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n121
health assessment
| Question | Answer |
|---|---|
| health assessment in order | 1-interview:sub 2-Nursing health history:Sub 3-Complete Physical exam:obj a) general survey b)vitalsigns c)skin |
| nursing health history | subjective data: biographic data, present and past health, family history, ROS, ADLs, reson for seeking care, medications |
| general survey | LONPOPFMSH. loc, orientation, nutrition, posture and position, obvios physical deformaties, facial expressions, mood and affect, speech, hygiene/grooming |
| physical exam technique | ippa except adbomen. observe/inspect, palpate, percussion, auscutate. ...head to toe |
| general survey - loc, orientation | loc- alert, drowsy, lethargic, unresponsive ......orientation- person, place, time. do they know where they are |
| components of a mental status exam | appearance, behavior, cognition, thought process & perception |
| dysphonia, dysarthria, asphasia | dysphonia - abnormal pitch. laryngeal disease, sounds hoarse or whipsered. Dysarthria- articulation problems. distorted speech. Asphasia- language comphrhension. expressive- dontknow right words. receptive-unable to know what you are saying. |
| cognitive function. orientation, attentionspan, memory, recent short term memory, remote/longterm memory, new learning, higher intelectual funstioning. minicog | recent /short term memory-24hr diet recall. remote/longterm memory- past event. New Learning- 4 word test |
| mental status of an aging adult | response time is lower, no decrease in general knowledge, recent memory somewhwt decreased, long term memory intact. sensory perception can affect vision and hearing. loss results in disorientation or depression. |
| delirium | a shange in cognition, develops over a shirt perion of time |
| depression | involves mind and body, not a normal part of growing old |
| dementia | impairment of intellectual functioning associated with changes in personality, impaired judgement, and reasoning. |
| 5 A's if alzheimers. anomia, apraxia, agnosia, amnesia, aphasia | Anomia-inability to remember names of things. |
| apraxia | misuse of objects |
| agnosia | inability to recognice familiar objects, tastes, sounds |
| amnesia | inability to remember |
| asphasia | inability to express oneself through speech |
Created by:
julietitus
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