3 levels of health promotion - ANSWERS-Primary - education/
immunization
Secondary - screening
Tertiary - after/ rehab
Components of a health assessment - ANSWERS-1. Health history
(subjective and symptoms data)
2. Physical exam (objective and signs)
3. Documentation of Data
subjective data - ANSWERS-things a person tells you about that you
cannot observe through your senses; symptoms
cant see it
sad, headache, hasn't slept
objective data - ANSWERS-information that is seen, heard, felt, or
smelled by an observer; signs
,crying, fever, vitals, age
want to be objective as possible
Documentation of Data SOAP - ANSWERS-S - subjective
O - objective
A - assessment
P - plan
Health History Sequence - ANSWERS-1. Biographic data
2. Chief complaint or reason for visit
3. History of present illness
4. Past history
5. Family history of illness
6. Lifestyle
7. Social data
8. Psychological data
9. Patterns of health care
health history - ANSWERS-O -onset
L- location
D- duration
C- characteristics
A- aggravating and alleviating factors
,R- radiation
T- timing
S - severely
Adult health assessment - ANSWERS-allow for ample time for exam
and patient history
aware of culture
aware of effective communication techniques
adapt to special patient needs
expose only area or body to be examined (privacy)
hard of hearing?
communication barrier?
interpretation (do NOT use family member)
How to palpate/ what your looking for - ANSWERS-feeling
tell the patient what you are doing
place the patient in a comfortable position, and encourage the patient
to relax
palpate sensitive areas last (lightly)
hands should be clean, warm, fingernails short
, temperature of skin
turgor (chest/sternum)
texture
moisture
shape (lesions)
Percussion - ANSWERS-tapping on a surface to determine the
difference in the density of the underlying structure
tap body with fingertips to produce a vibration
sound determines location, size, and density of structures
Auscultation - ANSWERS-Listening with a stethoscope to sounds
within the body
learn normal sounds first before identifying abnormal sounds
orientation - ANSWERS-Awareness of the objective world in relation
to the self
AAO x #
alert
awake
oriented
x1 = awareness of person
x2 = knowledge of place