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12 Cards in this Set

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  • Back
PERCUSSION IS THE P.E. METHOD THAT IS USED TO?

DETERMINE IF THERE IS EXCESSIVE GAS IN THE ABDOMEN
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ASSESSMENT--IMPORTANT NURSING FUNCTION, CONTINUOUS PROCESS THE NURSE IS CONSTANTLY APPRAISING THE CONDITION OF PATIENTS

GOOD ASSESSMENT SKILLS CAN QUICKLY ID NEW S/S LPN EYES AND EARS
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ASSESSING HEALTH STATUS
ASSESSMENT
DATA COLLECTION
PHYCHOSOCIAL & CULTURAL ASSESSMENT
PHYSICAL ASSESSMENT
PHYSICAL EXAM
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PHYSICAL EXAM AND TECHNIQUES
1. INSPECTION AND OBSERVATION
2. PALPATION
3. PERCUSSION
4. AUSCULTATION
5. OLFACTION
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BASIC PHYSICAL EXAM
1. HT AND WT
2. VITAL SIGNS, BP, PULSE, RESPIRATIONS
TEMP?
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IF THE ELDERLY PERSON HAS DIFFICULTY WITH MEMORY, DATA MAY BE GATHERED FROM A FAMILY MEMBER OR SIGNIFICANT OTHER
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CULTURAL ASSESSMENT IS MAINLY A MATTER OF ASKING THE PATIENT AND FAMILY ABOUT PREFERENCES FOR FOOD, BATHING, PERSONAL CARE, WHAT DO THEY THINK ABOUT THEIR ILLNESS AND TREATMENT, WHO SHOULD BE CONSULTED ABOUT DECISIONS
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SOCIAL DATA FOR PATIENT INTERVIEW GUIDE
1.MARITAL STATUS 2. SIG.OTHER? 3. HEALTH INS? 4. OCCUPATION? 5. VISUAL OR HEARING DEFECTS? 6. DENTURES? 7. PROSTHESIS? 8. MEMBER? 9. ALLERGIES? 10.MEDS?
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PHYSICAL DATA/REVIEW OF SYSTEMS HEAD/NECK
1. HA'S OR DIZZY 2. PROBLEMS W/EARS? 3. EYE PROBLEMS? 4. COLDS OR ALLERGIES? 5. LAST DENTAL EXAM, GUM DISEASE, MOUTH SORES? 5. SLEEP DEFICITS?
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INSPECTION AND OBERSERVATION:
1. GENERAL APPEARANCE 2. CONTOURS OF THE BODY 3. SKIN TONE AND COLOR 4. RASHES, SCARS, LESIONS 5. DEFORMITIES OR EXTREMITY WEAKNESS, MOVEMENTS AND RESPIRATIONS
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PALPATION: SENSE OF TOUCH
1. THE PRESENSE OF MUSCLE SPASM, RIGIDITY, PAIN, SWELLING, PRESENSE OF GROWTH, RESTRICTION IN MOVEMENT OF A BODY PART
2. SKIN TEMP, TURGOR (ELASTICITY, PRESENSE OF SWELLING 3. THE PALM OF THE HAND IS USED TO DETECT VIBRATIONS, THE THUMB AND INDEX FINGER IS USED TO CHECK SKIN TUGOR
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ABNORMAL LUNG SOUNDS
1. WHEEZES--WHISTLING,HIGH PITCHED SOUND PRODUCED BY AIR BEING FORCED THROUGH A NARROWED AIRWAY
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