2022-01-30T00:35:34+03:00[Europe/Moscow] en true subjective data, objective data, database, Diagnostic reasoning, nursing process, First-level priority problems, Second-level priority problems, Third-level priority problems, Evidence-Based assessment, evidence-based practice, Complete (Total Health) Database, Focused or Problem-Centered Database, Follow-up database, Emergency database, holistic health, health promotion and disease prevention, Screening History, Physical Examination, Counseling, Depression, Healthy Diet, Chemoprophylaxis flashcards
Health Assessment Chapter 1

Health Assessment Chapter 1

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  • subjective data
    subjective data
  • objective data
    what the health professional observes by inspecting, palpating, percussing, and auscultating during the physical examination Health Care Provider Data Measurable Observable Physical Examination See, feel, touch, and listen
  • database
    patients record, lab results, subjective data, and objective data combined
  • Diagnostic reasoning
    the process of analyzing health data and drawing conclusions to identify diagnoses
  • nursing process
    five-step systematic method for giving patient care; involves assessing, diagnosing, planning, implementing, and evaluating
  • First-level priority problems
    emergent, life-threatening, and immediate, such as establishing an airway or supporting breathing
  • Second-level priority problems
    those that are next in urgency requiring your prompt intervention to forestall further deterioration. (mental status change, acute pain, acute urinary elimination problem, untreated medical problems, abnormal lab test results
  • Third-level priority problems
    those that are important to the patient's health but can be addressed after more urgent health problems are addressed. (Knowledge deficit, altered family processes, and low self esteem)
  • Evidence-Based assessment
    an approach to clinical evaluation in which research guides the evaluation of psychopathology, the selection of appropriate psychological tests and neuropsychological methods, and the use of critical thinking in making a diagnosis
  • evidence-based practice
    the integration of research evidence, clinical expertise, clinical knowledge (physical assessment), and patient values and preferences
  • Complete (Total Health) Database
    Includes complete health history and full physical examination Describes current and past health state and forms baseline to measure all future changes Yields first diagnoses
  • Focused or Problem-Centered Database
    For limited or short term problem. Collect "mini" database, smaller in scope, concerns mainly one problem, one cue complex, or one body system
  • Follow-up database
    evaluates the status of any identified problem at regular intervals to follow up on short term or chronic health problems
  • Emergency database
    rapid collection of the database, often compiled concurrently with lifesaving measures
  • holistic health
    the view that the mind, body, and spirit are interdependent and function as a whole within the environment
  • health promotion and disease prevention
    Involve changing people's unhealthy behaviors through a set of positive acts. The focus is on teaching and helping the consumer choose a healthier lifestyle
  • Screening History
    For dietary intake, physical activity, tobacco/alcohol/drug use, and sexual practices
  • Physical Examination
    for height and weight, BP, and screening for cervical cancer and HIV
  • Counseling
    for physical activity and risk prevention
  • Depression
    screening
  • Healthy Diet
    counseling, including lipid disorder screening and obesity screening
  • Chemoprophylaxis
    the use of drugs to prevent disease