Question

list the sequence of assessment for responsive and unresponsive people

Answer 1

ASSESSMENT

Aseessment is the deliberate and systematic collection of data to determine clients current and past health status as well as functional status to determine the clients present coping patterns

Primary assessment

primary survey is applicable for both responsive and non responsive patients

• This includes.
• Initial general impression
• Assessing the Level of consciousness
• AIrway braething Circulation assessment ( ABCs)

1. Airway

-If airway is blocked, position the patient in -open airway with head-tilt, chin lift position
  -Do oro- or nasopharyngeal airway-suction
   -If airway blocked due to foreign body obstruction use abdominal thrust or blockage-clearing technique

2.Breathing

-Assess for the rate and depth of respiration

-Note for respiratory arrest
-inadequate breathing (less then 8 per minute)
-adequate breathing (more then 24 per minute)

3, Circualtion

-Observe for bleeding

-Check pulse rate
-Skin color
-Temperature

• Identifying life threats
• Assessment of vital functions including tempersture, heart rate, BP, oxygen saturation
• Begin interventions needed to preserve life.
• Integration of treatment/procedures needed to preserve life
• Set priority for patient assessment

Determine patient priority based on the conditions of the patient

- Identify whether the patient is suffering from co morbidities

-Check for the level of consiousness

-Check whether he is alert and responsive

- It should be a baseline while doing secondary assessment

2. SECONDARY ASSEESMENT

Indications of Seconadry assessment

-Assess for mechanisms of injury
-signs that would suspect a spine injury
-gather useful information from the scene to relay to emergency physicians and nurses

Criteriae for doing secondary assessment

• For medical patients it is performed on the scence
• in case of unresponsive patient it will be in ambulance
• SEcondary assesesment pattens are different in each group

Asseessment includes,

-History of present illness

-Past medical history

-Physical examination

-Monitering of vital signs

• In patient who is responsive, it is easy to gather information when comparing to other.

. Competencies of history collection

• Determining the chief complaint

• Investigation of the chief complaint

• Mechanism of injury/nature of illness

• Past medical history

• Associated signs and symptoms

• Pertinent negatives

• Components of the patient history

• Interviewing techniques

• How to integrate therapeutic communication techniques and adapt the line of inquiry based on findings and presentation

1. History of present illness

-Ask about the Onset of the disesee
-Provokes
-Quality and radiation
-Severity
-Time

2.Aseess the past medical history

-Check for allergies, events contributed to present illness,previoyus attack of disese, taken medications

3.Physical examination

• This includes using your hands and eyes to inspect the patient for any signs of illness and/or injury.
• Make a quick assessment of body parts including head,neck,chest,abdomen,pelvis,extremities

4. Vital signs

• Assees for Blood pressure,Pupils size,Pulse,Oxygen saturation,Respiration,Skin color, Body temperature

Seconary assessment  For unresponsive patients

• Perform a Rapid physical examination
• Gather Baseline vital signs
• Gather the history of the present illness from bystanders
• Gather a past medical history from family or bystanders

Assessment includes,

Neck-jugular vein distention,medical identification devices
Chest--presence and equality of breath sounds
Abdomen-distention ,firmness ,rigidity
Pelvis-incontinence (uncontrolled) of urine or feces
Extrimities -pulse,motor function,sensation ,oxygen saturation ,medical identification devices

History collection in unresponsive patient

• Ask the bystandards or vitness of event about the incidence, duration or intensity of the event
• Ask them about the medications he was taking, associated illness, ans the reporyed chief complints by te patient

3. Reassessment

• It is the the last step in patient assessment, used to detect changes in a patient’s condition;
• It includes,

1. repeating initial assessment
2. reassessing and recording vital signs
3. and checking interventions.