健康评估（Health Assessment）

卢舜飞、蓝雪芬等

目录

  • 1 course introduction
    • 1.1 study guide(English version)
    • 1.2 study guide (Chinese version)
    • 1.3 schedule
    • 1.4 materials
    • 1.5 introduction
    • 1.6 videos of history taking and physical examination
  • 2 Common symptoms
    • 2.1 collecting subjective data
    • 2.2 Mind map and English Materials
    • 2.3 fever
    • 2.4 cyanosis
    • 2.5 dyspnea
    • 2.6 cough and expectoration
    • 2.7 edema
    • 2.8 jaundice
    • 2.9 hymoptysis
    • 2.10 haematemesis
    • 2.11 pain
    • 2.12 disturbance of consciousness
  • 3 physical exmination
    • 3.1 overview of physical examination
    • 3.2 assessing general health status
    • 3.3 assessing head and neck
    • 3.4 assessing thorax and lungs
    • 3.5 assessing heart
    • 3.6 assessing abdomen
    • 3.7 assessing spine, limbs and nervous system
  • 4 laboratory examination
    • 4.1 blood, urine and feces examination
    • 4.2 liver and kidney examination
  • 5 ECG examination
    • 5.1 normal ECG
    • 5.2 abnormal ECG
  • 6 nursing diagnosis and nursing records
    • 6.1 nursing diagnosis and nursing records
assessing abdomen

 


case study

A 40 year-old male driver statedthat he had a  repeated epigastric pain with acid reflux, andbelching  for more than ten years, thepain often happened  with hunger at night.Gastroscope suggested: duodenal bulb ulcers. Today the epigastric pain suddenlyhappened during his driving, and shifted to the right lower abdomen, continuedand  didn’t relieved. And deep breathing,cough, and changing positions would increase the pain, then he came to thehospital.

1. What positive signs can you find  if you conducted abdominal examination forthis client?

2.Please give primary disgnoses of this client.

3.According to the health data, could give  nursing diagnoses of him?