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27 Cards in this Set

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Ecchymosis
A collection of blood in the subcutaneous tissues, causing purplish discoloration.
Edema
Swelling, with taut and shiny skin. Accumulation of fluid in the interstitial space. Usually observed around the eyes, fingers, ankles, and sacral space. Can also accumulate in or around body organs.May be the result of overhydration, heart failure, kidney failure, trauma, or peripheral vascular disease.
Erythema
redness of the skin, seen in the face and neck, associated with sunburn, inflammation, fever, truama, and allergic reactions.
Jaundice
A yellow color of the skin resulting from liver and gallbladder disease, some types of anemia, and hemolysis.
Pallor
Paleness of the skin, a result of an inadequate amount of circulating blood or hg, causing inadequate oxygenation of the body tissues.
Petechiae
Small hemorrhagic spots caused by capillary bleeding. If present, assess their location, color, and size.
Turgor
The fullness or elasticity of the skin and is usually assessed on the sternum or under the clavicle. Normal turgor can be picked up in a fold and then returns to its shape when released. When dehydrated, elasticity is decreased. Difficulty may indicate edema.
Purpose of Health History
To collect subjective and objective data, to determine overall level of physical , psychological, sociocultural, developmental and spiritual health.
Comprehensive Assessment
A health history and complete physical exam, when the patient first enters a healthcare setting. The information provides a baseline for comparing later assessment.
On-going partial Assessment
Conducted at regular intervals, at the beginning of each home health visit or each hospital shift, during the care of the patient. Concentrating on identifying health problems to monitor positive or negative changes and to evaluate the effectiveness of the interventions.
Focused Assesment
To assess a specific problem.
Emergency Assessment
Rapid focused assessment conducted to determine potentially fatal situations.
Physical Assessment
Systematic collection of objective information. Conducted in a head-to-toe sequence or a system sequence but can be adapted to meet the needs of the patient.
Stethoscope
to listen to sounds of the heart, lungs, abdomen, and cardiovascular system.
Ophthalmoscope
to visualize the interior of the eye. A body that contains the light source and a detachable head that contains lenses the magnify the internal eye structures.
Otoscope
To examine the external ear canal and the tympanic membrane.
Snellen Chart
A screening test for distant vision. 11-lines of different sized type. Ranging from 20/10 to 20/200
Nasal Speculum
Used to visualize the lower and middle turbinates of the nose.1/2in into each nostril.
Vaginal Speculum
Used to examine the vaginal canal and cervix. Speculum is inserted into the vagina and the blades open. Speculum must be warmed and lubricated before insertion.
Tunning Fork
A two pronged metal instrument used to test auditory function and vibratory perception.
Percussion Hammer
A reflex hammer with a rubber head used to test deep tendon reflexes. a rapid downward and backward wrist action. A quick firm tap.
Percussion
To strike one object against another to produce sound. Used to assess location, shape, size and density of tissues.
Auscultation
To assess pitch, high to low. loudness soft to loud. quality gurgling or swishing. duration short, medium, or long.
Palpation
touch, to assess temperature (dorsum back of hand and fingers)., turgor, texture/shape/fluid/size/consistency/pulstion (palmar front of hand and fingers). moisture, vibrations (with the palm of the hand).Masses are determined by palpation. Two hands are used for bimanual palpaltion (for breast tissue) and shape.
Inspection
process of performing deliberate, purposful observations in a systematic manner. Visual, auditory, and smell to gather data. may be combined with palapation.
Integument Assessment
skin, nails, hair, scalp. data regarding self care activities to maintain health, hygeine and nutrition.
cyanosis
bluish or grayish discoloration of the skin in response to inadequate oxygenation. A blue tinge in patients with white skin and as dullness in patients with dark skin.