Assessment of the Adolescent, Pre-Teen, and Teen Student for School Nurses
|
|
|
- Caren Burke
- 5 years ago
- Views:
Transcription
1 Assessment of the Adolescent, Pre-Teen, and Teen Student for School Nurses KIMBERLY RICHARDS RN, BSN CLINICAL UNIT LEADER NOVANT HEALTH MATTHEWS MEDICAL CENTER MEDICAL SURGICAL/HOSPICE ONCOLOGY Agenda Content Time Frame Teaching Methods Assessment of Adolescent, Pre- Teen, and Teen 60 Minutes Discussion, Demonstration Review of Content/Questions 15 Minutes Open Forum, Discussion Scenario Questions 15 Minutes Open Forum, Discussion 1
2 Objectives 1. Distinguish normal assessment findings from abnormal or high risk findings 2. Implement school nurse protocol during assessment and utilize said protocol if an abnormal finding is identified 3. Observe, discuss, and demonstrate the rationale for assessment techniques demonstrated Chief Complaint What brings you here today? Was this visit initiated by the student, teacher, parent, etc.? 2
3 Medical History Chronic illnesses Surgeries Procedures Vaccinations Allergies Current Medications Psychosocial History Family and Home Life Friends School Performance Self-Esteem Drug use 3
4 Vital Signs Height Weight Temperature Pulse Respiratory Rate Blood Pressure Oxygen Saturation Normal Vital Signs Temperature: 98 F (36.7 C) Pulse: Resting: Exercise/Fever: less than 200 Respiratory Rate: Oxygen saturation: 93%-100% 4
5 Normal Vital Signs Blood Pressure: depends on gender, height, and weight Ranges from 90/50-140/90 Orthostatic Hypotension Take blood pressure when individual is lying down Wait one minute Take blood pressure when individual is sitting up Wait one minute Take blood pressure when individual is standing up If BP drops by 10-20, it s considered positive orthostatic hypotension Pain Numeric Pain Scale Faces Pain Scale Image from : 5
6 General Appearance Overall state of health Hygiene Posture Clothing Mood/affect Approaches to the Review of Systems Head to Toe Assessment System by System Assessment Focused Assessment Proper order of any assessment: Inspect Auscultate Palpate 6
7 Focused Assessments In cases of urgency or emergency Assess ABCs first Airway Breathing Circulation Skin Color Pale Cyanosis Jaundice Bruises Rashes Erythema 7
8 Skin Texture Clean Dry Clammy Oily Turgor Indicates dehydration Hair Clean Oily Dry Lice Lesions/bruises/scars 8
9 Eyes PERRLA- using a pen light Pupils equal, round, and reactive to light and accommodation Gaze Vision Inflammation, tearing, drainage from lining of the eyelids Ears Auditory Tests To visualize ear: Have child tilt head toward opposite shoulder Pull pinna up and back to visualize tympanic membrane Report redness, inflammation, pain, drainage 9
10 Head and Neck Symmetrical Range of Motion Nose Bleeding, swelling, discharge, dryness, pain Teeth Discoloration, plaque Throat Tonsils inflamed, redness, swelling, pain Head and Neck Lymph Nodes Report tender, enlarged, swollen, red lymph nodes 10
11 Neuro Sensory Function Balance Reflexes Triceps Biceps Patellar Achilles Neuro Cranial Nerves: Smell Sight ROM of eyes Taste Facial Movements Hearing Gag Reflex Movement of Tongue Shrug Shoulders 11
12 Chest Movement Symmetrical rise and fall of the chest Paradoxic respirations- chest falls on inspiration and rises on expiration Rhythm of breathing Regular or irregular or apneic Tachypnea, bradypnea, dyspnea Depth of breathing Deep or shallow Quality of breathing Effortless or difficult/labored Breath Sounds- Stethoscope Placement Images From: 12
13 Breath Sounds Normal Breath Sounds Clear, equal on bilateral lung fields Abnormal Breath Sounds to report Diminished: softer lung sounds Absent: EMERGENCY Crackles: fluid in the lungs Wheezing: high pitched singing sound Stridor: EMERGENCY, something is obstructing upper airway Heart Sounds- Stethoscope Placement Image From 13
14 Heart Sounds S1 and S2- lub dub Palpate carotid pulse or radial pulse Do they match up with the apical pulse? Rhythm: regular or irregular Murmurs: muffled, irregular Some are innocent, but all should be reported Cardiovascular Inspect for color Pulses Capillary Refill Edema Swelling 14
15 Abdomen Inspect for: hernias, masses, symmetry, movement during inspiration and expiration Auscultate: each bowel quadrant for one minute Palpate: Superficial: gently palpate for tenderness, hernias Deep: deeper palpation, feeling for masses and deeper tenderness Femoral pulses Abdomen Image From: 15
16 GI and Urinary Function When was your last BM? Was it hard or soft? Loose or formed? Color? How often do you pee? Color? Odor? Burning or urgency? Spine: Curvature Scoliosis Range of Motion Gait and posture Arms and Legs: Inspect: symmetrical, color Musculoskeletal Palpate: tenderness, temperature, radial or pedal pulses Range of motion Test strength of arms and legs: Joints: inspect for immobility, tenderness, swelling, warmth 16
17 Questions? Scenario One You are called to assess a student who is shaky, pale, diaphoretic, and confused. The student is a known diabetic. What is your first plan of action to assess this student? What is your school nurse protocol during this situation? 17
18 Scenario Two A student broke his arm and had a cast placed on it yesterday. He is now complaining the arm hurts and he cannot move his fingers on that arm. How do you go about performing your assessment? What exactly do you assess for and report? How do you go about reporting your findings? Scenario Three A student is complaining of abdominal pain. He has also been nauseous and vomiting. How do you perform your assessment on this student? 1. Vital signs- he has a fever 2. Inspect the abdomen- it looks normal 3. Auscultate the bowel sounds- they sound normal 4. Palpate the abdomen- he has RLQ tenderness 5. Follow your school protocol to report these findings 18
19 Scenario Four A student was found passed out in the bathroom. He is slowly coming around but is very confused. No one saw what happened to him. How do you perform your assessment? 1. Check his ABCs- his airway is open, he is breathing on his own, and his circulation is normal 2. If possible- get some vital signs 3. Check neuro status- he is confused 4. Check PERRLA- his pupils are pinpoint 5. Report per protocol Scenario Five A teacher brings her student to you because she is concerned he is not breathing normally. You are aware the student has asthma. How do you go about performing your assessment? 1. Check his ABCs: his airway is open, his circulation is normal, but he is clearly breathing with distress 2. Get vital signs: his respiratory rate is high and his O2 sat is low 3. Inspect his breathing: it s rapid, shallow, short of breath 4. Auscultate: you hear wheezing 5. Administer breathing treatment as ordered and report per protocol 19
20 In Closing/Review What are the different types of assessments? What should you always assess first in case of urgency or emergency? What is the proper order of any assessment? How do you go about determining if the abnormal assessment finding is an emergency or nonemergency? What is your action plan based on your school protocol? References Hockenberry, M. J., & Wilson, D. (2009). Essentials of Pediatric Nursing (9th ed.). St. Louis, MO: Elsevier. 20
NEO 111 Melanie Jorgenson, RN, BSN
NEO 111 Melanie Jorgenson, RN, BSN Inspection: performing deliberate, purposeful observations in a systematic manner Palpation: using the sense of touch Percussion: striking one object against another
Program Script. Nursing Assessment The Head-to-Toe Assessment
Program Script Nursing Assessment The Head-to-Toe Assessment This document comprises the complete script for this program including chapter titles. This is provided to instructors to enhance the educational
Percussion These 4 techniques are the foundation of the physical exam. Respiration Blood pressure Body
1 Chapter 11: Physical Exam Techniques 2 Introduction Although patient assessment formally starts with the, the physical examination actually begins when you first set eyes on your patient. The purpose
Emergency Medical Training Services Emergency Medical Technician Basic Program Outlines Outline Topic: ASSESSMENT Revised: 11/2013
Emergency Medical Training Services Emergency Medical Technician Basic Program Outlines Outline Topic: ASSESSMENT Revised: 11/2013 DEFINITIONS General Impression - EMT develops a plan of action from the
Physical Examination Reporting Form
Building Trades National Medical Screening Program Physical Examination Reporting Form Name: Date: P1. Vital Signs Height: BP: / Weight: lbs. #2 nd BP:* / Arm: L R Cuff Size:** Regular Large Ped Pulse:
MARYWOOD UNIVERSITY PHYSICIAN ASSISTANT PROGRAM HISTORY, PHYSICAL, ASSESSMENT AND PLAN
MARYWOOD UNIVERSITY PHYSICIAN ASSISTANT PROGRAM HISTORY, PHYSICAL, ASSESSMENT AND PLAN PA: PRECEPTOR: MARYWOOD STAFF: PATIENT ID: AGE: SEX: DATE: Chief Complaint: History of Present Illness: 1 Medications:
Patient Care Report Guidelines
A rrival on scene / Scene assessment C omplaint H istory A. Position of patient B. Impression of patient C. Does the patient acknowledge your presence D. Any significant characteristics of the scene A.
Topic: Baseline Vitals and Sample History Company Drill
Baseline Vitals and Sample History Company Drill Instructor Guide Session Reference: 1 Topic: Baseline Vitals and Sample History Company Drill Level of Instruction: 2 Time Required: Three Hours Materials
Patient Assessment. Chapter 8
Patient Assessment Chapter 8 Patient Assessment Scene size-up Initial assessment Focused history and physical exam Vital signs History Detailed physical exam Ongoing assessment Patient Assessment Process
Baseline Vital Signs and SAMPLE History. Chapter 5
Baseline Vital Signs and SAMPLE History Chapter 5 Baseline Vital Signs and SAMPLE History Assessment is the most complex skill EMT-Bs learn. During assessment you will: Gather key information. Evaluate
CENTRAL CARE POLICY SYMPTOMS OF ILLNESS. Policy: Consumers will be observed for symptoms of physical problems, distress, pain, or unusual behaviors.
Page 1 of 5 CENTRAL CARE POLICY SYMPTOMS OF ILLNESS SUBJECT: SYMPTOMS OF ILLNESS ANNUAL REVIEW MONTH: June RESPONSIBLE FOR REVIEW: Director of Central Care LAST REVISION DATE: June 2009 Policy: Consumers
Chapter 11. Objectives. Objectives 01/09/2013. Baseline Vital Signs, Monitoring Devices, and History Taking
Chapter 11 Baseline Vital Signs, Monitoring Devices, and History Taking Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights
History. History and Physical Exam of the Pediatric Patient. History of Present Illness. Chief Complaint. Past Medical History. Past Medical History
History History and Physical Exam of the Pediatric Patient Colleen A. Kraft, M.D., FAAP Richmond Pediatric Associates, Inc. Source Who is giving the history? Is this the patient s primary caretaker? 1
The student guide to simulation
CETL 2008 1 The following guide will introduce you to what the simulators can do But firstly a few words on communication Please verbally and non-verbally communicate with the simulator as if it were a
VAO BASIC SUPPORT CLINICAL APPROACH TO THE PATIENT HANDOUT
CLINICAL APPROACH TO THE PATIENT HANDOUT 1 I am the most important part of patient care. How can you expect to treat a patient appropriately if you don t follow through on basic primary care? Remember:
Compliance Department ELEMENTS OF EAR, NOSE AND THROAT EXAMINATION 11/2010
Compliance Department ELEMENTS OF EAR, NOSE AND THROAT EXAMINATION 11/2010 System/ Body Area Constitutional Measurement of any three of the following seven vital signs: 1) sitting or standing blood pressure,
MOLLOY COLLEGE THE BARBARA H. HAGAN SCHOOL OF NURSING NURSE PRACTITIONER PROGRAMS. Study Guide for the Basic Physical Assessment Exam
THE BARBARA H. HAGAN SCHOOL OF NURSING S Study Guide for the Basic Physical Assessment Exam Questions will be based on following chapters in, Bickley, L.S. (2016). (12 th ed). Bates guide to physical examination
H&P Checklist (Inpatient) Evaluator: Subject: Program:
H&P Checklist (Inpatient) Evaluator: Subject: Program: PROFESSIONALISM 1) Introduces self/role and preceptor Did 2) Verbal and non-verbal language demonstrates respect for patient & family. Did 3) Respects
Patient Assessment From Brady s First Responder (8th Edition) 83 Questions
Patient Assessment From Brady s First Responder (8th Edition) 83 Questions 1. Which question is important if your patient may be a candidate for surgery? p. 183 *A.) When did you last eat? B.) What is
Assessment of the Trauma Patient
CHAPTER 10 Assessment of the Trauma Patient Overall Assessment Scheme Scene Size-Up Initial Assessment Trauma Physical Exam Vital Signs & SAMPLE History Medical SAMPLE History Physical Exam & Vital Signs
R. John Brewer EMT-P Dental Education Inc. PATIENT ASSESSMENT
R. John Brewer EMT-P Dental Education Inc. PATIENT ASSESSMENT Patient Assessment Patient assessment is made up of two parts - History - Physical Exam Patient assessment In medical cases obtaining an adequate
55-year-old male with 2nd and 3rd degree burns to face, chest, and arms on 25% of the body Respirations: 34 Pulse: 120 Mental Status: moans to painful stimulus Mucous membranes charred Stridor 10 cm scalp
History Data Panel. Case 030 Preg Trauma. Presenting Complaint Altered mental status s/p MVC. Person Giving Information EMS
History Data Panel Presenting Complaint Altered mental status s/p MVC Person Giving Information EMS History of Present Illness 28 year old woman, 35 weeks pregnant per report of her husband the passenger.
Ambulatory Services Orientation & Skill Review Skill Performance Checklist: Vital Signs. Name: Date:
Evaluation Levels Behavior Level 3 Met Performed all skills competently. No behaviors omitted. Level 2 Satisfactory Omitted no more than three (3) non-critical behaviors. Level 1 Unsatisfactory Omitted
Appendix H. Child and Adolescent Health Assessment and Intervention Guide
Appendix H Child and Adolescent Health Assessment and Intervention Guide Description: This assessment guide is intended to assist the community health nurse to assess the health status of children. The
Appendix (i) The ABCDE approach to the sick patient
Appendix (i) The ABCDE approach to the sick patient This appendix and the one following provide guidance on the initial approach and management of common medical emergencies which may arise in general
Chapter 12 - Vital_Signs_and_Monitoring_Devices
Introduction to Emergency Medical Care 1 OBJECTIVES 12.1 Define key terms introduced in this chapter. Slides 13 15, 17, 21 22, 26, 28, 30, 32 33, 35, 44, 47 48, 50, 55, 60 12.2 Identify the vital signs
Pediatric Advanced Life Support
Pediatric Advanced Life Support Pediatric Chain of Survival Berg M D et al. Circulation 2010;122:S862-S875 Prevention Early cardiopulmonary resuscitation (CPR) Prompt access to the emergency response system
Medicine I: Part 1: Medical Physical Examination. Kanchan Ganda, MD. Physical Examination: Detailed Discussion
1. Kanchan Ganda, MD 2. Physical Examination: Detailed Discussion Page - 1 3. Physical Examination 4. Physical Examination (P.E): Steps Page - 2 5. General Appearance 6. Left Parotid Enlargement Page -
Cardiovascular and Respiratory Disorders
Cardiovascular and Respiratory Disorders Blood Pressure Normal blood pressure is 120/80 mmhg (millimeters of mercury) Hypertension is when the resting blood pressure is too high Systolic BP is 140 mmhg
Questionnaire for Lipedema Patients
Questionnaire for Lipedema Patients Name Date of diagnosis Date Name of physician making diagnosis Do you also have lymphedema? What areas of the body are affected? Outside of thighs Inner thighs Knees
Paediatric Enhanced Life Support Scenarios
Paediatric Enhanced Life Support Scenarios These scenarios should be used to assess staff undertaking the Paediatric Enhanced Life Support course within the Black Country Partnership NHS Foundation Trust.
Airway and Ventilation. Emergency Medical Response
Airway and Ventilation Lesson 14: Airway and Ventilation You Are the Emergency Medical Responder Your medical emergency response team has been called to the fitness center by building security on a report
Vital Signs and Oxygen Administration
Vital Signs and Oxygen Administration By Dr. Mohsen Dashti Patient Care and Management (202) May-9-2010 Vital Signs and Oxygen Administration What are the vital signs? Why do we need to know them? How
It is important to point out and frequently remind learners that they are expected to complete ALL aspects of a normal assessment.
Background The purpose of this document is to provide guidelines for faculty on various aspects of patient simulators to be emphasized to learners during orientation. We recommend that every learner be
Headache Follow-up Visit Form
!1 Headache Follow-up Visit Form We will be unable to see you unless this form is completely filled out. We appreciate your thoroughness. Name DOB Age Today s Date Referring doctor: Primary doctor: Neurologist:
Chapter 8 Trauma Patient Assessment The Patient Assessment Process The Primary Assessment ABCDE s Airway, Breathing, Circulation while securing
1 2 3 4 5 6 Chapter 8 Trauma Patient Assessment The Patient Assessment Process The Primary Assessment ABCDE s Airway, Breathing, Circulation while securing D-Disability Chief complaint and/or Mechanism
Peripheral Vascular Examination. Dr. Gary Mumaugh Western Physical Assessment
Peripheral Vascular Examination Dr. Gary Mumaugh Western Physical Assessment Competencies 1. Inspection of upper extremity for: size symmetry swelling venous pattern color Texture nail beds Competencies
ADVANCED ASSESSMENT. Approach To The Patient Ontario Base Hospital Group OBHG Education Subcommittee
ADVANCED ASSESSMENT Approach To The Patient 2014 Ontario Base Hospital Group ADVANCED ASSESSMENT Approach to the Patient AUTHORS Mike Muir AEMCA, ACP, BHSc Paramedic Program Manager Grey Bruce Huron Paramedic
PUFF THE MAGIC DRAGON
PUFF THE MAGIC DRAGON AN UNUSUAL CASE OF A PUFFY FACE MA ACP Annual Scientific Meeting Gurbir Gill, M.D., PGY-3 (Associate) George M. Abraham, MD, MPH, FACP Department of Medicine, Saint Vincent Hospital,
Respiratory Assessment
Module Four Physical examination of Respiratory Assessment 1 THORACIC CAGE: Anterior thoracic cage Posterior thoracic cage 2 Reference lines: Anterior vertical lines Lateral vertical line Posterior vertical
SECTION OF NEUROSURGERY PATIENT INFORMATION SHEET
SECTION OF NEUROSURGERY PATIENT INFORMATION SHEET EC#: (for office use only) Patient s Name: Today s Date: Age: Date of Birth: Height: Weight: Physician you are seeing today: Marital Status: Married Work
Introduction. Topics. Seattle/King County EMT-B Class. EMS Online. Class schedule Message board Lecture presentations
Seattle/King County EMT-B Class Introduction EMS Online http://www.emsonline.net/emtb Class schedule Message board Lecture presentations Topics Airway Management: Chapter 7 Patient Assessment: Chapter
Pulse. Assess for the following:
Vital Signs Overview LOC = AVPU Pulse Respiration's Blood Pressure Lung Sounds Skin: Color, Texture, Temperature Pupils = Equal, Reactive to Light with Accomodation Pulse Assess for the following: Rate
Note for Jane Doe on 7/22/05 - Chart 5407
Note for Jane Doe on 7/22/05 - Chart 5407 Chief Complaint: This 31 year old female presents today with abdominal pain. Duration: Condition has existed for one month. Modifying Factors: Patient indicates
Measuring and Recording Temperature
Measuring and Recording Temperature Measurement of balance between heat lost and produced by the body. Lost through: Perspiration Respiration Excretion Produced by: Metabolism of food Muscle and gland
2/29/2016. By Lisa Amaya, Physician Assistant ATSU graduate 2006
By Lisa Amaya, Physician Assistant ATSU graduate 2006 Identifying unusual presentations Evaluating the history of the patient Conducting a physical exam Recognize that these presentations may be subtle
Health History and Physical Assessment. Rachel S. Natividad, RN, MSN, NP
Health History and Physical Assessment Rachel S. Natividad, RN, MSN, NP 1 HISTORY and PHYSICAL ASSESSMENT OBJECTIVES Discuss different methods and the sequencing used for basic physical assessment for
Overview. Baseline Vital Signs. Chapter 5. Baseline Vital Signs and SAMPLE History. Baseline Vital Signs. SAMPLE History
Chapter 5 Baseline Vital Signs and SAMPLE History Slide 1 Baseline Vital Signs Breathing Skin Pupils Blood Pressure Overview Vital Sign Reassessment SAMPLE History Slide 2 Baseline Vital Signs Slide 3
Vital Signs. 1. Define important words in this chapter. 2. Discuss the relationship of vital signs to health and well-being
84 13 Vital Signs 1. Define important words in this chapter 2. Discuss the relationship of vital signs to health and well-being 3. Identify factors that affect body temperature 4. List guidelines for taking
KHARKIV NATIONAL MEDICAL UNIVERSITY DEPARTMENT OF INTERNAL MEDICINE 3 CASE HISTORY. Patient, years old Diagnosis: Basic disease.
KHARKIV NATIONAL MEDICAL UNIVERSITY DEPARTMENT OF INTERNAL MEDICINE 3 CASE HISTORY Head of the department of Internal Medicine 3 Teacher /date of submisssion of case history / Patient, years old Diagnosis:
Dear Future Meharrian: Congratulations and Welcome to Meharry Medical College!
Dear Future Meharrian: Congratulations and Welcome to Meharry Medical College! The Office of Admissions and Recruitment at Meharry is dedicated to assisting you with many areas of student life, which are
+ Color Change - + Hearing Loss - + Apnea - + Enuresis (urine - + Tremors - + Rash -
Review of Systems: 0-1 year old Constitution neg Eyes neg GI neg Neurological neg + Activity Change - + Eye Discharge - + Reflux - + Facial Asymmetry - + Appetite Change - + Eye Redness - + Vomiting -
Aaron J. Katz, AEMT-P, CIC Outward signs of what is occurring inside the body
Vital Signs Aaron J. Katz, AEMT-P, CIC www.es26medic.net 2013 Vital Signs Outward signs of what is occurring inside the body Also give valuable information about the patient s condition They are taken
INTERNATIONAL TRAUMA LIFE SUPPORT
INTERNATIONAL TRAUMA LIFE SUPPORT NC ITLS Rev. 2/18 STUDENT GUIDE TO INTERNATIONAL TRAUMA LIFE SUPPORT What to wear ITLS is a practical course that stresses hands-on teaching. You should wear comfortable
Amarillo Surgical Group Doctor: Date:
Office Visit Information (General Surgery) Amarillo Surgical Group Doctor: Date: Patient s Information Name: Last First Middle Social Security #: Date of Birth: Age Gender: [ Male / Female ] Marital Status:
COLLEGE OF THE SISKIYOUS NURS 0951 HEAD TO TOE ASSESSMENT. Normal expected findings
COLLEGE OF THE SISKIYOUS NURS 0951 HEAD TO TOE ASSESSMENT Assessment Normal expected findings GENERAL SURVEY *Introduction: Call patient by name, introduce self, shake hands, walk pt to exam room observing
Vital Signs. Temperature. Pulse. Respirations. Blood Pressure. O2 Saturation
Vital Signs Temperature Pulse Respirations Blood Pressure O2 Saturation Vital Signs Temperature, pulse, respiration, blood pressure (B/P) & oxygen saturation are the most frequent measurements taken by
Chapter 12. Vital Signs Assessment
Chapter 12 Vital Signs Assessment Pre-Test 1. What are vital signs? 2. List as many vital signs as you know. Key Terms homeostasis: a state of equilibrium within the body maintained through the adaptation
Symptom Review (page 1) Name Date
v2.4, 2/13 JonathanTreasure.com Botanical Medicine & Cancer Herb Drug Interactions Herbalism 3.0 Symptom Review (page 1) Name Date INSTRUCTIONS Please read each section below carefully and, after each
Alix Casler, M.D., F.A.A.P. Orlando, FL
Alix Casler, M.D., F.A.A.P. Orlando, FL Emergencies in the School Setting Initial triage Basics of History and Exam Specific Scenarios Initial Assessment and Triage First steps in evaluating a potential
Vital Signs Dr. Gary Mumaugh Western Physical Assessment
Vital Signs Dr. Gary Mumaugh Western Physical Assessment Become a Data Gathering Machine The exam begins as soon as you see the patient o Appearance, demeanor, dress Well groomed, neat, disheveled, work
Patient to complete this information
Patient to complete this information Patient s Name Birth date Today s date Referring Physician Primary Care Physician Age Occupation Retired, how long? Prior operations Medications Type Date Name Dose
physical and developmental assessment of the child Prepared by Maha hmeidan Nahal RN.MSN
physical and developmental assessment of the child Prepared by Maha hmeidan Nahal RN.MSN What is Assessment It s like detective work.. searching for clues. What is Assessment Or like being a scientist
EMT. Chapter 8 Review
EMT Chapter 8 Review 1. During the scene size-up, you should routinely determine all of the following, EXCEPT: A. the mechanism of injury or nature of illness. B. the ratio of pediatric patients to adult
UCCM ANISHNAABE POLICE SERVICE EMPLOYMENT VISION REPORT
APPLICANT NAME: UCCM ANISHNAABE POLICE SERVICE EMPLOYMENT VISION REPORT REACTION ACCOM. LIGHT PUPILS EQUAL UNEQUAL FUNDI FIELDS OF VISION COLOUR (TEST USED) WITHOUT GLASSES NEAR FAR WITH GLASSES RIGHT
Measuring body temperature, blood pressure, pulse, respiratory rate and oxygen saturation
Vital Signs Measuring body temperature, blood pressure, pulse, respiratory rate and oxygen saturation Aims To ensure that students are able to demonstrate the safe and correct technique for setting up
Experiential Session on the Aging Process: Understanding What is Normal/Expected. Kathleen Fletcher RN DNP GNP-BC FAAN Lyn vander Sommen, MD, CPP
Experiential Session on the Aging Process: Understanding What is Normal/Expected Kathleen Fletcher RN DNP GNP-BC FAAN Lyn vander Sommen, MD, CPP Multidimensional Aspects of Aging How We Live Now http://columbia.news21.com/2010/
Measuring Vital Signs. Copyright 2014, 2009 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Measuring Vital Signs Copyright 2014, 2009 by Saunders, an imprint of Elsevier Inc. All rights reserved. Five Vital Signs Temperature, pulse, respiration, blood pressure, and pain Vital signs give indications
VITAL SIGNS. Academic Success Center
VITAL SIGNS Academic Success Center Because of the importance of these measurements they are referred to as Vital Signs. They are important indicators of the body s response to physical, environmental,
BIOE221. Session 5. Examination of Thorax- Respiratory system. Bioscience Department. Endeavour College of Natural Health endeavour.edu.
BIOE221 Session 5 Examination of Thorax- Respiratory system Bioscience Department Session Objectives Understand the structure of the thorax and the organs contained in this cavity Understand the importance
Basic Assessment and Treatment of Trauma
Basic Assessment and Treatment of Trauma Final Exam Version 1 1. In which of the following scenarios would the potential for serious injury or death be the GREATEST? A. 77-kg (170-lb) man who falls 1.2
R. John Brewer NREMT-P Dental Education Inc. PATIENT ASSESSMENT
R. John Brewer NREMT-P Dental Education Inc. PATIENT ASSESSMENT Patient Assessment Patient assessment is made up of two parts - History - Physical Exam Patient assessment In medical cases obtaining an
Trauma Life Support Pre-Hospital (TLS-P) Preparatory Materials
Trauma Life Support Pre-Hospital (TLS-P) Preparatory Materials 1 1. A high-risk bodily fluid for spreading infection is blood. 2. Items that can reduce the spread of infection include masks, gloves, and
Neurological Assessment
Neurological Assessment Name: Age: Gender: Date: History Review of history related to neurological system YES/NO If YES, provide details: General Neurological Mental Illness Neurological disease Severe
Bronchoconstriction is also treated with medications that inhibit bronchiolar constriction such as: Ipratropium (Atrovent)
Patients with difficulty breathing (dyspnea) may have problems with: Oxygenation due to alveolar problems Ventilation due to bronchiolar problems Oxygenation due to lung perfusion problems Combinations
Chapter 21. Assisting With Assessment. Elsevier items and derived items 2014, 2010 by Mosby, an imprint of Elsevier Inc. All rights reserved.
Chapter 21 Assisting With Assessment Vital Signs Vital signs reflect three body processes: Regulation of body temperature Breathing Heart function A person s vital signs: Vary within certain limits Are
Cancer Rehabilitation New Patient Intake Form
_ I. Personal Information Date of Birth Age: Home Address: Home Phone: Cell Phone: Office Phone: Fax: E-Mail: II. Chief Complaint Please describe the major problem that brings you in today: Who referred
You Are the Emergency Medical Responder
Lesson 32: Injuries to the Chest, Abdomen and Genitalia You Are the Emergency Medical Responder Your police unit responds to a call in a part of town plagued by violence. When you arrive, you find the
A guide to writing clear, concise EMS reports using SIREN
A guide to writing clear, concise EMS reports using SIREN OBJECTIVE: EMS narratives will document patient assessment findings, interventions, and patient response to interventions such that ED providers
BRAIN STEM CASE HISTORIES CASE HISTORY VII
463 Brain stem Case history BRAIN STEM CASE HISTORIES CASE HISTORY VII A 60 year old man with hypertension wakes one morning with trouble walking. He is feeling dizzy and is sick to his stomach. His wife
68W COMBAT MEDIC POCKET GUIDE
GTA 08-05-058 68W COMBAT MEDIC POCKET GUIDE PART I: TRAUMA TREATMENT This publication contains technical information that is for official Government use only. Distribution is limited to U.S. Government
Airway management. Dr. Dóra Ujvárosy Medical Unversity of Debrecen Emergency Department
Airway management Dr. Dóra Ujvárosy Medical Unversity of Debrecen Emergency Department Airway management Airway management is the medical process of ensuring there is an open pathway between a patient
SAMPLE HLTEN610A. TAFE NSW Training and Education Support Industry Skills Unit, Meadowbank. Practise in the cardiovascular nursing environment
TAFE NSW Training and Education Support Industry Skills Unit, Meadowbank HLTEN610A Practise in the cardiovascular nursing environment Version 1.0 Flexible Learner Resource Product Code: ISO 9001 HLTEN610A
TENTATIVE DIAGNOSES Based on the information provided so far, what are the potential diagnoses?
Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. Joe is a 6-year old Jordanian male. He presents with the complaint of an itchy red eye. Mary states that
LESSON ASSIGNMENT. Physical Assessment of the Respiratory System. After completing this lesson, you should be able to:
LESSON ASSIGNMENT LESSON 2 Physical Assessment of the Respiratory System. LESSON ASSIGNMENT Paragraphs 2-1 through 2-8. LESSON OBJECTIVES After completing this lesson, you should be able to: 2-1. Perform
Physiological Measurements Training for Care/Nursing & LD Small Group Home Staff
Physiological Measurements Training for Care/Nursing & LD Small Group Home Staff CONTENTS 1. The National Early Warning Score 2. Respiratory Rate 3. Oxygen Saturations 4. Temperature 5. Blood Pressure
Daniel A. Beals MD, FACS, FAAP Pediatric Surgery and Urology Community Medical Center Associate Professor of Surgery and Pediatrics University of
Daniel A. Beals MD, FACS, FAAP Pediatric Surgery and Urology Community Medical Center Associate Professor of Surgery and Pediatrics University of Washington Seattle Children s Hospital Objectives Define
Chapter 15: Measuring Height, Weight, and Vital Signs. Copyright 2012 Wolters Kluwer Health Lippincott Williams & Wilkins
Chapter 15: Measuring Height, Weight, and Vital Signs Height and Weight Weight Baseline measurement at patient s first visit Measured in kg or lbs Common types of scales Balance beam Dial Digital Height
The Respiratory System
130 20 The Respiratory System 1. Define important words in this chapter 2. Explain the structure and function of the respiratory system 3. Discuss changes in the respiratory system due to aging 4. Discuss
RESPIRATORY ASSESSMENT JENNY CASEY RESPIRATORY SERVICES LEAD ACE
RESPIRATORY ASSESSMENT JENNY CASEY RESPIRATORY SERVICES LEAD ACE What does respiratory assessment involve? Subjective Assessment Objective Assessment Inspection, palpation, percussion and auscultation
Chapter 26. Assisting With Oxygen Needs. Elsevier items and derived items 2014, 2010 by Mosby, an imprint of Elsevier Inc. All rights reserved.
Chapter 26 Assisting With Oxygen Needs Oxygen (O 2 ) is a gas. Oxygen Ø It has no taste, odor, or color. Ø It is a basic need required for life. Death occurs within minutes if breathing stops. Brain damage
Med 536 Communicating About Prognosis Workshop. Case 2
Med 536 Communicating About Prognosis Workshop Case 2 ID / CC: 33 year-old man with intracranial hemorrhage History of the Presenting Illness 33 year-old man with a prior history of melanoma of the neck
Silver Child Development Center New Patient Questionnaire. Relation (circle) Biological Mother Stepmother Adoptive Mother
Silver Child Development Center New Patient Questionnaire Today s Date Mother s Name First Last Date of Birth Relation (circle) Biological Mother Stepmother Adoptive Mother Foster Mother Other Father s
Bayfield-Ashland Counties EMS Council Pediatric Protocol PP-001 PREHOSPITAL CARE GUIDELINE
INTRODUCTION: Pediatric emergencies may present a daunting challenge to prehospital care providers for a variety of reasons including: 1. The historical scarceness of primary training materials about the
Acting in an emergency. Dr. Samer Sara
Acting in an emergency Dr. Samer Sara 1 Acting in an emergency basic steps to follow: 1. Recognize the emergency. 2. Check the scene. 3. Call 110. 4. Check the victim. 5. Give first aid. 2 Dr. Samer Sara
Clinical Research Coordinator Skills Program
Clinical Research Coordinator Skills Program Vital Signs This Skill Requires Provider direction Standard Precautions Using purell before and after contact with the patient or the patient s environment
Advanced Nursing Practice Field Experience. Comprehensive Health Assessment Documentation Form
Date: Advanced Nursing Practice Field Experience Comprehensive Health Assessment Documentation Form Patient Information Patient Initials Age Sex Chief Complaint History of Present Illness (HPI) Medications
Problem Based Learning Session. Mr Robinson is a 67 year old man. He visits the GP as he has had a cough and fever for 5 days.
Problem Based Learning Session Mr Robinson is a 67 year old man. He visits the GP as he has had a cough and fever for 5 days. The GP takes a history from him and examines his chest. Over the left base
Common complaints included: "No one can hear me!" "My voice wears out too quickly." "My throat feels so tight and strained."
PART ONE OF THREE ARTICLES The George Washington University Speech and Hearing Center in Washington DC has treated clients with voice problems since the 1970 s. One of the most common vocal issues that