2. 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

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

4. 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

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

6. 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

7. 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 patient’s health.

8. Tools Sight TouchHearing Smell Technology Equipment

9. 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)

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

11. 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

12. 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.) Tabor’s 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