE FOR ME”

NEUROLOGICAL ASSESSMENT

 Orientation (person, place, time, purpose)  12 Cranial Nerves/Sensation
 Glascow Coma Scale














12 CRANIAL NERVES

Olfactory
Optic
Oculomotor
Trochlear
Trigeminal
Abducens
Facial
Auditory
Glossopharngeal
Vagus
Spinal Accessory
Hypoglossal

#5
HEAD & NECK

COMPONENTS OF HEAD &
NECK







Ears
Nose
Eyes
Throat
Neck
Lymph Nodes

EYES
Inspect
• Anterior Eyes
• Eyelashes
• Conjunctivae
• Tear Ducts

EYE EXAMINATION








CN’s II, III, IV,& VI
Six Cardinal Fields of Gaze
Visual Acuity
Cover-Uncover Test
PERRLA
Peripheral Vision
Ophthalmic Exam

OPHTHALMIC EXAMINATION

Things to know for NCLEX:

EARS
Assess Outer Ear for:
• Drainage
• Foreign Bodies
• Lesions
• Erythema
• Pain/Tenderness
• Cerumen

EAR EXAMINATION
Tests:
• Weber
• Rinne
• Otoscopic Examination

NOSE AND SINUSES
Nose
Excoriation
Polyps
Sinuses

MOUTH AND PHARYNX
Lips
Color
Texture
Hydration
Contour
Lesions

MOUTH AND PHARYNX (CONT’D)
Buccal mucosa
Gums
Teeth

MOUTH AND PHARYNX (CONT’D)
Tongue
Floor of mouth

MOUTH AND PHARYNX (CONT’D)
Palate
 Hard
 Soft

Pharynx

TONSILS

LYMPH NODES & THYROID

RESPIRATORY SYSTEM

THORAX AND LUNGS
Examination

Inspection (symmetry)
Palpation (Tenderness)
Percussion (Resonance)
Auscultation

THORAX AND LUNGS (CONT’D)
Auscultation

Adventitious sounds Crackles
Rhonchi
Wheezes
Pleural
friction rub

BREATH SOUNDS VIDEO

STRIDOR

PLEURAL FRICTION RUB

CARDIOVASCULAR SYSTEM

CARDIOVASCULAR SYSTEM
Assess the following items:
• Inspect for abnormal pulsations over the heart/abdominal aorta
• Jugular Vein Distension (JVD)
• Heart Sounds (S1 & S2)
• Pulses
• Capillary Refill
• Hair Distribution (on extremities)

VASCULAR SYSTEM
Pulses
0: absent, not palpable
1+: pulse diminished, barely palpable
2+: expected/normal
3+: full pulse, increased
4+: bounding pulse

HEART SOUNDS
Normal Findings
S1 and S2
Abnormal Findings
S3, S4, Murmurs, Clicks, Heaves, Bruits
* Using your stethoscope: use the diaphragm to assess for S1, S2 heart sounds and bell to assess vascular sounds (Bruits etc)

AUSCULTATION OF THE HEART

AUSCULTATION OF HEART
SOUNDS

ABDOMEN

ABDOMEN
Inspection
Umbilicus
Contour and symmetry
Enlarged organs or masses
Movements or pulsations

ABDOMEN
Auscultation
Bowel motility (Bowel Sounds)
Peristalsis
Borborygymi
Vascular sounds (use the bell)
Bruits
Kidney tenderness (CVA Tenderness in Flank)

PERCUSSION
Used to determine the following thing:
• General Tympany
• Location/size of liver and spleen
• Presence of masses

ABDOMEN
Palpation
 Performed last
 Detects tenderness, distention, or masses  May be light or deep, as appropriate
 Aortic pulsation

BREASTS & THE REPRODUCTIVE
SYSTEMS

BREASTS
Examine both females and males.
Use inspection and palpation.
Look for symmetry.

BREAST SELF-EXAMINATION
(CONT’D)
6. Repeat steps 4 and 5 while lying down. Lie flat on back, right arm over head and pillow/folded towel under right shoulder. This position flattens the breast for easier examination. Use same circular motion described earlier.
7. Repeat on the right breast.

BREASTS

FEMALE GENITALIA
AND REPRODUCTIVE TRACT
Pelvic Examination (Pap
Smear)
• Recommended every 1-2 years • Tests cervical tissue
• Done via bimanual method • Position is lithotomy

MALE GENITALIA
• Assess the integrity of the external genitalia, inguinal ring, and canal.
• Use inspection and palpation. • Assess testes, penis, and scrotum
• Age 35-40 prostate exam MUSCULOSKELETAL SYSTEM

COMPONENTS
The musculoskeletal system includes:
• Joints
• Motor Function
• Gait/Posture
• Spine
• Range of Motion of all joints
• Muscle Strength
• Deep Tendon Reflexes

MUSCULOSKELETAL SYSTEM
General inspection:
Gait
Postural abnormalities Age-related changes

MUSCULOSKELETAL SYSTEM
Assess for lordosis, kyphosis, or scoliosis.

MUSCULOSKELETAL SYSTEM
Palpation
Joints
Bones
Muscles
Grading Muscle Strength and Deep Tendon
Reflexes
 Muscle Strength Scale: 0-5 ; normal is 5
DTR’s: 0-4+ ; normal is 2

MUSCULOSKELETAL SYSTEM
(CONT’D)
Range of motion
Active and passive

DEEP TENDON REFLEXES







Biceps
Triceps
Patellar
Achilles
Plantar
Abdominal

AFTER THE EXAMINATION
Record findings.
Give the patient time to dress; assist if needed.
If findings are serious, consult health care provider before informing the patient.
Delegate cleaning of examination area.
Record complete assessment; review for accuracy and thoroughness.
Communicate significant findings.

Similar Documents

Premium Essay

Medical Surgical

...Chapter 3: Health History and Physical Examination MULTIPLE CHOICE 1. A patient who is actively bleeding is admitted to the emergency department. Which approach is best for the nurse to use to obtain a health history? a.|Briefly interview the patient while obtaining vital signs.| b.|Obtain subjective data about the patient from family members.| c.|Omit subjective data collection and obtain the physical examination.| d.|Use the health care provider’s medical history to obtain subjective data.| ANS: A In an emergency situation the nurse may need to ask only the most pertinent questions for a specific problem and obtain more information later. A complete health history will include subjective information that is not available in the health care provider’s medical history. Family members may be able to provide some subjective data, but only the patient will be able to give subjective information about the bleeding. Because the subjective data about the cause of the patient’s bleeding will be essential, obtaining the physical examination alone will not provide sufficient information. DIF: Cognitive Level: Apply (application) REF: 45 TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance 2. Immediate surgery is planned for a patient with acute abdominal pain. Which question by the nurse will elicit the most complete information about the patient’s coping-stress tolerance pattern? a.|“Can you rate your pain on a 0 to 10......

Words: 1950 - Pages: 8

Premium Essay

Identifying Strategic Issues

... Hampton-Mitchell Benedictine University Abstract Phase four of the Mobilizing for Action through Planning and Partnerships (MAPP) process provides guidance for identifying strategic issues in the target community (National Association of County & City Health Officials, n.d.). According to the National Association of County & City Health Officials (NACCHO), identifying strategic issues reveals what is important within the community (NACCHO, n.d.). By identifying these issues, strategies can be developed to improve community health (NACCHO, n.d.). The purpose of this research is to identify strategic issues in Petersburg, Virginia. Synthesis and Analysis Four MAPP Assessments were conducted during phase three of the MAPP process. The four assessments include the Community Themes and Strengths Assessment, the Local Public Health System Assessment, the Community Health Status Assessment, and the Forces of Change Assessment (NACCHO, n.d.). Each Assessment revealed important information about community health in Petersburg, Virginia and must be analyzed to give a complete picture (NACCHO, n.d.). The Community Themes and Strengths Assessment (CTSA) revealed several important thing about Petersburg. Petersburg, despite being a small city, has a wealth of healthcare resources within city limits and in the surrounding area. There are two organizations that provide primary care services within city limits,...

Words: 1058 - Pages: 5

Premium Essay

Papers

...Developing an Effective Health Care Workforce Planning Model Contents Executive Summary...................................................................................................................1 Getting Started with a Workforce Planning Model .................................................................2 Data – Collecting, Understanding, and Using ........................................................................3 Strategy – Understanding and Addressing the Business Need .............................................9 Planning – How to be Prepared for the Future .....................................................................12 Evaluation – Understanding Success ..................................................................................21 Conclusion ...............................................................................................................................23 Literature Review ....................................................................................................................24 Acknowledgements.................................................................................................................26 Executive Summary is aging at a rapid rate; health care reform is expected to bring millions more patients into the system; and there are anticipated shortages in numbers of trained health care professionals to care for these patients. Therefore, the need to start now to develop more effective and......

Words: 9680 - Pages: 39

Premium Essay

Safety Analysis of a High Voltage Test Lab

...conducted in a high voltage test lab (HVTL) where voltages can reach in excess of 500,000 volts. This health and safety assessment was performed on a HVTL to identify potential safety and health hazards within the lab and apply engineering controls, administrative controls and personal protective equipment to mitigate the hazard. This assessment was accomplished through the use of risk assessment, deviation analysis, job safety analysis, HAZOP and fault tree analysis following a five step method. Each hazard was quantified based on the consequence and the probability of occurring and classified based on the type of risk and the acceptance of the risk. From this analysis, the ten most critical hazards were chosen. These ten were then mitigated using the various controls listed above. * TABLE OF CONTENTS ABSTRACTii INTRODUCTION1 METHODS2 2.1 Safety and Health Analysis Tools2 2.1.1 Risk Assessment Analysis2 2.1.2 Deviation Analysis3 2.1.3 Job Safety Analysis5 2.1.4 Hazard and Operability Analysis5 2.1.5 Fault Tree Analysis6 2.2 Procedures for Five-Step Analysis6 2.2.1 Risk Assessment Analysis of Building and Facility7 2.2.2 Deviation Analysis of Hazardous Substances7 2.2.3 Job Safety Analysis of Noise and Climate7 2.2.4 Hazard and Operability Analysis of Fixed Fire Extinguishers8 2.2.5 Fault Tree Analysis of Foam Fire Suppression System8 2.3 Data Analysis9 2.3.1 Risk Assessment Data Analysis9 2.3.2 Deviation Data Analysis10 2.3.3 Job Safety Data Analysis10 2.3.4 Hazard and......

Words: 5236 - Pages: 21

Free Essay

Chapter 3: Family Influences on Child Health Promotion

...Hockenberry & Wilson: Wong’s Essentials of Pediatric Nursing, 8th Edition Pub Review Chapter 3: Family Influences on Child Health Promotion MULTIPLE CHOICE 1. Which of the following family theories is described as a series of tasks for the family throughout its life span? a.|Interactional theory| b.|Developmental systems theory| c.|Structural-functional theory| d.|Duvall’s developmental theory| ANS: D d. Duvall’s developmental theory describes eight developmental tasks of the family throughout its life span. a and c. These are not family theories. b. Developmental systems theory is an outgrowth of Duvall’s theory. The family is described as a small group, a semiclosed system of personalities that interact with the larger cultural system. Changes do not occur in one part of the family without changes in others. DIF: Cognitive Level: Knowledge REF: Page 32 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Health Promotion and Maintenance: Family Systems 2. Which of the following family theories explains how families react to stressful events and suggests factors that promote adaptation to these events? a.|Interactional theory| b.|Developmental systems theory| c.|Family stress theory| d.|Duvall’s developmental theory| ANS: C c. Family stress theory explains the reaction of families to stressful events. In addition, the theory helps suggest factors that promote adaptation to the stress. Stressors, both......

Words: 2616 - Pages: 11

Premium Essay

Community Health and Population Focused Nursing

...like Choctaw, Oklahoma have a small downtown area but the homes are mostly spread out with approximately 1 acre lots. There is a large variety and diversity within the boundaries of Oklahoma County. Summary of Tools, Description of Community, & Interpretation of Collected Data The tool in which I used to assess the community were Population Economic Status Assessment, Disaster Assessment and Planning, Neighborhood/Community Safety Inventory, Cultural Assessment, Community and Population Health Windshield Survey, and Community and Population Health Scavenger Hunt. From the tool it helped me discover different aspects of the community and identify common health problems. The race diversity in Oklahoma County is quite large and prevalent depending on what part of the community you are in. Some parts of the community are ethnically segregated, whereas others parts race does not matter and they were segregated at a poverty level depending on you wealth. For example the City of Choctaw was a upper class community but consisted of multiple races. Population Economic Status Based on the population economic status assessment, Oklahoma County, Oklahoma has approximately 750,000 residents. The average income is around...

Words: 2858 - Pages: 12

Premium Essay

Syllabus

...Natural Sciences | | |SCI/163 Version 4 | | |Elements of Health and Wellness | Copyright © 2013, 2012, 2011, 2009 by University of Phoenix. All rights reserved. EL14FS05 Course Start Date:  04/16/2014 Course End Date:  05/14/2014 Wednesday’s *6 PM to 10 PM* El Centro Learning Center 3095 North Imperial Suite 101 El Centro, California - 92243 Phone: 800-473-4346 Instructor:  Rosyo Ramirez, MPA Course Description This course reinforces the concept that learning effectively and living well involves both the mind and body. It presents the fundamentals of wellness and preventive health including strategic planning to attain and maintain personal optimal health. In addition, physical and mental diseases are discussed along with the dangers of environmental pollution, stress, addiction, and other negative factors that can affect personal health. Policies Faculty and students/learners will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This......

Words: 2617 - Pages: 11

Premium Essay

Bank of America

...philosophy of talent management and development is driven by seven guiding principles that create a mindset that is pervasive across the bank’s executive ranks. The seven different philosophies are stated below: 1. Leaders really do matter in managing and driving accountability, results and culture. 2. Performance rules: Top performers, then high potentials 3. Talent is an enterprise resource. 4. Today’s top-performing leaders are not necessarily tomorrow’s. 5. A broad set of experiences and assignments is the best classroom; yet, a balanced approach is necessary for development. 6. Today’s top 100 must leave a legacy of future talent by teaching, mentoring and serving as role models to others on what it takes to succeed. 7. Invest in the best and focus the rest. Bank of America’s talent management and development efforts are structured around a core set of frameworks that includes the Bank of America core values, a 70-20-10 development frameworks that includes experience based development, 70 percent, coaching and feedback, 20 percent, and learning, 10 percent; targeted transition development for leaders at each turn of the leadership pipeline; and regular assessment to gain deeper insight into the experiences, leadership capabilities and vulnerabilities, and ambition of senior executives. (Knighton, 2009). This combination of...

Words: 1520 - Pages: 7

Premium Essay

Risk Assesment

...Running Head: RISK ASSESSMENT PLAN Risk Assessment Plan Therese Kress MGT. 401 Hazardous Materials Management Instructor Stephen Griffith October 6th, 2014 RISK ASSESSMENT PLAN Risk Assessment Plan Holding the position of ‘Risk Manager” can be a daunting task. Their role is to advise their company of any potential risks that might exist within the organization, its employees, customers, and even its reputation. A risk managers job tasks depend on the industry in which they work in, and the level at which they are working at. Their major job duties are to identify and assess hazards, put safety plans in place, and determine how to avoid, reduce, or eliminate the risks altogether. That is why in the 1970’s the “Occupational Safety and Health Act (OSHA) established three permanent federal agencies to help with accessing such issues. The Occupational Safety and Health Administration (OSHA) to set and enforce standards, the National Institute for Occupational Safety and Health to conduct research on workplace hazards, and the Occupational Safety and Health Review Commission (OSHRC) to referee any workplace challenges” (Matthews, P.2011). These three departments were established to set guidelines by which companies both large and small, could follow to minimize the potential risks within the workplace. At my place of employment, Generator Services, we do have a Risk Assessment Plan that observes a......

Words: 2043 - Pages: 9

Premium Essay

Mentor

...go to contents page > School of Health and Social Care www.brookes.ac.uk/schools/shsc mentoring a resource for those who facilitate placement learning Developed by The Practice Education Group (PEG) students and mentors School of Health & Social Care Oxford Brookes University Specific contributions by Pam Sharp, Tim Ainslie, Anna Hemphill, Stephanie Hobson Clair Merriman, Paul Ong, Judy Roche go to contents page > Definitions Placement learning “is a planned period of learning, normally outside the institution at which the student is enrolled, where the learning outcomes are an intended part of a programme of study. It includes those circumstances where students have arranged their own learning opportunity with a placement provider, with the approval of the institution…” (Quality Assurance Agency QAA (2001), Section 9 pg 4, Code of Practice for the assurance of academic quality standards in Higher Education Institutions) Accessed on 24.6.05 www.qaa.ac.uk/academicinfrastructure/codeOfPractice/section9/PlacementLearning.pdf Facilitation roles Those who facilitate placement learning undertake a variety of roles which may include support, assessment and facilitation of learning. There is a wide range of role titles that describe these roles including: Assessor, Mentor, Practice Educator, Preceptor, Clinical Teacher, Associate Mentor, Clinical Educator or Practice Teacher. 2 Version 1 September 2005 © School of Health and Social Care, Oxford......

Words: 14347 - Pages: 58

Premium Essay

Chapter 4 Peds

...Chapter 04: Social, Cultural, and Religious Influences on Child Health Promotion MULTIPLE CHOICE 1. Which term best describes a group of people who share a set of values, beliefs, practices, social relationships, law, politics, economics, and norms of behavior? a.|Race| b.|Culture| c.|Ethnicity| d.|Social group| ANS: B Culture is a pattern of assumptions, beliefs, and practices that unconsciously frames or guides the outlook and decisions of a group of people. A culture is composed of individuals who share a set of values, beliefs, and practices that serve as a frame of reference for individual perceptions and judgments. Race is defined as a division of mankind possessing traits that are transmissible by descent and are sufficient to characterize it as a distinct human type. Ethnicity is an affiliation of a set of persons who share a unique cultural, social, and linguistic heritage. A social group consists of systems of roles carried out in groups. Examples of primary social groups include the family and peer groups. PTS: 1 DIF: Cognitive Level: Remember REF: 44 TOP: Integrated Process: Nursing Process: Assessment MSC: Area of Client Needs: Psychosocial Integrity 2. Which term best describes the emotional attitude that one’s own ethnic group is superior to others? a.|Culture| b.|Ethnicity| c.|Superiority| d.|Ethnocentrism| ANS: D Ethnocentrism is the belief that one’s way of living and behaving is the best way. This includes the emotional......

Words: 3438 - Pages: 14

Premium Essay

Ffssdfdfdfsd

... | | |College of Natural Sciences | | |SCI/162 Version 7 | | |Principles of Health and Wellness | Copyright © 2012, 2011, 2010, 2009 by University of Phoenix. All rights reserved. Course Description This course reinforces the concept that learning effectively and living well involves both the mind and body. It presents the fundamentals of wellness and preventive health including strategic planning to attain and maintain personal optimal health. In addition, physical and mental diseases are discussed along with the dangers of environmental pollution, stress, addiction, and other negative factors that can affect personal health. Policies Faculty and students/learners will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be sure to read the policies at the beginning of each class...

Words: 1582 - Pages: 7

Premium Essay

Hr598

...3 Business Goals…………………………………………………………..p. 4 Mission…………………………………………………………………..p. 4 Needs Assessment……………………………………………………………….p. 5-10 Organizational Analysis…………………………………………………p. 5-10 Sources of Information………………………………………… p. 5-10 Person Analysis………………………………………………………….p. 5-10 Sources of Information………………………………………… .p. 5-10 Task Analysis…………………………………………………………….p. 5-10 Sources of Information………………………………………… .p. 5-10 Training Strategy and Design……………………………………………………p. 10 Cost-Benefit Analysis…………………………………………………………....p. 10-11 Training Evaluation……………………………………………………………...p. 12-13 Conclusion……………………………………………………………………….p. 13 References……………………………………………………………………… p. 14 Organization Overview BBA Aviation encompasses two flight support businesses, Signature Flight Support and ASIG, Aircraft Service International Group. Both lines of business provide specialist on-airport support services including refueling and ground handling to the owners and operators of private, business, military and commercial aircraft. Accidents involving injury, loss of human capital as well as loss of equipment are costly to the company. Fines can add to this cost for the organization failing to protect their employees, damaging property or causing injury. BBA Aviation Flight Support desires to reduce these expenses and improve workplace health and safety by investing in a learning management system to advance the knowledge, skills and......

Words: 3254 - Pages: 14

Premium Essay

Start a New Career

...of this juncture, I feel to achieve an MBA will complement my global experience and bring all my technical, leadership, and management expertise together in a more lucrative upper management role. Start a New Career For most starting a new career can be a bit scary. Fortunately for those of us with a great deal of longevity in the military the ability to step ahead in the interview line is greater than those who have not served in the US Armed Forces. Many employers realize veterans bring a lot of value to their table, such as; accelerated learning curve, leadership, teamwork, diversity and inclusion in action, efficient performance under pressure, respect for procedures, international and technical trends, integrity, conscious of health and safety standards, and triumph over adversity (Veterans Today, 2010). Veterans also bring life experiences which only the military can bestow, soft-skills that unite individuals of all incomes, race, and nationalities, changing their fellow coworkers into a model of integrity, discipline and creativity. However, these fine qualities and characteristics woven into every veteran is fine for entry level positions or perhaps middle management, but achieving a foot in the door for upper management will require an MBA. Besides my extensive background with the military, there were several other driving factors to seek employment...

Words: 1080 - Pages: 5

Free Essay

Jungian Type Personality

...Abstract This paper is based on my construction and support of my decision to pursue my MBA degree and its importance to me. I will also include the results from the Jungian 16 type Personality self-assessment that was done to assess my personality type and to determine how others perceive me. Importance of Earning an MBA Degree The question been asked is why do I need an MBA to excel? This is just a question in the minds of thousands of individuals who wish to excel in their professional career and who seek to achieve some form of independence. ‘Why does achieving an MBA important to my development’, an MBA is seen as a steppingstone to further enrich my way of life. Earning an MBA can be seen as a very important accomplishment in one’s life, as it allows the individual the opportunity to accomplish his or her goals in life and have a standing in society and the business world. Achieving an MBA is not just acquiring a piece of paper with one’s name written on it but rather a milestone in one’s accomplishment. The milestone that will allow me to be better equipped for managerial level positions in the professional world and also will allow me greater marketability as it paves a path for my professional growth. This will allow me to go out into the world with a better chance of obtaining a job and to be in a specific socio class. In other word’s an educational investment paying off. According to Tomar (2010), “Major companies are presently requiring for their......

Words: 1125 - Pages: 5