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Apperance and Behavior assessment
I have completed the above mentioned course "Physical Examination" Nursing Studies. However, in module 3 The Physical assessment, the topics do not change to green once completed. Therefore my course status is showing incomplete although I passed the test with a 90%. Please update at your earliest convenience.
If pictures were added to this module it could better explain the condition like nodule,tumor, vesicle.. etc
As being a nurse you have ask them thing about them self like age and stuff like you got to get to know about the patients
Appearance and Behaviour Assessment
Areas of General Appearance and Behavioral Assessment is done by collecting the
following patient personal data;
Posture and Gait
Hygiene and Grooming
Body and Breath Odors
After completing this lesson, the learner should be able to;
Cite the specific areas assessed when performing a general appearance and
Identify the components of a systemic, head-to-toe physical assessment.
AREAS OF GENERAL APPEARANCE AND BEHAVIORAL ASSESSMENT
a. Demographic Data. You begin the assessment by collecting personal information, which includes name, age, sex, marital status, race, and religion. This identifies the patient and provides important demographic data.
b. Body Build. Observe the patient's general appearance and health state in relation to his age and lifestyle. Determine the patient's height, weight, and vital signs at this time.
c. Posture and Gait. Observe whether the patient is erect or slouched, steady or unsteady. Posture can indicate mood. For example, a slumped position may reflect depression; too rigid and upright a position may indicate anxiety.
d. Hygiene and Grooming. Look for cleanliness of nails, hair, skin, and overall appearance. Usually, you can assess these gradually while observing other parts of the body for data. Observe the skin for color, texture, temperature, and lesions. Lesions warrant particular attention during assessment. Some primary skin lesions are:
(1) Nodule--a solid mass extending into the dermis.
(2) Tumor--a solid mass larger than a nodule.
(3) Cyst--an encapsulated fluid-filled mass in the dermis or subcutaneous layer.
(4) Wheal--a relatively reddened, flat, localized collection of fluid. An example is hives.
(5) Vesicle--circumscribed elevation containing serous fluid or blood. An example is chickenpox.
(6) Bulla-- large fluid-filled vesicle. An example is a second-degree burn.
(7) Pustule--a vesicle or bulla filled with pus. An example is acne.
e. Dress. Observe the patient's clothing in relation to age, climate, socioeconomic status, and culture. Notice whether the clothing is clean, properly buttoned, or zipped. The patient's dress may reflect the cold intolerance of hypothyroidism. Slippers or untied shoelaces suggest edema.
f. Body and Breath Odors. Malodorous body or breath may indicate pulmonary infections, uremia, or liver failure. A breath odor of acetone may be due to diabetes. Although odors give important clues, avoid the common mistake of assuming that alcohol on a patient's breath explains neurologic or mental status findings. Alcoholic breath does not necessarily mean alcoholism.
g. Attitude. The patient's attitude is reflected in his appearance, speech, and behavior. The patient may be aloof and unwilling to participate in the interview. He may verbalize anger or fear. Some patients have a "take care of me" attitude and expect nurses and other health care personnel to magically know everything about them. Such findings should be noted as part of your general impression.
h. Affect/Mood. Affect is the emotional state as it appears to others. Mood is the emotional state as described by the patient. Observe the patient's facial expression. No part of the body is as expressive as the face. Feelings of joy, sadness, fear, surprise, anger, and disgust are conveyed by facial expression. Facial expressions generally are not consciously controlled.
i. Speech. Assess the patient's speech for loudness, clarity, pace, and coherence. Observe the patient for poor articulation of words and language difficulty. Patients who are not fluent in English or have limited education are sometimes mistakenly labeled as "indifferent" or "noncommunicative."
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