Health Assessment

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Health Assessment

• Professor Kneeshaw

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Introduction

• Techniques Used in the Physical Examination
• Mental Status Examination
• The General Survey
• Assessment of the Integumentary System

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Four Techniques used in Physical Assessment

• 1. Inspection
• 2. Palpation
• 3. Percussion
• 4. Auscultation

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Normal Sounds of Percussion
Resonance Tympany Dull Flat Hyperresonant
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Mental Status

• 1.consciousness
• 2. language
• 3. mood affect
• 4. orientation
• 5. attention
• 6. memory
• 7. abstract thinking
• 8. thought process
• 9. thought content
• 10 perception

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Mini Mental ASSESSMENT

• Takes 5 to 10 min
• Maximum score 30
• Less than 25 indicates dementia or delirium

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Indicators of Mental Status

• 1. Appearance
• 2. Behavior
• 3. Cognitive Function
• 4. Judgment
• 5. Thought Process
• Perceptions

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Glasgow Coma Scale

• Purpose to measure level of consciousness
• How? It gives a numerical value for
• 1. eye opening
• 2. verbal response
• 3. motor response

• A score of 7 or less reflects coma

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The General Survey

• General Appearance
• Age
• Sex
• Level of consciousness
• Skin color
• Facial Expression

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General Survey

• 2. Body Structure
• Stature
• Nutrition
• Symmetry
• Posture
• Position

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General Survey

• 3. Mobility
• Gait
• ROM

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General Survey
4. Behaviors Facial Expression Mood
Affect Speech Dress Personal Hygiene
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INTEGUMENTARY SYSTEM

• color changes
• temperature
• moisture
• thickness
• edema
• mobility turgor
• vascularity or bruising
• lesions

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Skin Lesions

• (a) Non-Palpable
• macula
• patch
• b) Palpable
• papula
• plaque
• nodule
• tumor
• wheal
• nevus

(

• patch

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Danger Signs

• Asymmetry
• Border irregular
• Color variations
• Diameter gt 6 mm.
• Enlarging suddenly

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The End