Assessing
→ ~~> systematic and continuous collection, analysis, validation, and communication of
patient data, or information
Holistic
→ ~~> the whole patient
Nursing Assessment Goal
→ ~~> Goal is to promote an optimal level of health through interventions to prevent
illness...
→ ~~> systematic and continuous collection, analysis, validation, and communication of
patient data, or information
Holistic
→ ~~> the whole patient
Nursing Assessment Goal
→ ~~> Goal is to promote an optimal level of health through interventions to prevent
illness, restore health, and facilitate coping w disabilities/death
Medical assessment
→ ~~> Target data pointing to pathological conditions
Types of Physical assessments
→ ~~> Systems approach, head to toe, focused
Objective
→ ~~> what's observed and measured. Can be verified by another person observing
the same pt Ex. temp, respirations
Subjective
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→ ~~> what is said by the patient. Ex - nausea, anxiety
Chief complaint/symptom analysis
→ ~~> OLD CARTS
Onset - acute vs gradual
Location
Duration
Characteristics
Aggravating factors
Relieving factors
Treatments (and response)
Severity - rate on a scale
A-P diameter
→ ~~> twice as wide from front to back. A barrel chest could tell you that they have
COPD
Auscultate lung fields
→ ~~> 3 lobes right, 2 on left. Anteriorly, posteriorly, laterally, and bilaterally.
Apical pulse is heard best where?
→ ~~> heard best fifth intercostal space, midclavicular line.
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Different locations you can feel for a pulse
→ ~~> Temporal: It is felt in the head.
Carotid: It is felt in the neck.
Branchial: It is felt in the elbow.
Femoral: It is felt at the groin.
Radial: It is felt on the wrist.
Popliteal: It is felt on the knee.
Dorsalis pedis: It is felt on the foot.
Order for how to assess stomach
→ ~~> 1. Inspect abd
2. Auscultate - at least two minutes. Report lack of bowel sounds
3. Palpate
where is the best place to check turgor
→ ~~> clavicle
4 Ps
→ ~~> pain
potty
position
possessions
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What is care coordination?
→ ~~> Deliberate organization of patient care activities between two or more
participants to deliver appropriate health care service.
Who is involved in care coordination?
→ ~~> Patients are included in the process.
What is managing care?
→ ~~> Managing care is the integration of resources focusing on coordination of client
care.
What does managing care involve?
→ ~~> Managing care involves the supervision of nurses in the delivery of quality
care.
Why is care coordination important?
→ ~~> Helps attain optimal patient outcomes and health care quality / essential for
organizing care and information specific to the patients needs and preferences.
Care Coordinator
→ ~~> Case manager/social worker working w/pt toward common goal
Nurse Navigator
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