NSG 2317 Chapter Notes - Chapter 3: Medical History, Physical Abuse, Coronary Artery Disease
12 Mar 2018
School
Department
Course
Professor
Document Summary
Mood and affect (sustained emotion person is feeling; displaying feelings/state of mind) Consciousness (being aware of one"s thoughts and environment) Orientation (awareness of the objective world in relation to self) Attention to concentration (direct thinking toward the topic without being distracted) Comprehension and abstract reasoning (pondering a deeper meaning) Perception (awareness of objects through five senses) Content (what the person thinks specific ideas, beliefs, etc. ) Insight (awareness of the reality of the situation) Judgement (ability to choose a logical course of action) Primary language, name they prefer, gender, relationship status, ethnicity, etc. Known allergies, type of reaction, usual treatment. Status of immunizations, hiv infection, and hep. Current medications, name, purpose, dosage, frequency, effectiveness, side effects, etc. Appearance: posture; body movements dress, grooming and hygiene. Behaviour: level of consciousness; facial expression; speech; mood and affect. Additional testing for patients with aphasia: word comprehension, reading, writing. Higher intellectual function: measure problem-solving and reasoning abilities.
