Health Assessment for Nursing Practice,9780323008761

Health Assessment for Nursing Practice

by ;
ISBN13: 9780323008761
ISBN10: 0323008763
Format: Hardcover
Pub. Date: 2000-10-01
Publisher(s): Elsevier Science Health Science div
List Price: $71.95

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Summary

HEALTH ASSESSMENT FOR NURSING PRACTICE, second edition effectively presents nursing-focused physical assessment in an appealing and consistent format. Organized by body system, each chapter contains sections on anatomy and physiology, health history, step-by-step examination procedures, normal to abnormal findings, and common problems and conditions. This new edition includes risk factor boxes, summary of findings tables, clinical applications and critical thinking exercises, and updated content on nutritional assessment. Four new chapters cover mental health, comfort and pain, sleep and rest, and the pregnant client, making this text a complete reference for learning health assessment. Numerous full-color illustrations depict examination procedures and normal and abnormal findings.

Author Biography

Jean Foret Giddens is Assistant Professor, Mesa State College, Department of Nursing and Radiologic Sciences, Grand Junction, Colorado.

Table of Contents

Why Learn Health Assessment?
1(6)
What Health Assessment Tells Us
1(1)
What Health Assessment Is Performed Where
2(1)
Documentation of Data
3(1)
What Do You Do With All These Data?
3(3)
Clinical Application and Critical Thinking
4(2)
Developmental Assessment Through the Life Span
6(24)
Theories of Development
6(1)
Infants
7(3)
Children
10(10)
Adolescents
20(3)
Adults
23(3)
Family Development and Assessment
26(1)
Summary
27(3)
Clinical Application and Critical Thinking
28(2)
Ethnic and Cultural Considerations
30(16)
Become Culturally Competent
30(1)
Don't Stereotype
31(1)
Learn the Facts
31(1)
Develop a Template for Assessment
31(15)
Clinical Application and Critical Thinking
45(1)
Interviewing to Obtain a Health History
46(21)
Purpose of the Health History
46(1)
Providing a Relaxed Setting
46(1)
Deciding How Much Data to Collect
46(1)
Communicating With the Client
47(3)
Scope of the Health History
50(1)
Biographic Data
50(1)
Reason for Seeking Care
50(1)
Present Health Status
51(1)
Past Health History
51(1)
Family History
52(1)
Review of Systems
53(2)
Psychosocial Status
55(1)
Environmental Health
56(1)
Health History Format Based on Functional Health Patterns
56(1)
Age-Related Variations in the Health History
56(7)
Summary
63(1)
Sample Adult Health History Documentation
63(4)
Clinical Application and Critical Thinking
65(2)
Equipment for Physical Assessment
67(12)
Thermometers (Temperature Measurement)
67(1)
Stethoscope
67(2)
Blood Pressure Measurement Equipment
69(1)
Doppler
70(1)
Pulse Oximetry
70(1)
Snellen's Visual Acuity Chart
71(1)
Near-Vision Chart
72(1)
Ophthalmoscope
72(1)
Otoscope
73(1)
Nasal Speculum
73(1)
Tuning Fork
73(1)
Audiometer
74(1)
Percussion, or Reflex, Hammer
74(1)
Goniometer
75(1)
Penlight
75(1)
Ruler
75(1)
Tape Measure
75(1)
Calipers for Skinfold Thickness
75(1)
Transilluminator
75(1)
Wood's Lamp
76(1)
Vaginal Speculum
76(1)
Personal Protective Equipment
77(2)
Clinical Application and Critical Thinking
78(1)
Techniques of Physical Assessment
79(13)
Techniques
79(2)
Positioning
81(1)
Vital Signs
81(6)
General Assessment
87(1)
Age-Related Variations
88(4)
Clinical Application and Critical Thinking
91(1)
Mental Health Assessment
92(19)
Anatomy and Physiology
92(3)
Health History
95(1)
Present Health Status
95(2)
Problem-Based History
97(7)
Examination
104(1)
Age-Related Variations
104(3)
Health Promotion
107(1)
Stress Management
107(1)
Screening for Alcoholism and Drug Abuse
107(1)
Common Problems and Conditions
107(1)
Alterations of Mood and Affect
107(1)
Alterations of Thought Content
108(1)
Substance Abuse Disorders
108(1)
Drug Intoxication
108(1)
Disorders
109(2)
Clinical Application and Critical Thinking
109(2)
Comfort and Pain Assessment
111(16)
Anatomy and Physiology
111(7)
Health History
118(1)
Description of Pain
118(3)
Affective Response to Pain
121(1)
Behavioral Response to Pain
121(1)
Cognitive Response to Pain
122(1)
Examination
122(1)
Age-Related Variations
123(2)
Examination Summary
125(2)
Clinical Application and Critical Thinking
126(1)
Sleep and Rest Assessment
127(7)
Anatomy and Physiology
127(2)
Health History
129(1)
Present Health Status
129(1)
Problem-Based History
129(1)
Examination
130(1)
Age-Related Variations
131(1)
Common Problems and Conditions
132(1)
Other Sleep Disorders
133(1)
Clinical Application and Critical Thinking
133(1)
Nutritional Assessment
134(27)
Anatomy and Physiology
134(1)
Macronutrients
134(1)
Micronutrients
134(1)
Water
135(1)
Health History
136(1)
Present Health Status
136(2)
Problem-Based History
138(5)
Examination
143(1)
Anthropometric Measurements
143(6)
Laboratory Tests
149(1)
Clinical Examination
149(4)
Age-Related Variations
153(2)
Examination Summary
155(1)
Procedure
155(1)
Summary of Findings
155(2)
Health Promotion
157(1)
Healthy Eating Habits
157(1)
Weight Reduction and Gain
157(1)
Common Problems and Conditions
157(1)
Obesity
157(1)
Underweight
158(1)
Bulimia
158(1)
Anorexia Nervosa
158(1)
Vitamin D Deficiency
158(1)
Thiamin Deficiency
158(3)
Clinical Application and Critical Thinking
159(2)
Skin, Hair, and Nails
161(52)
Anatomy and Physiology
161(1)
Epidermis
161(1)
Dermis
161(1)
Hypodermis
161(1)
Appendages
161(2)
Health History
163(1)
Present Health Status
163(1)
Problem-Based History
164(3)
Examination
167(1)
Skin
167(13)
Hair
180(1)
Nails
181(1)
Age-Related Variations
182(7)
Clients with Situational Variations
189(1)
Clients With Limited Mobility (Hemiplegia, Paraplegia, Quadriplegia)
189(3)
Examination Summary
192(1)
Summary of Findings
192(2)
Health Promotion
194(1)
Immunizations
194(1)
Sun Exposure and Protection
194(1)
Skin Cancer
194(1)
Signs of Basal Cell Carcinoma
194(1)
Signs of Melanoma
194(1)
The A, B, C, D Early Signs of Melanoma
194(1)
Ingrown Toenails
194(1)
Common Problems and Conditions
195(1)
Skin
195(18)
Clinical Application and Critical Thinking
211(2)
Lymphatic System
213(22)
Anatomy and Physiology
213(1)
Lymphatic Fluid Circulation
213(1)
Lymphocytes
213(1)
Lymph Nodes
213(4)
Thymus
217(1)
Spleen
217(2)
Tonsils and Adenoids
219(1)
Peyer's Patches
219(1)
Health History
219(1)
Present Health Status
219(1)
Past Medical History
220(1)
Family History
221(1)
Problem-Based History
221(1)
Examination
222(1)
Head and Neck
222(3)
Axillary and Breast Areas
225(1)
Arm
226(1)
Groin
226(1)
Age-Related Variations
227(1)
Clients with Situational Variations
228(1)
Clients Who Have Had a Radical Mastectomy
228(1)
Clients Taking Immunosuppressive Therapy
228(1)
Examination Summary
229(1)
Summary of Findings
229(1)
Health Promotion
230(1)
Infection
230(1)
Common Problems and Conditions
231(1)
Immune Deficiency
231(1)
Acute Inflammation
232(3)
Clinical Application and Critical Thinking
233(2)
Head and Neck
235(22)
Anatomy and Physiology
235(3)
Health History
238(1)
Present Health Status
238(1)
Past Medical History
239(1)
Family History
239(1)
Problem-Based History
239(4)
Examination
243(1)
Head
243(1)
Neck
244(1)
Thyroid
245(3)
Age-Related Variations
248(2)
Examination Summary
250(1)
Head
250(1)
Neck
250(1)
Thyroid
250(1)
Health Promotion
251(1)
Iodine in the Diet
251(1)
Congenital Hypothyroidism
251(1)
Thyroid Cancer
251(1)
Summary of Findings
251(1)
Common Problems and Conditions
252(1)
Head
252(1)
Neck
253(4)
Clinical Application and Critical Thinking
255(2)
Nose, Paranasal Sinuses, Mouth, and Oropharynx
257(31)
Anatomy and Physiology
257(1)
Nose and Paranasal Sinuses
257(1)
Mouth
257(1)
Oropharynx
257(3)
Health History
260(1)
Present Health Status
260(2)
Past Medical History
262(1)
Family History
262(1)
Problem-Based History
262(3)
Examination
265(1)
Nose and Paranasal Sinuses
265(3)
Mouth and Oropharynx
268(6)
Age-Related Variations
274(4)
Examination Summary
278(1)
Nose and Paranasal Sinuses
278(1)
Mouth and Oropharynx
278(1)
Summary of Findings
279(1)
Health Promotion
279(1)
Dental Care
279(1)
Nose Sprays
280(1)
Nasal Foreign Bodies
280(1)
Common Problems and Conditions
280(1)
Nose
280(1)
Lips, Mouth, and Oropharynx
281(1)
Teeth and Gums
282(1)
Tongue
283(1)
Buccal Mucosa
283(5)
Clinical Application and Critical Thinking
285(3)
Ears and Auditory System
288(30)
Anatomy and Physiology
288(1)
External Ear
288(1)
Middle Ear
288(1)
Inner Ear
288(1)
Hearing
288(2)
Health History
290(1)
Present Health Status
290(1)
Past Medical History
291(1)
Family History
291(1)
Problem-Based History
291(4)
Examination
295(1)
Ear
295(2)
Auditory Canal and Tympanic Membrane
297(3)
Hearing
300(4)
Age-Related Variations
304(4)
Clients with Situational Variations
308(1)
Clients With Impaired Hearing
308(1)
Examination Summary
308(1)
Procedure
308(1)
Summary of Findings
309(1)
Health Promotion
310(1)
Protection From Noise
310(1)
Foreign Bodies in the Ear
311(1)
Common Problems and Conditions
311(1)
External Ear
311(2)
Auditory Canal
313(1)
Tympanic Membrane/Middle Ear
314(1)
Hearing Loss
315(1)
Vestibular Function
315(3)
Clinical Application and Critical Thinking
316(2)
Eyes and Visual System
318(39)
Anatomy and Physiology
318(1)
External Ocular Structures
318(1)
Eye Movement
318(1)
Globe of the Eye
318(1)
Vision
319(1)
Health History
320(1)
Present Health Status
320(1)
Past Medical History
321(1)
Family History
322(1)
Problem-Based History
322(2)
Examination
324(1)
Vision
325(4)
External Ocular Structures
329(3)
Globe of the Eye
332(2)
Internal Ocular Structures (Ophthalmoscope Examination)
334(3)
Age-Related Variations
337(3)
Clients with Situational Variations
340(1)
Clients With Decreased or Absent Vision
340(1)
Clients With Suspected Drug Intoxication
340(1)
Clients With Prosthetic Eye
340(1)
Examination Summary
341(1)
Vision
341(1)
External Ocular Structures
341(1)
Internal Ocular Structures
341(1)
Summary of Findings
342(1)
Health Promotion
343(1)
Common Problems and Conditions
344(1)
External Eye
344(7)
Peripheral Visual Defects
351(1)
Extraocular Muscles
352(1)
Internal Eye
352(5)
Clinical Application and Critical Thinking
354(3)
Lungs and Respiratory System
357(40)
Anatomy and Physiology
357(1)
Structures Within the Thorax
357(1)
Respiration
357(1)
External Chest
357(4)
Health History
361(1)
Present Health Status
361(1)
Past Medical History
362(1)
Family History
362(1)
Home Environment
362(1)
Occupational Environment
362(1)
Travel
363(1)
Problem-Based History
363(4)
Examination
367(1)
General Presentation
367(1)
Chest Wall Configuration
368(2)
General Oxygenation and Respiratory Effort
370(2)
Anterior and Posterior Chest Assessment
372(9)
Age-Related Variations
381(3)
Clients with Situational Variations
384(1)
Clients With Chronic Obstructive Pulmonary Diseases (COPD)
384(1)
Examination Summary
385(1)
Procedure
385(1)
Summary of Findings
385(1)
Health Promotion
386(1)
Smoking
386(1)
Smokeless Tobacco
386(1)
Inhalants
387(1)
Occupational or Home Exposure to Irritants and Carcinogens
387(1)
Preventing Respiratory Infections
387(1)
Common Problems and Conditions
388(1)
Infections and Inflammatory Conditions
388(2)
Chronic Obstructive and Pulmonary Disease
390(2)
Acute or Traumatic Conditions
392(1)
Other Pulmonary Conditions
393(4)
Clinical Application and Critical Thinking
394(3)
Heart and Peripheral Vascular System
397(49)
Anatomy and Physiology
397(1)
The Heart and Great Vessels
397(1)
Pericardium and Cardiac Muscle
397(1)
Blood Flow Through the Heart: The Cardiac Cycle
397(1)
Electric Conduction
397(2)
Blood Circulation
399(3)
Health History
402(1)
Present Health Status
402(2)
Past Medical History
404(1)
Family History
404(1)
Problem-Based History
405(5)
Examination
410(1)
Arterial Assessment: Blood Pressure
411(1)
Arterial Assessment: Peripheral Perfusion
412(7)
Venous Assessment
419(3)
Cardiac Assessment
422(2)
Auscultation
424(6)
Age-Related Variations
430(2)
Examination Summary
432(1)
Procedure
432(1)
Summary of Findings
433(1)
Health Promotion
434(1)
Smoking
434(1)
Hypertension
434(1)
Obesity and Hypercholesteremia
434(1)
Stress
434(1)
Common Problems and Conditions
435(1)
Cardiac Disorders
435(4)
Congenital Heart Defects
439(2)
Vessel Disorders
441(5)
Clinical Application and Critical Thinking
443(3)
Breasts and Axillae
446(32)
Anatomy and Physiology
446(1)
Female Breast
446(1)
Male Breast
447(1)
Health History
448(1)
Present Health Status
448(1)
Past Medical History
448(1)
Family History
449(1)
Problem-Based History (Female)
449(3)
Problem-Based History (Male)
452(1)
Examination
452(1)
Female
452(12)
Male
464(1)
Age-Related Variations
465(4)
Clients with Situational Variations
469(1)
Clients With a Mastectomy
469(1)
Examination Summary
470(1)
Procedure
470(1)
Summary of Findings
470(1)
Health Promotion
471(1)
Breast Cancer Prevention and Screening Recommendations
471(1)
Breast Self-Examination
471(1)
Clinical Breast Examination
471(1)
Mammogram
472(1)
Common Problems and Conditions
472(1)
Females
472(3)
Males
475(3)
Clinical Application and Critical Thinking
476(2)
Abdomen and Gastrointestinal System
478(42)
Anatomy and Physiology
478(1)
Peritoneum, Musculature, and Connective Tissue
478(1)
Alimentary Tract
478(3)
Urinary Tract
481(1)
Health History
481(1)
Present Health Status
482(1)
Past Medical History
482(1)
Family History
482(1)
Problem-Based History
483(4)
Examination
487(1)
Abdomen
488(12)
Additional Assessment Techniques for Special Cases
500(4)
Age-Related Variations
504(2)
Clients with Situational Variations
506(1)
Clients With Ileostomy or Colostomy
506(1)
Examination Summary
506(1)
Procedure
506(1)
Summary of Findings
507(1)
Health Promotion
508(1)
Immunizations
508(1)
Food Poisoning
508(1)
Lead Poisoning
508(3)
Common Problems and Conditions
511(1)
Alimentary Tract
511(3)
Hepatobiliary System
514(1)
Pancreas
515(1)
Urinary System
515(1)
Infants
516(4)
Clinical Application and Critical Thinking
517(3)
Female Genitalia and Reproductive System
520(1)
Anatomy and Physiology
520(53)
External Genitalia
520(1)
Internal Genitalia
520(2)
Menstrual Cycle
522(1)
Bony Pelvis
522(3)
Health History
525(1)
Present Health Status
525(1)
Past Medical History
525(1)
Family History
526(1)
Menstruation
526(1)
Sexual Activity
527(1)
Birth Control
527(1)
Obstetric History
527(1)
Problem-Based History
528(3)
Examination
531(2)
External Genitalia
533(4)
Internal Genitalia: Speculum Examination
537(8)
Internal Genitalia: Bimanual Examination
545(5)
Rectovaginal Examination
550(1)
Age-Related Variations
551(5)
Clients with Situational Variations
556(1)
Clients Who Have Had a Hysterectomy
556(1)
Examination Summary
557(1)
procedure
557(1)
Summary of Findings
558(1)
Health Promotion
559(1)
Safe Sex---Reducing Risk of Sexually Transmitted Infection
559(1)
Vulvar Self-Examination
559(1)
Pelvic Muscle Exercises
560(1)
Premenstrual Syndrome (PMS)
560(1)
Common Problems and Conditions
561(1)
Menstruation
561(1)
Cervix
561(1)
Uterus
561(2)
Ovaries
563(2)
Vulva and Vagina
565(1)
Sexually Transmitted Infection
566(7)
Clinical Application and Critical Thinking
571(2)
Male Genitalia
573(26)
Anatomy and Physiology
573(1)
The Genitalia
573(1)
The Inguinal Area
574(1)
Health History
575(1)
Present Health Status
575(1)
Past Medical History
575(1)
Sexual Activity
575(1)
Problem-Based History
576(2)
Examination
578(1)
Pubic Hair
579(1)
Penis
579(2)
Scrotum and Testes
581(2)
Inguinal Region
583(1)
Age-Related Variations
584(4)
Examination Summary
588(1)
Procedure
588(1)
Summary of Findings
589(1)
Health Promotion
590(1)
Genital Self-Examination (GSE)
590(1)
Personal Protection for Sexually Active Males
590(1)
Common Problems and Conditions
591(1)
Inguinal Area
591(1)
Penis
591(3)
Scrotum/Testicles
594(1)
Sexually Transmitted Infection
595(4)
Clinical Application and Critical Thinking
597(2)
Anus, Rectum, and Prostate
599(25)
Anatomy and Physiology
599(1)
Rectum, Anal Canal, and Anus
599(1)
Prostate
599(2)
Health History
601(1)
Present Health Status
601(1)
Past Medical History
602(1)
Family History
603(1)
Problem-Based History
603(2)
Examination
605(1)
Anus and Rectum
606(3)
Prostate Gland (For Male Clients)
609(1)
Stool Examination
609(1)
Age-Related Variations
610(4)
Examination Summary
614(1)
Procedure
614(1)
Summary of Findings
614(1)
Health Promotion
615(1)
Colorectal Cancer
615(1)
Prostate Cancer
615(1)
Common Problems and Conditions
616(1)
Anus and Rectum
616(4)
Prostate
620(4)
Clinical Application and Critical Thinking
622(2)
Musculoskeletal System
624(66)
Anatomy and Physiology
624(1)
Skeleton
624(1)
Skeletal Muscles
624(1)
Joints
624(1)
Joint Movement and Range of Motion
624(1)
Ligaments and Tendons
624(1)
Cartilage and Bursae
624(1)
Axial Skeleton and Supporting Structures
625(10)
Appendicular Skeleton and Supporting Structures
635(2)
Health History
637(1)
Present Health Status
637(1)
Past Medical History
638(1)
Family History
638(1)
Problem-Based History
639(3)
Examination
642(1)
Overview of the Examination of Specific Musculoskeletal Regions
643(4)
Examination of Specific Musculoskeletal Regions
647(20)
Additional Assessment Techniques for Special Cases
667(5)
Age-Related Variations
672(5)
Examination Summary
677(1)
Procedure
677(2)
Summary of Findings
679(2)
Health Promotion
681(1)
Preventing Osteoporosis
681(1)
Maintaining Healthy Body Weight and Exercising Regularly
681(1)
Preventing Injuries
681(1)
Common Problems and Conditions
681(1)
Carpal Tunnel Syndrome
681(1)
Osteomyelitis
682(1)
Temporomandibular Joint Syndrome
682(1)
Gout
682(1)
Bursitis
683(1)
Rheumatoid Arthritis
683(1)
Herniated Nucleus Pulposus (Herniated Disk)
684(1)
Injuries
684(1)
Age-Related Variations
685(5)
Clinical Application and Critical Thinking
688(2)
Neurologic System
690(46)
Anatomy and Physiology
690(1)
Central Nervous System
690(4)
Peripheral Nervous System
694(4)
Autonomic Nervous System
698(2)
Health History
700(1)
Present Health Status
700(1)
Past Medical History
700(1)
Family History
701(1)
Problem-Based History
702(3)
Examination
705(14)
Additional Assessment Techniques for Special Cases
719(2)
Age-Related Variations
721(6)
Clients With Situational Variations
727(1)
Clients With Aphasia
727(1)
Clients Taking Anticonvulsants
727(1)
Clients in a Wheelchair
727(1)
Clients Who are Unconscious
727(1)
Examination Summary
727(1)
Procedure
727(1)
Summary of Findings
728(2)
Health Promotion
730(1)
Safe Travel
730(1)
Safe Recreation
730(1)
Common Problems and Conditions
730(1)
Disorders of the Central Nervous System
730(2)
Disorders of the Peripheral Nervous System
732(1)
Disorders of Children
733(3)
Clinical Application and Critical Thinking
734(2)
Assessment of the Pregnant Client
736(23)
Anatomy and Physiology
736(1)
Endocrine System
736(1)
Reproductive System
736(1)
Breasts
737(1)
Integument System
737(1)
Lungs and Respiratory System
738(1)
Heart and Peripheral Vascular System
738(1)
Gastrointestinal System
738(1)
Renal System
739(1)
Musculoskeletal System
739(1)
Changes in Nutritional Needs
740(1)
Signs of Pregnancy
741(1)
Health History
741(1)
Biographic Data
741(1)
Reason for Seeking Care
742(1)
Present Health Status
742(1)
Past Health History
742(1)
Family History
742(2)
Examination
744(1)
Vital Signs and Baseline Measurements
745(1)
Examination of the Extremities
745(1)
Examination of the Head and Neck
746(1)
Examination of the Anterior and Posterior Chest
747(1)
Examination of the Breast
747(1)
Examination of the Abdomen
748(3)
Examination of the Genitalia
751(1)
Examination of the Rectum and Anus
752(1)
Examination of the Musculoskeletal System
752(1)
Examination of the Neurologic System
753(1)
Examination Summary
753(1)
Procedure
753(1)
Summary of Findings
754(1)
Health Promotion
755(1)
Pregnancy and Nutrition
755(1)
Lactation
755(1)
Reducing Risk Factors During Pregnancy
755(1)
Common Problems and Conditions
756(1)
Bleeding
756(1)
Hydramnios (Polyhydramnios)
756(1)
Pregnancy-Induced Hypertension
756(1)
Premature Rupture of Membranes
756(1)
Prolapsed Cord
756(3)
Clinical Application and Critical Thinking
757(2)
Head-to-Toe Examination and Documentation
759(39)
Special Considerations
759(1)
The Model Integrated Health Assessment
759(1)
Integration of the Infant and Pediatric Examination
760(1)
Health Assessment Documentation
760(12)
Documentation Format
772(2)
Appendices
A Sample Documentation
774(7)
B NANDA Nursing Diagnoses
781(2)
C Health History Using Functional Health Patterns
783(2)
D Conversion Tables
785(1)
E Abbreviations
786(2)
F Growth Charts
788(6)
G Nutrition Screening Forms
794(4)
Glossary 798(10)
Answer Key 808(16)
Illustration Credits 824(2)
References 826

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