Question d,
Physical Examination rationale for methodology
BP Blood pressure reflects the pressure that is exerted on the walls of the arteries. Varying with cardiac cycle, high with systole and low with diastole. A measurement of the pressure of the blood in the arteries. As ventricles contract you have systolic blood pressure and when the ventricles relax you have diastolic blood pressure. Expressed as a ratio of the systolic over diastolic pressure external influences like caffeine, nicotine, exercise, emotions, pain and temperature affect blood pressure as it reflects the stroke volume of the volume of blood ejected with each heartbeat. Blood pressure can vary depending on the position of the body and of the arm. (Preassessment Overview, 2003)
HR When the heart contracts a shockwave is produced pumps blood forcefully out of the ventricles into the aorta the shock wave travels along the fibres of the arteries and is commonly called the arterial or peripheral pulse. The pulse weather regular, irregular, thready or strong, gives a good overall picture of the clients health status. Several characteristics should be assessed when measuring the radial pulse rate, rhythm, amplitude, contour and elasticity of the various characteristics. amplitude can be quantified as follows 1 thready or weak 2 normal 3bounding If abnormalities are noted during assessment of the radial pulse further assessment should be performed for more information on assessing pulses and abnormal pulse findings
(Preassessment Overview, 2003)
Rr The respiratory rate is an additional clue to the clients overall health status. Respirations can be easily observed without alerting the client by watching chest movement before you have removing the s...
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(2003). Preassessment Overview. In J. Weber, & J. Kelley, Health Assessment in Nursing Second Edition (p. 85). Philadelphia: Lippincott Williams & Wilkins.
(2003). Take Vital Signs. In J. Weber, & J. Kelly, Health Assessment in Nursing Second Edition (p. 99). Philadelphia: Lippincott Williams & Wilkins.
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Hypertension can be defined as a force exerted against the wall of blood vessels. However, high blood pressure occurs when there is high pressure at the time of ventricle contraction during the systolic phase against decrease contract during diastolic phase as the ventricles relax and refill. This can be recorded as systolic over diastolic in millimeters of mercury. (Wallymahmed, M. 2008).
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... theory. The enablers, communication and assessment, have been used to reflect on the care of an individual patient. I have learnt that communication is important, both verbal and non-verbal, while nursing patients as you use appropriate languages for their understanding as well as recognising and understanding body language. Also, assessment is the first phase in providing nursing care to a patient. Failure to correctly identify a patient’s previous behavioural patterns, in order to compare them to current ones, can cause a patient’s needs not to be met or unnecessary care being provided. This assignment has discussed how communication is linked with assessment, through handovers by any healthcare professions, assessing a patient’s needs while talking to them, communication to their families and always make patients feel included by encouraging their independence.
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This course has broaden my knowledge and clinical skills through comprehensive assessment across all ages, races and gender. The nursing foundation, theory and physical assessment courses has all come together to play a vital role on APN. In this past eight weeks, I have learned that not everything is cut and dry when it comes to patient’s complaints and symptoms as to what we may actually think at the initial assessment. I love the fact that we learn how to take the patient’s complaint, assessments, disease process, labs and etc… and put it all together piece by piece in reaching a definite diagnosis. This class has prepared me for the role of APN to meet each individual goal and health outcome regardless of gender, race and disease process.
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