NVCC NSG 200 Modules 1-2
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33 Terms
1
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Describe the components of a health assessment
Health History, Physical Examination, Documentation of Data
2
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Define health promotion and health protection
Primary prevention: prevents a disease
Secondary prevention: screening for a disease
Tertiary prevention: managing a disease
Secondary prevention: screening for a disease
Tertiary prevention: managing a disease
3
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Describe the concept of communication and discuss common therapeutic and non-therapeutic communication techniques
-Active listening techniques
-facilitation, clarification, reflection, confrontation
-interpretation, summarization
DON'T:
-use medical jargon
-judge them
-interrupt them
-be authoritarian
-facilitation, clarification, reflection, confrontation
-interpretation, summarization
DON'T:
-use medical jargon
-judge them
-interrupt them
-be authoritarian
4
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Identify the components of a comprehensive health history and their respective areas of focus (exemplar)
-Biographical data
-Why are they there?
-illness history
-present health status
-past health history
-family history
-review of systems
-Why are they there?
-illness history
-present health status
-past health history
-family history
-review of systems
5
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Use the OLDCARTS mnemonic to complete a symptom assessment
O: onset- when did symptoms begin?
L: location- where are symptoms occurring
D: duration- how long have you had symptoms
C: characteristics- can you describe it?
A: aggravating factors- what makes it worse?
R: Related symptoms- what other symptoms?
T: treatment- what has been tried already?
S: severity- what is the intensity of the symptom?
L: location- where are symptoms occurring
D: duration- how long have you had symptoms
C: characteristics- can you describe it?
A: aggravating factors- what makes it worse?
R: Related symptoms- what other symptoms?
T: treatment- what has been tried already?
S: severity- what is the intensity of the symptom?
6
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Discuss age-related variations in the completion of the health history
-Parents should not be in the room when adolescents are giving a health history.
-Parents give the info for young children
-Parents give the info for young children
7
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Identify the components of the general inspection
-appearance
-hygiene
-body structure
-movement
-emotional status
-disposition
-behavior
-hygiene
-body structure
-movement
-emotional status
-disposition
-behavior
8
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Discuss appropriate uses of various temperature routes
Rectal measurement when core body temp is needed.
Tympanic can be used for children
Tympanic can be used for children
9
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Comprehensive assessment
detailed history and physical exam
-problems, promotions, prevention, assessments
-problems, promotions, prevention, assessments
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problem focused assessment
linked to a specific problem
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follow up
ensures intervention worked
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shift assessment
to ID changes in condition from baseline
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screenings
short, focused on disease detection
14
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Newborn- 3 months temperature
95.9-99.5
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Newborn- 3 months heart rate
120-160
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Newborn - 3 month blood pressure
60-90/20-60
hypotension SBP: less than 60 mmHg
hypotension SBP: less than 60 mmHg
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Newborn- 3 months respiratory rate
30-60
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infant - 1 yr temperature
97-99
19
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Infant - 1 year heart rate
100-120
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Infant- 1 year blood pressure
0-6months: 65-90/45-65 mm Hg
6-12 months: 80-100/55-65 mm Hg
Hypotension SBP < 70 mmHg
6-12 months: 80-100/55-65 mm Hg
Hypotension SBP < 70 mmHg
21
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Infant - 1 year respiratory rate
30-60
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Child 1-10 temperature
97-99
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Child 1-10 heart rate
70-120
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Child 1-10 blood pressure
90 to 110/55 to 75 mm Hg
Hypotension SBP < 70 + (age in years x2) mmHg
Hypotension SBP < 70 + (age in years x2) mmHg
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Child 1-10 respiratory rate
12-30
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Children > 10 Temperature
97-99
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Children > 10 heart rate
60-100
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Children > 10 blood pressure
110-135/65-85 mm Hg
Hypotension SBP < 90 mmHg
Hypotension SBP < 90 mmHg
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Children > 10 Respiratory rate
12-18
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Adult temperature
97-99
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Adult heart rate
60-100
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Adult blood pressure
90-120/60-80Hypotension SBP < 90 mmHg
Orthostatic hypotension decrease ≥ 20 mmHg systolic Hypertensive crisis SBP > 180 or DBP > 120 mmHg
Orthostatic hypotension decrease ≥ 20 mmHg systolic Hypertensive crisis SBP > 180 or DBP > 120 mmHg
33
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Adult respiratory rate
12-20
Note 
Flashcards (33)