Additional Information
Book Details
Abstract
Today’s nursing students are busier and more pressed for time than ever. The good news is that Health Assessment for Nursing Practice, 6th Edition caters to your needs by focusing only on the information you need to master the core assessment skills and thrive in clinical practice. In addition to its focused content, you can look forward to straightforward and easy-to-understand language; vivid photos; clean page layouts; and of course the latest information on topical things like electronic documentation, QSEN competencies, and cultural considerations. Plus, with its abundance of engaging learning tools — like case studies, procedure videos, animations, and insightful call-outs — you’ll be able to maximize your learning AND study time!
- Straightforward, easy-to-understand coverage gives readers the knowledge and confidence to perform a complete physical examination.
- Clear differentiation between basic skills and advanced procedures or special-circumstance procedures helps readers pinpoint essential assessments.
- Two-column format creates a visual distinction between normal and abnormal findings and techniques.
- Vivid full-color photos walk readers step-by-step through key assessment techniques to better understand key abnormalities.
- UNIQUE! Concept Overview boxes present core concepts in the context of health assessment, with discussions of pain, oxygenation, perfusion, tissue integrity, motion, sensory perception, metabolism, and intracranial regulation.
- UNIQUE! Clinical Reasoning boxes explain the thought process of an experienced nurse making a clinical decision to help readers gain expert perspective on clinical judgment and the decision-making process in nursing practice.
- UNIQUE! Patients with Situational Variations sections address special circumstances or needs for patients in wheelchairs or other limitations and exam variations.
- Documenting Expected Findings sections demonstrate how to chart normal findings -- a perpetual area of struggle among nursing students.
- Review questions in the book help assess reader’s understanding of need-to-know content.
- UNIQUE! Case studies at the end of each chapter give readers practice in developing clinical reasoning skills in the context of health assessment and physical examination.
- UNIQUE! Adapting Health Assessment to the Hospitalized Patient chapter explains special techniques for performing a head-to-toe assessment of a patient in a hospital setting.
- Health Promotion for Evidence-Based Practice boxes apply the U.S. government's Healthy People 2020 objectives and include thorough discussions of recommendations for health promotion and reducing risk.
- Ethnic, Cultural, and Spiritual Variations boxes help readers anticipate the unique needs of a multicultural patient population.
- Health Assessment Across the Life Span unit contains four separate chapters that cover all lifespan content, including older adults, pregnant patients, and infants, children, and adolescents.
- Synthesis and Application of Health Assessment unit details how to conduct, document, and adapt the head-to-toe examination.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| BRIEF CONTENTS | ES1 | ||
| IFC | i | ||
| Health Assessment for Nursing Practice | iii | ||
| Copyright | iv | ||
| Dedication | v | ||
| ABOUT THE AUTHORS | vi | ||
| CONTRIBUTORS AND CONSULTANTS | vii | ||
| REVIEWERS | viii | ||
| PREFACE | ix | ||
| ORGANIZATION | ix | ||
| SUMMARY OF SPECIAL FEATURES | x | ||
| TEACHING AND LEARNING AIDS | x | ||
| CONTENTS | xi | ||
| 01 - Foundations for Health Assessment | 1 | ||
| 1 - Introduction to Health Assessment | 1 | ||
| COMPONENTS OF HEALTH ASSESSMENT | 1 | ||
| Health History | 1 | ||
| Physical Examination | 1 | ||
| Documentation of Data | 2 | ||
| TYPES OF HEALTH ASSESSMENT | 3 | ||
| Context of Care | 3 | ||
| Patient Need | 3 | ||
| Nurse Expertise | 3 | ||
| CLINICAL REASONING AND JUDGMENT | 4 | ||
| Data Organization | 4 | ||
| Data Analysis, Interpretation, and Clinical Judgment | 5 | ||
| HEALTH PROMOTION AND HEALTH PROTECTION | 5 | ||
| Interview Data | 7 | ||
| Examination Data | 7 | ||
| 2 - Obtaining a Health History\r | 8 | ||
| THE INTERVIEW | 8 | ||
| Phases of the Interview | 8 | ||
| Communication Skills for Interviewing | 9 | ||
| The Physical Setting | 9 | ||
| Professional Behavior | 10 | ||
| Patient-Related Variables | 10 | ||
| The Art of Asking Questions | 10 | ||
| Types of Interview Questions | 10 | ||
| Techniques that Enhance Data Collection | 11 | ||
| Active Listening | 11 | ||
| Facilitation | 11 | ||
| Clarification | 11 | ||
| Restatement | 11 | ||
| Reflection | 11 | ||
| Confrontation | 11 | ||
| Interpretation | 11 | ||
| Summary | 11 | ||
| Techniques that Diminish Data Collection | 11 | ||
| Using Medical Terminology | 12 | ||
| Expressing Value Judgments | 12 | ||
| Interrupting the Patient | 12 | ||
| Being Authoritarian or Paternalistic | 12 | ||
| Using “Why” Questions | 12 | ||
| Managing Awkward Moments | 12 | ||
| Answering Personal Questions | 12 | ||
| Silence | 12 | ||
| Displays of Emotion | 12 | ||
| Challenges to the Interview | 12 | ||
| Managing the Overly Talkative Patient | 12 | ||
| Others in the Room | 12 | ||
| Language Barrier | 13 | ||
| Cultural Differences | 13 | ||
| THE HEALTH HISTORY | 13 | ||
| Types of Health Histories | 13 | ||
| Components of the Health History | 14 | ||
| Biographic Data | 14 | ||
| Reason for Seeking Health Care | 14 | ||
| History of Present Illness | 14 | ||
| Present Health Status | 15 | ||
| Past Health History | 15 | ||
| Family History | 16 | ||
| Personal and Psychosocial History | 16 | ||
| Personal Status. Ask the patient for a general statement of his/her feelings about him/herself. Ask about cultural/religious aff... | 16 | ||
| Family and Social Relationships. Ask about general satisfaction with interpersonal relationships, including | 16 | ||
| Diet/Nutrition. Patients should describe their appetite and typical daily dietary intake for both food and fluids. Inquire about... | 16 | ||
| Functional Ability. The functional ability (or functional assessment) focuses on a person’s ability to perform self-care activit... | 17 | ||
| Mental Health. Ask the patient about personal stress and the sources of stress. Common causes of stress include recent life chan... | 17 | ||
| Tobacco, Alcohol, and Illicit Drug Use. The personal | 17 | ||
| Health Promotion Activities. Ask the patient which activities are regularly performed to maintain health. Ask specifically about... | 17 | ||
| Environment. The history also includes data related to environmental health. Obtain a general statement of the patient’s assessm... | 17 | ||
| Review of Systems | 17 | ||
| General Symptoms | 17 | ||
| Integumentary System (see Chapter 9) | 17 | ||
| Head and Neck (see Chapter 10) | 18 | ||
| Breasts (see Chapter 16) | 18 | ||
| Respiratory System (see Chapter 11) | 18 | ||
| Cardiovascular System (see Chapter 12) | 18 | ||
| Gastrointestinal System (see Chapter 13) | 18 | ||
| Urinary System (see Chapter 13) | 18 | ||
| Reproductive System (see Chapter 17) | 18 | ||
| Musculoskeletal System (see Chapter 14) | 18 | ||
| Neurologic System (see Chapter 15) | 19 | ||
| AGE-RELATED VARIATIONS | 19 | ||
| 3 - Techniques and Equipment for Physical Assessment | 21 | ||
| INFECTION CONTROL PRACTICES | 21 | ||
| Hand Hygiene | 21 | ||
| Personal Protective Equipment | 22 | ||
| Managing Contaminated Patient Care Equipment | 22 | ||
| Environmental Control | 22 | ||
| Respiratory Hygiene/Cough Etiquette | 23 | ||
| Patient Placement | 23 | ||
| LATEX ALLERGY | 23 | ||
| TECHNIQUES OF PHYSICAL ASSESSMENT | 23 | ||
| Inspection | 23 | ||
| Palpation | 24 | ||
| Percussion | 24 | ||
| Direct Percussion | 24 | ||
| Indirect Percussion | 24 | ||
| Auscultation | 25 | ||
| EXAMINATION SETTING | 25 | ||
| PATIENT POSITIONING | 26 | ||
| EQUIPMENT USED DURING THE EXAMINATION | 26 | ||
| Thermometer | 26 | ||
| Stethoscope | 27 | ||
| Equipment to Measure Blood Pressure | 29 | ||
| Pulse Oximeter | 30 | ||
| Scales to Measure Body Weight and Height | 30 | ||
| Visual Acuity Charts | 30 | ||
| Distance Vision Charts | 30 | ||
| Near-vision Examination | 31 | ||
| Ophthalmoscope | 32 | ||
| Otoscope | 32 | ||
| Penlight | 33 | ||
| Ruler and Tape Measure | 33 | ||
| Nasal Speculum | 33 | ||
| Tuning Fork | 33 | ||
| Percussion Hammer and Neurologic Hammer | 34 | ||
| Doppler | 34 | ||
| Goniometer | 34 | ||
| Calipers for Skinfold Thickness | 35 | ||
| Vaginal Speculum | 35 | ||
| Audioscope | 35 | ||
| Monofilament | 35 | ||
| Transilluminator | 36 | ||
| Wood’s Lamp | 36 | ||
| Magnification Device | 36 | ||
| 4 - General Inspection and Measurement of Vital Signs\r | 38 | ||
| GENERAL INSPECTION | 38 | ||
| Physical Appearance and Hygiene | 38 | ||
| Body Structure and Position | 38 | ||
| Body Movement | 38 | ||
| Emotional Status, Disposition, and Behavior | 38 | ||
| MEASUREMENT OF THE VITAL SIGNS, HEIGHT, AND WEIGHT | 39 | ||
| Temperature | 39 | ||
| Oral Temperature | 39 | ||
| Temporal Artery Temperature | 39 | ||
| Tympanic Membrane Temperature | 39 | ||
| Axillary Temperature | 40 | ||
| Rectal Temperature | 40 | ||
| Heart Rate | 40 | ||
| Respiratory Rate | 41 | ||
| Blood Pressure | 42 | ||
| Blood Pressure Measurement: Methods and Sites | 42 | ||
| Measurement of Blood Pressure—Auscultation Method. The procedure for measuring blood pressure by auscultation is described in de... | 42 | ||
| Measurement of Blood Pressure—Automated Blood Pressure Monitor. The procedure for measuring blood pressure with an automated blo... | 43 | ||
| Physiologic Factors That Affect Blood Pressure Measurements | 43 | ||
| Common Errors Associated with Blood Pressure Measurement | 44 | ||
| Oxygen Saturation | 44 | ||
| Pain | 44 | ||
| Weight | 44 | ||
| Height | 44 | ||
| AGE-RELATED VARIATIONS | 45 | ||
| 5 - Cultural Assessment\r | 47 | ||
| ETHNIC, CULTURAL, AND SPIRITUAL AWARENESS | 47 | ||
| Definitions | 48 | ||
| Standards for Care | 49 | ||
| DEVELOP CULTURAL COMPETENCE | 50 | ||
| AVOID STEREOTYPING | 50 | ||
| DEVELOP A TEMPLATE FOR ASSESSMENT | 51 | ||
| Personal and Psychosocial History | 51 | ||
| Introductory Questions | 51 | ||
| Primary Language and Method of Communication | 51 | ||
| Personal Beliefs About Health and Illness | 51 | ||
| Beliefs About a Current Health Problem (Sickness)14,15 | 51 | ||
| Religious or Spiritual Influences | 51 | ||
| Roles in the Family | 52 | ||
| Special Dietary Practices | 52 | ||
| Notice the Patient’s Surroundings | 52 | ||
| REMEMBER | 52 | ||
| 6 - Pain Assessment\r | 54 | ||
| CONCEPT OVERVIEW | 54 | ||
| COGNITIVE AND CULTURAL INFLUENCES ON PAIN PERCEPTION | 55 | ||
| TYPES OF PAIN | 55 | ||
| STANDARDS FOR PAIN ASSESSMENT | 55 | ||
| ANATOMY AND PHYSIOLOGY | 56 | ||
| PAIN PROCESS | 56 | ||
| Pain Threshold and Pain Tolerance | 58 | ||
| HEALTH HISTORY | 58 | ||
| GENERAL HEALTH HISTORY | 58 | ||
| Present Health Status | 58 | ||
| PROBLEM-BASED HISTORY | 58 | ||
| Onset | 58 | ||
| Location | 58 | ||
| Duration | 58 | ||
| Characteristics | 59 | ||
| Aggravating Factors | 59 | ||
| Alleviating Factors | 60 | ||
| Related Symptoms | 60 | ||
| Treatment by the Patient | 60 | ||
| Severity | 60 | ||
| Response to Pain | 61 | ||
| Pain Reassessment | 61 | ||
| ASSESSING THE PAIN OF PATIENTS WHO CANNOT COMMUNICATE | 61 | ||
| A Hierarchy for Assessing Pain | 61 | ||
| Pain Scales | 61 | ||
| EXAMINATION | 62 | ||
| AGE-RELATED VARIATIONS | 63 | ||
| Interview Data | 64 | ||
| Examination Data | 64 | ||
| Clinical Reasoning | 64 | ||
| 7 - Mental Health Assessment\r | 65 | ||
| ANATOMY AND PHYSIOLOGY | 65 | ||
| HEALTH HISTORY | 66 | ||
| GENERAL HEALTH HISTORY | 66 | ||
| Present Health Status | 66 | ||
| Past Health History | 67 | ||
| Family History | 67 | ||
| Personal and Psychosocial History | 67 | ||
| Self-Concept | 67 | ||
| Interpersonal Relationships | 67 | ||
| Stressors | 67 | ||
| Anger | 67 | ||
| Alcohol Use | 67 | ||
| Recreational Drug Use | 68 | ||
| PROBLEM-BASED HISTORY | 68 | ||
| Depression | 68 | ||
| Anxiety | 69 | ||
| Altered Mental Status | 69 | ||
| Orientation | 69 | ||
| Memory | 69 | ||
| Calculation Ability | 70 | ||
| Communication Skills (Naming, Repeating, Writing, and Copying) | 70 | ||
| Judgment and Reasoning | 70 | ||
| Abstract Reasoning | 70 | ||
| Alcohol Use | 70 | ||
| Drug Use | 70 | ||
| Interpersonal Violence | 72 | ||
| EXAMINATION | 73 | ||
| AGE-RELATED VARIATIONS | 75 | ||
| COMMON PROBLEMS AND CONDITIONS | 75 | ||
| MAJOR DEPRESSION | 75 | ||
| BIPOLAR DISORDER | 75 | ||
| SCHIZOPHRENIA | 75 | ||
| ANXIETY DISORDERS | 76 | ||
| Anxiety | 76 | ||
| Obsessive-Compulsive Disorder | 76 | ||
| Posttraumatic Stress Disorder | 76 | ||
| SUBSTANCE ABUSE DISORDERS | 76 | ||
| Alcohol Abuse | 76 | ||
| Drug Abuse | 77 | ||
| DELIRIUM AND DEMENTIA | 77 | ||
| Delirium | 77 | ||
| Dementia | 77 | ||
| CLINICAL APPLICATION AND CLINICAL REASONING | 78 | ||
| CASE STUDY | 78 | ||
| Interview Data | 78 | ||
| Examination Data | 78 | ||
| Clinical Reasoning | 78 | ||
| 8 - Nutritional Assessment\r | 79 | ||
| CONCEPT OVERVIEW | 79 | ||
| ANATOMY AND PHYSIOLOGY | 79 | ||
| MACRONUTRIENTS | 80 | ||
| MICRONUTRIENTS | 80 | ||
| WATER | 81 | ||
| HEALTH HISTORY | 81 | ||
| GENERAL HEALTH HISTORY | 81 | ||
| Present Health Status | 81 | ||
| Past Health History and Family History | 82 | ||
| Personal and Psychosocial History | 82 | ||
| PROBLEM-BASED HISTORY | 82 | ||
| Weight Loss | 83 | ||
| Weight Gain | 83 | ||
| Difficulty in Chewing or Swallowing | 83 | ||
| Loss of Appetite or Nausea | 83 | ||
| ASSESSMENT OF DIETARY INTAKE | 84 | ||
| EXAMINATION | 85 | ||
| AGE-RELATED VARIATIONS | 94 | ||
| COMMON PROBLEMS AND CONDITIONS | 94 | ||
| OBESITY | 94 | ||
| HYPERLIPIDEMIA | 94 | ||
| PROTEIN-CALORIE MALNUTRITION | 95 | ||
| EATING DISORDERS | 95 | ||
| CASE STUDY | 96 | ||
| Interview Data | 96 | ||
| Examination Data | 96 | ||
| Clinical Reasoning | 96 | ||
| 02 - Health Assessment of the Adult | 97 | ||
| 9 - Skin, Hair, and Nails\r | 97 | ||
| CONCEPT OVERVIEW | 97 | ||
| ANATOMY AND PHYSIOLOGY | 97 | ||
| SKIN | 98 | ||
| Epidermis | 98 | ||
| Dermis | 98 | ||
| Subcutaneous Layer | 99 | ||
| APPENDAGES | 99 | ||
| Hair | 99 | ||
| Nails | 99 | ||
| Eccrine Sweat Glands | 99 | ||
| Apocrine Sweat Glands | 99 | ||
| Sebaceous Glands | 99 | ||
| HEALTH HISTORY | 99 | ||
| GENERAL HEALTH HISTORY | 99 | ||
| Present Health Status | 99 | ||
| Past Health History and Family History | 100 | ||
| Personal and Psychosocial History | 100 | ||
| PROBLEM-BASED HISTORY | 100 | ||
| Skin | 100 | ||
| Pruritus (Itching) | 100 | ||
| Rash | 100 | ||
| Pain | 100 | ||
| Lesion or Changes in Mole | 101 | ||
| Change in Skin Color | 101 | ||
| Skin Texture | 101 | ||
| Wounds | 101 | ||
| Hair | 101 | ||
| Nails | 102 | ||
| EXAMINATION | 102 | ||
| AGE-RELATED VARIATIONS | 118 | ||
| SITUATIONAL VARIATIONS | 119 | ||
| PATIENTS WITH LIMITED MOBILITY | 119 | ||
| Expected and Abnormal Findings (Skin) | 119 | ||
| COMMON PROBLEMS AND CONDITIONS | 121 | ||
| SKIN | 121 | ||
| Hyperkeratosis (Thickening of the Stratum Corneum) | 121 | ||
| Dermatitis | 121 | ||
| Atopic Dermatitis | 121 | ||
| Contact Dermatitis | 121 | ||
| Seborrheic Dermatitis | 122 | ||
| Stasis Dermatitis | 122 | ||
| Psoriasis | 122 | ||
| Pityriasis Rosea | 123 | ||
| Lesions Caused by Viral Infection | 123 | ||
| Warts (Verruca) | 123 | ||
| Herpes Simplex | 123 | ||
| Herpes Varicella (Chickenpox) | 124 | ||
| Herpes Zoster (Shingles) | 124 | ||
| Lesions Caused by Fungal Infections | 124 | ||
| Tinea Infections | 124 | ||
| Candidiasis | 124 | ||
| Lesions Caused by Bacterial Infections | 125 | ||
| Cellulitis | 125 | ||
| Impetigo | 125 | ||
| Folliculitis | 125 | ||
| Furuncle or Abscess | 126 | ||
| Lesions Associated with Arthropods | 126 | ||
| Scabies | 126 | ||
| Lyme Disease | 126 | ||
| Spider Bites | 126 | ||
| Malignant Neoplasia | 127 | ||
| Basal Cell Carcinoma | 127 | ||
| Squamous Cell Carcinoma | 127 | ||
| Melanoma | 127 | ||
| Kaposi’s Sarcoma | 127 | ||
| Skin Lesions Caused by Abuse | 128 | ||
| Bruise (Ecchymosis) | 128 | ||
| Bites | 128 | ||
| Burns | 128 | ||
| HAIR | 129 | ||
| Pediculosis (Lice) | 129 | ||
| Alopecia Areata | 129 | ||
| Hirsutism | 129 | ||
| NAILS | 129 | ||
| Onychomycosis | 129 | ||
| Paronychia | 129 | ||
| Ingrown Toenail | 129 | ||
| Interview Data | 131 | ||
| Examination Data | 131 | ||
| Clinical Reasoning | 131 | ||
| 10 - Head, Eyes, Ears, Nose, and Throat\r | 132 | ||
| CONCEPT OVERVIEW | 132 | ||
| ANATOMY AND PHYSIOLOGY | 133 | ||
| THE HEAD | 133 | ||
| THE EYES | 133 | ||
| External Ocular Structures | 133 | ||
| Ocular Structures | 133 | ||
| Ocular Function | 134 | ||
| THE EAR | 135 | ||
| External Ear | 135 | ||
| Middle Ear | 135 | ||
| Inner Ear | 136 | ||
| THE NOSE | 136 | ||
| THE MOUTH AND OROPHARYNX | 137 | ||
| Oropharynx | 138 | ||
| NECK | 138 | ||
| Larynx | 139 | ||
| Thyroid Gland | 139 | ||
| Cardiovascular Structures | 139 | ||
| LYMPH NODES | 139 | ||
| HEALTH HISTORY | 139 | ||
| GENERAL HEALTH HISTORY | 139 | ||
| Present Health Status | 139 | ||
| Past Health History | 140 | ||
| Family History | 140 | ||
| Personal and Psychosocial History | 140 | ||
| PROBLEM-BASED HISTORY | 140 | ||
| Headache | 140 | ||
| Dizziness and Vertigo | 141 | ||
| Difficulty with Vision | 142 | ||
| Hearing Loss | 142 | ||
| Ringing in the Ears (Tinnitus) | 142 | ||
| Earache | 142 | ||
| Nasal Discharge/Nose Bleed | 143 | ||
| Sore Throat | 143 | ||
| Mouth Lesions | 143 | ||
| EXAMINATION | 144 | ||
| AGE-RELATED VARIATIONS | 172 | ||
| COMMON PROBLEMS AND CONDITIONS | 172 | ||
| HEAD AND NECK | 172 | ||
| Headaches | 172 | ||
| Migraine Headache | 172 | ||
| Cluster Headache | 172 | ||
| Tension Headache | 172 | ||
| Posttraumatic Headache | 172 | ||
| Hydrocephalus | 172 | ||
| EYES | 173 | ||
| External Eye | 173 | ||
| Chalazion | 173 | ||
| Hordeolum (Stye) | 173 | ||
| Conjunctivitis | 173 | ||
| Corneal Abrasion or Ulcer | 173 | ||
| Strabismus | 173 | ||
| Pterygium | 173 | ||
| Internal Eye | 174 | ||
| Cataract | 174 | ||
| Diabetic Retinopathy | 174 | ||
| Glaucoma | 174 | ||
| EARS | 175 | ||
| Foreign Body | 175 | ||
| Infection | 175 | ||
| Acute Otitis Media | 175 | ||
| Otitis Media with Effusion | 175 | ||
| Hearing Loss | 176 | ||
| Conductive Hearing Loss | 176 | ||
| Sensorineural Hearing Loss | 176 | ||
| NOSE | 176 | ||
| Epistaxis | 176 | ||
| 03 - Health Assessment Across the Life Span | 390 | ||
| 18 - Developmental Assessment Throughout the Life Span\r | 390 | ||
| THEORIES OF DEVELOPMENT | 390 | ||
| Personality Development: Erikson’s Theory | 390 | ||
| Cognitive Development: Piaget’s Theory | 391 | ||
| Adult Intelligence | 391 | ||
| DEVELOPMENTAL TASKS | 392 | ||
| EXPECTED GROWTH AND DEVELOPMET BY AGE-GROUP | 392 | ||
| Infants | 392 | ||
| Physical Growth | 392 | ||
| Behavioral and Cognitive Development | 392 | ||
| Toddlers | 392 | ||
| Physical Growth | 394 | ||
| Behavioral and Cognitive Development | 394 | ||
| Preschoolers | 395 | ||
| Physical Growth | 395 | ||
| Behavioral and Cognitive Development | 396 | ||
| School-Age Children | 396 | ||
| Physical Growth | 397 | ||
| Behavioral and Cognitive Development | 397 | ||
| Adolescents | 399 | ||
| Physical Growth | 399 | ||
| Behavioral and Cognitive Development | 400 | ||
| Young Adults | 400 | ||
| Physical Growth | 400 | ||
| 04 - Synthesis and Application of Health Assessment | 475 | ||
| 22 - Conducting a Head-to-Toe Examination | 475 | ||
| INITIAL ENCOUNTER | 475 | ||
| GUIDELINES FOR ADULT HEAD-TO-TOE EXAMINATION | 475 | ||
| General Survey (Collected During the History) | 476 | ||
| Assess Vital Signs and Other Baseline Measurements | 476 | ||
| Examine Hands | 476 | ||
| Examine Head and Face | 476 | ||
| Examine Eyes | 476 | ||
| Examine Ears | 477 | ||
| Examine Nose | 477 | ||
| Examine Mouth | 477 | ||
| Examine Neck | 477 | ||
| Examine Upper Extremities | 477 | ||
| Examine Posterior and Lateral Thorax | 478 | ||
| Examine Anterior Thorax | 478 | ||
| Breasts | 479 | ||
| Female | 479 | ||
| Male | 479 | ||
| All Patients | 479 | ||
| Examine Abdomen | 479 | ||
| Examine Lower Extremities | 479 | ||
| Examine Remaining Neurologic and Musculoskeletal Systems | 479 | ||
| Examine Genitalia, Pelvic Region, and Rectum | 480 | ||
| Males | 480 | ||
| Females | 480 | ||
| 23 - Documenting the Comprehensive Health Assessment\r | 481 | ||
| HEALTH HISTORY | 481 | ||
| Biographic Data | 481 | ||
| Reason for Seeking Care | 481 | ||
| History of Present Illness | 481 | ||
| Present Health Status | 481 | ||
| Past Health History | 481 | ||
| Family History | 481 | ||
| Personal and Psychosocial History | 482 | ||
| Personal Status | 482 | ||
| Family and Social Relationships | 482 | ||
| Diet/Nutrition | 482 | ||
| Functional Ability | 482 | ||
| Mental Health | 482 | ||
| Tobacco, Alcohol, and Illicit Drug Use | 482 | ||
| Health Promotion Activities | 482 | ||
| Environment | 482 | ||
| Review of Systems | 482 | ||
| General Symptoms | 482 | ||
| Integumentary System | 482 | ||
| Head, Eyes, Ears, Nose, Throat | 482 | ||
| Breasts | 482 | ||
| Cardiovascular System | 482 | ||
| Respiratory System | 482 | ||
| Gastrointestinal System | 482 | ||
| Urinary System | 482 | ||
| Musculoskeletal System | 483 | ||
| Neurologic System | 483 | ||
| Reproductive System | 483 | ||
| PHYSICAL EXAMINATION | 483 | ||
| General Survey | 483 | ||
| Skin, Hair, and Nails | 483 | ||
| Head | 483 | ||
| Eyes | 483 | ||
| Ears | 483 | ||
| Nose | 483 | ||
| Mouth | 483 | ||
| Neck | 483 | ||
| Chest and Lungs | 483 | ||
| Breasts | 483 | ||
| Heart | 483 | ||
| Peripheral Vascular | 483 | ||
| Abdomen | 483 | ||
| Musculoskeletal | 483 | ||
| Neurologic | 483 | ||
| Gynecologic | 483 | ||
| PROBLEM LIST | 484 | ||
| 24 - Adapting Health Assessment to the Hospitalized Patient\r | 485 | ||
| SHIFT ASSESSMENT | 485 | ||
| OBTAINING AND ANALYZING PATIENT DATA | 486 | ||
| Shift Report from the Nurse Who Worked Previous Shift | 486 | ||
| Current Shift Assessment | 486 | ||
| Applying the Clinical Judgment Model | 487 | ||
| ADAPTING ASSESSMENT SKILLS TO HOSPITALIZED PATIENTS | 488 | ||
| Adapting Assessment of the Skin | 488 | ||
| Patient with a Wound | 489 | ||
| Patient with an Infected Incision | 489 | ||
| Adapting Assessment of the Lungs and Respiratory System | 489 | ||
| Patient Using a Nasal Cannula | 489 | ||
| Patient Using an Oxygen Mask | 490 | ||
| Patient with a Tracheostomy | 490 | ||
| Patient with Chest Tubes | 490 | ||
| Adapting Assessment of the Abdomen and Gastrointestinal System | 491 | ||
| Patient with a Gastrostomy Tube | 491 | ||
| Patient with a Nasogastric Tube and Wound Drain | 491 | ||
| Patient with an Ostomy | 492 | ||
| Patient with a Urinary Catheter | 493 | ||
| Adapting Assessment of the Musculoskeletal System | 493 | ||
| Patient with a Cast | 493 | ||
| Patient with an External Fixator | 494 | ||
| Adapting Assessment of the Neurologic System | 494 | ||
| Patient Who Is Unconscious | 494 | ||
| Describing Levels of Consciousness | 496 | ||
| SUMMARY | 496 | ||
| A - ABBREVIATIONS | 497 | ||
| Symbols | 497 | ||
| B - Answer Key\r | 498 | ||
| CHAPTER 1 | 498 | ||
| GLOSSARY | 503 | ||
| ILLUSTRATION CREDITS | 509 | ||
| REFERENCES | 512 | ||
| CHAPTER 1 | 512 | ||
| CHAPTER 2 | 512 | ||
| CHAPTER 3 | 512 | ||
| CHAPTER 4 | 513 | ||
| CHAPTER 5 | 514 | ||
| CHAPTER 6 | 514 | ||
| CHAPTER 7 | 515 | ||
| CHAPTER 8 | 516 | ||
| CHAPTER 9 | 516 | ||
| CHAPTER 10 | 517 | ||
| CHAPTER 11 | 517 | ||
| CHAPTER 12 | 518 | ||
| CHAPTER 13 | 518 | ||
| CHAPTER 14 | 519 | ||
| CHAPTER 15 | 519 | ||
| CHAPTER 16 | 520 | ||
| CHAPTER 17 | 520 | ||
| CHAPTER 18 | 521 | ||
| CHAPTER 19 | 521 | ||
| CHAPTER 20 | 522 | ||
| CHAPTER 21 | 523 | ||
| CHAPTER 24 | 523 | ||
| INDEX | 524 | ||
| A | 524 | ||
| B | 525 | ||
| C | 525 | ||
| D | 526 | ||
| E | 526 | ||
| F | 527 | ||
| G | 527 | ||
| H | 527 | ||
| I | 528 | ||
| J | 529 | ||
| K | 529 | ||
| L | 529 | ||
| M | 529 | ||
| N | 530 | ||
| O | 530 | ||
| P | 530 | ||
| R | 532 | ||
| S | 532 | ||
| T | 533 | ||
| U | 534 | ||
| V | 534 | ||
| W | 534 | ||
| X | 534 | ||
| Y | 534 |