HPI, ROS, and physical exam-Physical Exam of the Adult Patient

For the purpose of this assignment, include: complete HPI, ROS, and physical exam comprehensive Physical Exam of the Adult Patient. Elicit and document a patient history, including: Chief Complaint, History of Present Illness, Past Medical and Surgical History, Family History and Personal Social History.

HPI, ROS, and physical exam-Physical Exam of the Adult Patient

For the purpose of this assignment, include: complete HPI, ROS, and physical exam Comprehensive Physical Exam of the Adult Patient.
Firstly, Elicit and document a patient history, including: Chief Complaint, History of Present Illness, Past Medical and Surgical History, Family History and Personal Social History.

Secondly, Accurately document Subjective Abnormal Data.

Thirdly,  Elicit a complete Review of Systems (ROS).

Fourthly, Demonstrate understanding the meaning of Pertinent Positives and Negatives.

Furthermore, Demonstrate the components of symptom analysis using the “Seven Attributes of a Symptom.”

Also,  Begin the practice of sequencing and coordinating the Comprehensive Physical Exam of the Adult Patient.

Additionally,  Identify anatomical landmarks of the human body pertaining to the systems listed below.

Lastly, Correlate examination techniques of the following body systems using the correct sequence and anatomical landmarks in an adult patient:

A. General Survey, Vital Signs, Pain g. Female Genitalia*

b. Behavior and Mental Status h. Anus Rectum and Prostate
c. Skin, Hair, and Nails i. Musculoskeletal System
d. Lymphatic System j. Nervous
e. Head and Neck
f. Thorax and Lungs
b. Cardiovascular
c. Breasts and Axilla
d. Abdomen
e. Peripheral Vascular
f. Male Genitalia

8. Use correct terminology to record objective components of the physical examination findings.
Hogan-Quigley, Palm, and Bickley: Bates’ Nursing Guide to Physical Examination and History Taking, Second Edition

• Chapters 1, 2, & 3. Review, “Seven Attributes of a Symptom” found on page 70-71.

Please focus your reading for this unit on the sections of each chapter that detail system anatomical landmarks and general examination techniques. For the most part, this reading assignment, while extensive, is a review of material previously mastered at the undergraduate level. There is a tremendous amount of useful and important information in these chapters, which will become more useful as you gain skills and increase expertise in performing the physical exam. The goal of this course is to gain proficiency in the exam itself, and to be able to document your findings. As you read, keep this in mind.

The only way to become comfortable and proficient in physical exam skills is to practice them. We strongly suggest that you practice your assessment skills for each system at least 10 times on different classmates.

Chapter 1:

Firstly, Introduction to Health assessment

Chapter 4:

Secondly, The Health History

Chapter 6:

Thirdly, Physical examination

Chapter 7

Fourthly, Beginning the Physical Examination: General Survey, Vital Signs, Pain

Chapter: 8

Further, Nutrition

Chapter 9:

Also, The Skin, Hair and Nails

Chapter 10:

Additionally, The Head and Neck Page 7 of 25

Chapter 11:

Moreover, The EYES

Chapter 12:

Besides, Ears, Nose, Mouth and Throat

Chapter 13:

Apparently, The Thorax and Lungs

Chapter 14:

Also, The Cardiovascular System

Chapter 10:

Further, The Breasts and Axillae

Chapter 11:

Also, The Abdomen

Chapter 15:

Furthermore, The Peripheral Vascular System

Chapter 16:

Also, The Gastrointestinal and renal System

Male Genitalia and Hernia

Chapter 14:

Moreover, Female Genitalia

Chapter 15:

The Anus, Rectum, and Prostate

Chapter 16:

Lastly, The Musculoskeletal System

Chapter 17:

Finally, The Nervous System

 

ASSESSMENTS

1. Using the guidelines presented in the “Components of the Health History” chapters 1& 4 from Hogan-Quigley, Palm, and Bickley: Bates’ Nursing Guide to Physical Examination and History Taking, Second Edition text, obtain and document a complete ROS for a patient. Document Pertinent Positives and Negatives while taking this ROS, using the Components of the Health History in the Hogan-Quigley, Palm, and Bickley: Bates’ Nursing Guide to Physical Examination and History Taking, Second Edition text, found under “Present Illness.” Include a thorough description of each positive finding on the elicited ROS.

2. Complete a separate one-page document and choose one of the Subjective Abnormal Findings mentioned by your patient in the CC, History of Present Illness, or Review of Systems. Document your understanding of how to use the “Seven Attributes” for symptom analysis found in the Hogan-Quigley, Palm, and Bickley: Bates’ Nursing Guide to Physical Examination and History Taking, Second Edition text.

3. Nursing Care plan Peripheral artery disease

This assignment should be submitted to APD in Week 13.
Review the Grading Rubric below which will guide you as you prepare to demonstrate proficiency in your documentation of the Review of Systems and the Seven Attributes of symptom analysis.