Health Assessment

Purpose of Health Assessment

Comprehensive Assessment

Focused Assessment

Health screening

Orientation

Working Stage

Termination Stage

Components of Health Hx

OLDCARTS

SAMPLE

OPQRTS

Review of Systems

Doppler

Visual Acuity

Otoscope

Opthalmoscope

Nasoscope

Transiluminator

Inspection

Palpation

Dorsal Aspect Palpation

Balls and ulnar surface of hand Palpation

Fingertips

Light Palpation

Deep Palpation

Perceussion

Resonance

Hyperresonance

Tympany

Dullness

Flat

Auscultation

Direct Auscultation

Indirect Auscultation

What are some organs you would auscultate?

What are the descriptors for Auscultation?

Olfaction

What sorts of things can Olfaction tell you ?

Neurological

LOC

Levels of Arousal

Glasgow Coma Scale

Response to Painful stimuli can be?

Decorticate

Decerebrate

Level of Awareness

Aphasia

Sensory Aphasia

Motor Aphasia

PEARLLA

Pupillary response to light is innervated y what cranial nerve?

Motor Neural Pathways

Sensory Neural pathway

Dermatomes

Deep Tendon Reflex

Superficial Reflex

Babinsky Reflex

Flexor Reflex

Head Assessment

Eyes

Visual Acuity

Visual fields

Elderly can have what sort of head and eye assessments as regular?

Presbyopia

Ears, Nose, Throat, Mouth

Ways to Assess Hearing Acuity?

Cerumen

Teeth Assessment

Tongue Assessment

Neck Assessment

Chest Inspection

Dyspnea

Tachypnea

Orthopnea

Paroxysmal Nocturnal Dyspnea

Tactile Fremitus

Consolidation

Hyper expanded lungs

Vesicular Breath sounds

Bronchovesicular

Tracheal

Crackles

Rhonchi

Friction Rub

Wheezes

Breath Considerations for the elderly

PMI (Point of Maximum impact)

Pulse Considerations

Heart sound Considerations

S1 sound

S2 Sound

Murmur

Pericardial Friction Rub

Other Aspects of cardiac assessment

Elderly Cardiac Considerations

Breast Exam

Tail of spence

How often should breast exams occur?

Abdomen steps

How long should you auscultate each quadrant?

How often should you hear bowel sounds?

What do you do if bowel sounds are not present?

Why do you palpate the abdomen last?

Musculoskeletal

Kyphosis

Lordosis

scoliosis

ADL [Activities of Daily Living]

Skin Considerations

Pallor

Cyanosis

Jaundice

Loss of pigmentation

Erythema

Vascularity

Exudate

Warning signs of Melenoma

Nails

Hair

Clubbing

External Genitalia

Data Validation

Documentation