NURSING 101 HESI Health Assessment_COMBINED

HEALTH ASSESSMENT HESI VERSION 1. September 16th 7:00-9:00 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  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  Fluid is withdrawn from the inflamed joint and analyzed for uric acid crystals.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.