. Health Composite Winston Salem State University Abstract The author of this paper has performed a health assessment on an adult patient and will discuss the findings in this paper. The author will introduce the client‚ complete the health history‚ and physical exam. While summarizing the findings‚ the nursing diagnosis and the plan of care‚ will be discussed in order to help the patient achieve health goals. Keywords: health history‚ nursing diagnosis‚ health assessment
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the right side. There is no pain with shoulder movement‚ but she reports tenderness on bilateral trapezius‚ rhomboid major and minor as well as right rotator cuff muscles upon moderate palpation. She also experiences localized dull‚ achy pain at lateral epicondyle of right elbow which becomes sharp with mild palpation. There is no pain or paresthesia radiating down to the hands. Mr. Smith experiences the stiffness and pain constantly on a daily basis and rates them a 4 on a 1-10 scale‚ 1 presenting
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steroids. PART II Case Studies -Gastrointestinal System ____________________________________________________________________ Patient One. The patient is a 53 year old female who came to the physician’s office with complaints of severe‚ RUQ abdominal pain. The patient has had similar pain before‚ but states that this time it has lasted longer. The pain always occurs post-prandial. The patient is 5 foot two inches and weighs 180 pounds. She admits that her diet is high in fats. 1. What condition
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Abstract Throughout this complete health assessment‚ I will approach my patient‚ a 49 years old‚ female‚ married patient‚ and perform a head to toe examination. Starting with the gathering of information‚ I will start with biographic data‚ reason for seeking care‚ present illness‚ past health history‚ family history‚ functional assessment‚ perception of health‚ head to toe examination‚ and baseline measurements. The subjective data will be collected first‚ where the patient will provide necessary
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Chapter 6 – Case Study 1 Mr. E.‚ age 53‚ has a history of alcoholism and came to his physician because of recent anorexia‚ nausea‚ and diarrhea‚ as well as heart palpitations and fatigue. He has been taking his diuretic tablet‚ but not his vitamin and mineral supplement. An ECG and blood tests indicate hypokalemia. Discussion Questions 1. Discuss the possible factors contributing to his electrolyte imbalance and the rationale for his signs and symptoms. 2. What are the signs of hypokalemia and
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of the functions of body structures. a. Physiology 2. This is defined as a group of cells with similar structure and function. b. Tissue 3. Using your fingers to find your pulse on your wrist is an example of c. Palpation 4. Percussion techniques can be used to determine d. Fluid in the lungs 5. This is the sum of all cellular processes that occur in the body. e. Metabolism 6. This is the regulation of body conditions within normal limits
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Definition Labor is a physiologic process during which the products of conception (ie‚ the fetus‚ membranes‚ umbilical cord‚ and placenta) are expelled outside of the uterus. Labor is achieved with changes in the biochemical connective tissue and with gradual effacement and dilatation of the uterine cervix as a result of rhythmic uterine contractions of sufficient frequency‚ intensity‚ and duration.1‚2 Labor is a clinical diagnosis. The onset of labor is defined as regular‚ painful uterine contractions
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Pancreatitis Overview- The Pancreatitis is an elongated gland‚ situated in the upper part of the abdominal cavity‚ behind the stomach and below the liver. This small organ that belongs to both the digestive system to the endocrine system; the pancreas‚ in fact‚ is very important for the secretion of enzymes that help digest complex carbohydrates and lipids; also it produces the hormones insulin and glucagon‚ which regulate the level of glucose in the blood. Pancreatitis‚ which is the inflammation
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NU333 Complete Physical Assessment Jarvis: Physical Examination and Health Assessment‚ 6th Edition Complete Physical Examination Form COMPLETE PHYSICAL EXAMINATION Date __8/31/2013______________ Patient __Jane Doe_________________________ Age __33_ Sex _F__ Occupation Healthcare worker Client Representative/Interpreter: __none__ Examiner _Emanuel Singleton RN________ General Survey of Patient 1. Appears stated age: Yes_____________________________________ 2. Level of consciousness:
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erythematous with watery discharge. No polyps noted. There is right no maxillary and frontal tenderness to palpation. Posterior oropharynx without exudates. Mild erythema noted. Respiratory: clear to auscultation bilaterally without crackles‚ rhonchi‚ or wheeze‚No use of accessory muscles Gastrointestinal: Normal bowel sounds; soft; no tenderness Genitourinary: No bladder tenderness upon palpation‚ no distention noted. Musculoskeletal: Generally normal and intact; extremities exhibit full range
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