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Health Assessment NUR 5303 Gayle A. Richerson BSN, RN Background image from: http://www.animateit.net/data/media/54/myanistarback2.gif http://www.animateit.net/data/media/54/myanistarback2.gif

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Use of Body Waters to Assess Health Physician looked at, smelled and tasted patients urine. Physician had patient spit into their hand to assess lungs.

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Learning Objectives Define physical assessment Differentiate between focused assessment comprehensive assessment Identify assessment tools Define components of assessment Background image from: http://www.animateit.net/data/media/54/myanistarback2.gif http://www.animateit.net/data/media/54/myanistarback2.gif

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Definition An appraisal or evaluation of a patients condition by a physician or nurse, based on clinical and laboratory data, medical history, and the patients account of symptoms.

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SEEKS TO ANSWER QUESTIONS What is observed? What does it mean? What nursing action/intervention does it prompt? Background image from: http://www.animateit.net/data/media/54/myanistarback2.gif http://www.animateit.net/data/media/54/myanistarback2.gif

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Comprehensive vs. Focused Focused is a narrow assessment looking only at the presenting problem of the moment. Comprehensive is a detailed assessment of all aspects of patients health.

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Tools Sight TouchHearing Smell Technology Equipment

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http://www.oneminutepresenter.com/wp-content/uploads/2009/08/prepare- sharpen-your-focus.jpg Systematic Approach What type of assessment? Focused? Reference: Hogan-Quigley, Palm & Bickley (2012)

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Assessment Components Focused Presenting complaint Gender, age Pre-existing conditions Current medications Comprehensive Cultural Developmental Mental Social Spiritual physical

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http://www.youtube.com/watch?v=EFNFEsevL_c http://www.youtube.com/watch?v=NRSPNkKsjMo http://www.youtube.com/watch?v=wjMjbw_8Y28&feature=endsc reen Interesting Physical Exam youtube Videos

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Hogan-Quigley, B., Palm, M. L., & Bickley, L.(2012). Bates Nursing Guide to Physical Examination and History Taking. Philadelphia, PA. Lippencott Williams & Wilkins. Venes, D. (Ed.) Tabors Cyclopedic Medical Dictionary, (21 st ed.) F. A. Davis. Background image from: http://www.animateit.net/data/media/54/myanistarback2.gif http://www.animateit.net/data/media/54/myanistarback2.gif Focus image from: http://www.oneminutepresenter.com/wp- content/uploads/2009/08/prepare-sharpen-your-focus.jpg Animated buffalo: http://netanimations.net/african_20.gifhttp://netanimations.net/african_20.gif http://www.animateit.net/data/media/54/myanistarback2.gif References