HLTAAP002 Day 1 – Confirm Physical Health Status (Comprehensive Notes)

Acknowledgement of Country

Recognises Aboriginal peoples’ ancient, sophisticated relationships with the landscape and commits to truth-telling, healing, and education.

Objective of Obtaining Patient Information

The ability to gather complete, accurate, relevant, and validated data to confirm physical health status.

Client History Components

Biographical data, main complaint, symptom history, past history, family history, and review of systems.

Sequential Order of Physical Assessment Techniques

Inspection, Palpation, Auscultation, Measurement (and discussion of smells).

Mandatory Practice for Patient Identification & Safety

Use at least three approved identifiers (Full name, DOB, MRN) and follow the "Ask

Check

Repeat" cycle.

Types of Consent

Written (formal documents), Verbal (spoken agreement), and Implied (non-verbal cooperation).

Components of Medical Word Construction

Prefix + Stem/Root + Combining vowel + Suffix.

Anatomical Directional Terms

Superior

Inferior, Anterior (Ventral)

Posterior (Dorsal), Medial

Lateral, Proximal

Distal, Superficial

Deep.

Body Planes

Sagittal, Coronal, Transverse.

Wellness

Optimal state of health of individuals/groups.

Health

State of complete physical, mental, and social well-being, not merely absence of disease.

Biomedical Model

Focuses on biological factors (pathogens, genetics) while excluding psychological, environmental, or social influences.

Atrophy (Cellular Adaptation)

Reduced cell size.

Hypertrophy (Cellular Adaptation)

Increased cell size (intracellular components).

Hyperplasia (Cellular Adaptation)

Increased cell number (mitosis).

Dysplasia (Cellular Adaptation)

Abnormal cell size or shape (often precancerous).

Metaplasia (Cellular Adaptation)

Replacement by a different cell type.

Main Pathogen Types

Viruses, Bacteria, Fungi, Protozoa.

Benign Neoplasia

Non-cancerous and encapsulated.

Malignant Neoplasia

Invasive with metastatic potential.

Iatrogenic Causes of Illness

Medical errors, procedural complications, drug interactions, or negligence.

Behavioural Risk Factors for Disease

Insufficient exercise, smoking, excess alcohol, low fruit/veg intake.

Biomedical Risk Factors for Disease

Overweight/obesity, high BP, impaired fasting glucose, dyslipidaemia.

Typical Members of a Multidisciplinary Team (MDT)

AIN/Health Support Worker, Enrolled Nurse, Registered Nurse, Allied Health, Medical Officer.