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Nursing assessment

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management. Pain is not a simple sensation that can be easily assessed and measured. Nurses should be aware of the many factors that can influence the patient's overall experience and expression of pain, and these should be considered during the assessment process. Systematic process of pain assessment, measurement, and re-assessment (re-evaluation), enhances the healthcare teams' ability to achieve. Pain is assessed for its provocative and palliative associations; quality, region/radiation, severity (numerical scale or pictorial, Wong-Baker Faces scale); and time—of onset, duration, frequency, and length of provocative and relief measures.
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inquiring about how the client feels and what he does in response to these feelings. The psychological examination may also include the client's perceptions (why they think they are being assessed or have been referred, what they hope to gain from the meeting). Religion and beliefs are also important areas to consider. The need for a physical health assessment is always included in any psychological examination to rule out structural damage or anomalies.
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are intellectual health and emotional health. Assessment of cognitive function, checking for hallucinations and delusions, measuring concentration levels, and inquiring into the client's hobbies and interests constitute an intellectual health assessment. Emotional health is assessed by observing and
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The nurse conducts a neurovascular assessment to determine sensory and muscular function of the arms and legs in addition to peripheral circulation. The focused neurovascular assessment includes the objective observation of pulses, capillary refill, skin color and temperature, and sensation. During
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The therapeutic communication methods of nursing assessment takes into account developmental stage (toddler vs. the elderly), privacy, distractions, and age-related impediments to communication such as sensory deficits and language, place, time, non-verbal cues. Therapeutic communication is also
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and is used in emergency rooms and medical team disaster response situations. The patient history is documented through a personal interview with the client and/or the client's family. If there is an urgent need for a focused assessment, the most obvious or troubling complaint will be addressed
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Pain is no longer being identified as the fifth vital sign due to the prevalence of opioid abuse and overprescribing of narcotic pain relievers. However, assessment for pain is still very important. Assessment of a patient's experience of pain is a crucial component in providing effective pain
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carries out an analysis of the patient needs. In many cases, the client requires a focused assessment rather than a comprehensive nursing assessment of the entire bodily systems. In the focused assessment, the major complaint is assessed. The nurse may employ the use of acronyms performing the
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Before assessment can begin the nurse must establish a professional and therapeutic mode of communication. This develops rapport and lays the foundation of a trusting, non-judgmental relationship. This will also assure that the person will be as comfortable as possible when revealing personal
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information. A common method of initiating therapeutic communication by the nurse is to have the nurse introduce herself or himself. The interview proceeds to asking the client how they wish to be addressed and the general nature of the topics that will be included in the interview.
118:. Nursing assessment is used to identify current and future patient care needs. It incorporates the recognition of normal versus abnormal body physiology. Prompt recognition of pertinent changes along with the skill of critical thinking allows the nurse to identify and 1302:
Henry, Norma Jean, Mendy McMichael, Janean Johnson, Agnes DiStasi, Brenda S. Ball, Honey C. Holman, Mary Jane Janowski, Marsha S. Barlow, Peggy Leehy and Terri Lemon (2016). Fundamentals for Nursing, Review Module Edition 9.0. Assessment Technologies Institute.
114:. Vitals and EKG's may be delegated to certified nurses aides or nursing techs. (Nurse Journal, 2017) It differs from a medical diagnosis. In some instances, the nursing assessment is very broad in scope and in other cases it may focus on one body system or 567:
The nursing cultural assessment will identify factors that may impede or facilitate the implementation of a nursing diagnosis. Cultural factors have a major impact on the nursing assessment. Some of the information obtained during the interview include:
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In addition, the nursing assessment may include reviewing the results of laboratory values such as blood work and urine analysis. Medical records of the client assist to determine the baseline measures related to their health.
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Copeland, J; Kelleher, M.; Keller, J (1976). "A semistructured clinical interview for the assessment of diagnosis and mental state in the elderly: the geriatric mental state schedule – 1 development and reliability".
694:, bladder scanner, speculum, and eye charts. Besides the interviewing process, the nursing assessment utilizes certain techniques to collect information such as observation, auscultation, palpation and percussion. 220:. Open-ended questions are those that cannot be answered with a simple "yes" or "no" response. If the person is unable to respond, then family or caregivers will be given the opportunity to answer the questions. 216:
The patient history and interview is considered to be subjective but still of high importance when combined with objective measurements. High quality interviewing strategies include the use of
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the neurovascular assessment the measures between extremities are compared. A neurovascular assessment is an evaluation of the extremities along with sensory, circulation and motor function.
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Habich, Michele, and MariJo Letizia. 2015. "Pediatric Pain Assessment In the Emergency Department: A Nursing Evidence-Based Practice Protocol." Pediatric Nursing 41, no. 4: 198–202.
664:, the Crighton Royal behaviour rating scale, the Clifton assessment procedures for the elderly, the general health questionnaire, and the geriatric mental health state schedule. 636:
Are there any foods the client requests or refuses because of cultural beliefs related to this illness (e.g., "hot" and "cold" foods for Latino Americans and Asian Americans)?
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Describe any particular illnesses to which the client may be bioculturally susceptible (e.g., hypertension and sickle cell anemia in *African Americans):
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The use of medical equipment is routinely employed to conduct a nursing assessment. These include, the otoscope, thermometer, stethoscope, penlight,
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Taylor, Carol (2015). Fundamentals of nursing : the art and science of person-centered nursing care. Philadelphia: Wolters Kluwer Health.
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The detection of psychiatric illness by questionnaire: a technique for the identification and assessment of non-psychotic psychiatric illness
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A range of instruments and tools have been developed to assist nurses in their assessment role. These include: the index of independence in
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appropriate interventions. An assessment format may already be in place to be used at specific facilities and in specific circumstances.
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Weber, Janet (2014). Nurses' handbook of health assessment. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health.
1344:.* Smith, Sandra (2008). Clinical nursing skills : basic to advanced skills. Upper Saddle River, N.J: Pearson Prentice Hall. 2714: 964: 2221: 2663: 2523: 2055: 1722: 1266:
Ackley, Betty (2010). Nursing diagnosis handbook : an evidence-based guide to planning care. Maryland Heights, Mo: Mosby.
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Townsend, Mary (2015). Psychiatric nursing : assessment, care plans, and medications. Philadelphia: F.A. Davis Company.
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Kozier, Barbara (2012). Kozier & Erb's fundamentals of nursing : concepts, process, and practice. Boston: Pearson.
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Describe any topics that are particularly sensitive or that the client is unwilling to discuss (because of cultural taboos):
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During the assessment, interactions and functioning are evaluated and documented. Those specific items assessed include:
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Harkreader, Helen and Mary Ann Hogan. Fundamentals of Nursing: Caring and Clinical Judgement. (2003) W B Saunders Co.
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Behavioural problems among older people in geriatric wards, psychogeriatric wards and residential homes 1976–1978
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Describe any activities in which the client is unwilling to participate (because of cultural customs or taboos):
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Bates, Barbara (1995). A pocket guide to physical examination and history taking. Philadelphia: Lippincott.
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The typical nursing assessment in the clinical setting will be the collection of data about the following:
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Describe client's usual emotional/behavioral response to: Anxiety: Anger: Loss/change/failure: Pain: Fear:
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Longe, Jacqueline (2006). The Gale encyclopedia of nursing & allied health. Detroit: Thomson Gale.
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facilitated by avoiding the use of medical jargon and instead using common terms used by the patient.
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Katz, S; Stroud M (1963). "Functional assessment in geriatrics: a review of progress and direction".
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Who is the major decision maker in the family? What are the family members' roles within the family
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Describe any nutritional deficiencies to which the client may be bioculturally susceptible (e.g.,
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Other assessment tools may focus on a specific aspect of the patient's care. For example, the
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Are there any religious requirements/restrictions that place limitations on the client's care?
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Smith, Sandra (2002). Photo guide of nursing skills. Upper Saddle River, N.J: Prentice Hall.
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An assessment tool to determine and quantify persons as low, mid, and high risk for falls.
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lesions: type, location, arrangement, color of lesions, drainage, depth, width, length
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Amico, Donita (2016). Health & physical assessment in nursing. Boston: Pearson.
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Potter, Patricia (2013). Fundamentals of nursing. St. Louis, Mo: Mosby Elsevier.
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response to verbal and tactile stimuli, level of consciousness, and alertness
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and interview if prioritization indicates that immediate action is urgent to
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In some instances, the nursing assessment will not incorporate the typical
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Mahoney, F; Barthel D (1965). "Functional evaluation: the Barthel index".
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What is the client's personal orientation to time? (past, present, future)
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ocation of pain or other symptoms related to the area of the body involved
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From whom does family usually seek medical assistance in time of need?
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first. This is especially important in the case of extreme pain.
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ggravating factors or what makes the concern or complaint worse
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What are the client's personal feelings regarding eye contact?
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reatments or what treatments were tried in the past or ongoing
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elieving factors or what makes the concern or complaint better
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Auscultatory method aneroid sphygmomanometer with stethoscope
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MEDSURG Nursing (MEDSURG NURS), Jan/Feb2016; 25(1): 55–57.
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Manual of the Clifton assessment procedures for the elderly
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Who in the family takes responsibility for health concerns?
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A pocket guide to physical examination and history taking
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What are the client's personal feelings regarding touch?
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grooming, personal hygiene, appropriateness of clothing
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measures the conscious state of a person, and various
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Neurovascular Assessment: An Essential Nursing Focus.
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During the first part of the personal interview, the
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Evidence-Based Practice. 944:sfn error: no target: CITEREFSchreiber2016 ( 735:sfn error: no target: CITEREFSchreiber2016 ( 675:deals with a patient's risk of developing a 456:nails: shape and color, presence of clubbing 316:The techniques used may include inspection, 1224:sfn error: no target: CITEREFCopeland1976 ( 1045:sfn error: no target: CITEREFTownsend2015 ( 862: 843: 426:posture, gait, appropriateness of movements 2374: 2256: 2242: 2234: 1619: 1569: 1548: 1534: 1526: 1169:. University Hospital of South Manchester. 1097:Journal of the American Geriatrics Society 252:understanding of medical and nursing plans 939: 782:sfn error: no target: CITEREFAckley2011 ( 730: 448:Performing an eye exam by military nurses 249:current medical and/or nursing management 67:Learn how and when to remove this message 1219: 1040: 804:sfn error: no target: CITEREFHenry2016 ( 687:exist to assess the "fifth vital sign". 593:Describe religious beliefs and practices 301:, which can be observed or measured, or 237:classifying symptoms as acute or chronic 228:present complaint and nature of symptoms 82:is the gathering of information about a 2758: 972:Department of Mental Health and Hygiene 883:"Physical Assessment of the Well Woman" 720: 519:hearing (frequencies of sound detected) 1758:Nursing credentials and certifications 1497:National Pressure Ulcer Advisory Panel 777: 499:size, shape, symmetry, pupil reactions 173:uration of health concern or complaint 1061:"Nursing assessment and older people" 1028: 1016: 1004: 992: 912:"Components of a physical assessment" 799: 297:: the observation or measurement of 7: 2204: 2046:Nursing Interventions Classification 1502:Audio recordings of Korotkoff sounds 328:in addition to the "vital signs" of 313:, which can be felt by the patient. 2643:Upper limb neurological examination 2216: 584:the client's main support system(s) 161:nset of health concern or complaint 1109:10.1111/j.1532-5415.1989.tb06820.x 965:"Comprehensive Nursing Assessment" 14: 1180:Pattie, A.; Gilleard, C. (1979). 472:scalp, facial symmetry, sensation 2215: 2203: 2192: 2191: 293:A nursing assessment includes a 20: 2664:Ballard Maturational Assessment 2524:Peripheral vascular examination 2056:Nursing Outcomes Classification 2051:Nursing Minimum Data Set (NMDS) 1723:Associate of Science in Nursing 1493:, from the Wound Care Institute 541:The main areas considered in a 2290:History of the present illness 1728:Bachelor of Science in Nursing 1184:. Essex: Hodder and Stoughton. 1140:Maryland State Medical Journal 633:in Native and Asian Americans) 1: 2631:Mini–mental state examination 2542:Ankle–brachial pressure index 1950:Psychiatric and mental health 204:Patient history and interview 1743:Master of Science in Nursing 1491:Pressure Ulcer Staging Guide 1165:Wilkin, D; Jolley D (1979). 754:. Philadelphia: Lippincott. 537:Abdominal palpation of a boy 974:. Maryland.gov. 6 June 2012 704:Assessment (disambiguation) 581:the need for an interpreter 43:, discuss the issue on the 2804: 2766:Patient Initial Assessment 1738:Doctor of Nursing Practice 1508:Assessing Body Temperature 658:activities of daily living 587:family living arrangements 129: 2638:Cranial nerve examination 2187: 1895:Women's Health Care Nurse 1630:Clinical nurse specialist 1435:10.1017/S0033291700015889 1252:Resources in your library 543:psychological examination 502:movement (cranial nerves) 2074:International Nurses Day 1590:Licensed practical nurse 1522:. ATI Nursing Education. 1068:Royal College of Nursing 361:Neurovascular assessment 289:Assessing blood pressure 272:. This is also known as 2710:Athletic heart syndrome 1753:Nurse Licensure Compact 750:Bates, Barbara (1995). 679:(decubitus ulcer), the 529:Psychosocial assessment 2747:Differential diagnosis 2682:Well-woman examination 1423:Psychological Medicine 887:University of Manitoba 653: 652:assessing lung sounds. 538: 449: 290: 213: 1985:Travel health nursing 1585:Clinical nurse leader 1514:Assessing The Abdomen 1485:Morse Fall Assessment 916:Sweethaven Publishing 820:"The Nursing Process" 648: 536: 447: 288: 255:perception of illness 211: 102:status by a licensed 2788:Physical examination 2715:Sudden cardiac death 2598:Shoulder examination 2537:Abdominojugular test 2370:Physical examination 2317:Past medical history 1810:Correctional nursing 1195:Goldberg, D (1972). 378:orientation, memory, 295:physical examination 281:Physical examination 234:severity of symptoms 218:open-ended questions 126:The client interview 49:create a new article 41:improve this article 31:may not represent a 2734:Assessment and plan 2519:Cardiac examination 2464:Swinging light test 2332:Psychiatric history 2265:Medical examination 2144:Republic of Ireland 1920:Occupational health 1910:Nursing informatics 1686:Psych/mental health 1520:Physical assessment 1475:==External links== 631:lactose intolerance 563:Cultural assessment 2692:Breast examination 2567:Rectal examination 2501:Respiratory sounds 2300:Nursing assessment 2008:Nursing assessment 1870:Legal consultation 1733:Diploma in Nursing 1718:Nightingale Pledge 1645:Nurse practitioner 1480:Glasgow coma scale 1243:Nursing assessment 681:Glasgow Coma Scale 654: 539: 510:external structure 450: 356:Focused assessment 291: 214: 80:Nursing assessment 2755: 2754: 2742:Medical diagnosis 2728: 2727: 2603:Elbow examination 2231: 2230: 2018:Nursing care plan 2013:Nursing diagnosis 1698: 1697: 1694: 1693: 1666:Adult-gerontology 1654:NPs by population 1635:Nurse anesthetist 1615:Advanced practice 1382:978-0-8036-4237-9 1372:978-1-4511-8561-4 1361:978-0-8385-8174-2 1350:978-0-13-224355-1 1320:978-0-13-802461-1 1309:978-1-56533-567-7 1283:978-0-13-387640-6 1238:Library resources 1043:, pp. 582–2. 846:, p. 120-21. 709:Nursing diagnosis 493:peripheral vision 231:onset of symptoms 77: 76: 69: 51:, as appropriate. 2795: 2768: 2763: 2588:Knee examination 2436:Respiratory rate 2375: 2258: 2251: 2244: 2235: 2219: 2218: 2207: 2206: 2195: 2194: 1885:Medical-surgical 1788:Specialties and 1748:Board of nursing 1620: 1595:Registered nurse 1570: 1550: 1543: 1536: 1527: 1454: 1230: 1229: 1217: 1211: 1210: 1192: 1186: 1185: 1177: 1171: 1170: 1162: 1156: 1155: 1135: 1129: 1128: 1092: 1086: 1085: 1083: 1082: 1076: 1070:. 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2062: 2061: 2059: 2058: 2053: 2048: 2043: 2037: 2035: 2029: 2028: 2026: 2025: 2023:Nursing theory 2020: 2015: 2010: 2004: 2002: 1996: 1995: 1993: 1992: 1987: 1982: 1977: 1972: 1967: 1962: 1957: 1952: 1947: 1942: 1940:Perianesthesia 1937: 1932: 1927: 1922: 1917: 1912: 1907: 1902: 1897: 1892: 1887: 1882: 1877: 1872: 1867: 1862: 1857: 1852: 1847: 1842: 1837: 1832: 1827: 1822: 1817: 1812: 1807: 1802: 1796: 1794: 1784: 1783: 1781: 1780: 1775: 1770: 1768:Nurse registry 1765: 1763:Nursing school 1760: 1755: 1750: 1745: 1740: 1735: 1730: 1725: 1720: 1714: 1712: 1700: 1699: 1696: 1695: 1692: 1691: 1689: 1688: 1683: 1678: 1676:Women's health 1673: 1668: 1663: 1657: 1655: 1651: 1650: 1648: 1647: 1642: 1637: 1632: 1626: 1624: 1617: 1611: 1610: 1608: 1607: 1602: 1600:Graduate nurse 1597: 1592: 1587: 1582: 1576: 1574: 1567: 1561: 1560: 1555: 1553: 1552: 1545: 1538: 1530: 1524: 1523: 1517: 1511: 1505: 1499: 1494: 1488: 1482: 1473: 1472: 1460: 1457: 1456: 1455: 1429:(3): 439–449. 1417: 1401: 1398: 1397: 1396: 1385: 1374: 1364: 1353: 1334: 1323: 1312: 1300: 1297: 1286: 1275: 1262: 1259: 1255: 1254: 1248: 1247: 1236: 1235: 1232: 1231: 1212: 1205: 1187: 1172: 1157: 1130: 1103:(3): 267–271. 1087: 1052: 1033: 1021: 1009: 997: 985: 951: 940:Schreiber 2016 932: 903: 874: 865:, p. 117. 855: 836: 811: 802:, p. 127. 789: 767: 760: 742: 731:Schreiber 2016 719: 718: 716: 713: 712: 711: 706: 699: 696: 677:Pressure ulcer 669:Waterlow score 642: 639: 638: 637: 634: 627: 624: 621: 618: 615: 612: 609: 606: 603: 600: 597: 594: 591: 588: 585: 582: 579: 576: 573: 564: 561: 560: 559: 556: 551: 548: 530: 527: 526: 525: 522: 521: 520: 517: 514: 511: 505: 504: 503: 500: 497: 494: 491: 488: 485: 482: 479: 473: 468: 465: 464: 463: 460: 457: 454: 441: 438: 432: 429: 428: 427: 424: 421: 418: 408: 398:hallucinations 379: 371: 368: 362: 359: 357: 354: 346:cardiovascular 334:blood pressure 282: 279: 257: 256: 253: 250: 247: 246:social history 244: 243:family history 241: 240:health history 238: 235: 232: 229: 225: 205: 202: 201: 200: 199: 198: 192: 186: 180: 179:haracteristics 174: 168: 162: 127: 124: 75: 74: 35:of the subject 33:worldwide view 28: 26: 19: 13: 10: 9: 6: 4: 3: 2: 2800: 2789: 2786: 2784: 2781: 2780: 2778: 2767: 2762: 2759: 2748: 2745: 2743: 2740: 2739: 2737: 2735: 2731: 2721: 2718: 2716: 2713: 2711: 2708: 2707: 2705: 2703: 2699: 2693: 2690: 2688: 2685: 2683: 2680: 2679: 2677: 2675: 2674:Gynecological 2671: 2665: 2662: 2660: 2657: 2656: 2654: 2650: 2644: 2641: 2639: 2636: 2632: 2629: 2628: 2627: 2626:Mental status 2624: 2623: 2621: 2619: 2615: 2609: 2606: 2604: 2601: 2599: 2596: 2594: 2591: 2589: 2586: 2585: 2583: 2579: 2573: 2570: 2568: 2565: 2563: 2560: 2559: 2557: 2555: 2551: 2543: 2540: 2538: 2535: 2534: 2532: 2530: 2527: 2525: 2522: 2520: 2517: 2516: 2514: 2512: 2508: 2502: 2499: 2498: 2496: 2494: 2490: 2482: 2479: 2477: 2474: 2473: 2472: 2469: 2465: 2462: 2460: 2457: 2456: 2455: 2452: 2451: 2449: 2447: 2443: 2437: 2434: 2432: 2429: 2427: 2424: 2422: 2419: 2418: 2416: 2414: 2410: 2404: 2401: 2399: 2396: 2394: 2391: 2389: 2386: 2385: 2383: 2381: 2376: 2373: 2371: 2367: 2358: 2356: 2353: 2351: 2348: 2346: 2343: 2342: 2340: 2338: 2335: 2333: 2330: 2328: 2325: 2323: 2320: 2318: 2315: 2311: 2308: 2307: 2306: 2303: 2301: 2298: 2296: 2293: 2291: 2288: 2286: 2283: 2282: 2280: 2278: 2274: 2270: 2266: 2259: 2254: 2252: 2247: 2245: 2240: 2239: 2236: 2224: 2223: 2214: 2212: 2211: 2202: 2200: 2199: 2190: 2189: 2186: 2179: 2175: 2174:United States 2172: 2169: 2165: 2162: 2160: 2157: 2155: 2152: 2150: 2147: 2145: 2142: 2140: 2137: 2135: 2132: 2129: 2125: 2122: 2120: 2117: 2115: 2112: 2110: 2107: 2105: 2102: 2100: 2097: 2095: 2092: 2090: 2087: 2084: 2080: 2077: 2075: 2072: 2071: 2069: 2067: 2063: 2057: 2054: 2052: 2049: 2047: 2044: 2042: 2039: 2038: 2036: 2030: 2024: 2021: 2019: 2016: 2014: 2011: 2009: 2006: 2005: 2003: 2001: 1997: 1991: 1988: 1986: 1983: 1981: 1978: 1976: 1973: 1971: 1968: 1966: 1963: 1961: 1960:Public health 1958: 1956: 1953: 1951: 1948: 1946: 1945:Perioperative 1943: 1941: 1938: 1936: 1933: 1931: 1928: 1926: 1923: 1921: 1918: 1916: 1913: 1911: 1908: 1906: 1903: 1901: 1898: 1896: 1893: 1891: 1888: 1886: 1883: 1881: 1878: 1876: 1873: 1871: 1868: 1866: 1863: 1861: 1858: 1856: 1853: 1851: 1848: 1846: 1843: 1841: 1838: 1836: 1833: 1831: 1828: 1826: 1823: 1821: 1818: 1816: 1815:Critical care 1813: 1811: 1808: 1806: 1803: 1801: 1798: 1797: 1795: 1793: 1785: 1779: 1776: 1774: 1771: 1769: 1766: 1764: 1761: 1759: 1756: 1754: 1751: 1749: 1746: 1744: 1741: 1739: 1736: 1734: 1731: 1729: 1726: 1724: 1721: 1719: 1716: 1715: 1713: 1711: 1705: 1701: 1687: 1684: 1682: 1679: 1677: 1674: 1672: 1669: 1667: 1664: 1662: 1659: 1658: 1656: 1652: 1646: 1643: 1641: 1640:Nurse midwife 1638: 1636: 1633: 1631: 1628: 1627: 1625: 1621: 1618: 1616: 1612: 1606: 1603: 1601: 1598: 1596: 1593: 1591: 1588: 1586: 1583: 1581: 1580:Student nurse 1578: 1577: 1575: 1571: 1568: 1562: 1558: 1551: 1546: 1544: 1539: 1537: 1532: 1531: 1528: 1521: 1518: 1515: 1512: 1509: 1506: 1503: 1500: 1498: 1495: 1492: 1489: 1486: 1483: 1481: 1478: 1477: 1476: 1471: 1470:0-7216-0060-3 1467: 1463: 1462: 1458: 1452: 1448: 1444: 1440: 1436: 1432: 1428: 1424: 1418: 1416: 1412: 1408: 1404: 1403: 1399: 1394: 1393:9781451142822 1390: 1386: 1383: 1379: 1375: 1373: 1369: 1365: 1362: 1358: 1354: 1351: 1347: 1343: 1342:9780323079334 1339: 1335: 1332: 1331:1-4144-0377-1 1328: 1324: 1321: 1317: 1313: 1310: 1306: 1301: 1298: 1295: 1294:9780397550579 1291: 1287: 1284: 1280: 1276: 1273: 1272:9780323071505 1269: 1265: 1264: 1260: 1253: 1250: 1249: 1244: 1239: 1227: 1221: 1220:Copeland 1976 1216: 1213: 1208: 1206:0-19-712143-8 1202: 1198: 1191: 1188: 1183: 1176: 1173: 1168: 1161: 1158: 1153: 1149: 1145: 1141: 1134: 1131: 1126: 1122: 1118: 1114: 1110: 1106: 1102: 1098: 1091: 1088: 1077:on 2006-09-24 1073: 1069: 1062: 1056: 1053: 1048: 1042: 1041:Townsend 2015 1037: 1034: 1031:, p. 25. 1030: 1025: 1022: 1019:, p. 22. 1018: 1013: 1010: 1007:, p. 21. 1006: 1001: 998: 995:, p. 17. 994: 989: 986: 973: 966: 960: 958: 956: 952: 947: 941: 936: 933: 922:on 2006-06-20 921: 917: 913: 907: 904: 893:on 2006-07-17 892: 888: 884: 878: 875: 870: 864: 859: 856: 851: 845: 840: 837: 826:on 2022-04-19 825: 821: 815: 812: 807: 801: 796: 794: 790: 785: 779: 774: 772: 768: 763: 761:9780397550579 757: 753: 746: 743: 738: 733:, p. 55. 732: 727: 725: 721: 714: 710: 707: 705: 702: 701: 697: 695: 693: 688: 686: 682: 678: 674: 670: 665: 663: 662:Barthel index 659: 651: 647: 640: 635: 632: 628: 625: 622: 619: 616: 613: 610: 607: 604: 601: 598: 595: 592: 589: 586: 583: 580: 577: 574: 572:ethnic origin 571: 570: 569: 562: 557: 554: 553: 549: 547: 544: 535: 528: 523: 518: 515: 512: 509: 508: 506: 501: 498: 495: 492: 490:visual fields 489: 486: 483: 480: 477: 476: 474: 471: 470: 466: 461: 458: 455: 452: 451: 446: 439: 437: 430: 425: 422: 419: 416: 412: 409: 407: 403: 399: 395: 391: 387: 383: 380: 377: 376: 375: 370:Mental status 369: 367: 360: 355: 353: 351: 347: 343: 339: 335: 331: 327: 323: 319: 314: 312: 308: 304: 300: 296: 287: 280: 278: 275: 271: 267: 262: 254: 251: 248: 245: 242: 239: 236: 233: 230: 227: 226: 224: 221: 219: 210: 203: 196: 193: 190: 187: 184: 181: 178: 175: 172: 169: 166: 163: 160: 157: 156: 155: 152: 151: 150: 149:assessment: 147: 142: 138: 133: 125: 123: 121: 117: 116:mental health 113: 109: 105: 101: 97: 93: 92:psychological 89: 88:physiological 85: 81: 71: 68: 60: 50: 46: 42: 36: 34: 27: 18: 17: 2761: 2618:Neurological 2572:Bowel sounds 2529:Heart sounds 2393:Auscultation 2299: 2220: 2209: 2196: 2149:South Africa 2007: 1955:Private duty 1623:APNs by role 1474: 1426: 1422: 1406: 1261:Bibliography 1242: 1215: 1196: 1190: 1181: 1175: 1166: 1160: 1143: 1139: 1133: 1100: 1096: 1090: 1079:. Retrieved 1072:the original 1067: 1055: 1036: 1024: 1012: 1000: 988: 976:. Retrieved 971: 935: 924:. Retrieved 920:the original 915: 906: 895:. Retrieved 891:the original 886: 877: 863:D'Amico 2016 858: 844:D'Amico 2016 839: 828:. Retrieved 824:the original 814: 780:, p. 4. 751: 745: 689: 673:Braden scale 666: 655: 650:Auscultation 566: 540: 434: 373: 364: 322:auscultation 315: 292: 263: 259: 222: 215: 194: 188: 182: 176: 170: 164: 158: 153: 143: 139: 135: 112:nurses aides 96:sociological 79: 78: 63: 57:January 2024 54: 30: 2659:Apgar score 2608:GALS screen 2493:Respiratory 2421:Temperature 2413:Vital signs 2310:Medications 2222:WikiProject 2139:Philippines 2124:New Zealand 1980:Telenursing 1930:Orthopedics 1860:Home health 1573:Generalists 778:Ackley 2011 685:pain scales 555:environment 487:conjunctiva 330:temperature 2777:Categories 2562:Liver span 2426:Heart rate 2403:Percussion 2388:Inspection 2341:Mnemonics 2066:By country 1935:Pediatrics 1915:Obstetrics 1875:Management 1865:Hyperbaric 1850:Geriatrics 1671:Pediatrics 1564:Levels of 1081:2006-10-31 1029:Bates 1995 1017:Bates 1995 1005:Bates 1995 993:Bates 1995 978:9 November 926:2006-10-31 897:2006-10-31 830:2016-09-05 800:Henry 2016 715:References 440:Integument 386:depression 326:percussion 130:See also: 120:prioritize 2554:Abdominal 2398:Palpation 2305:Allergies 2099:Hong Kong 2079:Australia 1890:Midwifery 1830:Emergency 1825:Education 1790:areas of 1710:licensure 1704:Education 1415:1092-0811 1146:: 61–65. 524:dentation 513:inner ear 402:illusions 394:coherence 352:systems. 318:palpation 100:spiritual 45:talk page 2687:Pap test 2652:Neonatal 2378:General/ 2359:COASTMAP 2198:Category 2134:Pakistan 2128:timeline 2083:timeline 1975:Surgical 1925:Oncology 1905:Neonatal 1900:Military 1855:Holistic 1845:Forensic 1792:practice 1681:Neonatal 1566:practice 1451:36375156 1400:Journals 1152:14258950 1125:44278873 698:See also 671:and the 415:clanging 305:such as 303:symptoms 39:You may 2783:Nursing 2471:Hearing 2210:Commons 2178:history 2168:history 2094:Germany 2034:systems 1805:Cardiac 1557:Nursing 1117:2645355 516:eardrum 481:eyelids 406:insight 390:anxiety 311:vertigo 154:OLDCART 84:patient 2702:Sports 2533:Other 2350:OPQRST 2345:SAMPLE 2159:Taiwan 2089:Canada 1965:School 1880:Matron 1840:Flight 1820:Dental 1661:Family 1468:  1449:  1443:996204 1441:  1413:  1391:  1380:  1370:  1359:  1348:  1340:  1329:  1318:  1307:  1292:  1281:  1270:  1240:about 1203:  1150:  1123:  1115:  758:  660:, the 550:Safety 496:sclera 478:acuity 307:nausea 274:triage 98:, and 2720:RED-S 2481:Rinne 2476:Weber 2446:HEENT 2154:Spain 2119:Kenya 2114:Japan 2104:India 2041:NANDA 1970:Space 1773:NCLEX 1447:S2CID 1121:S2CID 1075:(PDF) 1064:(PDF) 968:(PDF) 507:ears 475:eyes 338:pulse 299:signs 146:nurse 47:, or 2380:IPPA 2355:SOAP 2267:and 2109:Iran 1990:WOCN 1778:TEAS 1707:and 1466:ISBN 1439:PMID 1411:ISSN 1389:ISBN 1378:ISBN 1368:ISBN 1357:ISBN 1346:ISBN 1338:ISBN 1327:ISBN 1316:ISBN 1305:ISBN 1290:ISBN 1279:ISBN 1268:ISBN 1226:help 1201:ISBN 1148:PMID 1113:PMID 1047:help 980:2016 946:help 869:help 850:help 806:help 784:help 756:ISBN 737:help 467:Head 431:Pain 382:mood 340:and 324:and 1431:doi 1105:doi 348:or 309:or 86:'s 2779:: 1445:. 1437:. 1425:. 1144:14 1142:. 1119:. 1111:. 1101:37 1099:. 1066:. 970:. 954:^ 914:. 885:. 792:^ 770:^ 723:^ 404:, 400:, 396:, 392:, 388:, 384:, 336:, 332:, 320:, 94:, 90:, 2257:e 2250:t 2243:v 2180:) 2176:( 2170:) 2166:( 2130:) 2126:( 2085:) 2081:( 1549:e 1542:t 1535:v 1453:. 1433:: 1427:6 1395:. 1384:. 1363:. 1352:. 1333:. 1322:. 1311:. 1296:. 1285:. 1274:. 1228:) 1222:. 1209:. 1154:. 1127:. 1107:: 1084:. 1049:) 982:. 948:) 929:. 900:. 871:) 852:) 833:. 808:) 786:) 764:. 739:) 417:) 195:T 189:R 183:A 177:C 171:D 165:L 159:O 70:) 64:( 59:) 55:( 37:.

Index

worldwide view
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patient
physiological
psychological
sociological
spiritual
Registered Nurse
nursing process
nurses aides
mental health
prioritize
Nursing process
nurse

open-ended questions
patient history
preserve the airway, breathing and circulation
triage

physical examination
signs
symptoms
nausea
vertigo
palpation
auscultation

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