Health Assessment and Physical Examination / Edition 4

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Overview

This full-color comprehensive health assessment text offers nursing students a complete visual and written account of the health history interview, physical assessment skills, and clinical examination techniques. The IPPA method of examination (Inspection, Palpation, Percussion, Auscultation) is applied to body systems for a complete, detailed physical assessment. The ENAP format (Examination, Normal Findings, Abnormal Findings, Pathophysiology) is followed for every IPPA technique, providing a useful, valuable fund of information. Pathophysiology is included for each abnormal finding, acknowledging that nurses' clinical decisions need to be based on scientific rationale.
(assessment, health, examination, inspection, palpation, percussion, auscultation, pathophysiology, health history, patient interview, cultural assessment, spiritual assessment, physical examination, holism)
ALSO AVAILABLE -
INSTRUCTOR SUPPLEMENTS
Clinical Companion ISBN: 0-8273-8243-X
Classroom Manager ISBN: 0-8273-7148-9 Free to adopters. Includes: Computerized Testbank & Gradebook, Instructor's Guide, Conversion Grids, Color Transparencies, and Image Library Software.
Student Lab Manual ISBN: 0-7668-0911-0

The book contains predominantly color illustrations, with some black-and-white illustrations.

This full-color comprehensive health assessment text offers nursing students a complete visual and written account of the health history interview, physical assessment skills, and clinical examination techniques. The IPPA method of examination (Inspection, Palpation, Percussion, Auscultation) is applied to body systems for a complete, detailed physical assessment. The ENAP (Examination, Normal Findings, Abnormal Findings, Pathophysiology) is followed for every IPPA technique, providing a useful, valuable fund of information. Pathophysiology is included for each abnormal finding, acknowledging that nurses' clinical decisions need to be based on scientific rationale. KEY FEATURES ENAP format (Examination, Normal Findings, Abnormal Findings, Pathophysiology) followed consistently for all assessment techniques. All assessments consistently follow the IPPA Format (Inspection, Palpation, Percussion, and Auscultation). Pathophysiology included for each abnormal finding underscores scientific nature of material, which provides basis for making clinical decisions. Detailed full-color artwork throughout supports pedagogical and clinical function. Concise Anatomy and Physiology sections offer overview of key assessment areas. "Think About It" and "Ask Yourself" boxes encourage critical thinking and self reflection.

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Editorial Reviews

Rebecca A. Phillips
This text provides the novice nurse with an excellent reference on conducting a thorough health assessment. It is organized into five major sections (foundations for assessment, special assessments, physical assessment, special populations, and putting it all together) and 24 chapters covering health, spiritual, cultural, nutritional, and physical assessment specifics. Also included is a detailed chapter on obtaining a complete health history. The purpose is to provide a text that places emphasis on the science and caring aspects of assessing a patient's physical, psychosocial, and functional being. The text is designed to be an innovative approach to teaching health assessment. The author indicates that the language level is appropriate for the nursing student and the practicing nurse. It is probably best suited as a reference for novice nurses who find themselves in need of a fast review on assessing some aspect of their patient's health. In the section covering physical assessment, chapters review pertinent health history questions to be asked, and the anatomy and physiology for the system. In addition to a full description, with pictures, of the technique of assessment for the system, equipment needed to perform the assessment is discussed. Liberal use of graphics, photographs, charts, tables, and special interest boxes help convey the needed information. However, it is this very liberal use that makes this book difficult reading for students and at the same time a superb reference for the novice. The author indicates that an extensive educational material package is also available for use with the book. While there are several texts available covering physical assessment, Iam not aware of another that so completely covers the topic of health assessment. This book is a must for anyone new to the skill of health assessment.
From The Critics
Reviewer: Rebecca A. Phillips, PhD (c), RN (National Naval Medical Center Bethesda)
Description: This text provides the novice nurse with an excellent reference on conducting a thorough health assessment. It is organized into five major sections (foundations for assessment, special assessments, physical assessment, special populations, and putting it all together) and 24 chapters covering health, spiritual, cultural, nutritional, and physical assessment specifics. Also included is a detailed chapter on obtaining a complete health history.
Purpose: The purpose is to provide a text that places emphasis on the science and caring aspects of assessing a patient's physical, psychosocial, and functional being. The text is designed to be an innovative approach to teaching health assessment.
Audience: The author indicates that the language level is appropriate for the nursing student and the practicing nurse. It is probably best suited as a reference for novice nurses who find themselves in need of a fast review on assessing some aspect of their patient's health.
Features: In the section covering physical assessment, chapters review pertinent health history questions to be asked, and the anatomy and physiology for the system. In addition to a full description, with pictures, of the technique of assessment for the system, equipment needed to perform the assessment is discussed. Liberal use of graphics, photographs, charts, tables, and special interest boxes help convey the needed information. However, it is this very liberal use that makes this book difficult reading for students and at the same time a superb reference for the novice. The author indicates that an extensive educational material package is also available for use with the book.
Assessment: While there are several texts available covering physical assessment, I am not aware of another that so completely covers the topic of health assessment. This book is a must for anyone new to the skill of health assessment.
From the Publisher
"Love it. When I read the preface and the "how to use the book" it was very easy to navigate the chapters. These chapters are logical and the foundation chapters (one through seven in my opinion) define assessment features that are often overlooked— nutrition and social/spiritual health. There are PLENTY of varieties in the normal and abnormal photos so that if a student did not have the clinical opportunity to see these features as a student one would want to keep the text for reference as a practitioner.I am impressed by the scope and the number of these learning tools and the placement in text. It is my experience that different students learn in different modalities — many will want the nursing tips approach while others need to dream and learn with the life at 360 degrees.Students will use the cardborad " Assessement in Brief" while reviewing chapters as a bookmark. Greeat inclusion -I am impressed by the scope of authors cited as contributors and the similar approach in writing style. This text reads well as a unit without logical lapses in flow. Top three strengths: 1.lavish illustrations well labelled and near relevant text 2.case studies span the lifespan and include health determinants (culture, social support, income, education) 3. substantive references at each chapter end encourage the learner and the educator to learn more and stay current with evidence based practice. (bibliography, web sites, and references) Overall, this text as written has utility for the diploma, degree, and advanced practice nurse who is interetsed in health assessment theory and skill development. The depth of the health history sections in each chapter of section three is consistently easy to follow and comprehensive. "

"Three strengths are new approach with extra boxes, photos are excellent, use of cards in back of book, inclusion of case studies."


3 Stars from Doody
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Product Details

  • ISBN-13: 9781435427563
  • Publisher: Cengage Learning
  • Publication date: 4/2/2009
  • Edition description: Older Edition
  • Edition number: 4
  • Pages: 1088
  • Sales rank: 1,337,654
  • Product dimensions: 8.80 (w) x 11.20 (h) x 1.80 (d)

Meet the Author

Mary Ellen Zator Estes is an RN, MSN, FNP-BC, NP-C Family Nurse Practitioner in Internal Medicine, in Fairfax, Virginia and Nursing Consultant, Vienna, Virginia. Mary Ellen Zator Estes obtained her baccalaureate and Master's degrees in nursing and her Family Nurse Practitioner certificate from the University of Virginia. She has taught at the University of Virginia, Marymount University, Northern Virginia Community College, and The George Washington University Medical Center. She has also served as Clinical Faculty for Ball State University. With over 25 years' experience as a clinician and academician, Ms. Estes has taught health assessment and physical examination courses to nurses and nursing students from a variety of backgrounds. Her hands-on approach in the classroom, clinical laboratory, and health care setting has consistently led to positive learning experiences for her students. Ms. Estes' professional development is well demonstrated at the local, regional, and national levels. She has delivered numerous presentations through- out the country. She has been an active member of the Virginia Council of Nurse Practitioners, the American Academy of Nurse Practitioners, Sigma Theta Tau, American Association of Critical Care Nurses, American Nurses Association, and Virginia Nurses Association. Ms. Estes has been listed in Who's Who in American Nursing and Who's Who in American Education. She is currently a nurse practitioner at an internal medi-cine practice in Fairfax, Virginia, and a Nursing Consultant.

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Table of Contents

Contributors
Reviewers
Preface
Acknowledgments
About the Author
How to Use This Text
Unit I Laying the Foundation 1
Ch. 1 Critical Thinking and the Nursing Process 3
Ch. 2 The Patient Interview 15
Ch. 3 The Complete Health History Including Documentation 39
Unit II Special Assessments 75
Ch. 4 Developmental Assessment 77
Ch. 5 Cultural Assessment 103
Ch. 6 Spiritual Assessment 133
Ch. 7 Nutritional Assessment 159
Unit III Physical Assessment 197
Ch. 8 Physical Assessment Techniques 199
Ch. 9 General Survey and Vital Signs 215
Ch. 10 Skin, Hair, and Nails 235
Ch. 11 Head, Neck, and Regional Lymphatics 281
Ch. 12 Eyes 303
Ch. 13 Ears, Nose, Mouth, and Throat 335
Ch. 14 Breasts and Regional Nodes 373
Ch. 15 Thorax and Lungs 397
Ch. 16 Heart and Peripheral Vasculature 441
Ch. 17 Abdomen 495
Ch. 18 Musculoskeletal System 535
Ch. 19 Mental Status and Neurological Techniques 599
Ch. 20 Female Genitalia 657
Ch. 21 Male Genitalia 695
Ch. 22 Anus, Rectum, and Prostate 721
Unit IV Special Populations 741
Ch. 23 Pregnant Patient 743
Ch. 24 Pediatric Patient 779
Unit V Putting It all Together 841
Ch. 25 The Complete Health History and Physical Examination 843
App. A NANDA Nursing Diagnoses 2001-2002 865
App. B: Functional Assessments 867
References and Bibliography 869
Glossary 887
Index 907
Abbreviations 931
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