health assessment
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| health assessment in order | 1-interview:sub 2-Nursing health history:Sub 3-Complete Physical exam:obj a) general survey b)vitalsigns c)skin
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| nursing health history | subjective data: biographic data, present and past health, family history, ROS, ADLs, reson for seeking care, medications
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| general survey | LONPOPFMSH. loc, orientation, nutrition, posture and position, obvios physical deformaties, facial expressions, mood and affect, speech, hygiene/grooming
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| physical exam technique | ippa except adbomen. observe/inspect, palpate, percussion, auscutate. ...head to toe
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| general survey - loc, orientation | loc- alert, drowsy, lethargic, unresponsive ......orientation- person, place, time. do they know where they are
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| components of a mental status exam | appearance, behavior, cognition, thought process & perception
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| 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.
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| 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
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| 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.
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| delirium | a shange in cognition, develops over a shirt perion of time
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| depression | involves mind and body, not a normal part of growing old
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| dementia | impairment of intellectual functioning associated with changes in personality, impaired judgement, and reasoning.
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| 5 A's if alzheimers. anomia, apraxia, agnosia, amnesia, aphasia | Anomia-inability to remember names of things.
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| apraxia | misuse of objects
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| agnosia | inability to recognice familiar objects, tastes, sounds
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| amnesia | inability to remember
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| asphasia | inability to express oneself through speech
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