For example Tina has diabetes and is more likely to have the peripheral sensory

For example tina has diabetes and is more likely to

This preview shows page 2 - 4 out of 5 pages.

perception so the patientsclinical situation should be considered when testing it. For example, Tina has diabetes and is more likely to have the peripheral sensory loss. Peripheral sensory from diabetic neuropathy is usually distal, whereas someone with the sensory loss caused by spinal trauma will have sensory loss specific to the area of the skin that is supplied by nerves from the affected spinal root (Jensen, 2015). Testing
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6/12/2018 Comprehensive Assessment | Completed | Shadow Health 3/5 sensory loss can help identify educational points, for example, Tina had a sensory loss on the balls of her feet, so following up by asking her if she performs daily feet assessments is important (Jensen, 2015). Respiratory: To assess the patient's respiratory system I asked questions regarding her respiratory status, and history. By inquiring if she has ever had a respiratory disease, it helps identify the potential for developing subsequent respiratory conditions. Tina, has asthma, which is a chronic respiratory disease in which the upper airway is overly sensitive to different environmental stimuli and allergens. This is one reason why I asked Tina if she had any allergies and what reactions she has had in the past to the allergens. Cats and dust are two of her allergies that trigger her asthma. I also asked Tina about her lifestyle choices and environment. For example, I asked her if she has ever used or smoked tobacco, because smoking poses many risks to a person's health. Smoke inhalation can irritate air passageways, and trigger asthma exacerbations. It can also lead to other respiratory conditions, such as lung cancer. Asking questions such as these, helps to identify current and potential risk factors the patient has that can have a negative impact on her health status. It also helps to identify nursing interventions and education that that can potentially benefit the patient and promote health. For the objective portion of the examination, I inspected her general appearance and position, noting if she appeared comfortable. Noting for any signs of respiratory distress. For example, is she lying or sitting comfortably or sitting upright in a tripod position? Does she need to catch her breath while talking? Are her lips pursed? What is her respiratory rate? Inspection starts as soon as I enter the room, but continues throughout the entire assessment. Then I inspected the patients chest for symmetry, size, shape, and muscle use. For the remaining parts of the respiratory assessment I started from the top of the lung fields and worked downwards, making sure to compare the right and left. Palpation was done to assess chest expansion and for tactile fremitus. Palpating the chest for expansion helps feel if breaths are symmetrical, and tactile fremitus helps to evaluate lung density. Percussion was done to evaluate how dense lung fields are. According to Jensen (2015) the sounds that are revealed during percussion can help determine whether tissue is dense due to fluid collection, air collection, or is solid. Normally the sounds should be resonant and symmetrical (although in heavier patients it may not be). I listened to the patients lung sounds by placing a
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