...Pre 20th Century Mental Institutions|| Melissa Hook HSP 3M1 |October 1st, 2011| A Cruel Fate: Torture in the Asylums Since the dawn of time, human nature has proven to be uncompassionate, aggressive and horrific. This idea is ultimately evident as we examine the horrendous procedures, and conditions of pre 20th century insane asylums. In his Journal of Social History, C. Rosenberg (1997) writes “Institutions traditionally seen as expressions of reform and benevolence have increasingly come to be seen as modes of enforcing social control”. Regardless of the barbaric and obscene methods of treatment, mental institutions were notorious for their insanely high levels of social control and complete ignorance of the rights of the patients. Inhabitants of these institutions experienced harsh and sometimes life threatening living conditions, and very poor nutrition and treatment. Essentially, the inmates of pre 20th century insane asylums were treated in a comparable manor as to that of an animal. The seriousness of these conditions is affirmed in the article, A Historical Sketch of the Emergence of Liverpool Psychiatry (Valliant 1963). The author states that these unfortunates were confined and cruelly repressed, beaten, starved, and manacled for acts over which they had no control. They were kept in filthy rat-inrested dungeons without light or clothing and the only medical treatments were shots in the dark such as ‘Whirling Chairs’ ( para- 3 Valliant 1963). Figure 1.1 (1949)...
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...Assessment In the given case study patient has persistence vomiting for eight days and she took Antaacids to relieve the symptoms. She is dehydrated, and her lab results shows she has metabolic alkalosis. In focused assessment, detailed nursing assessment of particular body system(s) connected to the current problem is required. One or more body system may be involved.Nausea and vomiting can ocurr due to different reasons like food poisoning,chloecystitis or intestinal obstruction..For the patient with vomitting,intially the health care provider need to pay attention to signs of dehydration. Like assessing monitoring blood pressure and observing for hypotension, skin turgour and mucous membranes changes (McCance, Huether, Brashers, & Neal, 2014). General Assessment: Patient had dark circles under the eyes. She looked worn out. She was feeling anxious. Her energy level was very low. She was speaking very slowly. Abdominal Examination: Abdomen is soft to touch. Patient has some epigastric pain. Bowel sounds are decreased.No bloating or acidity. Signs of hypo-motility may indicate an increased risk for nausea and vomiting. Cardiovascular system: Patient is hypotensive with tachycardia. No heart regurgitation or murmur. Heart rhytm is regular. Patient is feeling tired and dizzy. Pulmonary system: Patient is in metabolic alkalosis. Respirations rate is low 12 breaths per minute. Patient is taking deep regular breaths. Lungs are clear to ausculation. She has...
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...Eleven Functional Health Pattern Guidelines for Family Assessment The 11 functional health pattern areas are applicable to the assessment of families. Family assessment is the focus of this course. In some cases, a family assessment may be indicated (1) in the care of an infant or child whose development is influenced by family health patterns or (2) when an adult has certain health problems that can be influenced by family patterns. The following guidelines provide information on family functioning: HEALTH PERCEPTION–HEALTH MANAGEMENT PATTERN 1. History a. How has family’s general health been (in last few years)? b. Colds in past year? Absence from work or school? c. Most important activities to keep healthy? Think these make a difference to health? (Include family folk remedies, when appropriate.) d. Members’ use of cigarettes, alcohol, or drugs? e. Immunizations? Health care provider? Frequency of checkups? Accidents (home, work, school, or driving)? (When appropriate: Storage of drugs, cleaning products, clutter) f. In past, has it been easy to find ways to follow suggestions of physicians, nurses, or social workers (when appropriate)? g. Things important in family’s health with which I could help? 2. Examination a. General appearance of family members and home. b. When appropriate: Storage of medicines, cribs, playpens, stove, scatter rugs, and hazards – interior or exterior (environmental? Water safety? Condition of toys? Use of helmets, etc?)) c. Complete...
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...REQUIRED UNIFORM ASSIGNMENT GUIDELINES THE HEALTH HISTORY AND PHYSICAL EXAMINATION PURPOSE As you learned in NR302, before any nursing plan of care or intervention can be implemented or evaluated, the nurse conducts an assessment, collecting subjective and objective data from an individual. The data collected are used to determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting both subjective and objective data, synthesizing the data, and identifying health and wellness priorities for the person. The purpose of the assignment is twofold. • To recognize the interrelationships of subjective data (physiological, psychosocial, cultural and spiritual values, and developmental) and objective data (physical examination findings) in planning and implementing nursing care • To reflect on the interactive process that takes place between the nurse and an individual while conducting a health assessment and a physical examination COURSE OUTCOMES CO 2: Utilize prior knowledge of theories and principles of nursing and related disciplines to integrate clinical judgment in professional decision-making and implementation of nursing process while obtaining a physical assessment. (POs 4 and 8) CO 3: Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1) CO 4: Utilize effective communication when performing a health assessment. (PO 3) CO 6: Identify teaching/learning...
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...Health Promotion and the Individual CHAPTER 6 161 Box 6-1 Functional Health Patterns Assessment (Adult) Functional Health Patterns Assessment (Adult) d. Perceived ability (code for level) for: Feeding Dressing Cooking Bathing Grooming Shopping Toileting General mobility Bed mobility Home maintenance Functional Level Codes: Level 0: full self-care Level I: requires use of equipment or device Level II: requires assistance or supervision from another person Level III: requires assistance or supervision from another person and equipment or device Level IV: is dependent and does not participate 2. Examination a. Demonstrated ability (code listed above) for: Dressing Cooking Feeding Bathing Grooming Shopping Toileting General mobility b. Gait ________ Posture Absent body part? (Specify.) c. Range of motion (joints) Muscle firmness d. Hand grip Can pick up a pencil? e. Pulse (rate) (rhythm) Breath sounds f. Respirations (rate) (rhythm) Breath sounds g. Blood pressure h. General appearance (grooming, hygiene, and energy level) HEALTH PERCEPTION-HEALTH MANAGEMENT PATTERN 1. History a. How has general health been? b. Any colds in past year? When appropriate: absences from work? c. Most important things you do to keep healthy? Think these things make a difference to health? (Include family folk remedies when appropriate.) Use of cigarettes, alcohol, drugs? Breast self-examination? d. Accidents (home, work, driving)? e. In past, been easy to find ways to follow suggestions from...
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...EXAMINATION OF THE MOUTH AND OTHER RELEVANT STRUCTURES A thorough case history and clinical examination are mandatory on the child’s first visit to the dentist and at the start of every new treatment period. KNOW YOUR PATIENT * Who is taking care of the child? * Who is with him today? * Is the child attending school? * Who referred the patient? * Where does the child live? * Important factors to be addressed during the child’s initial dental visit (3-6) * Limited existing health history * No clinical baseline data * Behavioral unknowns * A primary dental occlusion with limited predictive value * Preventive needs that must be assessed A thorough case history and clinical examination of the child patient is important in order to: * Establish good contact with and knowledge of the child and parent * Decide on prescriptions of radiographic and laboratory examinations * Identify possible signs of general conditions and diseases * Arrive at a proper diagnosis and appropriate treatment plan CASE HISTORY Case history in children, especially young children has to be taken through another person, the parent. This has 2 important implications: 1. The information obtained from the accompanying person may not necessarily reflect the situation of the child. 2. The dentist may tend to forget to communicate with the child, which occasionally leads the child to feel that he is being neglected by the dentist. CASE HISTORY ...
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...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 scale?”| b.|“What...
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...1 NRSG125 HEALTH ASSESSMENT 1. Introduction to physical assessment techniques LEARNING OUTCOMES: At the successful completion of this session students will be able to: * Demonstrate the techniques of inspection, palpation, percussion and auscultation at a beginning level * Discriminate between intensity, duration, pitch and quality of percussion sounds at a beginning level * Differentiate between light and deep palpation * Identify the components of a stethoscope. * Identify and describe the use of a variety of equipment used for health assessment * Establish an environment suitable for conducting a physical assessment. * Describe safety precautions and legal considerations when performing a physical assessment. PRE-LAB READING: Prior to attending this lab students should read the following: * Estes, M, E, Z., Cajella,P.,Thoebald, K.,Harvey, T., (2013). Health assessment and physical examination (1st ed.) South Melbourne, Vic., Australia; Cengage Learning. pp 81-96. * Tollefson, J. (2012) Clinical psychomotor skills (5th ed.) South Melbourne, Vic. Australia.: Cengage Learning. pp 23-28 List the physical assessment techniques in the correct order, and provide two examples of findings. Assessment | Description | Example of findings | technique | | | | | | Inspection | Examination conducted by looking at the body parts being examined, through observation, focus images,...
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...HEALTH HISTORY AND EXAMINATION OF AN OLDER ADULT HEALTH HISTORY AND EXAMINATION OF AN OLDER ADULT On March 1, 2016, with the permission of Mr. P.F. henceforth known as the client, a health history assessment and physical examination was conducted and the detailed results dictated within the appropriate assessment templates which are attached for review. In an effort to summarize the health history assessment and physical examination, the summarized assessment findings will be henceforth reported in SBAR format. Situation The client is a Caucasian 64 year old male, whom is alert and oriented to person, place and time whom presents as a well-groomed, well- rested, and well-nourished man that looks his age. English is spoken fluently by the client and is reported as his first language therefore interpreter services were not required. The client states that he worked and supported his family over forty years as a truck driver however has been retired since 2012. Additionally he reports living alone in a single story home which he has owned for over forty years. His plans are to continue to live in his home as long as he is able to care for himself and continue to maintain the home independently. He further states that he is able to complete all his activities of daily living independently, routinely cooks for himself three cardiac meals per day, and takes walks daily for exercise. Client does not report to currently be in a relationship or sexuality active, however did...
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...Modern medical practices vs. Alternative health practices Robin Phillips English composition 1 Sarah MacDonald July 16, 2012 Modern medical practices vs. Alternative health practices With the countless illnesses of today, there are various options available in the health field to receive the care and treatment desired. Two of these choices are with the General practitioner and a Complementary & Alternative health practice. Comparably, both practices treat the same set of common illness’s or diseases such as pregnancy, childhood illnesses, common cold, asthma, diabetes, high blood pressure, depression, injury, and anxiety; however, there are differences in the technique to treatments and healing methods, which should be considered in choosing the type of practice that best fits your needs. In order to discuss the similarities and differences between the two practices we must first define them. A general practitioner, that practices modern medicine is defined by Collins English Dictionary as “ a physician who does not specialize but has a medical practice (general practice) in which he deals with all illnesses” (2005); while Collinsenglishdictionary.com defines Complementary health as” also called: alternative medicine , the treatment, alleviation, or prevention of disease by such techniques as osteopathy, homeopathy, aromatherapy, and acupuncture, allied with attention to such factors as diet and emotional stability, which...
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...INSURANCE BILLING FOR THE MEDICAL OFFICE CH 4 SHIRLEY QUAN | | Acute | A medical condition that runs a short but relatively severe course. | Attending physician | A medical staff member who is legally responsible for the care and treatment given to a patient. | Chief complaint (CC) | A patient's statement describing symptoms, problems, or conditions as the reason for seeking health care services from a physician. | Chronic | A medical condition persisting over a long period of time. | Comorbidity | An ongoing condition that exists along with the condition for which the patient is receiving treatment. | Comprehensive | A term used to describe a level of history or physical examination. | Concurrent care | The provision of similar services (e.g., hospital visits) to the same patient by more than one physician on the same day. Usually a separate physical disorder is present. | Consultation | Services rendered by a physician whose opinion or advice is requested by another physician or agency in the evaluation or treatment of a patient's illness or suspected problem. | Consulting physician | A provider whose opinion or advice about evaluation or management of a specific problem is requested by another physician. | Continuity of care | When a physician sees a patient who has received treatment for a condition and is referred by the previous doctor for treatment of the same condition. | Counseling | A discussion between the physician and a patient, family...
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...PHYSICAL ASSESSMENT EXAMINATION STUDY GUIDE Nursing Assessment 1. Part of Nursing Process 2. Nurses use physical assessment skills to: a) Obtain baseline data and expand the data base from which subsequent phases of the nursing process can evolve b) To identify and manage a variety of patient problems (actual and potential) c) Evaluate the effectiveness of nursing care d) Enhance the nurse-patient relationship e) Make clinical judgments Gathering Data Subjective data - Said by the client (S) Objective data - Observed by the nurse (O) Document: SOAPIER Assessment Techniques: The order of techniques is as follows (Inspect – Palpation – Percussion - Auscultation) except for the abdomen which is Inspect – Auscultation – Percuss – Palpate. A. Inspection – critical observation *always first* 1. Take time to “observe” with eyes, ears, nose (all senses) 2. Use good lighting 3. Look at color, shape, symmetry, position 4. Observe for odors from skin, breath, wound 5. Develop and use nursing instincts 6. Inspection is done alone and in combination with other assessment techniques B. Palpation – light and deep touch 1. Back of hand (dorsal aspect) to assess skin temperature 2. Fingers to assess texture, moisture, areas of tenderness 3. Assess size, shape, and consistency of lesions and organs 4. Deep = 5-8 cm (2-3”) deep; Light = 1 cm deep C. Percussion – sounds produced by striking body surface 1. Produces different notes depending on underlying mass (dull...
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...May–June Summer 2016 Examination Timetable – FINAL Home Pearson Edexcel General Certificate of Education May–June Summer 2016 Examination Timetable – FINAL For more information on Edexcel qualifications please visit http://qualifications.pearson.com Notes Pearson Edexcel General Certificate of Education May–June Summer 2016 Examination Timetable – FINAL Home Notes Pearson Edexcel GCE Summer 2016 Examination View by Week Week Week 2 Week 3 Week 4 Week 5 Week 6 Monday 16 May Monday 23 May Monday 6 June Monday 13 June Monday 20 June Monday 27 June Tuesday 17 May Tuesday 24 May Tuesday 7 June Tuesday 14 June Tuesday 21 June Tuesday 28 June Wednesday 18 May Wednesday 25 May Wednesday 8 June Wednesday 15 June Wednesday 22 June Wednesday 29 June Thursday 19 May Thursday 26 May Thursday 9 June Thursday 16 June Thursday 23 June Thursday 30 June Friday 20 May Day Week 1 Friday 27 May Friday 10 June Friday 17 June Friday 24 June Friday 1 July View by Subject Subject A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Pearson Edexcel General Certificate of Education May–June Summer 2016 Examination Timetable – FINAL Notes Home Notes 1. Conduct of Examinations 2. Key Dates • Each examination must be taken on the day and at the time as shown on the timetable. • The date for the restricted release of results to centres is Wednesday 17 August 2016. • The published starting time of all examinations for UK centres...
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...Health informatics professionals are required to possess an effective working knowledge of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule and Security Rule. At some point in your career, you may be asked to participate in policy development and to apply specifications included in new HIPAA Law to existing policies. Health informatics professionals need to be aware of new laws and regulations, how they impact the healthcare organization, and how best to educate staff on any workplace changes. This task will provide you with two documents. First, read the attached “Health Record Policies,” which includes policy draft excerpts. Next, read the attached “Sections of Montana Code,” which includes definitions from Montana law pertaining to the validity of consent of minor for health services (41-1-402), confidentiality of health information (50-16-603), patients’ examination and copying (50-16-541 and 50-16-542), and reasonable fees allowed (50-16-540). Task: A. Evaluate the two policies in the attached “Health Record Policies” by doing the following: 1. Discuss what information should be included in an addendum pertaining to a shadow chart. 2. Discuss how information technology staff can help decrease incidents of security breaches. B. Discuss one situation from Montana Code 41-1-402 (2a through 2d) that may result in criminal liability to the organization if not followed. 1. Summarize how HIPAA defines criminal liability. 2. Explain which part...
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...Health History and Examination Health Assessment of the Head, Neck, Eyes, Ears, Nose, Mouth, Throat, Neurological System, and the 12 Cranial Nerves Skin, Hair, Nails, Breasts, Peripheral Vascular System, Lymphatics, Thorax, Heart, Lungs, Musculoskeletal, Gastrointestinal, and Genitourinary Systems Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include relevant data for your client. |Student Name: xx |Date: 03/22/2015 | |Client/Patient Initials: I.F |Sex: Female |Age: 76 | |Occupation of Client/Patient: Stay at home | | |Health History/Review of Systems | | |(Complete and systematic review of systems) | | |Neurological System (headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, | | |difficulty swallowing, etc., medications): | | |dizziness once in a while. ...
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