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RATIONALE
This tool is valuable for evaluating patients with early-stage disease, both to assess the level of disease and to determine
These skills are considered more complex than the basic activities of daily living as measured by the Katz Index of ADLs The instrument is most useful for identifying how a person is functioning at the present time, and to identify improvement or deterioration over time.
Women are scored on all 8 areas of function; historically, for men, the areas of food preparation, housekeeping, laundering are excluded. Clients are scored according to their highest level of functioning in that category. A summary score ranges from 0 (low function, dependent) to 8 (high function, independent) for women, and 0 through 5 for men.
Plans, prepares, and serves adequate meals independently...1 Prepares adequate meals if supplied with ingredients........0 Heats and serves prepared meals or prepares meals but does not maintain adequate diet ........................0 Needs to have meals prepared and served ....................0
Maintains house alone with occasion assistance (heavy work)...1 Performs light daily tasks such as dishwashing, bed making..1
Performs light daily tasks, but cannot maintain acceptable level of cleanliness 1
Arranges own travel via taxi, but does not otherwise use public transpo..1
Travels on public transportation when assisted or accompanied by another....1 Travel limited to taxi or automobile with assistance of another....0 Does not travel at all ...............0
.Is responsible for taking medication in correct dosages at correct time ........................................1 Takes responsibility if medication is prepared in advance in separate dosages................................0 Is not capable of dispensing own medication...................0
Manages financial matters independently (budgets, writes checks, pays rent and bills, goes to bank); collects and keeps track of income..1 Manages day-to-day purchases, but needs help with banking, major purchases, etc ................................1 Incapable of handling money ............................................0
IADL with four scales that measured domains of functional status, Physical Classification(6-point rating of physical health), Mental Status Questionnaire (10-point test of orientation and memory),
Length of labor
Womans Types of perception of deliveries past Multiple births pregnancy, Abortions labor and Maternal, fetal delivery for and neonatal herself and complications effect on her family
Appearance and evaluation of color. Pulse Grimace or reflex irritability. Activity Respiratory effort
Auscultate the heart rate for 1 full minute Measure the degree of respiratory effort Evaluate muscle tone by attempting to strengthen each proximity individually. Evaluate the newborns reflex irritability. Use a flicking motion of two fingers against the newborns sole to reflex irritability Inspect the newborns color.
film
Pediatric additions to
Health assessment
Head circumference
Height/weight
Weight
immunization
Average weight,
weight loss Gain
Skin/Breast
Rash, itching Pigmentation moisture or dryness changes in hair growth or loss nail changes Breast lumps Tenderness Swelling nipple discharge
Eyes/Ears/Nose/Mouth/Throat
Vision
double vision tearing blind spots pain
Eyes/Ears/Nose/Mouth/Throat
Nose bleeding Colds Obstruction discharge Dental difficulties gingival bleeding, dentures
Cardiovascular
Respiratory
cough
respiratory infections
Gastrointestinal
Jaundice constipation or diarrhea abnormal stools flatulence Hemorrhoids recent changes in bowel habits
Genitourinary
dysuria,
Urgency
frequency infections
acute retention or incontinence Libido potency, genital stores, discharge venereal disease
Musculoskeletal
Neurologic/Psychiatric
Predominant mood "nervousness" (define) emotional problems previous psychiatric care unusual perceptions,
Allergic/Immunologic Lymphatic/Endocrine
Gracias a todos!!
Video Presentation is due on Friday April 28, 2012 At 11:00am; Nursing Office
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