H & P
H & P
–Note changes in condition
–Employ strong assessment skills
Self Pacing acronym for psychosocial eval
S – Self-Esteem: Include information pertaining to hygiene, grooming, eye contact, statements about oneself and any other characteristics that provide information about the patient’s self esteem.
E – Energy Level: Patient’s with psychological problems often have an alteration in level of activity.
L – Lifestyle: Living arrangements, significant relationships, occupation, hobbies or lack of interest in leisure activities, education, and any other data that provides information about the patient’s personal situation.
F – Family System: This refers to the patient’s contact and support from family members or significant others, family stressors, crisis events, and usual coping skills.
P – Physiological: This area relates to the results of the physical assessment.
A – Affect: Include information about the patient’s mood or emotional feelings. It may be described as happy, euphoric, flat, inappropriate, and other descriptive terms.
C – Culture: This refers to all cultural, racial, or anthropological variables that influence one’s lifestyle and mental health. This may refer to issues of homelessness. Assess religious and spiritual preferences, if any. Discuss any related food needs and other areas of impact spirituality will have on their health status.
I – Interests: As expressed by the patient.
N – Needs: As expressed by the patient (as opposed to those identified by the health care worker).
G – Goals: As expressed by the patient (as opposed to those identified by the health care worker).
Next day: Body Systems WNL vs ABN
Get Books out
What is normal what is abnormal?
Everyone will take a system, look up assessment of that and explain to class your system.
Next Day: Pain/ADL's
–0 to 10
–Wong-Baker FACES Pain Rating Scale
When would you use this?
Activities of Daily Living
–Assistance needed as long as unable to do so
Are They Important?
Vital signs include:
your heart beat (BPM)
breathing rate (Resp)
temperature (degrees F)
blood pressure (systolic/diastolic)
Your health care provider may watch, measure, or monitor your vital signs to check your level of physical functioning.
Normal vital signs change with age, sex, weight, exercise tolerance, and overall health.
watch pulse video
What is blood pressure?
When measuring blood pressure, your doctor or nurse will use a stethoscope to listen to the blood moving through an artery.
–Except with osteoporosis