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Health & Physical Assessment in Nursing First Edition Chapter 7 General Survey Donita D’Amico and Colleen Barbarito
The General Survey ,[object Object],[object Object]
Bledsoe et al.,  Paramedic Care Principles & Practice Volume 2: Patient Assessment © 2006 by Pearson Education, Inc. Upper Saddle River, NJ Ed’s S 3 Sixth Sense of Sickness Sick or Not Sick? a.k.a = BS factor
Size It Up ,[object Object],[object Object],[object Object],Bledsoe et al.,  Paramedic Care Principles & Practice Volume 2: Patient Assessment © 2006 by Pearson Education, Inc. Upper Saddle River, NJ
Case Study ,[object Object],Bledsoe et al.,  Paramedic Care Principles & Practice Volume 2: Patient Assessment © 2006 by Pearson Education, Inc. Upper Saddle River, NJ ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Size Up www.philosophyblog.com.au http://www.fordarlieroutier.org http://www.fordarlieroutier.org
General Survey = The Size Up ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
General Survey = The Size Up Class Exercise: Partner up and size up the person next to you for: 15 seconds then 90 seconds
General Survey = The Size Up ,[object Object],<0:90 Size Up The Purpose of the general survey is to obtain information to guide your physical assessment & examination. Getting you to your version of the “ Differential Diagnosis (DDx)”
The General Survey
Components of the General Survey ,[object Object],[object Object],[object Object],[object Object]
Components of the General Survey ,[object Object],[object Object],[object Object],[object Object]
Components of the General Survey ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Other than visual observation how do you assess mental status?
Components of the General Survey ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Components of the General Survey ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Components of the General Survey
Components of the General Survey ,[object Object],[object Object],[object Object],[object Object]
Figure 7.2   Measuring the client’s height with a platform scale.
Figure 7.4   Measuring the client’s weight with a standard platform scale.
Table 7.1   1999 Metropolitan Height and Weight Tables,  Men and Women, Ages 25 to 59
[object Object],[object Object],[object Object],[object Object],Components of the General Survey ,[object Object]
Vitals
The Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vitals ,[object Object],[object Object],[object Object],[object Object]
Going “Ye Ol’ Schoole”
Temperature ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Temperature ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pulse and Pulse Points ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pulse and Pulse Points ,[object Object],[object Object]
Pulse and Pulse Points ,[object Object]
Respirations ,[object Object],[object Object],[object Object],[object Object]
Blood Pressure ,[object Object]
Blood Pressure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Blood Pressure ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Box 7.1   Korotkoff’s Sounds
Box 7.1 (continued)   Korotkoff’s Sounds
Pain – Yes it’s a Vital Sign ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain – Yes it’s a Vital Sign ,[object Object],[object Object],[object Object]
Figure 7.15   The Wong-Baker “Faces” pain rating scale.  Source: From Hockenberry, MJ, Wilson D., Winkelstein ML:Wong’s Essentials of Pediatric Nursing, ed.7, St.Louis, 2005, p.1259. Used with permission. Copyright Mosby.
Pain – Yes it’s a Vital Sign ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pain – Yes it’s a Vital Sign ,[object Object],[object Object],[object Object]
Oxygen Saturation ,[object Object],95-100%
Oxygen Saturation ,[object Object],[object Object],[object Object],[object Object],[object Object]
End Tidal CO 2  Detection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
End Tidal CO 2  Detection ,[object Object],[object Object],[object Object]
End Tidal CO 2  Detection Capnography Wave Form
Break

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Ems207 week2-chap7

  • 1. Health & Physical Assessment in Nursing First Edition Chapter 7 General Survey Donita D’Amico and Colleen Barbarito
  • 2.
  • 3. Bledsoe et al., Paramedic Care Principles & Practice Volume 2: Patient Assessment © 2006 by Pearson Education, Inc. Upper Saddle River, NJ Ed’s S 3 Sixth Sense of Sickness Sick or Not Sick? a.k.a = BS factor
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. General Survey = The Size Up Class Exercise: Partner up and size up the person next to you for: 15 seconds then 90 seconds
  • 9.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. Figure 7.2 Measuring the client’s height with a platform scale.
  • 19. Figure 7.4 Measuring the client’s weight with a standard platform scale.
  • 20. Table 7.1 1999 Metropolitan Height and Weight Tables, Men and Women, Ages 25 to 59
  • 21.
  • 23.
  • 24.
  • 25. Going “Ye Ol’ Schoole”
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35. Box 7.1 Korotkoff’s Sounds
  • 36. Box 7.1 (continued) Korotkoff’s Sounds
  • 37.
  • 38.
  • 39. Figure 7.15 The Wong-Baker “Faces” pain rating scale. Source: From Hockenberry, MJ, Wilson D., Winkelstein ML:Wong’s Essentials of Pediatric Nursing, ed.7, St.Louis, 2005, p.1259. Used with permission. Copyright Mosby.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46. End Tidal CO 2 Detection Capnography Wave Form
  • 47. Break

Notes de l'éditeur

  1. What’s not right?