HAMidterm Reviewer
HAMidterm Reviewer
HAMidterm Reviewer
1. INTRODUCTORY
- introduce
- explain the purpose What to avoid:
- privacy and confidentiality
- Biased/leading questions
- “trust and rapport”
- Rushing through interview
- Reading the questions
2. WORKING
- History taking REMEMBER SOLER!!
- Listening, observe nonverbal cues, critical
thinking Sit erect
- Nurse-client collaboration Open arms
Listen actively/Lean forward
3. SUMMARY AND CLOSING Eye contact/Empathy
- Summarizes info for clarification and validation Relaxed
- Identifies possible plans to resolve the problem SPECIAL CONSIDERATIONS DURING INTERVIEW
with the client
- Ask: other concerns - Gerontologic (elderly) variations
o Low voice
COMMUNICATION - Cultural variations
NON-VERBAL - Emotional variations.
• Problems at birth
• Childhood illness
• Immunizations
• Adult illnesses (physical, emotional, mental)
• Surgeries
• Accidents
• Prolonged pain or pain patterns
• Allergies
CHAPERONE
OPEN-ENDED/TRADITIONAL
o History of present illness and chief
complaint
o Narrative
o gives “total picture” specific complaints
in client’s own words
PHYSICAL EXAMINATION EQUIPMENT
o provides lines for comments
VITAL SIGNS o time consuming
o Stethoscope o individualized information
o Wristwatch CUED/CHECKLIST
o Digital thermometer o findings
o Sphygmomanometer o Standardized
ANTHROPOMETRIC MEASUREMENT o Category for symptoms
o Skin-fold calipher o Prevent missed questions
o Platform scale o Easy and rapid documentation
o Tape measure INTEGRATED CUED CHECKLIST
SKIN o WITH NURSING DIAGNOSIS
o Centimetre rule o Combines assessment data with
o Wood’s light (germ light) identified nursing diagnosis
EYE EXAMINATION o Cluster data
o Ophthalmoscope o Interprofessional communication
NURSING MINIMUM DATA SET
o CUED AND TRADITIONAL
o Long term facility
o Cued format for specific criteria
Monitoring
Flow charts (VS and assessment flow sheet)
Progress notes