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Physical assessment is taking an educated, systematic look at all aspects of an individual’s health status utilizing knowledge, skills and tools of health history and physical exam. To collect data- information about the client’s health, including physiological, psychological, sociocultural and spiritual aspects To establish actual and potential problems To establish the nurse-client relationship Method: The history is done first, then the physical examination focuses on finding data associated with the history. Health History- obtained through interview and record review. Physical exam- accomplished by tools and techniques ** A complete assessment is not necessarily carried out each time. A comprehensive assessment is part of a health screening examination. On admission, you will do an admission assessment (not necessarily including everything presented here) and document it on the admission form. You will do a daily shift assessment (patient systems review). And, if client has a specific problem, you may assess only that part of the body (focused). Data Collection: Information is organized into objective and subjective data: Subjective: Apparent only to person affected; includes client’s perceptions, feelings, thoughts, and expectations. It cannot be directly observed and can be discovered only asking questions. Objective: Detectable by an observer or can be tested against an acceptable standard; tangible, observable facts; includes observation of client behavior, medical records, lab and diagnostic tests, data collected by physical exam. ** To obtain data for the nursing health history, you must utilize good interview techniques and communications skills. Record accurately. DO NOT ASSUME. D. Frameworks for Health Assessment There are two main frameworks utilized in health assessment: Head to Toe- systematic collection of data starting with the head and working downward. Functional Health Assessment- Gordon’s 11 functional health patterns that address the behaviors a person uses to maintain health. PERSON is the ACC-ADN framework for assessment. It is similar to Gordon's functional health patterns.

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Focal seizures (also called partial seizures [citation needed] and localized seizures) are seizures which affect initially only one hemisphere of the brain. [citation needed] The brain is divided into two hemispheres, each consisting of four lobes – the frontal, temporal, parietal and occipital lobes.

Wound healing is the process by which skin or other body tissue repairs itself after trauma. ... This process is divided into predictable phases: blood clotting (hemostasis), inflammation, tissue growth (proliferation) and tissue remodeling (maturation).

Lumbar puncture is a common emergency department procedure used to obtain information about the cerebrospinal fluid (CSF) for diagnostic and, less commonly, therapeutic reasons. Please refer to the full article on Lumbar Puncture for more details on the lumbar puncture procedure. Lumbar puncture is typically performed via “blind” surface landmark guidance. The surface landmark technique is reported to be successful in a high percentage of attempted lumbar punctures; however, surface landmark identification of underlying structures has been shown to be accurate only 30% of the time. [1] Unsuccessful identification of proper landmarks often leads to increased difficulty in obtaining CSF, if the procedure is performed, and a higher rate of complications. Few alternatives are available in these cases. If available, fluoroscopic-guided lumbar puncture may be performed. If not, treatment is sometimes initiated empirically without obtaining CSF. Disadvantages of using fluoroscopy include limited availability or necessary transport of the patient outside of the emergency department, inability to directly visualize the spinal canal, and inherent radiation exposure

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One of the most common parasites to infect human beings is the yeast-like Blastocystis hominis, a single-celled parasitic organism that causes abdominal cramping, bloating, gas, and sometimes anal itching. Other common parasites are: Tapeworms, which can grow as long as 60 feet while living in the human intestines.

A central venous catheter (CVC), also known as a central line, central venous line, or central venous access catheter, is a catheter placed into a large vein. Catheters can be placed in veins in the neck (internal jugular vein), chest (subclavian vein or axillary vein), groin (femoral vein), or through veins in the arms (also known as a PICC line, or peripherally inserted central catheters). It is used to administer medication or fluids that are unable to be taken by mouth or would harm a smaller peripheral vein, obtain blood tests (specifically the "central venous oxygen saturation"), and measure central venous pressure.

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Indications for endovascular repair of the iliac artery are: Stenosis or (short-segment) occlusion of iliac artery (TASC type A and B, TASC C lesions are controversial) with ipsilateral lower extremity ischemia (lifestyle-limiting, progressive claudication, rest pain, gangrene). Patients with asymptomatic aneurysm greater than 4 cm in diameter. An iliac aneurysm which has also increased in size by 0.5 cm in last six months. Symptomatic iliac artery aneurysms mandate endovascular (or open) repair regardless of size. Patients with long occluded lesions/poor run-off/acute limb ischemia are poor endovascular candidates.

Ringworm On Chin, Best Way To Treat Ringworm, How Do I Get Rid Of Ringworm, How To Stop Ringworm --- http://ringworm-cure.plus101.com ---- I'm going to share with you how to cure Ringworm in less than 3 days by using these proven methods that have worked for thousands of people around the world with Ringworm. Not only that, but these same methods work for children, as well as adults, and even pets. Whether you have athlete's foot or jock it, this will work for you, as those are both types of Ringworm. This fungal infection can be cured without drugs or medications. It's important to understand that. In fact, there are many home remedies for Ringworm that have worked for thousands of years for treating many ailments and skin conditions. Below I will list a few. First, understand there are 3 primary methods to cure Ringworm. You must do all 3 if you want to know how to cure Ringworm as fast as possible. Over the 5 years I've spent studying and learning about Ringworm, I've tried almost every treatment and home remedy available. I've found this to be the most effective and fastest way to cure Ringworm. 1) Treat the rash with home remedies and treatments. There are many home remedies for Ringworm available, as well as natural treatments, that are good for the skin and can promote healing rapidly. Not only do they get rid of the itchiness, pain or discomfort, but they also heal the rash and prevent it from coming back again. 2) Use bathing procedures. Bathing procedures are a powerful way to cure Ringworm, especially when you add home remedies and ingredients to the bath. This again, promotes healing, and helps get rid of all symptoms associated with Ringworm. 3) Consume the right foods and supplements. A proper diet is important to cure Ringworm. Treating Ringworm externally is not enough - you need to provide the body with what it needs to fight off the infection and boost the immune system, so you never have to worry about it again. Nutrition, hydration, rest, and supplementation are all equally important. Follow these 3 methods and you will be cured from Ringworm within days. If you sit and wait, and do nothing, it will only get worse and you will suffer much longer than you need to. To find out more on how to cure Ringworm in 3 days or less, check out the Fast Ringworm Cure e-book program that goes into all the ways to cure Ringworm fast, along with a list of home remedies and treatments that you can apply right away. William Oliver is a nutritionist, medical researcher, and author of the Fast Ringworm Cure e-book. To find out how to cure Ringworm in 3 days or less, click below: http://ringworm-cure.plus101.com

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