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Chapter-01 Health Assessment

BOOK TITLE: Clinical Nursing Procedures: The Art of Nursing Practice
  1. Jacob Annamma
  2. R Rekha
  3. Tarachand Jadhav Sonali
ISBN 9788180618833
DOI 10.5005/jp/books/10140_1
Edition 1/e
Publishing Year 2006
Pages 56
Author Affiliations
  1. Professor, Bhagwan Mahaveer Jain College of Nursing, Bangalore
  2. Associate Professor, Bhagwan Mahaveer Jain College of Nursing, Bangalore, Karnataka
  3. Asst. Professor of Nursing, Bhagwan Mahaveer Jain College of Nursing, Bangalore, Karnataka
Chapter Keywords health assessment, nursing action, pulse assessment, blood pressure measurement, urine specimen collection, breast self-examination, testicular self-examination, respiration assessment, blood sample collection, stool specimen collection, throat swab collection, wound swab, blood culture
This chapter has outlined the different procedures of health assessment such as measuring body temperature, assessment of pulse, blood pressure monitoring, collecting urine specimen for routine examination and for culture, collecting blood for routine examination and culture, and teaching breast self-examination and testicular self-examination. Body temperature measurement is routine part of assessment on admission for establishing a base-line data and used to assess the general health status of patient and to assess for any alteration in health status. Common methods for measuring body temperature are oral, rectal, axillary, and tympanic membrane. It is always best to use individual thermometer for each patient. When individual thermometer is not used in patient care-units, axillary method is recommended. Blood pressure measurement using a sphygmomanometer is also an essential element of health assessment. It should be remembered not to take blood pressure on a patient’s arm if the arm has an intravenous infusion on it, the arm is injured/diseased, the arm has a shunt/fistula for renal dialysis, and if the arm is paralysed. Appropriate sized cuff should be used.