問題一覧
1
TYPES OF ASSESSMENT
INITIAL, FOCUSED, TIME-LAPSED, EMERGENCY, PARTIAL
2
- Is appropriate for NEW PATIENTS in the office or hospital
- Provides FUNDAMENTAL and personalized
knowledge about the patient
- Strengthens the clinician-patient relationship
- Helps identify or rule out physical causes
related to patient concerns
- Provides a BASELINE for future assessments
- Creates a platform for HEALTH PROMOTION
through education and counseling
- Develops PROFICIENCYin the essential skills of physical examination
COMPREHENSIVE
3
- Is appropriate for ESTABLISHED PATIENTS,
especially during routine or urgent care
visits
- Addresses FOCUSED concerns or symptoms
- Assesses symptoms restricted to a SPECIFIC
body system
- Applies examination methods relevant to assessing the concern or problem as THOROUGHLY and CAREFULLY as possible
FOCUSED
4
- Collection of SUBJECTIVE DATA about the client’s perception of his or her health of all body systems
- Past health HISTORY
- family history
- Lifestyle and health practices
- NEEDED TO ESTABLISH A BASELINE DATA
INITIAL COMPREHENSIVE
5
- Occurs AFTER THE COMPREHENSIVE assessment
- Usually performed WHENEVER and WHEREVER the nurse or another healthcare professional has an encounter with the client
- Health patterns are REASSESSED
PARTIAL
6
- Or PROBLEM ORIENTED Assessment
- Consists of a THOROUGH assessment of a
PARTICULAR client problem
FOCUSED
7
- VERY RAPID assessment will be done
- LIFE THREATENING situations
- To provide PROMPT treatment
- To determine the status of the client’s life-sustaining physical functions
Ex. Choking, drowning cardiac arrest
- ABC’s - Airway, Breathing, Circulation
EMERGENCY
8
IPPA
INSPECTION, PALPATION, PERCUSSION, AUSCULTATION
9
- optimal for inspecting a number of structures
- jugular venous pulse, the thyroid gland, and the apical impulse of the heart
- casts light across body surfaces that throws contours, elevations, and depressions, whether moving or stationary, into sharper relief.
TANGENTIAL LIGHTING
10
- shadows are reduced and subtle undulations across the surface are lost
- ———— to the surface or diffuse
PERPENDICULAR LIGHTING
11
Back-lying position with knees flexed and hips
pier all et the head, soles surface
DORSAL RECUMBENT
12
Back-lying position with legs extended; with or without pillow under the head
SUPINE
13
A seated position, back unsupported and legs hanging freely
SITTING
14
Back-lying position with feet supported in stirrups; the hips should be in line with the edge of the table
LITHOTOMY
15
Side-lying position with lowermost arm behind the body, uppermost leg flexed a hip and knee, upper arm flexed at shoulder and elbow
SIMS
16
Lies on abdomen with head tumed to the side, with or without a small pillow
PRONE
問題一覧
1
TYPES OF ASSESSMENT
INITIAL, FOCUSED, TIME-LAPSED, EMERGENCY, PARTIAL
2
- Is appropriate for NEW PATIENTS in the office or hospital
- Provides FUNDAMENTAL and personalized
knowledge about the patient
- Strengthens the clinician-patient relationship
- Helps identify or rule out physical causes
related to patient concerns
- Provides a BASELINE for future assessments
- Creates a platform for HEALTH PROMOTION
through education and counseling
- Develops PROFICIENCYin the essential skills of physical examination
COMPREHENSIVE
3
- Is appropriate for ESTABLISHED PATIENTS,
especially during routine or urgent care
visits
- Addresses FOCUSED concerns or symptoms
- Assesses symptoms restricted to a SPECIFIC
body system
- Applies examination methods relevant to assessing the concern or problem as THOROUGHLY and CAREFULLY as possible
FOCUSED
4
- Collection of SUBJECTIVE DATA about the client’s perception of his or her health of all body systems
- Past health HISTORY
- family history
- Lifestyle and health practices
- NEEDED TO ESTABLISH A BASELINE DATA
INITIAL COMPREHENSIVE
5
- Occurs AFTER THE COMPREHENSIVE assessment
- Usually performed WHENEVER and WHEREVER the nurse or another healthcare professional has an encounter with the client
- Health patterns are REASSESSED
PARTIAL
6
- Or PROBLEM ORIENTED Assessment
- Consists of a THOROUGH assessment of a
PARTICULAR client problem
FOCUSED
7
- VERY RAPID assessment will be done
- LIFE THREATENING situations
- To provide PROMPT treatment
- To determine the status of the client’s life-sustaining physical functions
Ex. Choking, drowning cardiac arrest
- ABC’s - Airway, Breathing, Circulation
EMERGENCY
8
IPPA
INSPECTION, PALPATION, PERCUSSION, AUSCULTATION
9
- optimal for inspecting a number of structures
- jugular venous pulse, the thyroid gland, and the apical impulse of the heart
- casts light across body surfaces that throws contours, elevations, and depressions, whether moving or stationary, into sharper relief.
TANGENTIAL LIGHTING
10
- shadows are reduced and subtle undulations across the surface are lost
- ———— to the surface or diffuse
PERPENDICULAR LIGHTING
11
Back-lying position with knees flexed and hips
pier all et the head, soles surface
DORSAL RECUMBENT
12
Back-lying position with legs extended; with or without pillow under the head
SUPINE
13
A seated position, back unsupported and legs hanging freely
SITTING
14
Back-lying position with feet supported in stirrups; the hips should be in line with the edge of the table
LITHOTOMY
15
Side-lying position with lowermost arm behind the body, uppermost leg flexed a hip and knee, upper arm flexed at shoulder and elbow
SIMS
16
Lies on abdomen with head tumed to the side, with or without a small pillow
PRONE