Student Laboratory Manual for Physical Examination & Health Assessment / Edition 5

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Overview

Whether you are a beginning examiner or an advanced-practice student, this book holds the content you need to develop and refine your clinical skills. Physical Examination and Health Assessment, Third Edition continues to be a comprehensive textbook on methods for recording health histories, physical examination skills, health promotion techniques, and clinical assessment tools. This text presents a firm foundation in these subjects and continues to be an excellent clinical reference.


New to the Third Edition:

  • All chapters are revised and updated, with expanded coverage in anatomy and physiology, as well as new nutrition screening tools, newborn assessments for gestational age, tympanic membrane-thermometer measurements, classification of hypertension with risk stratification and treatment, pulse oximetry, and 12-minute distance walk to measure functional status.
  • A new chapter, The Pregnant Female, describes the physiologic adaptation of a woman's body to pregnancy, the history and physical examination throughout pregnancy, and the important abnormal findings to consider.
  • Abnormal Findings Tables, located at the end of the chapters, are fully revised with more than 100 new full color photographs of abnormalities.
  • Transcultural Considerations are revised and updated in each chapter, including new content on age of onset of puberty and incidence of coronary heart disease and prostate cancer.
  • Full color art of more than 68 new illustrations shows shapes of skin lesions, head and neck overlays, lactation disorders, thorax configurations, tactile fremitus abnormalities, and joint abnormalities.
  • Examination illustrations contain more than 60 new full-color photographs.
  • Chapter bibliographies are thoroughly updated to include the best of clinical practice readings as well as basic science research and nursing research, with an emphasis on scholarship from the last five years.
  • Physical Examination skills continue to be refined as the clinician notes what works in his or he own setting and then validates it through research.
  • Assessment video critical thinking questions are included in each body system chapter. These chapters provide a connection to the Saunders Physical Examination and Health Assessment Video Series, which is developed from this textbook.

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

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Editorial Reviews

Candace M. Gortney
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. 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. 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. 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) anderrors (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. 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.
From The Critics
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: 9781416038535
  • Publisher: Elsevier Health Sciences
  • Publication date: 10/31/2007
  • Edition description: Student Laboratory Manual
  • Edition number: 5
  • Pages: 336
  • Product dimensions: 8.40 (w) x 10.70 (h) x 0.70 (d)

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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