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Holistic Health Assessment - Essay Example

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Moreover, information regarding childhood illnesses, adult illnesses, family history, personal and social history, and a head to toe system review is also appropriate (Bickley, 2009). This means that, in addition to the analysing the symptoms with which the patient presents, the nurse should also analyse the patient’s personality, interest, support sources, coping style, fears and strengths, sources of stress, occupation, last year of schooling, etc. Family history would include information regarding the patient’s immediate family – their health, age, and cause of death. Assessment Techniques The techniques which are used in the medical model are inspection, palpation, percussion and auscultation. Since the patient presents specifically with cardiovascular symptoms, these techniques will be limited to this area of study. Inspection. According to Seidel et al. (2011), for a lung inspection, the patient is to sit upright, unclothed to the waist. The patient should we a drap to cover him if full exposure is not necessary. Further, the patient should be situated in a position where the light source comes from different angles, as this will help with subtleties (such as minimal pulsations or retractions, or the deformities). The shape and symmetry of the chest should be noted, from the back and the front, the costal angle, the angle of the ribs and the intercostal spaces. The chest should be examined symmetrically, using one side as a comparison for the other side (Seidel et al., 2011). Seidel et al. (2011) further states that the skin, nails and lips should also be examined for cyanosis or pallor, which may be clues to respiratory and cardiac disorders. Seidel et al. (2011) also recommends that the...
Assessment Techniques
The techniques which are used in the medical model are inspection, palpation, percussion and auscultation. Since the patient presents specifically with cardiovascular symptoms, these techniques will be limited to this area of study.
Inspection. According to Seidel et al. (2011), for a lung inspection, the patient is to sit upright, unclothed to the waist. The patient should we a drap to cover him if full exposure is not necessary. Further, the patient should be situated in a position where the light source comes from different angles, as this will help with subtleties (such as minimal pulsations or retractions, or the deformities). The shape and symmetry of the chest should be noted, from the back and the front, the costal angle, the angle of the ribs and the intercostal spaces. The chest should be examined symmetrically, using one side as a comparison for the other side (Seidel et al., 2011). Seidel et al. (2011) further states that the skin, nails and lips should also be examined for cyanosis or pallor, which may be clues to respiratory and cardiac disorders. Seidel et al. (2011) also recommends that the practitioner smell the patient’s breath, because the patient may have malodorous breath may denote intrathoracic infection. Further, according to Seidel et al. (2011), the practitioner should inspect the patient’s nipples, which may show congenital abnormalities. ...Show more
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Summary

The assessment model used is the medical model. The medical model of assessment focuses upon the disease of the patient and the pathology of the patient, excluding psychological and sociological factors which might influence health…
Holistic Health Assessment
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