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29 Cards in this Set
- Front
- Back
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A collection of subjective information that provides information about the patients health status |
Health history |
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A collection of objective data that provides information about changes in the patients body systems |
Physical assessment |
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Usually conducted when a patient first enters a health care setting , with information providing a baseline for comparing later assessments |
Comprehensive assessment |
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Follow up assessment conducted at regular intervals during care of the patient |
Ongoing partial assessment |
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A type of rapid focused assessment conducted when addressing a life threatening or unstable situation |
Emergency assessment |
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Self care activities; eating, bathing, dressing and toileting are all examples |
Activities of daily living |
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Needs needed for independent living; housekeeping, meal prepping and finance |
Instrumental activities of daily living |
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A series of questions about all body systems that help to reveal concerns or problems as part of the health history. |
Review of systems |
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The process of performing deliberate, purposeful observations in a systematic manner |
Inspection |
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The sense of touch |
Palpation |
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The act of striking one object against another to produce sound. |
Percussion |
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The act of listening with a stethoscope to sounds produced within the body |
Auscultation |
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The ratio of weight to height |
Body mass index (BMI) |
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The measurement around a patient at the level of the umbilicus and is a good indicator of abdominal fat |
Waist circumference |
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A bluish or grayish discoloration of the skin in response to inadequate oxygenation |
Cyanosis |
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A yellow color of the skin resulting from elevated amounts of bilirubin in the blood |
Jaundice |
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Paleness of the skin, often resulting from a decrease in the amount of circulating blood or hemoglobin, causing inadequate oxygenation of the body tissues |
Pallor |
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A collection of blood in the subcutaneous tissue, causing purplish discoloration |
Ecchymosis |
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Small hemorrhagic spots caused by capillary bleeding |
Petechiae |
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An excessive amount of perspirations; the entire skin is moist |
Diaphoresis |
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The fullness or elasticity of the skin |
Turgor |
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Excessive fluid in the tissues; characterized by swelling with taut and shiny skin over the edematous area |
Edema |
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High pitched, harsh "blowing" sounds on expiration being longer than inspiration; heard over the larynx and trachea. |
Bronchial sounds |
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Moderate blowing sounds, with inspiration equal to expiration; heard over the mainstream bronchus. |
Bronchovesicular sounds |
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Moderate blowing sounds, with inspiration equal to expiration; heard over the mainstream bronchus. |
Bronchovesicular sounds |
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Soft, low pitched, whispering sounds; heard over most of the lung field, with sounds on inspiration being longer than expiration. |
Vesicular breath sounds |
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Abnormal sounds not normally heard in the lungs, but if present, may be auscultated; results from air moving through moisture, mucus, or narrowed airways. |
Adventitious breath sounds |
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The portion of the body over the heart and lower thorax, encompassing the aortic, pulmonic, tricuspid, apical areas, and Erb's point. |
Precordium |
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Abnormal "swooshing or blowing" sounds heard over a blood vessel, caused by blood that is swirling in the vessel , rather than normal smooth flow. |
Bruits |
