Physical Examination and Health Assessment / Edition 6

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With an easy-to-read approach and unmatched learning support, Physical Examination & Health Assessment, 6th Edition offers a clear, logical, and holistic approach to physical exam across the lifespan. Detailed illustrations, summary checklists, and new learning resources ensure that you learn all the skills you need to know. This gold standard in physical exam reflects what is going on in nursing today with coverage of emerging trends and new evidence-based content. It's easy to see why this text is, far and away, #1 in this market!

This item is a stand-alone text.

  • A clear, conversational writing style makes learning easier.
  • A two-column format distinguishes normal findings from abnormal findings, and uses color, step-by-step photos to clarify examination techniques and expected findings.
  • Over 1,000 full-color illustrations present anatomy and physiology, examination techniques, and abnormal findings.
  • Developmental considerations help in caring for patients across the lifespan with age-specific assessment techniques for infants, children, adolescents, pregnant females, and older adults.
  • Abnormal findings tables include over 300 pathology photos to help in recognizing, sorting, and describing abnormalities.
  • Promoting a Healthy Lifestyle boxes enable patient teaching and health promotion while performing the health assessment.
  • An emphasis on cultural competencies reflects today's care considerations for an increasingly diverse patient population.
  • Documentation examples show how to record assessment findings in the patient's chart, using the SOAP format.
  • Summary checklists provide a quick review of examination steps.
  • Spanish-language translations on the inside back cover highlight important phrases for better communication during the physical examination.
  • A companion Evolve website helps you review key content offering case studies with critical thinking questions, printable health promotion handouts, a head-to-toe examination video, heart and lung sounds, audio chapter summaries, and more.
  • 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: 939
  • 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


1. Evidence-Based Assessment

2. Cultural Competence: Cultural Care

3. The Interview

4. The Complete Health History

5. Mental Status Assessment

6. Substance Use Assessment NEW!

7. Domestic Violence Assessment


8. Assessment Techniques and the Clinical Setting

9. General Survey, Measurement, Vital Signs

10. Pain Assessment: The Fifth Vital Sign

11. Nutritional Assessment


12. Skin, Hair, and Nails

13. Head, Face, and Neck, including Regional Lymphatics

14. Eyes

15. Ears

16. Nose, Mouth, and Throat

17. Breasts and Regional Lymphatics

18. Thorax and Lungs

19. Heart and Neck Vessels

20. Peripheral Vascular System and Lymphatic System

21. Abdomen

22. Musculoskeletal System

23. Neurologic System

24. Male Genitourinary System

25. Anus, Rectum, and Prostate

26. Female Genitourinary System


27. The Complete Health Assessment: Putting It All Together

28. Bedside Assessment of the Hospitalized Adult

29. The Pregnant Woman

30. Functional Assessment of the Older Adult

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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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