Approach to adults in physical assessment

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Evaluation of older adults usually differs from a standard medical evaluation. For older patients, especially those who are very old or frail, history-taking and physical examination may have to be done at different times, and physical examination may require 2 sessions because patients become fatigued. Older adults also have different, often more complicated health care problems, such as multiple disorders, which may require use of many drugs sometimes called polypharmacy and thus greater likelihood of a high-risk drug being prescribed see table Potentially Inappropriate Drugs in Older Adults.

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Any unusual findings should be followed up with a focused assessment specific to the affected body system. Checklist 17 outlines the steps to take. Unilateral edema may indicate a local or peripheral cause, whereas bilateral-pitting edema usually indicates cardiac or kidney failure.

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NCBI Bookshelf. Tammy J. Toney-Butler ; Wendy J. The initial nursing assessment, the first step in the five steps of the nursing process, involves the systematic and continuous collection of data; sorting, analyzing, and organizing that data; and the documentation and communication of the data collected.

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A more recent article on this topic is available. ALAN R. ROTH, D.

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Definition of Terms. Shift Assessment. Focused Assessment.

NCBI Bookshelf. Boston: Butterworths; Earl W.

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To ensure optimal health outcomes for older adults, nurses in all settings should be familiar with geriatric health problems and demonstrate proficiency in providing care. Assessing the health needs of elderly patients can reduce their hospitalization rate and enhance their quality of life and independence. Information you obtain from an accurate assessment serves as the foundation for age-appropriate nursing care.

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A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history. It is done to detect diseases early in people that may look and feel well.

Your browser does not seem to support javascript. Javascript is required for some of the features on this site and it is strongly recommended that you enable it. Watch and learn the terminology and techniques used when examining an adult. Request a Preview Buy Now.

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