Practical Approach to the Physical Assessment: The Clinicianands Roadmap – Rachel Cartwright-Vanzant

Question and Answer

What is Documentation elements?

Documentation elements is Archive: of a comprehensive review of systemsInterviewing techniques to address the most sensitive topicsStrategies to detect abnormal cardiac and pulmonary soundsDemonstration of a complete neurological assessment in two minutesCritical thinking techniques to move from assessment to nursing interventionCharacterization of signs and symptoms with disease statesYou have been assigned your patients for the shift..

How does Documentation elements Archive:?

Archive: Documentation elements of a comprehensive review of systemsInterviewing techniques to address the most sensitive topicsStrategies to detect abnormal cardiac and pulmonary soundsDemonstration of a complete neurological assessment in two minutesCritical thinking techniques to move from assessment to nursing interventionCharacterization of signs and symptoms with disease statesYou have been assigned your patients for the shift.

What is your patients?

your patients is One of is particularly complex..

How does your patients is particularly?

One of your patients is particularly complex.

What is You?

You is have a gut feeling about this patient, which usually means something is not quite right…..

How does You have?

You have a gut feeling about this patient, which usually means something is not quite right….

What is Your time?

Your time is is divided amongst all your assigned patients because they require you attention too..

How does Your time is divided?

Your time is divided amongst all your assigned patients because they require you attention too.

What is I?

I is How do perform an accurate, thorough, and timely assessment when I have such little time, and then, how do I chart all the care I performed?Time is a commodity healthcare providers are not afforded in today’s reality..

How does I do?

How do I perform an accurate, thorough, and timely assessment when I have such little time, and then, how do I chart all the care I performed?Time is a commodity healthcare providers are not afforded in today’s reality.

What is We?

We is must learn to perform our job with excellence, precision and with efficiency..

How does We must learn?

We must learn to perform our job with excellence, precision and with efficiency.

What is It?

It is can be done but we must work at it..

How does It can be?

It can be done but we must work at it.

What is One way?

One way is is to be certain of your assessment skills and what to look for so you can quickly establish your priorities..

How does One way is?

One way is to be certain of your assessment skills and what to look for so you can quickly establish your priorities.

What is Rapid Responses?

Rapid Responses is No on my shift if I can help it!Whether you are a novice or expert, have been in practice for a few years or decades, it is possible that you may not have heard or seen enough examples of abnormal symptom and assessment findings..

How does Rapid Responses can help?

No Rapid Responses on my shift if I can help it!Whether you are a novice or expert, have been in practice for a few years or decades, it is possible that you may not have heard or seen enough examples of abnormal symptom and assessment findings.

What is seminar?

seminar is Attend this information-packed and learn the latest research findings, evidence-based practice guidelines and techniques, including assessment tools for evaluation and treatment that you can implement into your practice immediately..

How does seminar Attend?

Attend this information-packed seminar and learn the latest research findings, evidence-based practice guidelines and techniques, including assessment tools for evaluation and treatment that you can implement into your practice immediately.

What is your current interviewing and examination techniques,?

your current interviewing and examination techniques, is Enhance critical thinking skills, and learn new fun mnemonics to aid in the recall of many clinical conditions..

How does your current interviewing and examination techniques, Enhance?

Enhance your current interviewing and examination techniques, critical thinking skills, and learn new fun mnemonics to aid in the recall of many clinical conditions.

What is Your speaker,?

Your speaker, is Rachel Cartwright-Vanzant, MS, RN, CNS, LHRM, LNCC, will present topics using a variety of methods, including sample charting, discussion of differential symptom analysis and clinical case studies.OUTLINEINTERVIEWING, HISTORY-TAKING AND DOCUMENTATION TECHNIQUESCommunication Skills and Interview StrategiesCommunications strategies for sensitive topicsMental health issuesDrug/alcohol issuesSexuality issuesOther sensitive issuesGeneral literacy & health literacyCore Adult History and Physical Exam SkillsAccountability for obtaining baseline dataRecording the assessmentReporting relevant dataPast medical historyChief complaintAnalysis of a symptomRemember “OPQRST”Elements of a historyProblem focusedDetailedComprehensivePhysical Exam TechniquesInspectionPalpationPercussionAuscultationCritical Thinking SkillsAssessmentNursing diagnosisPlanning & outcome identificationImplementationEvaluationDocumenting the Physical ExamElectronic medical recordsStrategies to overcome the dangers ofCharting by ExceptionLegal implications & nursing standardsASSESSMENT STRATEGIES FOR CHALLENGING SYMPTOMSIntegumentary SystemLegal issues surrounding the skinAssessment and common abnormalitiesAnatomy of the skinPressure sore staging/gradingNational Pressure Ulcer Advisory PanelHead and NeckAssessment and common abnormalitiesAbnormal facial featuresThorax and LungsAssessment and common abnormalitiesRespiratory landmarksOxygen transport and deliveryAbnormal breath soundsAcute respiratory failurePulmonary embolismABG interpretationCardiac and Vascular SystemsAssessment and common abnormalitiesCardiac landmarksBasic EKG analysisAbnormal heart soundsAbdomenAssessment and common abnormalitiesAbdominal landmarksMusculoskeletal SystemAssessment and common abnormalitiesGrading muscle tone and strengthOsteoarthritis vs autoimmuneNervous SystemAssessment and common abnormalitiesAutonomic nervous systemParasympathetic nervous systemSympathetic nervous systemInteractive cranial nervesNormal findingsAbnormal significanceHead injury“Nature of the injury”ConcussionIncreasing intracranial pressureCase StudiesOBJECTIVESList eight system elements included in a review of systems.Identify three strategies to assess patients for low health literacy.Revise documented entries applying the “FACT” rule.Interpret arterial blood gases in a flash.Name three signs and symptoms of inadequate oxygenation.Identify the waveforms of a normal EKG pattern.Discuss possible etiology and significance of common cardiovascular assessment abnormalities.Identify structures in regions of the abdomen.Discuss abdominal assessment findings that warrant emergent intervention intestinal obstructions.Incorporate the cranial nerves assessment, Glasgow coma scale, and reflex grading scale to the neurologic exam..

How does Your speaker, will present?

Your speaker, Rachel Cartwright-Vanzant, MS, RN, CNS, LHRM, LNCC, will present topics using a variety of methods, including sample charting, discussion of differential symptom analysis and clinical case studies.OUTLINEINTERVIEWING, HISTORY-TAKING AND DOCUMENTATION TECHNIQUESCommunication Skills and Interview StrategiesCommunications strategies for sensitive topicsMental health issuesDrug/alcohol issuesSexuality issuesOther sensitive issuesGeneral literacy & health literacyCore Adult History and Physical Exam SkillsAccountability for obtaining baseline dataRecording the assessmentReporting relevant dataPast medical historyChief complaintAnalysis of a symptomRemember “OPQRST”Elements of a historyProblem focusedDetailedComprehensivePhysical Exam TechniquesInspectionPalpationPercussionAuscultationCritical Thinking SkillsAssessmentNursing diagnosisPlanning & outcome identificationImplementationEvaluationDocumenting the Physical ExamElectronic medical recordsStrategies to overcome the dangers ofCharting by ExceptionLegal implications & nursing standardsASSESSMENT STRATEGIES FOR CHALLENGING SYMPTOMSIntegumentary SystemLegal issues surrounding the skinAssessment and common abnormalitiesAnatomy of the skinPressure sore staging/gradingNational Pressure Ulcer Advisory PanelHead and NeckAssessment and common abnormalitiesAbnormal facial featuresThorax and LungsAssessment and common abnormalitiesRespiratory landmarksOxygen transport and deliveryAbnormal breath soundsAcute respiratory failurePulmonary embolismABG interpretationCardiac and Vascular SystemsAssessment and common abnormalitiesCardiac landmarksBasic EKG analysisAbnormal heart soundsAbdomenAssessment and common abnormalitiesAbdominal landmarksMusculoskeletal SystemAssessment and common abnormalitiesGrading muscle tone and strengthOsteoarthritis vs autoimmuneNervous SystemAssessment and common abnormalitiesAutonomic nervous systemParasympathetic nervous systemSympathetic nervous systemInteractive cranial nervesNormal findingsAbnormal significanceHead injury“Nature of the injury”ConcussionIncreasing intracranial pressureCase StudiesOBJECTIVESList eight system elements included in a review of systems.Identify three strategies to assess patients for low health literacy.Revise documented entries applying the “FACT” rule.Interpret arterial blood gases in a flash.Name three signs and symptoms of inadequate oxygenation.Identify the waveforms of a normal EKG pattern.Discuss possible etiology and significance of common cardiovascular assessment abnormalities.Identify structures in regions of the abdomen.Discuss abdominal assessment findings that warrant emergent intervention intestinal obstructions.Incorporate the cranial nerves assessment, Glasgow coma scale, and reflex grading scale to the neurologic exam.

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