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9 Cards in this Set

  • Front
  • Back
COLDSPA
Charater
Onset
Location
Duration
Severity
Pattern
Associater factors
--way of collecting subjective data on pain
Mini Mental
time orientation (x5)
Place (x5)
3 word recall give
100-7 (x5)
3 word recall restate
naming (what is this x2)
Repeat "No if ands or buts"
Comprehend (pick up paper in left hand, fold, and put on floor)
read (read and do: close you eyes)
writing (write a sentence)
Draw
score---30 points
General Impression
observe skin condition and color, dress, hygiene, physical and sexual development, posture and gait, body build--muscle/fat distribution and compare stated age with apparent age and development
Assessing Mental Status
Observe: pts. LOC, behavior, body movement, affect, facial impressions, modd, feelings, and expressions Listen to speech--style/pattern
Resonance
Intensity-Loud
Pitch-Low
Length-Long
Quality-Hallow
ie-nl lung
Hyper-resonance
Intensity-Very loud
pitch-low
length-long
quality-booming
ie-lung with emphysema
Tympany
intensity-loud
pitch-high
length-moderate
quality-drumlike
ie-puffed out cheek-gastric bubble
Dullness
intesity-medium
pitch-medium
length-moderate
quality-thudlike
it-diaphragm, pleural effusion, liver
flatness
intensity-soft
pitch-high
length-short
quality-flat
ie-muscle, bone, sternum, thigh