Download PDF by Springhouse: Lippincott Manual of Nursing Practice Series: Assessment

Diagnosis

By Springhouse

This full-color quick-reference guide covers all facets of the sufferer background and actual exam to assist nurses interpret evaluate findings, realize sufferer wishes, and supply concentrated care. details is gifted in a succinct, hugely bulleted layout, with lists, tables, and flowcharts to spotlight key proof. routine image icons comprise Skill Check (tips for appearing actual exam techniques), Culture Cue and Age Alert (specific adaptations in evaluation findings and methods regarding age, tradition, or ethnicity), Alert (life- or limb-threatening situations), and Clinical Picture (quick-scan charts visually evaluating clusters of irregular findings and differentiating between attainable causes).

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A mildly underweight person is 80% to 90% of IBW. ● A moderately underweight person is 70% to 79% of IBW. ● A severely underweight person is less than 70% of IBW. Body mass index A useful measurement for assessing nutritional status is the body mass index PHYSICAL H EIGHT AND WEIGHT TABLE Ongoing research suggests that people can carry more weight as they age, without added health risk. The higher weights in each category apply to men, who typically have more muscle and bone than do women. Height measurements are without shoes; weight measurements are without clothes.

However, signs may also be due to other conditions or disorders and can’t be considered indicative of, but only suggestive of, a nutritional deficiency. In addition, remember that physical signs and symptoms may vary among populations because of genetic and environmental differences. ) LABORATORY DATA Laboratory test results can detect nutritional problems in early stages before physical signs and symptoms appear. Most of the routine tests assess proteincalorie information, with serum albumin used most commonly to screen for nutritional problems.

Physical assessment Carefully check the patient’s height and weight, and ask about his previous weight. Take his vital signs and note his general appearance: Is he well nourished? Do his clothes fit? Is muscle wasting evident? Examine the patient’s skin for turgor and abnormal pigmentation, especially around the joints. Does he have pallor or jaundice? Examine his mouth, including the condition of his teeth or dentures. Look for signs of infection or irritation on the roof of the mouth, and note hyperpigmentation of the buccal mucosa.

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