...ASSESSMENT Gather Equipment/Provide Privacy/Ensure Proper Lightening Wash Hands Ensure visualization of each body part as its examined Introduce self to patient (my name is….. how are you doing today) General Survey Say all of this… Can you state your age for me? Client appears to be stated age. LOC-Ask client: Can you tell me you name please, DOB, and where are you today, what month and year. Client is alert and oriented x3 -- to person, place, time Client’s skin color appears like pink and evenly pigmented without lesions or redness Client nutritional status appears appropriate for weight, height and body size. Client is sitting upright and appears to be relaxed and comfortable Clients body parts are intact and appear equal without no obvious physical deformities. Client is cooperative and smiling, expresses her feelings appropriate to the situation. Client’s speech is in a moderate tone, clear, and culturally appropriate. Upon general observation clients hearing is intact, she hasn’t asked me to repeat anything. Clients dress is appropriate to the season and client is cleaned and well groomed Ask her to walk a few feet and then walk back… State “ Gait is rhythmic and coordinated, with arms swinging at side., walk is smooth and well balanced” Posterior Lungs – stand behind client State out all parts as you inspect. Inspect rhythm, depth and pattern of breathing. State I’m going to inspect respirations for depth, rhythm, and pattern. Client’s respirations...
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...Focussed 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...
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...AFT2 Task 3 / Tracer Patient A.1. Evaluation In reviewing the Surgical Patient Tracer Worksheet (SPTW), it was found that a deficiency was noted that stated “History and physical not done within 24 hours of admission (> 72 hours).” This meant that the laparoscopic hysterectomy related History and Physical (H&P) the patient received was used for the abdominal hysterectomy. Plus, it was more than seventy-two hours after being admitted to NCH for surgery that the patient received the H&P for the abdominal hysterectomy. In reviewing the Tracer document and other information, it became clear that there were three violations of Joint Commission Standards (JCS) for PC.01.02.03 which states: “The hospital assesses and reassesses the patient and his or her condition according to defined time frames.” (Joint Commission, 2014 August). The violations are as follows: 1) When bleeding was detected, the doctor made the determination that the less invasive laparoscopic hysterectomy the patient was scheduled to undergo would need to be changed to an abdominal hysterectomy. The tracer shows no evidence that neither the doctor nor anyone else associated with the surgery including the Anesthesiologist asked for a new H&P to determine the possible complications the bleeding might have on the choice of surgical procedure. The violation relates to JCS PC.01.02.03 Element of Performance (EP) 3 which states: “Each patient is reassessed as necessary based on his or her plan for care...
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...Assessment tools are useful for nursing care as they can act as a guideline while trying to assess patients. Finding the right assessment tool to match the nursing care going to be given is important. All assessment tools may not match the type of care going to be given. It is important to evaluate the assessment tool not only to match the care, but also to make sure the tool is thorough and useful. The three assessment tools discussed in this essay are an admission assessment by Pamela Craig, a nursing needs assessment tool by the Department of Health Social Services and Public Safety, and a physical assessment tool by F.A. Davis. The admission assessment by Pamela Craig was designed through evaluation of the previous admission assessment tool in which Pamela Craig redesigned it to fix the flaws of the old one. The tool begins with baseline vitals upon admission, with the inclusion of how the patient was brought to the facility and from where. The tool includes allergies, with a section specific to latex allergies. It includes who the information is obtained from, in case the information is not able to be obtained from the patient. There is a place for family history information, as well as history of past diagnoses for the patient. There is a section for nutrition that includes questions about weight loss, nausea and vomiting, enteral feeding, and changes in appetite. The physical assessment part of the assessment tool covers each system. There are boxes to check within each...
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...You, ____________________________, are invited to participate in a pilot program to investigate the effectiveness of an exercise and recreational sport program in improving activities of daily living, physical and cognitive function in members of the Alzheimer's Resource Center of Connecticut. You are being asked to participate because you currently attend Chapter 126 Sports & Fitness weekly with the Alzheimer's Resource Center. Alzheimer's disease is an important public health concern because of the growing elderly population in the United States. Exercise has been shown to have beneficial effects on cognitive abilities, like memory and decision-making skills, as well as physical function for activities of daily living. Therefore the purpose of this pilot program is to assess whether a group...
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...Spiritual Needs Assessment Grand Canyon University Spirituality in Health Care HLT-310V January 11, 2013 Spiritual Needs Assessment Spirituality plays an important role in people’s life and there is a correlation between spirituality and health outcomes. Health is a complete state of harmony of the body, mind and spirit. So taking care of patients’ spiritual need is as important as physical needs. Importance of spiritual care over physical care can also be seen in the bible verse “Physical training is good, but training for godliness is much better, promising benefits in this life and in the life to come” ( 1 Timothy 4:8, Holy Bible). One of the studies by Dr. Anandarajah & Dr. Hight (2001) has shown that 94 percent of patients believed that their spiritual health is as important as physical health and 77 percent of patients wanted their health care provider to assess their spiritual needs when admitted in the hospital. Joint Commission also requires the hospitals to include spiritual assessment as part of the overall assessment of the patient . Joint Commission does not provide with an assessment tool, but provides with certain guide lines for creating assessment tools depending on the organization and type of patients served. Using these guidelines the author develops an assessment tool and completes spiritual assessment on one of the patient in her hospital, to identify the needs, hopes, resources and possible outcomes regarding spirituality and determine appropriate...
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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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...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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...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. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the...
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...Health Content Lesson Plan EED 425 Week 2 Encouraging Physical Education EED 425 Week 3 Physical Education Lesson Plan EED 425 Week 3 Community Physical Fitness and Recreation Interview EED 425 Week 4 Classroom Observation Reflection and Interview EED 425 Week 5 Health and Physical Education Integrated Lesson Plan EED 425 Week 1 DQs and Summary EED 425 Week 2 DQs and Summary EED 425 Week 3 DQs and Summary EED 425 Week 4 DQs and Summary EED 425 Week 5 DQs and Summary ------------------------------------------------------ EED 425 Week 1 DQs and Summary (UOP) For more course tutorials visit www.tutorialrank.com EED 425 Week 1 DQs and Summary ------------------------------------------------------ EED 425 Week 1 Save Health Education Campaign (UOP) For more course tutorials visit www.tutorialrank.com Week 1 Individual Assignment Save Health Education Campaign Resource: University of Phoenix Material: Appendix A Review the three assignment options provided in Appendix A. Select and complete one of the options. ------------------------------------------------------ EED 425 Week 2 DQs and Summary (UOP) For more course tutorials visit www.tutorialrank.com EED 425 Week 2 DQs and Summary -------------------------------------------------------- EED 425 Week 2 Encouraging Physical Education (UOP) For more course tutorials visit www.tutorialrank.com Week 2 Individual Assignment Encouraging Physical Education Participation Resource: University of Phoenix...
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...Jarvis: Physical Examination & Health Assessment, 6th Edition Chapter 1: Evidence-Based Assessment Key Points – Print This section discusses key points about assessment and critical thinking. ⦁ Assessment is the collection of subjective and objective data about a patient’s health. ⦁ Subjective data consist of information provided by the affected individual. 1 Objective data include information obtained by the health care provider through physical assessment, the patient’s record, and laboratory studies. ⦁ The database is the totality of information available about the patient. The purpose of assessment is to make a judgment or diagnosis. 1 Diagnostic reasoning is the process of analyzing health data and drawing conclusions to identify diagnoses. This process has four major components: ⦁ Attending to initially available cues, which are pieces of information, signs, symptoms, or laboratory data; 1 Formulating diagnostic hypotheses, which are tentative explanations for a cue or a set of cues and can serve as a basis for further investigation; 2 Gathering data relative to the tentative hypotheses; 3 And evaluating each hypothesis with the new data collected, which leads to a final diagnosis. ⦁ The nursing process includes six phases: assessment, diagnosis, outcome identification, planning, implementation, and evaluation. It is a dynamic, interactive process in which practitioners move back and forth within the steps. 1 Nurses apply the process...
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...THE EDUCATOR AS ASSESSOR EDAHOD5 ASSIGNMENT 2 BY STUDENT NUMBER: 33686735 TABLE OF CONTENT QUESTION 1 1. ASSESSMENT TASK 1.1 ASSESSMENT CHECKLIST 1.2 ASSESSMENT GRID 1.3 ASSESSMENT RUBRIC QUESTION 2 2.1 ASSESSMENT PLANNING 2.2 ASSESSMENT ACTIVITIES 2.2.1 ASSESSMENT ACTIVITY FOR LESSON TOPIC: CARTOON 2.2.2 ASSESSMENT ACTIVITY FOR LESSON TOPIC: PERSUASIVE ESSAY 2.2.3 ASSESSMENT ACTIVITY FOR LESSON TOPIC: MOVIE POSTER BIBLIOGRAPHY QUESTION 1 1. ASSESSMENT TASK Design a personal planner that covers the week from Monday to Sunday. Clearly mark the times starting from 6am to 10pm. Use a table format for your planner. Give your planner an appropriate title. Fill in a minimum of four activities that occupy your day. Colour code your priorities clearly and indicate what each colour means e.g. Red = important. 1.1 ASSESSMENT CHECKLIST Checklist for personal planner | Yes/no | 1. Title provided | | 2. Correct format used | | 3. Days clearly indicated | | 4. Times correctly indicated | | 5. Activities filled in on planner | | 6. Priorities clearly shown | | 7. Planner colour coded | | 8. Meaning of colour indicated | | Minimum standard: 8 | 1.2 ASSESSMENT GRID Learner’s name: Grade: Assessor: Date: Criteria | Maximum | Student’s mark | 1. Title provided | 1 | | 2. Correct format used | 2 | | 3. Days clearly indicated | 7 | | 4. Times correctly indicated | 3 | | 5. Activities filled in on planner | 4 | ...
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...Assessment Analysis Paper Gentina Thompson NUR440: Health Assessment and Promotion for Vulnerable Population September 22, 2014 Assessment tools are a necessary part of everyday nursing care. They provide the nurse with measurable means of keeping inventory of a patient’s physical progression from shift to shift. Assessment tools like the Braden scale which assess the patient’s skin quality; along with the falls risk scale that assess how high the patient’s chances are for falling; are two common assessment tools used worldwide. Along with these physical assessment tools are an array of non-physical assessment tools used to evaluate anything from the patient’s coping skills to evaluating their stress level. Three popular ones are the daily hassle scale, Beck depression inventory, and the perceived stress scale. All three of these scales are imperative in finding out what kind of state the patient is in cognitively. Daily hassles are defined as “irritating, frustrating demands that occur during everyday interactions with the environment (Wright et al., 2010). Daily hassles are normally those daily interactions with family or friends that have regular occurrences; however are more difficult when trying to determine a beginning and an end. The Kanner Hassel scale is the most commonly used it generates eight scores on eight dimensions of time, pressure, work, financial responsibilities, health, neighborhood/environment, inner concerns, household responsibilities, and future security...
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...assignment, you build the sections of an Information Security Policy. Final Project Timeline You should budget your time wisely and work on your project throughout the course. As outlined below, the assignments in the course are designed to assist you in creating your final project Information Security Policy. If you complete your course activities and use the feedback provided by the instructor, you will be on the right track to successfully complete your final project of creating an Information Security Policy. □ Week One: Introduction Review the two company profiles provided in your syllabus and select the one you will use for your final project company. You design the Information Security Policy for this company throughout the course. Once you have decided which company you are using, it may not be changed; therefore, considerable thought should be put into this decision. Next, decide which type of information security policy—program-level, program-framework, issue-specific, or system-specific—is appropriate for your final project company. Assignment: Final Project Information Security Policy: Introduction Complete and submit Appendix C. Note. Section 1 Introduction of Appendix C corresponds to Section 2 of Appendix B in the final compilation due in Week Nine. In completing Appendix C, provide an overview of your final project company, describe the type of security policy that is appropriate for your scenario, and explain your...
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...NURS 3020: Health Assessment Student Support and Calendar Information So you have all key information available to you off-line, it is highly recommended that you print the following items for your reference: * This Syllabus, including the Course Schedule that is linked on this page as a PDF * Term Calendar * Student Support Credit Hours 5 quarter hours Walden University assigns credit hours based on the number and type of assignments that enable students to achieve the course learning objectives. In general, each semester credit equals about 42 hours of total student work and each quarter credit equals about 28 hours of total student work. This time requirement represents an approximate average for undergraduate work and the minimum expectations for graduate work. The number and kind of activities estimated to fulfill time requirements will vary by degree level and student learning style, and by student familiarity with the delivery method and course content. Course Description Students have the opportunity in this course to gain the knowledge and skills required to collect data related to the assessment of individual and population health status. They learn physical examination skills including palpation, percussion, and auscultation. Students gain practical experience in taking patient histories, using interviewing techniques and communication skills, and they discuss the psychological, social, and cultural aspects of clinical assessment. Additionally,...
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