Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter29: Examinations And Procedures Of Body Systems
Section: Chapter Questions
Problem 8CR
Related questions
Question
Make a script about a demonstration that interviews of the patient
For example : Good morning I am lucy a student nurse I will be assessing you for your general physical assessment. so for the purpose of this check up is...... So first can I have your consent since I will be touching you from the places?
Please use the medical term and Abnormal findings to explain to the CI that's going to grade us in our demo. the coverage of the assessment is SKIN, HAIR, AND NAILS (guided procedures is in the picture that I attached)
Example:(explain the normal and abnormal to the CI and why is it important) Your finger nails are pink completely normal ps: I don't know how to explain a normal findings
Transcribed Image Text:Name
Sec/Grp:
PERFORMANCE EVALUATION TOOL
HEALTH ASSESSMENT (GENERAL SURVEY & INTEGUMENTARY)
DIRECTION: Rate the Learner based on the competencies listed below.
KEY:
3- Acceptable
2- Moderately Acceptable
1-Slightly Acceptable
0-Unacceptable
Demonstrates expected procedure/behavior correctly.
Demonstrates expected procedure/behavior with minimal error.
Demonstrates expected procedure/behavior with many errors.
Missed procedure or procedure done but entirely incorrect
ASSESSMENT PROCEDURES
PREPARATION
1. Introduce yourself and verify the client's identity. Explain to
the client what you are going to do, why it is necessary, and
how the client can cooperate.
2. Perform hand hygiene and observe other appropriate
infection control procedures.
3. Assemble equipment
4. Provide for client privacy.
GENERAL APPEARANCE & MENTAL STATUS
5. Observe for signs of distress in posture or facial expression.
SKIN
6. Observe body build, height, and weight in relation to the
client's age, lifestyle, and health.
7. Observe client's posture and gait, standing, sitting, and
walking.
8. Observe client's overall hygiene and grooming.
9. Note body and breath odor.
10. Note obvious signs of health or illness.
11. Assess the client's attitude.
12. Note the client's affect/mood; assess the appropriateness of
the client's responses.
13. Listen for quantity, quality, and organization of speech
0
0
0
0
0
0
0
0
0
0
0
0
0
Score:
Date:
RATING
1
1
1
1
1
1
1 2 3
Jok
2
2
1
22
2
2
2
NNNN
3
3
2
لیا
3
3
2 3
2
3
1
1
1
1 2 3
ل لنا
3
3
3
ww
2 3
لنا
3
REMARKS
1
Transcribed Image Text:ASSESSMENT PROCEDURES
14. Inspect skin color.
15. Inspect uniformity of skin color.
16. Inspect, palpate, and describe skin lesions.
17. Observe and palpate skin moisture.
18. Palpate skin temperature.
19. Palpate to assess for presence of edema.
20. Palpate to assess for skin turgor.
21. Remove and discard gloves and perform hand hygiene.
HAIR
22. Inspect the evenness of growth over the scalp.
23. Inspect hair thickness or thinness.
24. Inspect hair texture and oiliness.
25. Note presence of infections or infestations.
26. Inspect amount of body hair.
NAILS
27. Inspect fingernail plate shape.
28. Inspect fingernail and toenail bed color.
29. Inspect tissues surrounding nails.
30. Palpate fingernail and toenail texture.
31. Perform blanch test of capillary refill.
32. Document findings
TOTAL
0
0
0
0
OOO
0
0
0
0
0
O O
0
0
0
0
0
0
OOO
0
0
0
0
RATING
1
2
1
2
1 2
TTTTTT
1
1
1
1
11
1
2
1 2
1
1
N N N N N
TTTT
2
2
1
2
1
2
1 2
1
1
22
2
~~~
2
2
2
NNNN
2
1 2
2
1
2
1 2
3
3
3
33
بنا لیا
3
3
3
33
3
3
بنا لیا
3
3
3
3
3
33
REMARKS
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