HESI Health Assessment Combined. Nursing Process ADPIE

HESI Health Assessment Combined. Nursing Process ADPIE • Assess • Diagnose • Outcome identification • Planning • Implementation • Evaluation 1. History Taking and Documentations Subjective – What patient says about their history Collect Medical History Collecting data, 4 types • Complete Health data base • Episodic or problem-centered database • Follow up database • Emergency Data base 2. Assess Pulse in Geriatric Patients May be irregular 50-90 bpm is normal 3. Male Bladder Evaluation • Note frequency, urgency and noctuira (pee at night) • Polyuria – excessive Downloaded by denis munene () lOMoARcPSD| • Oliguria – diminished quantity • Dysuria – hurts when peeing 4. Gout – Big Toe • -accumulation of sodium crytals • Uric acid crystals and joint destruction of the base of the joint of the big toe. • Gout is most common in men; in women, it usually occurs after menopause. • Obesity is among the risk factors for gout. • Inflammation and redness resulting from acute gouty arthritis on the big toe. • Uric acid crystals in the finger joints result in painful inflammation and stiffness. • An example of gout affecting the elbow. • Fluid is withdrawn from the inflamed joint and analyzed for uric acid crystals. • Fluid obtained from crystal deposits in a patient with gout. • Stay well-hydrated and reduce alcohol consumption to prevent gout attacks. • Additional prevention methods include weight reduction and dietary changes. • Medications can provide some relief from painful gout attacks. • Gout is a kind of arthritis caused by a buildup of uric acid crystals in the joints. Uric acid is a breakdown product of purines that are part of many foods we eat. An abnormality in handling uric acid and crystallization of these compounds in joints can cause attacks of painful arthritis, kidney stones, and blockage of the kidney filtering tubules with uric acid crystals, leading to kidney failure. Gout has the unique distinction of being one of the most frequently recorded medical illnesses throughout history. 5. Inspection of Limbic Symmetry o ˜Inspect and palpate neck (cont.) o ØSymmetry Downloaded by denis munene () lOMoARcPSD| o •Head position is centered in midline, and accessory neck muscles should be symmetrical o •Head should be held erect and still o ØThyroid gland o •Difficult to palpate; check for enlargement, consistency, symmetry, and presence of nodules 6. Mobility (tremor) o ˜Aging adult o ØTemporal arteries may look twist