handout 1 ha skills.docx

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  • 7/25/2019 handout 1 ha skills.docx

    1/11

    HANDOUT # 1

    SUMMER SY 2016

    HEALTH ASSESSMENT SKILLS

    GENERAL SURVEYA general sure! "s an erall re"e$ r %rs& "'(ress"n a nurse )as * a (ersn+s $ell ,e"ng- T)"s"s .ne )ea. & &e/ r e()alau.al/ la&eral & la&eral/ (r"'al & ."s&al/ an. *rn& & ,a3-General sure!"ng "s "sual ,sera&"n an. en'(asses &)e *ll$"ng-

    Appearan appears to be reportedsexual developmentalert &facial features

    s mmetric

    no si ns ofBody weight and height within normal range (refer to Center for Disease

    Body Mass ndex (BM! "adult# or BM$for$age and genderbody parts e%ualstands erectsitsgait iswal' is smoothfull mobility of oints

    Behav maintains eye contact with appropriatecomfortable and

    speechclothing appropriate toloo's clean andappears clean and well$

    REMEM4ER5De"a&"ns *r' $)a& $ul. generall! ,e ns".ere. & ,e nr'al r e(e&e.s)ul. ,e .u'en&e. an. 'a! reu"re *ur&)er ealua&"n r a&"n/ "nlu."ng a re(r& an.7rre*erral-

    Heal&) H"s&r! A '(re)ens"e )"s&r!/ "nlu."ng )"e* '(la"n& r reasn *r &)e "s"&/ a '(le&e

    re"e$ * s!s&e's/ an. a '(le&e (as& *a'"l! an.7r s"al )"s&r! s)ul. ,e ,&a"ne. n&)e %rs& enun&er $"&) a (a&"en&-

    T)e )"s&r! s)ul. ,e age an. se a((r(r"a&e an. "nlu.e all &)e neessar! ues&"ns &ena,le an a.eua&e .el"er! * ser"es ar."ng & (reen&"n gu".el"nes/ s(e *(ra&"e/ (a&"en& nee./ "s"& reu"re'en&/ an.7r reues&-

    Usuall!/ '(le&"ng Heal&) H"s&r! an. 8)!s"al Ea'"na&"n 9r' $"ll ass"s& "n &)e assess'en&* &)e (a&"en&+s (as& an. urren& )eal&) an. ,e)a"r r"s3 s&a&us- :er&a"n )eal&) (r,le's/ $)")'a! ,e ".en&"%e. n a )eal&) )"s&r!/ are 're ''n "n s(e"% age gru(s an. gen.er-

    An "n&eral )"s&r! ;"nlu."ng an u(.a&e * '(la"n&s/ reasn *r "s"&/ re"e$ * s!s&e's

    an. (as& *a'"l! an.7r s"al )"s&r!< s)ul. ,e .ne- Usuall! *a'"l! )eal&) )"s&r"es are '(le&e. arss &)ree genera&"ns l3"ng s(e"%all!

    *r (a&&erns "n gene&" "ssues &)a& nega&"el! "'(a& ual"&! * l"*e- T)e )eal&) )"s&r! g"es ("&ure * &)e (a&"en&+s urren& )eal&) an. ,e)a"r r"s3 s&a&us-

    A.."&"nal "n*r'a&"n &)an $)a& "s n a *r' 'a! ,e reu"re. .e(en."ng n &)es(e"al"=e. ser"e;s< & ,e (r".e. r "* &)e (ersn (resen&s $"&) s(e"al nee.s rn."&"ns-

    8age 1* 11Ms- A(r"l Anne D- 4alann4a&

    GreywolfRed

  • 7/25/2019 handout 1 ha skills.docx

    2/11

    HANDOUT # 1

    SUMMER SY 2016

    HEALTH ASSESSMENT SKILLS

    a )eal&) )"s&r! 'a!,e 'a! ,e (r,le' *use./ e(an.e. (r,le' *use./ .e&a"le./ r'(re)ens"e- Regar.less/ .u'en&a&"n 'us& ,e '(le&e. *r ea) "s"& an.7rassess'en&-

    8)!s"al Ea'"na&"n> 4.! Areas5 Hea. ;"nlu."ng &)e *ae

  • 7/25/2019 handout 1 ha skills.docx

    3/11

    HANDOUT # 1

    SUMMER SY 2016

    HEALTH ASSESSMENT SKILLS

    1- 4alane ,ea' r ."g"&al sales s)ul. ,e use. & $e"g) (a&"en&s * all ages- S(r"ng &!(esales are n& ae(&a,le- all sales s)ul. ,e =er ,alane. an. al",ra&e.- Sales 'us& ,e)e3e. *r aura! n an annual ,as"s an. al",ra&e. "n ar.ane $"&) 'anu*a&urer+s"ns&ru&"ns-2- 8r"r & ,&a"n"ng $e"g)& 'easure'en&s/ 'a3e sure &)e sale "s C=ere.-@- e"g) "n*an&s $ear"ng nl! a .r! ."a(er r l"g)& un.ergar'en&s- e"g) )"l.ren a*&erre'"ng u&er l&)"ng an. s)es- e"g) a.lesen&s an. a.ul&s $"&) &)e (a&"en& $ear"ng'"n"'al l&)"ng-F- 8lae &)e (a&"en& "n &)e '"..le * &)e sale- Rea. &)e 'easure'en& an. rer. resul&s"''e."a&el!- 8l& 'easure'en&s n age an. gen.er s(e"% gr$&) )ar&s an. ealua&ear."ngl!

    Measur"ng 4.! Mass In.e-1- T)e 4.! Mass In.e ;4MI< "s a 'easure &)a& an )el( .e&er'"ne "* a (ersn "s a& r"s3 *r a$e"g)&rela&e. "llness-

    Nursing assessment"s an "'(r&an& s&e( * &)e $)le nurs"ng (ress- Assess'en& an ,ealle. &)e C,ase r *un.a&"n * &)e nurs"ng (ress- "&) a $ea3 r "nrre& assess'en&/nurses an rea&e an "nrre& nurs"ng ."agns"s an. (lans &)ere*re rea&"ng $rng"n&eren&"ns an. ealua&"n- T (reen& &)se 3"n. * senar"s/ $e )ae rea&e. a )ea& s)ee&&)a& !u an. (r"n& an. use & gu".e !u &)rug)u& &)e %rs& s&e( * &)e nurs"ng (ress-

    8)!s"al Assess'en&1- In&egu'en&ar!

    Skin5 T)e l"en&+s s3"n "s un"*r' "n lr/ un,le'"s)e. an. n (resene * an! *ul.r- He )as a g. s3"n &urgr an. s3"n+s &e'(era&ure "s $"&)"n nr'al l"'"&-

    Hair5 T)e )a"r * &)e l"en& "s &)"3/ s"l3! )a"r "s eenl! ."s&r",u&e. an. )as a ar"a,lea'un& * ,.! )a"r- T)ere are als n s"gns * "n*e&"n an. "n*es&a&"n ,sere.-

    Nails5 T)e l"en& )as a l"g)& ,r$n na"ls an. )as &)e s)a(e * ne ure- I& "s s'&)an. "s "n&a& $"&) &)e e(".er'"s- )en na"ls (resse. ,e&$een &)e %ngers ;4lan) Tes&

  • 7/25/2019 handout 1 ha skills.docx

    4/11

    HANDOUT # 1

    SUMMER SY 2016

    HEALTH ASSESSMENT SKILLS

    o :rnea "s &rans(aren&/ s'&) an. s)"n! an. &)e .e&a"ls * &)e "r"s are "s",le-T)e l"en& ,l"n3s $)en &)e rnea $as &u)e.-

    o T)e (u("ls * &)e e!es are ,la3 an. eual "n s"=e- T)e "r"s "s a& an. run.-8ERRLA ;(u("ls euall! run. res(n. & l"g)& a''.a&"n

  • 7/25/2019 handout 1 ha skills.docx

    5/11

    HANDOUT # 1

    SUMMER SY 2016

    HEALTH ASSESSMENT SKILLS

    - 8ale/ l/ '"s& s3"n an ,e "n."a&"e * )ea& s&r3e/ s)3 r &)er ar."a'(l"a&"ns-

    6- T)ere are a,nr'al an. nr'al s3"n %n."ngs ;su) as neus