Physical Examination and Health Assessment / Edition 6

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With an easy-to-read approach and unmatched learning resources, Physical Examination & Health Assessment, 7th Edition offers a clear, logical, and holistic approach to physical exams across the lifespan. A total of 1,200 illustrations, checklists of key exam steps, and practical insights ensure that you learn all the physical exam skills you need to know. Written by Carolyn Jarvis, an experienced educator and clinician, this gold standard in physical examination reflects what is going on in nursing today with coverage of emerging trends and the latest on evidence-based practice. It's easy to see why this text is, far and away, #1 in this field!

• A clear, logical, and streamlined approach simplifies content and helps you learn to perform the complete health assessment:

• The conversational, easy-to-understand writing style makes learning easier.
A two-column format distinguishes normal findings from abnormal findings, and uses step-by-step photos to clarify examination techniques and expected findings.
1,200 full-color illustrations present anatomy and physiology, examination techniques, and abnormal findings.
Abnormal findings tables include more than 300 pathophysiology photos to help in recognizing, sorting, and describing abnormalities.

• Comprehensive coverage reflects the realities of today’s nursing practice:

• NEW content on the Electronic Health Record, charting, and narrative recording provides examples of how to document assessment findings.
150NEW normal and abnormal examination photos for the nose, mouth, throat, thorax, and pediatric assessment show findings that are unexpected or that require referral for follow-up care, with cultural diversity and developmental variations.
UPDATED evidence-based practice content is highlighted and reflects a focus on conducting the most effective, accurate examinations.
UPDATED case studies provide opportunities to apply your knowledge and develop your analytical skills.
Checklists for use in RN-to-BSN completion programs provide a refresher for seasoned nurses returning to the classroom.

• A holistic approach to assessment accommodates the diverse types of patients that you will encounter in the real world:

• Documentation
and Critical Thinking sections
provide real-world clinical examples of specific patients and how to record assessment findings in the patient’s chart, using the SOAP format.
Promoting a Healthy Lifestyle boxes enable patient teaching and health promotion while performing the health assessment, and now address the key concept of prevention.
Developmental Competence sections provide age-specific assessment techniques for infants, children, adolescents, pregnant women, and older adults.
Culture and Genetics sections include biocultural and transcultural information on an increasingly diverse patient population.
Spanish-language translations highlight important phrases for improved data gathering and communication during the physical examination with Spanish-speaking patients.

NEWevidence-based guidelines reflect a focus on conducting the most effective, qualitative exams.
NEWSubstance Use Assessment chapter addresses this increasingly critical aspect of holistic patient assessments.
100 new photos of step-by-step examination techniques include all-new exam panoramas for key systems.
100 new abnormal findings photos provide instant visual cues for findings that are unexpected or that require referral for follow-up care.
Expanded chapter on assessment of the hospitalized adult provides a focused assessment of the patient in the hospital setting.
New content on obesity provides current information on this growing health problem.

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

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Editorial Reviews

Doody's Review Service
Reviewer: Candace M. Gortney, BSN, MSN, CFNP (U.S. Navy)
Description: This book is a tool with references for completing a patient history and physical exam (query, performance, and documentation). This third edition contains enhancements in the areas of obstetrics, transcultural concerns, and expanded abnormal findings.
Purpose: The purpose is to prepare nurses to perform history and physical examinations. It has been expanded to include areas missing from prior editions and other texts. These are worthy objectives. The cultural content is excellent. The author's objectives are met, although far more is included than the generic student can incorporate, and it is an insufficient source to be used as a reference by experienced practitioners. The author should focus on what she is trying to do - either provide a nursing text or a physical examination tool. Trying to do both means a less than ideal product for either.
Audience: Written for student nurses, the diagnosis component is too inclusive for BSN student needs. The text is too superficial for advanced practitioners to use as a reference but is excellent for a physical diagnosis assessment course. The author is well known.
Features: Issues related to completing a history, performance and documentation, common physical examination findings, and abnormalities are featured. The presentation is strong on cultural issues, obstetrics and pediatrics, immunization schedules, self-care, and health promotion content. The concept of nursing diagnosis is clearly described in table format. There are excellent tables with the current USPSTF recommendations. Additionally the color plates, pediatric neurological assessment, and transcultural sections are particularly useful. There are some distinct absences (diagnostic maneuvers) and errors (TB cannot be diagnosed by physical exam, for example). Some errors of omission are adult and travel immunizations, physical diagnostic maneuvers (such as knee, shoulder, Weber, and Rinne tests). Examples of abnormal appear to be chosen by whether a photograph was available, rather than on the likelihood of prevalence.
Assessment: I thought the author tried to present a text for all levels of nurses, and her objective suffered because of this. What makes this type of book valuable for novices makes it unnecessary for the expert. By being so broad, it does not include what more experts need and could not be used as a full scope reference. Providing tables of immunization for 1999 dates the book, and only includes information for children. This edition's increase in content makes it more valuable to the nursing student and less valuable as a resource to the experienced practitioner.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781437701517
  • Publisher: Elsevier Health Sciences
  • Publication date: 3/30/2011
  • Edition description: Older Edition
  • Edition number: 6
  • Pages: 944
  • Sales rank: 13,528
  • Product dimensions: 8.70 (w) x 11.00 (h) x 1.50 (d)

Meet the Author

Family Nurse Practitioner, Chestnut Health Systems, Bloomington; Adjunct Assistant Professor of Nursing, School of Nursing, Illinois Wesleyan University, Bloomington, IL

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Table of Contents

Unit 1 Assessment of the Whole Person 1
Ch. 1 Assessment for Health and Illness 3
Ch. 2 Developmental Tasks and Health Promotion Across the Life Cycle 13
Ch. 3 Transcultural Considerations in Assessment 45
Ch. 4 The Interview 57
Ch. 5 The Complete Health History 79
Ch. 6 Mental Status Assessment 103
Ch. 7 Nutritional Assessment 129
Unit 2 Physical Examination 163
Ch. 8 Assessment Techniques and Approach to the Clinical Setting 165
Ch. 9 General Survey, Measurement, Vital Signs 179
Ch. 10 Skin, Hair, and Nails 213
Ch. 11 Head and Neck, Including Regional Lymphatics 267
Ch. 12 Eyes 297
Ch. 13 Ears 345
Ch. 14 Nose, Mouth, and Throat 377
Ch. 15 Breasts and Regional Lymphatics 415
Ch. 16 Thorax and Lungs 447
Ch. 17 Heart and Neck Vessels 497
Ch. 18 Peripheral Vascular System and Lymphatic System 551
Ch. 19 Abdomen 581
Ch. 20 Musculoskeletal System 625
Ch. 21 Neurologic System 687
Ch. 22 Male Genitalia 751
Ch. 23 Anus, Rectum, and Prostate 781
Ch. 24 Female Genitalia 797
Ch. 25 The Pregnant Female 839
Unit 3 Integration of the Health Assessment 873
Ch. 26 The Complete Health Assessment: Putting It All Together 875
Ch. 27 Critical Thinking in Health Assessment 899
App. A-1 Recommended Childhood Immunization Schedule U.S., January-December, 1999 907
App. A-2 Recommended Immunization Schedules for Children Not Immunized in the First Year of Life 908
App. B Recommended Dietary Allowances 908
App. C Pattern of Normal Prenatal Weight Gain 910
App. D Selected Percentiles of Triceps Skinfold Thickness and Bone-Free Upper Arm Area by Height in U.S. Men, Age 25 to 54 Years, with Small, Medium, and Large Frames 911
App. E Selected Percentiles of Triceps Skinfold Thickness and Bone-Free Upper Arm Area by Height in U.S. Women, Age 25 to 54 Years, with Small, Medium, and Large Frames 912
App. F Percentiles of Upper Arm Circumference (mm) and Estimated Upper Arm Muscle Circumference (mm) 913
App. G Frame Size by Elbow Breadth of Male and Female Adults in the U.S. 914
App. H-1 Standard Precautions 914
App. H-2 Transmission-Based Precautions 915
App. I Sample Growth Charts, for Girls and Boys (Height and Weight) 917
App. J-1 Maturational Assessment of Gestational Age (New Ballard Score) 923
App. J-2 Classification of Newborns (Both Sexes) by Intrauterine Growth and Gestational Age 924
App. K-1 Blood Pressure Levels for the 90th and 95th Percentiles of Blood Pressure for Girls Age 1 to 17 Years by Percentiles of Height 925
App. K-2 Blood Pressure Levels for the 90th and 95th Percentiles of Blood Pressure for Boys Age 1 17 Years by Percentiles of Height 926
Illustration Credits 927
Index 933
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Customer Reviews

Average Rating 3.5
( 3 )
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Sort by: Showing all of 3 Customer Reviews
  • Anonymous

    Posted September 10, 2013

    Do not use Barnes and noble textbook rental service. I retuned t

    Do not use Barnes and noble textbook rental service. I retuned the book in the exact condition it was delivered to me. I was charged $75. I am a loyal and long term customer of b&n and was told they could do absolutely nothing to help me. Multiple other textbook rental companies offer this product also at lower rates. These companies do not rely on the consumer to update them on the condition of their own textbook rentals. I will no longer be utilizing Barnes and noble

    1 out of 1 people found this review helpful.

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  • Posted February 22, 2015

    I just want to buy a book

    I just want to buy a book

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  • Anonymous

    Posted May 8, 2013

    This book is extremely helpful. Fills in any gaps you may have o

    This book is extremely helpful. Fills in any gaps you may have on health and physical assessment of all systems of the body. This textbook was a requirement in my BSN program and my only regret is that I rented it. A definite reference to own in every nurses personal library.

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