ALL FOR NURSING

Vital Signs  Ø   Temperature (NV 36 – 37.5 C) ü   Elderly people are at risk of hypothermia ü   Hard work or strenuous exercise can increase body temperature ü   Oral: most accessible 2-3 mins. * 15 minutes interval after ingestion of hot or cold drinks ü   Rectal: most accurate 2-3 mins. ü   Axillary: most safest 6-9 mins. Ø   Pulse (NV 60-100 bpm)    ü   Wave of blood created by contraction of the left ventricle of the heart    ü   Radial: best site for adult    ü   Brachial: best site for children    ü   Apical: best site for 3 years old below Ø   Respiration (NV 12/16-20) Normal Breath Sound Vesicular Soft, low pitch Lung periphery Broncho-vesicular Medium pitch Larger airway blowing Bronchial Loud, high pitch Trachea Abnormal Breath Sound Crackles Dependent lobes ...

ASSESSMENT PHASE Data Collection Organize Data Validate Data Document Data Subjective Data   also referred to as symptoms or covert data Objective Data also referred to as signs or overt data, are detectable by an observer Primary source is the client Secondary source is family or anyone else that is not the client Methods of Data Collection Observing To observe is to gather data by using the sense. Interviewing Is a planned communication or a conversation with purpose Examining Is a systematic data-collection method that uses observation (i.e., the senses of sight, hearing, smell, and touch) to detect health problems. DIAGNOSIS PHASE Analyze Data Identify Health Problem Formulate Diagnostic Statements Diagnostic Statements Problem (P) : statement of the client’s response. Etiology (E) : factors contributing Signs and Symptoms (S) : defining characteristics manifested by the...

Nursing Theories and History from Mark Fredderick Abejo

Fundamentals of Nursing Review Bullets View more documents from Mark Fredderick Abejo DOWNLOAD PROCEDURE: LIKE us on Facebook via our FACEBOOK PAGE widget FOLLOW us on Twitter via our TWITTER ACCOUNT widget SHARE this blog on your own Facebook and Twitter account  via SHARE IT widget ANSWER our SURVEY POOL widget NOTE: Widgets can be found on the right side portion of this BLOG CLICK  view on slideshare   button on the left lower corner of this presentation.  CREATE / SIGN UP your own account to  www.slideshare.com. LOG IN using your own account SEARCH  Mark Fredderick Abejo   to view all uploaded documents. DOWNLOAD the document you like.