by jamiehancock1988

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Published Aug 28, 2013 in Business & Management
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Presentation Slides & Transcript

Presentation Slides & Transcript

Health Promotion and Assessment

TopicsAssessmentGeneralReproductiveEffects of aging

© Deborah Smith DCCCD 2010Assessment: What do you assess for a general assessment?How do you do your assessment?Systems review?Head to toe?Basic needs assessment?Do you know the difference in these?

© Deborah Smith DCCCD 2010Assessment: What do you assess for a general assessment?If you are doing a system review—what are the systems? What is assessed in each? How do you do that? i.e. assess pupillary responseNeuroCVRespir/pulmoGIGU/ReproMSIntegPsych/socialOther PainIV’s, linesDressings, incisions

© Deborah Smith DCCCD 2010Assessment: What do you assess for a general assessment?Head to toe? Where do you start? Then how do you chart?Starting at the head, looking at everything there-eyes, ears, mouth, speech, etc.Continue working down the body, assessing everything as you go.Charting is usually in SYSTEMS/by exception-meaning documenting what is not normal or expectedBasic needs? This is not being done much anymore as a type of assessment, but is a way to organize the information to identify the client needs for the purpose of developing a plan of care.Pick a method and use it-so it becomes routine for you. In this manor you will not forget areas/items to be assessed.Question: does your clinical faculty want you to do it in a specific way? Adjust to your faculty while in school, nurses must be flexible. Think about how you want to do your assessments in your practice.

© Joan Becker DCCCD 2002

Reproductive Assessment: FEMALE & MALEPast Health HistoryObstetricGynecologicPediatric illnessesChronic diseasesMedicationsPrescriptionsOTCAllergiesSurgery & Other Treatments© Joan Becker DCCCD 2002

ASSESSMENT: FEMALE & MALESexual & Contraceptive PracticesBSEPap smearTSELifestyle ChoicesSmokingAlcoholCaffeineDrugs© Joan Becker DCCCD 2002

ASSESSMENT: FEMALE & MALENutritionGeneralCalcium intakeFolic acid intakeElimination PatternActivity-Exercise PatternSleep-Rest PatternCognitive-Perceptual PatternSelf-perceptionRole-relationshipSexualCopingValue/belief © Joan Becker DCCCD 2002

ASSESSMENT: FEMALE & MALEPhysical ExaminationDiagnostic Studies/ProceduresUrine ( HCG for pregnancy)HormonesBloodSyphilisPap smearMammographyFertility evaluation© Joan Becker DCCCD 2002

ASSESSMENT: FEMALE & MALESurgicalBreast biopsyColposcopyConizationCuldotomy, culdoscopy, & culdocentesis© Joan Becker DCCCD 2002

Effects of aging on the maleTestes become smaller and less firmProstate gland enlargesPenis decreases in sizeDecrease response to sexual stimulationErectile dysfunction© Joan Becker DCCCD 2002


FIG. 53-11 Vacuum constriction device. With the vacuum device in place, blood can be drawn into the penis by means of a hand pump. This creates an erection. For intercourse, the ring is slipped to the base of the penis and the cylinder removed.

FIG. 53-12A, Intraurethral insertionof medicated pellet (alprostadil) using a medicated urethral system for erection(MUSE) device. B, Intracavernosal self-injection. Self-injection therapy involves injecting a medication directly into the penis. This increasesblood flow and causes an erection.

Penile implants. A, Malleable implant is always erect but canbe bent close to body for concealment. B, Inflatable implant consists of cylinders in the penis, a small pump in the scrotum, and a reservoir in the lower abdomen. When activated, the pump fills the cylinders with fluid from the reservoir. A small release valve permits the fluid to drain back into the reservoir after intercourse.

Effects of aging on the femaleAmenorrheaVasomotor instabilityAtrophy of vaginal mucosaVaginal drynessStress incontinenceIncrease facial hairScanty body hairLoss of elasticityOsteoporosisAltered response to sexual stimulation© Joan Becker DCCCD 2002

© Joan Becker DCCCD 2002