Mildred O. Hogstel, Linda Curry's Health Assessment Through The Life Span 4th Edition PDF

By Mildred O. Hogstel, Linda Curry

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Explain what you are doing, as you are doing it. 01Hogstel-Part 1 3/1/05 8:24 PM Page 14 14 The Patient Interview and Health History Communication Skills • • • Encourage familiarity and independence whenever possible. Do not be overprotective. Be careful not to move things around in the room of a person who is visually impaired, unless the person asks you to move something. Communicating with People Who Are Aphasic Aphasia is a total or partial loss of the power to use or understand words. It is often the result of a stroke or other brain damage.

Weight: Note any weight changes (increase or decrease) in the patient over the past month, year, or 5 years. Patient’s perception of weight. Special diet: If the patient is on a special diet, note the type and any difficulty following the diet. Assess knowledge of diet. Does the patient use any dietary supplements (kind, amount, frequency)? Food preferences: Note patient’s current food likes or dislikes, amounts of food consumed at one time, frequency of meals, typical meals. Appetite: Note whether the patient’s hunger is more pronounced at certain times of the day or night; any loss of or increase in appetite recently or over the past year; any recent changes in kinds of food eaten.

M. m. Speech: Volume, clarity, speed, quantity, tone, accent Language: Fluency, comprehension, word choice, native language Affect: Alert, calm, responsive Mood: Feelings such as sad, depressed, joyful Memory: Immediate, recent, remote, old Intelligence: Mental development, thinking skills, vocabulary, calculation Abstract thinking: Judgment, analogies 01Hogstel-Part 1 3/1/05 8:24 PM Page 29 The Patient Interview and Health History 29 Health History Guidelines • • • • • • • • Attention span: Intense, distracted, severely limited Thought content: Depression, paranoid beliefs, obsessions, hallucinations, phobias, delusions, illusions Thought process: Logical, spontaneous, flight of ideas, bizarre, digressive Writing: Ability to write a sentence or copy a figure Insight: Awareness and meaning of illness Attitude: Cooperative, evasive, passive, hostile Activity level: Appropriate, restless, lethargic Response to assessment: Cooperative, quiet, argumentative Note See the Sample Mental Status Assessment Flow Sheet (Hogstel, 1991) in App.

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