Nursing

Bates' Nursing Guide to Physical Examination and History by Beth Hogan-Quigley MSN RN CRNP, Mary Louise Palm MS RN, Lynn

By Beth Hogan-Quigley MSN RN CRNP, Mary Louise Palm MS RN, Lynn S. Bickley MD

The optimal in physical assessment has now been tailored completely for the desires of the RN-student. Based at the award-winning Bates' consultant to actual exam & background Taking, this NEW TEXT combines the well known positive factors of the category Bates’ with an RN-focus. Trusted and time-perfected content material together with more suitable review options, brilliant visuals, and the vintage Bates’ two-column layout supplies evaluation details in a accomplished and student-friendly package. This new, RN-specific textual content comprises a few NEW, ADDITIONAL nursing-specific chapters: creation to healthiness overview, Cultural and non secular evaluate, foodstuff, and placing all of it jointly. furthermore, constitution and serve as details is streamlined, overall healthiness background is symptom and interview-focused, nursing documentation examples are incorporated, information research is roofed in end-of-chapter precis sections, future health promoting is streamlined with a spotlight on follow-up and educating on the finish of the chapters.The textual content is observed by means of a Lab guide that includes nursing-specific case reports to augment content material from a nursing perspective.This textual content is also packaged with the Bates for Nursing on-line direction for a whole nursing evaluate answer.

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Extra info for Bates' Nursing Guide to Physical Examination and History Taking, 11th Edition (Guide to Physical Exam & History Taking (Bates))

Example text

Denies lumps, pain, discharge. Does breast self-examination sporadically. Respiratory. Denies cough, wheezing, shortness of breath. Sleeps with one pillow. Last chest x-ray, 1989, St. Mary’s Hospital; unremarkable. Cardiovascular. Denies heart disease or high blood pressure; last blood pressure taken in 2006. Denies dyspnea, orthopnea, chest pain, palpitations, electrocardiogram (ECG). Gastrointestinal. Appetite “good”; Denies nausea, vomiting, indigestion. Bowel movement about once daily, hard stools when tense; denies diarrhea, bleeding, pain, jaundice, gallbladder or liver problems.

The two are intricately intertwined, and neither exists in isolation. The health assessment is the discovery and collation of facts from both the health history and physical examination. The comprehensive health history and physical assessment build the foundation of the clinical assessment. During this collection of data, a rapport develops between the nurse and the patient and a mutual trust begins. As the fact-finding mission of the health history proceeds and data are collected, the nurse is putting pieces of the puzzle together.

Good observations or tests have a sensitivity of more than 90% and help rule out disease because there are few false negatives. Such observations or tests are especially useful for screening. Example: The sensitivity of the Homan sign in the diagnosis of deep venous thrombosis (DVT) of the calf is 50%. In other words, compared with a group of patients with deep vein thrombosis confirmed by phlebogram, a much better test, only 50% will have a positive Homan sign, so this sign, if absent, is not helpful because 50% of patients may have a DVT.

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