Health Assessment and Integrative Holistic Nursing
Assessment Powertpoint
´
´Collecting Data
Subjective
´General survey questions
´History of present health concern
´Personal history
´Family history
´Lifestyle and health practices
´
Objective
´Preparing the client
´Equipment:
´Thermometer
´Protective, disposable covers for type of thermometer
´Aneroid or mercury sphygmomanometer or electronic blood
pressure measuring equipment
´Stethoscope
´Watch with second hand or cell phone with a timer
´General impression
´Observe physical development, body build, and fat distribution.
´Compare stated age with apparent age and developmental stage.
´Observe dress and hygiene.
´Observe gender and sexual development.
´Observe skin condition and color.
´Observe posture and gait.
´Vital signs Correct Answer Subjective
,´Assessment: history of present health concern; personal health
history; family history; lifestyle and health practices
´Quote client's exact description of pain
´Pain assessment: location, intensity, quality, pattern,
precipitating factors, pain relief, effect on daily activities, coping
strategies, emotional responses
´Some clients unable to self-report pain.
´Maintain a quiet, calm environment, comfortable for the client
being interviewed.
´Maintain privacy and ensure confidentiality.
´Ask open-ended questions.
´Listen carefully to verbal descriptions, quote terms used.
´Watch for facial expressions and grimaces.
´DO NOT put words in the client's mouth.
´Ask about past experiences with pain.
´Believe the client's expression of pain.
´
Objective
´Physical assessment:
´Observe client's movement and responses to touch or
descriptions of pain experience.
´Choose reliable assessment tool.
´Explain purpose of rating intensity of pain.
´Ensure privacy and confidentiality.
´Respect client's behavior toward pain and terms used to express
it.
´Understand cultural differences toward pain.
´General routine screening versus focused specialty assessment
for pain.
´Assessing for Violence
, ´Domestic violence: "a pattern of abusive behavior in any
relationship that is used by one partner to gain or maintain
control over another intimate partner" (U.S. Department of
Justice Office on Violence against Women, 2016).
´In the United States—domestic violence, child abuse, and elder
abuse seen as different categories.
´Other countries include all family members in definition.
´Abuse can be physical, emotional, economic, or sexual.
´Estimated costs in the United States alone is in billions of
dollars per year.
´
´Factors Affecting Mental Health
´Economic and social factors
´Unhealthy lifestyle choices
´Exposure to violence
´Personality factors
´Spiritual factors
´Cultural factors
´Changes or impairments in the structure and function of the
neurologic system
´Psychosocial developmental level and issues
´Substance Abuse
´One of most persistent conditions affecting mental health
´Can le Correct Answer ´Collecting Data
Subjective
´Collecting subjective data
´Interview techniques
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