What exam modifications can the Garcia expect for Virginia?
Sensory examinations are almost the same for adults, infants, young children, and aging adults. But due to different level of development, some aspects of the exams are being modified in other to meet the need of patients from every age group, and to help examiner acquire an accurate result. Garcia should expect some modifications when taking Virginia her two year old daughter for complete nursing assessments. The modification includes:
Hearing exam modifications:
During external ear examination, the examiner will examine Virginia’s external ear to confirm if the top of her pinna is in alignment with the imaginary line that comes from the corner of her eye (Jarvis, 2013, p. 335).
Otoscopic examination will be done towards the end of the exam because Virginia tends to lose cooperation afterwards this part of the examination (Jarvis, 2013, p. 335). Also, Garcia will be needed to stabilize child during examination in other to avoid injury.
Virginia’s pinna will be pulled down in other to align it with the ear canal slope when inserting the otoscope. (Jarvis, 2013, p. 335), and a pneumatic (inflated) bulb is attached to the otoscope which will allow examiner to direct air toward the inner ear in other to evaluate how well the air can respond to pressure. (Jarvis, 2013, p. 335)
Vision exam modifications
Allen test is used instead of the Sellen test. Allen test is used to screen young children from 11 months to 2½ years old, which is Virginia’s age group falls in. In this test, Virginia will be shown seven picture cards with familiar objects while the pictures are shown at distance of 15 feet, and close to her face. If she is able to identify three out of s...
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...had a hearing and eye examination, and it went really well. For the eye testing, I was asked to stand 20 feet away from a chart of different alphabets with different sizes, and I was asked to cover my right eye with my right hand while I read out the letters, while the same process was repeated for the left eye. Also, during the hearing test, I was asked to sit in a little quiet room where I was given an ear phone and a buzzer to press anytime I hear sounds through the ear phone. This process was repeated for about 10 minutes .
References
Giddens, J. (2013). Concepts for nursing practice. (1st ed.). St. Louis, Missouri: Mosby Elsevier. Retrieved from http://pageburstls.elsevier.com/
Jarvis, C. (2012). Physical examination and health assessment. (6th ed.). St. Louis, Missouri: Elsevier Saunders. Retrieved from http://pageburstls.elsevier.com/
difficulties the SNA may be required to provide guidance to the pupil, operate hoists and
• A U-shaped incision will be made under one side of your jawbone, just beneath your ear, and will continue below your larynx and up to the other side of your jawbone.
Assessment are usually conducted following a change in the older adult life such as a serious illness, falls, loss of a spouse, change in living arrangements, or come evidence of difficulty observed by a family member
read by a trained health worker. If the skin around the prick israised and it
An assessment that I always use is Ages & Stages Questionnaires (ASQ). Each child receives this assessment. Working in the W. Children’s Learning and Development Center for the past thirteen years allowed me to use them numerous times and have a complete understanding of each child’s developmental based on the information provided when the assessment is resumed. Starting working there with the three years old for two years, I remember vaguely when we applied the Ages & Stages to them. I am not aware of the questions being asked for that age group anymore. Working for the infants and toddlers for eleven years now, allow me to be knowledgeable about where is supposed to be. I usually use the questionnaire when they are 4, 6, 8, 10, 12, and 14
Potter, P. & Perry, A. (2009). Fundamentals of Nursing (7th ed.) St. Louis: Mosby Elsevier, 1029-1084.
Assessment of a patient’s health status is the collection of data through nursing assessment techniques,
The doctor might also conduct a physical examination to confirm the diagnosis. This is carried out by listening...
...telephone booth (body plethysmograph) while breathing in and out into a mouthpiece. Changes in pressure inside the box help determine the lung volume.
Assessing is the first phase of the nursing process, and it refers to the ones ability of identifying the ongoing nature of the condition. Assessment includes; the collecting of data from the patient or regarding the patient for examples one’s vital signs , the reviewing of the collected information , recognising of the patients problem , and also detecting of the significances among problems. Any information for patients assessment can be retrieved by observing, ques...
Jarvis, C. (2008). Physical examination and health assessment (5th ed.) with skills DVD. St. Louis: Saunders.
Jarvis, C. (2008). Physical examination and health assessment (5th ed.) with skills DVD. St. Louis: Saunders.
Assessment is the accurate collection of comprehensive data pertinent to the patient’s health or the situation (“American Nurses Association,” 2010). Assessment is the first step in the nursing process and the most important. Assessment is the accurate collection of the patient’s health date including both subjective and objective information. Subjective data includes information that can only be described or verified by the patient. This may include chest pain, headache, or body aches. Objective date is data that can be observed and measured. This type of data is obtained using inspection, palpation, percussion, and auscultation during the physical exam. Objective data can also be provided through diagnostic testing. This is important for proper diagnosis, planning, and intervention. Examples of this may include vital signs, warm and moist skin, and coughing up yellow colored sputum.
Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (Seventh ed.). St. Louis, Mo.: Mosby Elsevier.