Pocket Companion Jarvis's Physical Examination and Health Assessment (ANZ Edition)
Clare Cole, Olivia Hill, Rosemary Saunders
Format: PDF / Kindle (mobi) / ePub
Publish Year note: First published in 1993
This concise nursing resource presents the health assessment steps in an easy-to-use, two-column format to emphasize the contrast between normal and abnormal findings.
It also features clear explanations, extensive diagrams and over 150 photos of examination techniques to further assist nursing students.
Tailored for a local market, Pocket Companion - Jarvis s Physical Examination & Health Assessment ANZ edition is a valuable, reassuring reference to assist students in the clinical setting or in exam preparation.
• Interviewing, health history taking and assessment techniques outlined
System chapters ordered by:
• Anatomy overview
• Subjective data
• Objective data
• Abnormal Findings
• Abnormal Findings for advanced practice where relevant
• Cross cultural care and Developmental care notes feature where appropriate
• Summary checklist
• Nursing diagnoses
Over 150 full colour illustrations and photos indicating anatomy, physiology and examination techniques
Easy to use, two column format
the side of the table (see Fig severe 11.20, JF&W). Compare the colour of with arterial both feet. Note the time it takes for insufficiency. colour to return to the feet. Normally, this is 10 seconds or less. Note also the Chronic hypoxia produces a loss of time it takes for the superficial veins tone around the feet to fill—the normal time vasomotor and a pooling of is about 15 seconds. This test is blood in the veins. unreliable if the person has concomitant venous disease with Delayed venous
creates an increase in pulse wave velocity because the less compliant arteries cannot store the volume ejected. 2. The overall size of the heart does not increase with age, but left ventricular wall thickness increases. This is an adaptive mechanism to accommodate the vascular stiffening mentioned earlier that creates an increased workload on the heart. 3. No significant change in diastolic pressure occurs with age. A rising systolic pressure with a relatively constant diastolic pressure
auscultation of the praecordium. The room must be warm—chilling makes the person uncomfortable and shivering interferes with heart sounds. Take scrupulous care to ensure quiet; heart sounds are very soft, and any ambient room noise masks them. Ensure the female’s privacy by keeping her breasts draped. The female’s left breast overrides part of the area you will need to examine. Gently displace the breast upwards, or ask the woman to hold it out of the way. Stethoscope with diaphragm and bell
they are performed, you are testing for possible presence of bronchophony, egophony and whispered pectoriloquy (Table 14.7, JF&W). Inspect the anterior chest Note the shape and configuration of the chest wall. The ribs are sloping downwards with symmetrical interspaces. The costal angle is within 90 degrees. Development of abdominal muscles is as expected for the person’s age, weight and athletic condition. Note the person’s facial expression. The facial expression should be relaxed and benign,
TABLE 1.1 Nonverbal behaviours of the interviewer Positive Negative Appropriate professional appearance Appearance objectionable to person Equal-status seating Standing Close placement to person Sitting behind desk, far away, turned away Relaxed open Tense posture posture Leaning slightly towards person Slouched back Occasional facilitation gestures Critical or distracting gestures: pointing finger, clenched fist, finger-tapping, foot-swinging, looking at watch Facial animation,