Health Assessment

cogepuva's version from 2015-08-17 23:45


bathing, dressing, toileting, eating, walking Activities of daily living
measures a person’s self-care ability in the areas of general health or absence of illness Functional assessment
graphic family tree that uses symbols to depict the gender, relationship, and age of immediate blood relatives and at least 3 generations Genogram
are those needed for independent living such as housekeeping, shopping, cooking, laundry, using phone, managing finances, nutrition, social relationships and resources, self-concept in coping and home environment Instrumental activities of daily living
an objective abnormality that you as the examiner could detect on physical examination or in lab reports Sign
a subjective sensation that the person feels from the disorder Symptoms
a loud or soft sound Amplitude (Intensity)
is listening to sounds produced by the body such as the heart and blood vessels and the lungs and abdomen Auscultation
end piece of a stethoscope that has a deep, hollow cuplike shape use to hear soft, low-pitched sounds such as extra heart sounds or murmurs Bell
end piece of stethoscope most often used because it has flat edges and is best for high pitched sounds- breath, bowel, and normal heart sounds Diaphragm
to adjust pulse and blood pressure measurements Doppler sonometer
the length of time the note lingers Duration
for auscultating fetal heart sounds Fetoscope
protractor with two movable arms used to measure the angle of a skeletal joint during range of motion Goniometer
concentrated watching Inspection
an infection acquired during hospitalization Nosocomial infection
instrument that illuminates the internal eye structures Opthalmoscope
instrument that funnels light into the ear canal and onto the tympanic membrane Otoscope
applies your sense of touch to assess factors such as texture, temperature, moisture, organ location and size, as well as any swelling, vibration or pulsation, rigidity or spasticity, crepitation, presence of lumps or masses, and presence of any tenderness or pain Palpation
to measure pelvic width Pelvimeter
tapping the person’s skin with short, sharp strokes to assess underlying structures Percussion
the number of vibrations per second Pitch (frequency)
a subjective difference due to a sound’s distinctive overtones Quality (timbre)
medium-loud, low pitched, clear, hollow sound with moderate duration heard over normal lung tissue Resonance
precautions that are used with all patients regardless of their risk or presumed infection status Standard precautions
an instrument used to listen to body sounds Stethoscope
musical drum like sound that occurs over air-filled cavities Tympany
pauses in breathing Apnea
heart rate less than 60 beats/minute Bradycardia
is the elastic recoil, or resting, pressure that the blood exerts constantly between each contraction Diastolic pressure
a daily cycle of a peak and tough occurs: the BP climbs to a high in late afternoon or early evening and then declines to an early morning low Diurnal Rhythm
or fever is caused by pyrogens secreted by toxic bacteria during infections or from tissue breakdown Hyperthermia
is usually due to accidental, prolonged exposure to cold temperatures Hypothermia
is the pressure forcing blood into the tissues, averaged over the cardiac cycle Mean arterial pressure
a sudden drop in blood pressure when rising to sit or stand Orthostatic hypotension
the difference between the systolic and diastolic and reflects the stroke volume Pulse pressure
bounding of blood flow in an artery that is palpable at various points on the body Pulse
normal rate 50-90 beats/minute Heart Rate
has an even tempo Heart Rhythm
where the heart rate varies with the respiratory cycle, speeding up at the peak of inspiration and slowing to normal with expiration Sinus arrhythmia
instrument used along with stethoscope to measure blood pressure Sphygomomanometer
body parts look equal bilaterally and are in relative proportion to each other Symmetry
is the maximum pressure felt on the artery during left ventricular contraction, or sytole Systolic pressure
heart rate over 100 beats/minute Tachycardia
respiratory rate greater than 24 beats/minute Tachypnea
senses the infrared emissions of the tympanic membrane (eardrum) Tympanic membrane thermometer
superimposed sounds on the normal vesicular, bronchovesicular, and bronchial sounds Adventitious breath sounds
weakness in the wall of a blood vessel Aneurysm
pain in the chest, neck, or arm resulting from myocardial ischemia Angina
impairment or absence of language function Aphasia
inflammation of the joints that causes pain and swelling Arthritis
accumulation of fluid in the abdomen Ascites
thinning of skin surface and loss or markings; thin flabby muscles due to a reduction in muscle size and shape Atrophy
loud and high-pitched sounds with a hollow quality heard longer on expiration than inspiration from air moving through the trachea Bronchial sounds
medium-pitched and blowing sounds heard equally on inspiration and expiration from air moving through large airways, posteriorly between the scapula and anteriorly over bronchioles lateral to the sternum at the first and second intercostal space Bronchovesicular sounds
blowing sounds that are heard when the blood flow becomes turbulent as it rushes past an obstruction Bruits
Heard predominantly on inspiration over the base of the lungs as an interrupted fine crackle (dry, high-pitched crackling, popping sound of short duration) that sounds like a piece of hair being rolled between the fingers in front of the ear or a coarse crackle (moist, low pitched crackling, gurgling sound of long duration) that sounds like water going down the drain after the plug has been pulled on a full tub of water Crackles
Grating or crackling sensation caused by two rough surfaces rubbing together Crepitus
protrusion of the urinary bladder through the wall of the vagina Cystocele
cutaneous area whose sensory receptors and axons feed into a single dorsal root of the spinal cord Dermotome map
a muffled thud like sound that occurs over dense tissue Dullness
ability to discriminate the points of distance when two body parts are simultaneously touched. Extinction
International scale used in grading neurologic responses to determine the clients level of consciousness Glasgow Coma Scale
ability to identify numbers, letters, or shapes drawn on the skin Graphesthesia
lifting of the cardiac area secondary to an increased workload and force of left ventricular contraction Heaves
increased muscle tone Hypertonicity
increase in muscle size and shape due to an increase in muscle fiber Hypertrophy
flabby muscle with poor tone Hypotonicity
skin, hair, nails, and scalp Integumentary system
oxygen deprivation, usually caused by poor perfusion, that is usually temporary and localized Ischemia
swishing or blowing sounds of long duration heard during the systolic and diastolic phases created by turbulent blood flow through a valve Murmur
necrosis of the heart muscle Myocardial infarction
involuntary rhythmical oscillation of the eyes Nystagmus
most common type of degenerative arthritis in which the joints become stiff and tender to touch Osteoarthritis
heard on either inspiration or expiration over the anterior lateral lungs as a continuous creaking, grating sound Pleural friction rub
backward flow of blood through a diseased heart valve, also known as insufficiency Regurgitation
heard predominantly on expiration over the trachea and bronchi as a continuous, low pitched musical sound Rhonchi
chart that contains various sized letter with standardized numbers at the end of each line of letters Snellen chart
narrowing or constriction of a blood vessel or valve Stenosis
ability to identify objects by manipulation and touch Stereognosis
red or silvery-white streaks due to rapid stretching of skin with resultant damage to elastic fibers of dermis Striae
heard predominantly on inspiration as a continuous crowing sound Stridor
extra nipples that appear as pigmented moles along the “milk line” of the breast Supernumerary nipples
created by sound waves Tactile fremitus
vibrations that feel similar to a purring cat Thrills
soft, breezy, and low pitched sounds heard longer on inspiration than expiration that result from air moving through the smaller airways over the lung’s periphery, with the exception of the scapular area Vesicular sounds
heard predominantly on expiration all over the lungs as a continuous sonorous wheeze (low pitched snoring) or sibilant wheeze (high pitched musical sound) Wheezes