This document provides information on performing a physical examination, including objectives, techniques, and components. It discusses taking a health history, inspecting the patient, performing palpation, percussion, auscultation, and olfaction. Vital signs measurement and a head-to-toe examination are also outlined. The goal is to gather subjective and objective health data to identify any actual or potential health problems through a comprehensive physical assessment.
The document discusses guidelines for performing a thorough physical assessment of a patient. It emphasizes using all senses to objectively examine the entire body in a systematic way from head to toe. The assessment should include inspection, palpation, percussion, and auscultation techniques while being sensitive to the patient's needs and responses. The goal is to identify health issues but also strengths to develop an appropriate care plan.
This document provides information on performing a physical examination, including objectives, techniques, and components. It discusses taking a health history, inspecting the patient, performing palpation, percussion, auscultation, and olfaction. Vital signs measurement and a head-to-toe examination are also outlined. The goal is to gather subjective and objective health data to identify actual or potential health problems through physical assessment skills and comprehensive examination.
The document outlines regulations for certified nursing assistants (CNAs) established by the Omnibus Budget Reconciliation Act of 1987. It details required training programs, competency evaluations, and continuing education for CNA certification and duties. The document provides guidance on acceptable and prohibited CNA tasks, delegating duties, maintaining patient privacy and safety, and reporting any instances of abuse or negligence.
This document discusses minor ailments that may be encountered by community health nurses. It defines minor ailments as health complaints that can typically be managed by patients themselves through simple actions and do not require a doctor's care. The document outlines principles for managing minor ailments, such as ensuring a safe environment and providing health education. It then describes the management of specific minor conditions like fever, cough, sore throat, eye infections, earache, sinusitis, common cold, asthma, high blood pressure, anemia, toothache, diarrhea, indigestion, constipation, fractures, skin rashes, and wounds.
The document provides information on the assessment process in healthcare. It describes assessment as the first step, which involves a health interview, physical examination, and records review to collect objective health data. The physical examination uses four main techniques - inspection, palpation, percussion, and auscultation. Each technique is described in detail outlining the normal findings and potential deviations. The document also provides examples of positioning patients for different parts of the examination and highlights important points to consider when documenting assessment findings.
This document provides an introduction and guidelines for first aid. It defines first aid as immediate temporary treatment given prior to medical assistance in cases of emergency, injury, or illness. The objectives of first aid are to alleviate suffering, prevent further injury or danger, and prolong life. Key principles of first aid include assessing for life-threatening conditions like airway obstruction or severe bleeding and treating the most serious injuries first while activating medical assistance. Guidelines cover initial response, primary and secondary surveys of victims, examination techniques, and general rules of treatment. Characteristics of a good first aider are listed as well.
The document discusses the process of conducting a health assessment, which involves taking a health history and performing a physical examination. The physical examination uses various techniques like inspection, palpation, percussion, and auscultation to examine different body systems and identify any health issues. It provides step-by-step guidance on performing a thorough physical exam in an organized manner from head to toe. Proper documentation of findings is also emphasized as an important part of the assessment process.
Care of patient in acute biologic crisisTosca Torres
1. The document discusses care of clients in acute biologic crisis, including identifying situations that constitute a crisis, distinguishing types of crises, and appropriate emergency treatment and management.
2. Nursing interventions for clients in shock are described, including monitoring for complications, promoting rest and comfort, and supporting family members.
3. The stages of shock are outlined as compensatory, progressive, and irreversible, with assessments, medical and nursing management discussed for each stage.
The document discusses guidelines for performing a thorough physical assessment of a patient. It emphasizes using all senses to objectively examine the entire body in a systematic way from head to toe. The assessment should include inspection, palpation, percussion, and auscultation techniques while being sensitive to the patient's needs and responses. The goal is to identify health issues but also strengths to develop an appropriate care plan.
This document provides information on performing a physical examination, including objectives, techniques, and components. It discusses taking a health history, inspecting the patient, performing palpation, percussion, auscultation, and olfaction. Vital signs measurement and a head-to-toe examination are also outlined. The goal is to gather subjective and objective health data to identify actual or potential health problems through physical assessment skills and comprehensive examination.
The document outlines regulations for certified nursing assistants (CNAs) established by the Omnibus Budget Reconciliation Act of 1987. It details required training programs, competency evaluations, and continuing education for CNA certification and duties. The document provides guidance on acceptable and prohibited CNA tasks, delegating duties, maintaining patient privacy and safety, and reporting any instances of abuse or negligence.
This document discusses minor ailments that may be encountered by community health nurses. It defines minor ailments as health complaints that can typically be managed by patients themselves through simple actions and do not require a doctor's care. The document outlines principles for managing minor ailments, such as ensuring a safe environment and providing health education. It then describes the management of specific minor conditions like fever, cough, sore throat, eye infections, earache, sinusitis, common cold, asthma, high blood pressure, anemia, toothache, diarrhea, indigestion, constipation, fractures, skin rashes, and wounds.
The document provides information on the assessment process in healthcare. It describes assessment as the first step, which involves a health interview, physical examination, and records review to collect objective health data. The physical examination uses four main techniques - inspection, palpation, percussion, and auscultation. Each technique is described in detail outlining the normal findings and potential deviations. The document also provides examples of positioning patients for different parts of the examination and highlights important points to consider when documenting assessment findings.
This document provides an introduction and guidelines for first aid. It defines first aid as immediate temporary treatment given prior to medical assistance in cases of emergency, injury, or illness. The objectives of first aid are to alleviate suffering, prevent further injury or danger, and prolong life. Key principles of first aid include assessing for life-threatening conditions like airway obstruction or severe bleeding and treating the most serious injuries first while activating medical assistance. Guidelines cover initial response, primary and secondary surveys of victims, examination techniques, and general rules of treatment. Characteristics of a good first aider are listed as well.
The document discusses the process of conducting a health assessment, which involves taking a health history and performing a physical examination. The physical examination uses various techniques like inspection, palpation, percussion, and auscultation to examine different body systems and identify any health issues. It provides step-by-step guidance on performing a thorough physical exam in an organized manner from head to toe. Proper documentation of findings is also emphasized as an important part of the assessment process.
Care of patient in acute biologic crisisTosca Torres
1. The document discusses care of clients in acute biologic crisis, including identifying situations that constitute a crisis, distinguishing types of crises, and appropriate emergency treatment and management.
2. Nursing interventions for clients in shock are described, including monitoring for complications, promoting rest and comfort, and supporting family members.
3. The stages of shock are outlined as compensatory, progressive, and irreversible, with assessments, medical and nursing management discussed for each stage.
The document discusses physical assessment, which involves systematically collecting objective information about a patient through examination techniques like inspection, palpation, percussion, and auscultation. It outlines the purpose, indications, techniques, and safety precautions for each examination method. It also discusses positioning and draping patients, necessary equipment, and preparing patients for examination to make them comfortable both emotionally and physically.
This document provides information on history taking and physical examination in healthcare. It discusses the importance of obtaining an accurate patient history through questioning to aid diagnosis. A physical exam involves inspection, palpation, percussion and auscultation of the body to evaluate overall health status. Key parts of the exam are assessment of the skin, head, eyes, ears, nose, mouth, neck, chest, abdomen, extremities, back and genitalia. Common medical conditions and abnormalities that may be observed are also outlined.
The document discusses health assessment, which involves collecting data about a client's health status through health history and physical examination. Health history gathers subjective and objective data through interviews and examinations. It covers biographical data, chief complaints, medical history, family history, and psychosocial history. Physical examination uses inspection, palpation, percussion, and auscultation to objectively evaluate body systems. Preparing the client and environment helps ensure a thorough yet comfortable assessment.
This document provides an overview of health assessment and physical examination. It defines health assessment, describes the purposes of assessment, and outlines the different types of assessments including comprehensive, focused, and ongoing assessments. It also describes techniques used in physical examination such as inspection, palpation, percussion, and auscultation. Additionally, it provides details on preparing the patient and environment, positioning the patient, and assessing various body systems.
This document provides guidance on techniques for conducting a physical examination, including inspection, palpation, percussion, and auscultation. It describes the equipment needed and appropriate techniques for each part of the exam. The goal is for learners to understand the procedure, sequence, documentation, and overall assessment of a client's health status after a physical exam. Key exam skills are defined, such as listening locations and characteristics for different lung and heart sounds.
health history and physical examination.pptxmkniranda
- Assessment involves collecting data about a client's health through interaction and examination. It has two main components: health history and physical examination.
- Health history gathering includes collecting biographic data, chief complaints, present and past medical/surgical histories, family history, lifestyle, and obstetric history.
- Physical examination involves inspecting, palpating, percussing, and auscultating the body through various techniques to collect objective health data.
The document provides guidance on taking a patient's medical history. It discusses the importance of obtaining an accurate history and outlines the general approach and structure for conducting a history, including introducing oneself, ensuring confidentiality, listening to the patient, and asking open-ended questions. It then covers how to record specific components of the history, such as the chief complaint, history of present illness, past medical history, drug history, family history, and social history.
THESE SLIDES ARE PREPAREED TO UNDERSTAND about HEALTH ASSESSMENT- HISTORY TAKING IN EASY WAY Important links- NOTES- https://mynursingstudents.blogspot.com/ youtube channel https://www.youtube.com/c/MYSTUDENTSU... CHANEL PLAYLIST- ANATOMY AND PHYSIOLOGY-https://www.youtube.com/playlist?list=PL93S13oM2gAPM3VTGVUXIeswKJ3XGaD2p COMMUNITY HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPyslPNdIJoVjiXEDTVEDzs CHILD HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gANcslmv0DXg6BWmWN359Gvg FIRST AID- https://www.youtube.com/playlist?list=PL93S13oM2gAMvGqeqH2ZTklzFAZhOrvgP HCM- https://www.youtube.com/playlist?list=PL93S13oM2gAM7mZ1vZhQBHWbdLnLb-cH9 FUNDAMENTALS OF NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPFxu78NDLpGPaxEmK1fTao COMMUNICABLE DISEASES- https://www.youtube.com/playlist?list=PL93S13oM2gAOWo4IwNjLU_LCuhRN0ZLeb ENVIRONMENTAL HEALTH- https://www.youtube.com/playlist?list=PL93S13oM2gAPkI6LvfS8Zu1nm6mZi9FK6 MSN- https://www.youtube.com/playlist?list=PL93S13oM2gAOdyoHnDLAoR_o8M6ccqYBm HINDI ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAN4L-FJ3s_IEXgZCijGUA1A ENGLISH ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAMYv2a1hFcq4W1nBjTnRkHP facebook profile- https://www.facebook.com/suresh.kr.lrhs/ FACEBOOK PAGE- https://www.facebook.com/My-Student-S... facebook group NURSING NOTES- https://www.facebook.com/groups/24139... FOR MAKING EASY NOTES YOU CAN ALSO VISIT MY BLOG – BLOGGER- https://mynursingstudents.blogspot.com/ Instagram- https://www.instagram.com/mystudentsu... Twitter- https://twitter.com/student_system?s=08 #Physicalexamination,#historytaking,#communicablediseases,#ASSESSMENT, #APPEARENCE,#PULSE,#GRIMACE,#REFLEX,#RESPIRATION,#RESUSCITATION,#NEWBORN,#BABY,#VIRGINIA, #CHILD, #OXYGEN,#CYANOSIS,#OPTICNERVE, #SARACHNA,#MYSTUDENTSUPPORTSYSTEM, #rashes,#nursingclasses, #communityhealthnursing,#ANM, #GNM, #BSCNURING,#NURSINGSTUDENTS, #WHO,#NURSINGINSTITUTION,#COLLEGEOFNURSING,#nursingofficer,#COMMUNITYHEALTHOFFICE,#HEALTHPROBLEMS
This document outlines the key components of conducting a physical examination, including:
- The purposes of a physical exam are to identify health issues and monitor a patient's condition over time. Exams can be comprehensive, focused on a specific issue, or ongoing.
- Proper preparation includes explaining the exam to the patient, ensuring privacy and comfort, and using appropriate exam techniques like inspection, palpation, percussion, and auscultation.
- A full exam involves a health history, assessment of each body system, and documentation of findings. Key steps are outlined for assessing things like the eyes, ears, nose, and neurological system.
The document discusses the process of health assessment in nursing. It defines health assessment as collecting both subjective and objective data about a client through interview and physical examination. The purposes of health assessment are outlined as establishing a baseline on a client's health and abilities, identifying risks or problems, and forming the basis for a care plan. The key components of health assessment are described as the health history, physical examination, review of records and tests. Specific techniques used in physical examination like inspection, palpation, percussion, and auscultation are also explained. The document provides details on preparing the client and environment for examination and lists the typical sequence of a physical assessment.
The document provides guidance on conducting a comprehensive nursing assessment. It discusses preparing the client and environment, collecting subjective and objective data through interviews and physical examinations, and assessing various body systems including physical, psychological, social and spiritual dimensions of health. Assessment techniques like inspection, palpation, percussion and auscultation are described.
The document provides guidance on performing a physical assessment, including objectives, preparation, techniques, and equipment. It discusses:
- The 4 basic techniques of inspection, palpation, percussion, and auscultation
- Preparing the patient and environment for assessment
- Standard precautions to follow
- Various positions patients can be in for different parts of the exam
- How to perform each technique, including using different types of palpation and percussion
- Developmental considerations for different patient populations
The overall document serves as a guide for nurses on correctly and thoroughly performing a comprehensive physical assessment of patients.
This document provides information on nursing, including definitions of nursing, concepts of health and illness, models of health and illness such as the host-agent-environment model and health-illness continuum model, dimensions of health and illness, the development of modern nursing with contributions from Florence Nightingale, and the history of nursing in Ethiopia. Assessment in nursing is also discussed, including types of assessment, purposes of assessment, methods of assessment, and physical assessment techniques.
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history.
The document provides information on conducting a health assessment, including its purpose and process. A health assessment involves taking a health history and performing a physical examination. The health history collects biographical data, chief complaints, and past and family medical histories. A physical exam evaluates each body system through inspection, palpation, percussion, and auscultation. The head-to-toe assessment examines all body systems and informs care providers of the patient's overall condition.
Health assessment By - Jitendra Bokha.pptxJitendra Bokha
Health assessment is defined as systematic and dynamic process by which nurse through interaction with client, significant others and health care providers, collect data about the client.
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history.
Intentional Health Detoxify, Nourish, and Rejuvenate Your Body into BalanceLucky Gods
Detox, Nourish, Bloom: Cultivate Intentional Health and Reclaim Your Radiant Self
Imagine waking up every morning feeling vibrant, energized, and in tune with your body's wisdom. ✨ That's the power of Intentional Health, your guide to ditching the diet doldrums and cultivating a holistic approach to well-being that nourishes from the inside out.
This book is your passport to a healthier, happier you, packed with practical tips and inspiration to:
Detoxify and declutter: Flush out toxins that weigh you down, both physical and emotional.
Nourish with intention: Discover the power of eating for vibrancy, not restriction.
Move your body with joy: Find exercise that fuels your spirit, not just your step count. ♀️
Rest and recharge: Prioritize sleep, relaxation, and self-care for inner balance. ♀️
Connect with your intuition: Listen to your body's whispers and tap into your innate wisdom.
Intentional Health is more than just a book; it's a transformative journey to:
Holistic Wellness: Embrace a 360-degree approach to health that encompasses body, mind, and spirit. 🫀🫁
Vibrant Living: Cultivate energy, joy, and a zest for life that radiates from within. ✨
Empowered Choices: Ditch diet dogma and make conscious decisions that nourish your unique needs.
Sustainable Habits: Build a foundation of healthy practices that last a lifetime, not just a fad. ️♀️
Your Best Self: Uncover your full potential and step into the healthiest, happiest version of you.
Ready to blossom into your healthiest, happiest self? Dive into Intentional Health and start blooming from the inside out today!
The document discusses physical assessment, which involves systematically collecting objective information about a patient through examination techniques like inspection, palpation, percussion, and auscultation. It outlines the purpose, indications, techniques, and safety precautions for each examination method. It also discusses positioning and draping patients, necessary equipment, and preparing patients for examination to make them comfortable both emotionally and physically.
This document provides information on history taking and physical examination in healthcare. It discusses the importance of obtaining an accurate patient history through questioning to aid diagnosis. A physical exam involves inspection, palpation, percussion and auscultation of the body to evaluate overall health status. Key parts of the exam are assessment of the skin, head, eyes, ears, nose, mouth, neck, chest, abdomen, extremities, back and genitalia. Common medical conditions and abnormalities that may be observed are also outlined.
The document discusses health assessment, which involves collecting data about a client's health status through health history and physical examination. Health history gathers subjective and objective data through interviews and examinations. It covers biographical data, chief complaints, medical history, family history, and psychosocial history. Physical examination uses inspection, palpation, percussion, and auscultation to objectively evaluate body systems. Preparing the client and environment helps ensure a thorough yet comfortable assessment.
This document provides an overview of health assessment and physical examination. It defines health assessment, describes the purposes of assessment, and outlines the different types of assessments including comprehensive, focused, and ongoing assessments. It also describes techniques used in physical examination such as inspection, palpation, percussion, and auscultation. Additionally, it provides details on preparing the patient and environment, positioning the patient, and assessing various body systems.
This document provides guidance on techniques for conducting a physical examination, including inspection, palpation, percussion, and auscultation. It describes the equipment needed and appropriate techniques for each part of the exam. The goal is for learners to understand the procedure, sequence, documentation, and overall assessment of a client's health status after a physical exam. Key exam skills are defined, such as listening locations and characteristics for different lung and heart sounds.
health history and physical examination.pptxmkniranda
- Assessment involves collecting data about a client's health through interaction and examination. It has two main components: health history and physical examination.
- Health history gathering includes collecting biographic data, chief complaints, present and past medical/surgical histories, family history, lifestyle, and obstetric history.
- Physical examination involves inspecting, palpating, percussing, and auscultating the body through various techniques to collect objective health data.
The document provides guidance on taking a patient's medical history. It discusses the importance of obtaining an accurate history and outlines the general approach and structure for conducting a history, including introducing oneself, ensuring confidentiality, listening to the patient, and asking open-ended questions. It then covers how to record specific components of the history, such as the chief complaint, history of present illness, past medical history, drug history, family history, and social history.
THESE SLIDES ARE PREPAREED TO UNDERSTAND about HEALTH ASSESSMENT- HISTORY TAKING IN EASY WAY Important links- NOTES- https://mynursingstudents.blogspot.com/ youtube channel https://www.youtube.com/c/MYSTUDENTSU... CHANEL PLAYLIST- ANATOMY AND PHYSIOLOGY-https://www.youtube.com/playlist?list=PL93S13oM2gAPM3VTGVUXIeswKJ3XGaD2p COMMUNITY HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPyslPNdIJoVjiXEDTVEDzs CHILD HEALTH NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gANcslmv0DXg6BWmWN359Gvg FIRST AID- https://www.youtube.com/playlist?list=PL93S13oM2gAMvGqeqH2ZTklzFAZhOrvgP HCM- https://www.youtube.com/playlist?list=PL93S13oM2gAM7mZ1vZhQBHWbdLnLb-cH9 FUNDAMENTALS OF NURSING- https://www.youtube.com/playlist?list=PL93S13oM2gAPFxu78NDLpGPaxEmK1fTao COMMUNICABLE DISEASES- https://www.youtube.com/playlist?list=PL93S13oM2gAOWo4IwNjLU_LCuhRN0ZLeb ENVIRONMENTAL HEALTH- https://www.youtube.com/playlist?list=PL93S13oM2gAPkI6LvfS8Zu1nm6mZi9FK6 MSN- https://www.youtube.com/playlist?list=PL93S13oM2gAOdyoHnDLAoR_o8M6ccqYBm HINDI ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAN4L-FJ3s_IEXgZCijGUA1A ENGLISH ONLY- https://www.youtube.com/playlist?list=PL93S13oM2gAMYv2a1hFcq4W1nBjTnRkHP facebook profile- https://www.facebook.com/suresh.kr.lrhs/ FACEBOOK PAGE- https://www.facebook.com/My-Student-S... facebook group NURSING NOTES- https://www.facebook.com/groups/24139... FOR MAKING EASY NOTES YOU CAN ALSO VISIT MY BLOG – BLOGGER- https://mynursingstudents.blogspot.com/ Instagram- https://www.instagram.com/mystudentsu... Twitter- https://twitter.com/student_system?s=08 #Physicalexamination,#historytaking,#communicablediseases,#ASSESSMENT, #APPEARENCE,#PULSE,#GRIMACE,#REFLEX,#RESPIRATION,#RESUSCITATION,#NEWBORN,#BABY,#VIRGINIA, #CHILD, #OXYGEN,#CYANOSIS,#OPTICNERVE, #SARACHNA,#MYSTUDENTSUPPORTSYSTEM, #rashes,#nursingclasses, #communityhealthnursing,#ANM, #GNM, #BSCNURING,#NURSINGSTUDENTS, #WHO,#NURSINGINSTITUTION,#COLLEGEOFNURSING,#nursingofficer,#COMMUNITYHEALTHOFFICE,#HEALTHPROBLEMS
This document outlines the key components of conducting a physical examination, including:
- The purposes of a physical exam are to identify health issues and monitor a patient's condition over time. Exams can be comprehensive, focused on a specific issue, or ongoing.
- Proper preparation includes explaining the exam to the patient, ensuring privacy and comfort, and using appropriate exam techniques like inspection, palpation, percussion, and auscultation.
- A full exam involves a health history, assessment of each body system, and documentation of findings. Key steps are outlined for assessing things like the eyes, ears, nose, and neurological system.
The document discusses the process of health assessment in nursing. It defines health assessment as collecting both subjective and objective data about a client through interview and physical examination. The purposes of health assessment are outlined as establishing a baseline on a client's health and abilities, identifying risks or problems, and forming the basis for a care plan. The key components of health assessment are described as the health history, physical examination, review of records and tests. Specific techniques used in physical examination like inspection, palpation, percussion, and auscultation are also explained. The document provides details on preparing the client and environment for examination and lists the typical sequence of a physical assessment.
The document provides guidance on conducting a comprehensive nursing assessment. It discusses preparing the client and environment, collecting subjective and objective data through interviews and physical examinations, and assessing various body systems including physical, psychological, social and spiritual dimensions of health. Assessment techniques like inspection, palpation, percussion and auscultation are described.
The document provides guidance on performing a physical assessment, including objectives, preparation, techniques, and equipment. It discusses:
- The 4 basic techniques of inspection, palpation, percussion, and auscultation
- Preparing the patient and environment for assessment
- Standard precautions to follow
- Various positions patients can be in for different parts of the exam
- How to perform each technique, including using different types of palpation and percussion
- Developmental considerations for different patient populations
The overall document serves as a guide for nurses on correctly and thoroughly performing a comprehensive physical assessment of patients.
This document provides information on nursing, including definitions of nursing, concepts of health and illness, models of health and illness such as the host-agent-environment model and health-illness continuum model, dimensions of health and illness, the development of modern nursing with contributions from Florence Nightingale, and the history of nursing in Ethiopia. Assessment in nursing is also discussed, including types of assessment, purposes of assessment, methods of assessment, and physical assessment techniques.
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history.
The document provides information on conducting a health assessment, including its purpose and process. A health assessment involves taking a health history and performing a physical examination. The health history collects biographical data, chief complaints, and past and family medical histories. A physical exam evaluates each body system through inspection, palpation, percussion, and auscultation. The head-to-toe assessment examines all body systems and informs care providers of the patient's overall condition.
Health assessment By - Jitendra Bokha.pptxJitendra Bokha
Health assessment is defined as systematic and dynamic process by which nurse through interaction with client, significant others and health care providers, collect data about the client.
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history.
Intentional Health Detoxify, Nourish, and Rejuvenate Your Body into BalanceLucky Gods
Detox, Nourish, Bloom: Cultivate Intentional Health and Reclaim Your Radiant Self
Imagine waking up every morning feeling vibrant, energized, and in tune with your body's wisdom. ✨ That's the power of Intentional Health, your guide to ditching the diet doldrums and cultivating a holistic approach to well-being that nourishes from the inside out.
This book is your passport to a healthier, happier you, packed with practical tips and inspiration to:
Detoxify and declutter: Flush out toxins that weigh you down, both physical and emotional.
Nourish with intention: Discover the power of eating for vibrancy, not restriction.
Move your body with joy: Find exercise that fuels your spirit, not just your step count. ♀️
Rest and recharge: Prioritize sleep, relaxation, and self-care for inner balance. ♀️
Connect with your intuition: Listen to your body's whispers and tap into your innate wisdom.
Intentional Health is more than just a book; it's a transformative journey to:
Holistic Wellness: Embrace a 360-degree approach to health that encompasses body, mind, and spirit. 🫀🫁
Vibrant Living: Cultivate energy, joy, and a zest for life that radiates from within. ✨
Empowered Choices: Ditch diet dogma and make conscious decisions that nourish your unique needs.
Sustainable Habits: Build a foundation of healthy practices that last a lifetime, not just a fad. ️♀️
Your Best Self: Uncover your full potential and step into the healthiest, happiest version of you.
Ready to blossom into your healthiest, happiest self? Dive into Intentional Health and start blooming from the inside out today!
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As Mumbai's premier kidney transplant and donation center, L H Hiranandani Hospital Powai is not just a medical facility; it's a beacon of hope where cutting-edge science meets compassionate care, transforming lives and redefining the standards of kidney health in India.
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Certain chemicals, such as phthalates and parabens, can disrupt the body's hormones and have significant effects on health. According to data, hormone-related health issues such as uterine fibroids, infertility, early puberty and more aggressive forms of breast and endometrial cancers disproportionately affect Black women. Our guest speaker, Jasmine A. McDonald, PhD, an Assistant Professor in the Department of Epidemiology at Columbia University in New York City, discusses the scientific reasons why Black women should pay attention to specific chemicals in their personal care products, like hair care, and ways to minimize their exposure.
Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
space near right sternal margin
V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
clavicular line
V5:Over left 5th intercostal space on the anterior
axillary line
V6:Over left 5th intercostal space on the mid
axillary line.
Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
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Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
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2. Objectives of Health Assessment
Describe prehospital physical
examination techniques
Describe examination equipment
Describe the general approach to the
physical examination
Outline the steps of the comprehensive
physical examination
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3. Objectives
Detail the components of the mental
status examination
Identify abnormal findings in the mental
status examination
Outline steps in the general patient
survey
Distinguish between normal and
abnormal findings in the general survey
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4. Objectives
Describe examination techniques for
specific body regions
Identify normal and abnormal findings in
the body region examination
Describe examination techniques specific
to children and older adults
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6. Purposes
Establish a nurse- client relationship.
Gather data about the client‟s general health
status, integrating physiologic, psychological,
cognitive, socio cultural, development and
spiritual dimensions.
Identify client‟s strengths.
Identify actual and potential health problem.
Establish a base for the nursing process.
To evaluate the physiological outcome of care.
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8. Health History
Health history is a collection of subjective
and objective data that provide a detailed
profile of the client‟s health status.
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9. History Taking
IDENTIFICATION DATA OF THE PATIENT
Patient's name:-
Age: - Sex-
Hospital Name:-
File No./MLC No.:-
Source providing history:-
Date/ Time of admission-
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10. OPD No.:-
IPD No.:-
Ward-
Bed No.:-
Doctor‟s Unit:-
Provisional Diagnosis-
Surgery done/Date of Surgery:-
Name of the Surgery:-
Residential Address-
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12. DETAILS OF ADMISSION:-
Arrived via wheel chair / stretcher /
ambulatory: -
LOC – Conscious / Semiconscious /
Unconscious
From admitting room / emergency room.''
home / any others:-
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13. ORIENTATION TO THE UNIT:-
Use of telephone / TV / call lights:-
Visiting hours:-
No Smoking:-
Patient is informed that hospital is not
responsible for the personal belongings: -
Yes/No
Valuable handed over to (Write relationship
With patient)
Written consent:-
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18. FAMILY INFORMATION
-Name of Family Members
-Relationship with patient
-Age
-Type of Family
-Education
-Occupation
-Marital Status
-Health Status
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19. Family Income per Year:
Family interpersonal relationship / Any
Family Disharmony:-
Family History of illness: (Hypertension,
DM, Cancer, Arthritis, etc
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20. ENVIRONMENTAL BACKGROUND
1) HOUSING
Type of house:-
Lighting :-
Ventilation:-
Water facilities:-
Sanitation:-
2) PETS/ANIMALS
3) FOOD HYGIENE PRACTICES:
4) PERSONAL HYGIENE PRACTICES:
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21. 5) COMMUNITY RESOURCES
a) Transport: -
b) Health facilities:-
c) Educational Facilities :-
PAST MEDICAL HISTORY
Hypertension, DM, Cancer, Respiratory,
Arthritis, stroke and others:
PAST SURGICAL HISTORY
PRESENT MEDICAL HISTORY;-
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23. SPECIAL ASSISTIVE DEVICES
Wheel Chair / Braces / Crutches /
Walkers / others:-
Contact lenses / Hearing aid / Prosthesis /
Glasses:-
Dentures:- Total / Partial
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24. PSYCHOSOCIAL HISTORY
Any recent stress?
Who is with the patient in the hospital?
Does the patient have anybody who will
give financial support if needed?
Who will care for the patient at home?
Calm: Yes / No
Anxious: Yes / No
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26. Inspection
Visual assessment of the patient and
surroundings
Findings that may be significant:
– Patient hygiene
– Clothing
– Eye gaze
– Body language
– Body position
– Skin color
– Odor .
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27. Nurse observe body part
Pay attention to client, watching all
movement & looking carefully at any body
part.
It help to know physical characteristics.
Quality of inspection depend on the
nurse‟s willingness to spend time during a
job.
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28. If the emergency response was to the
patient's home, make a visual inspection
for
– Cleanliness
– Prescription medicines
– Illegal drug
– Weapons
– Signs of alcohol use
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29. Principles
Make sure good lighting is available.
Position and expose body parts so that all
surface can be viewed.
Inspect each area of size, shape,
colour,symmetry, position and abnormalities.
If possible, compare each area inspected with
the same area on the opposite side of the body.
Use additional light to inspect body cavities.
Do not hurry inspection. Pay attention to detail.
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30. Palpation
A technique in which the hands and fingers are
used to gather information by touch.
Palmar surface of fingers and finger pads are
used to palpate for
– Texture
– Masses
– Fluid
--And assess skin temperature
Client should be relax and positioned
comfortably because muscle tension during
palpation impair its effectiveness.
Asking the patient to take deep & slow breath.
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31. Types of Palpation
Light palpation
Deep palpation
Bimanual palpation
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32. Light Palpation
The nurse apply tactile pressure slowly,
gentely and deliberately.
The nurse‟s hand is placed on the part to
be examined and depressed about 1-2cm.
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33. Deep Palpation
It is done after light palpation.
It is used to detect abdominal masses.
Technique is similar to light palpation
except that the finger are held at a greater
angle to the body surface and the skin is
depressed about 4-5 cm.
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34. Bimanual Palpation
It involve using both hand to trap a
structure between them. This technique
can be used to evaluate spleen, kidney,
breast, uterus and ovary.
Sensing hand – Relax & place lightly over
the skin.
Active hand – Apply pressure to the
sensing hand.
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36. Percussion
Percussion involve tapping the body with the
fingertips to evaluate the size, border and
consistency of body organs and to
discover fluid in body cavity.
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37. Percussion
Used to evaluate
for presence of air
or fluid in body
tissues
– Sound waves
heard as
percussion tones
(resonance)
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38. Methods of Percussion
Mediate or Indirect Percussion
Immediate Percussion
Fist Percussion
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39. Mediate or Indirect Percussion
It can be performed by using the finger
on one hand as a plexor (Striking finger)
and the middle finger of the other hand as
a pleximeter (the finger being struck).
Used mainly to evaluate the abdomen or
thorax.
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40. Immediate Percussion
Used mainly to evaluate the sinus or an
infant thorax.
It can be performed by striking the surface
directly with the fingers of the hand.
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41. Fist Percussion
Used to evaluate the back and kidney for
tenderness.
It involves placing one hand flat against
the body surface and striking the back of
the hand with a clenched fist of the other
hand.
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42. Sounds Produced by Percussion
Sound : Tympany
Intensity : Loud
Pitch : High
Duration : Moderate
Quality : Drumlike
Common location : Air containing space,
enclosed area, gastric air bubble, Puffed out cheek
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43. Sounds Produced by Percussion
Sound : Resonance
Intensity : Moderate to Loud
Pitch : Low
Duration : Long
Quality : Hollow
Common location : Normal lungs
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44. Sounds Produced by Percussion
Sound : Hyper Resonance
Intensity : Very Loud
Pitch : Very Low
Duration : Longer than resonance
Quality : Booming
Common location : Emphysematous lungs
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45. Sounds Produced by Percussion
Sound : Dullness
Intensity : Soft to moderate
Pitch : High
Duration : Moderate
Quality : Thudlike
Common location : Liver
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46. Sounds Produced by Percussion
Sound : Flatness
Intensity : Soft
Pitch : High
Duration : Short
Quality : Flat
Common location : Muscle
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47. Auscultation
Auscultation is listening to sound produce by the
body.
Through auscultation the nurse note the
following characteristics of sound.
Frequency or the number of oscillation
generated per second by a vibrating object.
Loudness – Loud or soft
Quality – Blowing or Gurgling
Duration – Length of time that sound vibration
last. Short / medium / long.
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48. Auscultation
Best performed in a quiet environment
Requires a stethoscope
– Body sounds produced by movement of fluids or
gases in patient's organs or tissues
Note:
– Intensity
– Pitch
– Duration
– Quality
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49. Stethoscope
Used to evaluate sounds created by
cardiovascular, respiratory,
and gastrointestinal systems
Position stethoscope between
index and middle fingers
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50. Olfaction
While assessing a client, the nurse
should be familiar with the nature and
source of body odors.
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51. Preparation for Examination
Infection control : If patient have any
open skin lesions and any drainage. Nurse
has to maintained infection control and
avoid infection.
- use gloves
- use apron
- use mask
- use gown
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55. Psychological preparation
Explain procedure
If both are opposite sex then third person
is necessary.
Observe facial expression
Client should free from anxious feeling.
Clarify client doubt.
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56. General examination
1.Gender and race :
Example – Skin cancer is 20% higher in
white than black people. Prostate cancer
is higher in African American than white
American.
2. Age : old age people and children's are
more prone to get infection.
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57. 3. Signs of distress :
Pain, Difficulty in breathing
4. Body type : Thin, Fat
5. Posture : Standing. Upright position,
Knee flexed
6. Gait : Co-ordination proper or not, person
normally walk with the arms swinging
freely at the sides, with the head and face
leading the body.
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58. 7. Body movement :
- Movement are purposefully.
- If any part is immobile.
8. Hygiene and grooming :
- Personal hygiene maintain or not.
- Cosmetic used or not
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59. 9. Dress : culture, life style, socio economic
status. It should be appropriate according
to weather condition.
10. Body odor :
- Unpleasant odor
- Poor hygiene
- Bad breath
- Poor oral hygiene
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60. 11. Affect and mood :
- Feeling‟s to other
- Emotionally expression
- Mood appropriate as per situation
12. Speech :
Pressure, tone, speed.
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61. 13. Client abuse : any problem during
growing and serious health problem during
childhood.
14. Substance abuse :
- Drugs
- Alcohol
- Smoking
- Ganja
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71. Height and Build
Descriptions include:
– Average, tall, short, lanky ( long & thin ),
muscular
May also be affected by age and lifestyle
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72. Weight
Observe general appearance
– Obese to emaciated
Recent changes may be key finding
– Recent weight loss or gain
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73. Head to toe Examination
Hair:
Hair type :
Terminal Hair : long, thick, found on axilla
and pubic area.
Vellus Hair : small, soft, found all over
body except palm or sole.
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80. Discharges:
Eye alignment:
Eye brows:
Eye lids:
Use of glasses or contact lenses:
Corneal reflex
Lacrimal function
Ophthalmoscope used to see any
abnormalities in eyes
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84. Mucus colour:
Patency of Nair:
Epistaxis:
Discharge:
Polyp‟s:
DNS:
Pen light and nasal speculum is used to
see nose
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87. Dryness
Smoothness
Crack lips With mouth closed the nurse
view the lips from end to end.
Remove lipstick before examination of lips.
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89. Upper molar should rest directly on the
lower molar with upper incisors slightly
overriding the lower incisors.
Dental caries – discoloration of the enamel
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91. Oral mucosa
Color: Pinkish red
moist/dry:
Ulcer:
Lesion:
Leuckoplakia: thick white patches because
of smoking and alcohol.
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92. Tongue
The client first relax the mouth and sticks the
tongue out halfway.
Slightly rough on the top surface and smooth
along the lateral margin.
Under surface of the tongue and floor of the
mouth are highly vascular.
Observe for cyst, lesions, swelling and nodule
on the back side of tongue.
Examination of tongue : Protrude the tongue,
grasp the tip and gently pulls it to one side.
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94. Palate
Extend the Head backward and open the mouth
and inspect hard palate & soft palate
Hard palate: Anterior part of palate
Shape: Dome shape
Colour: Whitish
Soft palate: Posterior part of palate
Shape: „C” shape
Colour: Light pink
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95. Pharynx
Procedure : Extend his neck slightly, open
the mouth widely and say „ah‟. Place
tongue depressor on the middle third of
tongue. Use penlight for inspection.
Inspect for edema, ulcer, inflammation,
lesions.
Gag reflex
Dysphagia
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96. Neck
Examine the anatomical position of neck.
Function of sternocleidomastoid muscle :
the nurse ask the client to flex the neck
with the chin to the chest.
Function of the trapezius muscles :
movement of the head sideway so that the
ear moves toward the shoulder.
Neck should move freely without any pain.
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97. Movement of neck :
Stiff ness:
Swelling:
Neck muscle:
ROM:
Lymph nodes : With the client‟s chin raised
and head tilted slightly, the nurse first
inspect the area where lymph nodes are
distributed.
Inspect for size, shape, inflammation and
mobility.
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98. Thyroid gland
It lies anterior lower neck, in front of neck and
both side of trachea.
Inspect for visible mass of thyroid gland,
symmetry and fullness at the base of neck.
Give water then see for bulging of the gland.
Palpation : Client flex the neck forward and
laterally toward the side being examined. The
client hold a cup of water and take a sip to
swallow.
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99. Anterior Part : using the pads of the index
and middle finger, the nurse palpate the
left lobe with the right hand and right lobe
with left hand.
Posterior Part : Both hand of the nurse are
keep around the neck with two finger of
each hand on the side of trachea.
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100. Breast
Female:
– Symmetry
– Pain:
– Lump:
– Discharge:
– Swelling:
– Trauma:
– History of breast disease:
– Surgery:
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104. Cardio vascular system
Apical pulse: To find the apical pulse the nurse
locate the 5th ICS just to the left to the sternum
and move the fingers laterally, just medial to the
left mid- clavicular line.
Redial: Rt…………….. Lt…………….
Heart rate:
Rhythm:
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105. Perfusion:
Edema: because of heart failure
Site of edema:
Cyanosis or Pallor: Because of MI
Fatigue: Because of decrease cardiac
output
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125. Biceps
Identify biceps tendon have patient flex
elbow against resistance while you palpate
antecubital fossa
Place arm so it‟s bent ~ 90 degrees
Place one of your fingers on tendon and
strike it.
Reflex : Flexion of arm at elbow.
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127. Triceps
Flex client‟s arm at elbow, holding arm
across chest or hold upper arm
horizontally. Strike triceps tendon just
above elbow.
Reflex : Extension at elbow.
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129. Patellar
Have client sit with leg hanging freely over
side of table. Tap patellar tendon just
below patella.
Reflex : Extension of lower leg.
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131. Achilles
Have client assume same position as for
patellar reflex. Slightly dorsiflex client‟s
ankle by grasping toes in palm of your
hand. Strike Achilles tendon just above
heel at ankle malleolus.
Reflex : Planter flexion of foot.
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133. Planter:
Have client lie supine with legs straight
and feet relaxed. Take handle end of
reflex hammer and stroke lateral aspect of
sole from heel to ball of foot, curving
across ball of foot toward big toe.
Reflex : Planter flexion of all toes.
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135. Gluteal:
Have client assume side lying position.
Spread buttocks apart and lightly stimulate
perineal area with cotton applicator.
Reflex : Contraction of anal sphincter
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