General Assessment

• Pain


  is an early predictor of impending disability
• 36.5 - 37.7 C


  Core body temperature
• Hypothermia


  less than 36’C or 97’F maybe seen in prolonged exposure to the cold hypoglycemia, hypothyroidism or starvation
• Hyperthermia


  more than 38’C or 96’F maybe seen in

  viral or bacterial infection, malignancies, trauma and various blood , endocrine and immune disorders
• Pulse


  A shock wave is produced when the heart contracts and forcefully pumps blood out of the ventricles into the aorta.
• arterial or peripheral pulse


  The shock wave travels along the fibers of the arteries and is commonly called
• Blood Pressure


  Reflects the pressure exerted on the walls of the arteries
• systolic blood pressure


  Is a measurement of the pressure of the blood in the arteries when the ventricles contracted
• diastolic blood pressure


  Is a measurement of the pressure of the blood in the arteries when the ventricles are relaxed
• higher 


  BP in a normal person in a standing is usually slightly ___ to compensate the effects of gravity
• lower 


  BP in a normal reclining person is slightly ___ due to peripheral vascular resistance
• Radiating pain


  Pain perceived both at the source and extending to other tissues
• Referred pain


  pain perceived in body areas away from the pain source).
• Phantom pain

  • perceived in nerves left by a missing, amputated, or paralyzed body part pain
• Neuropathic pain


  causes an abnormal processing of pain messages and results from past damage to peripheral or central nerves due to sustained neurochemical levels, but exact mechanisms for the perception of neuropathic pain are unclear.
• Intractable pain


  defined by its high resistance to pain relief.
• Mental


  refers to a client’s level of cognitive functioning (thinking reasoning, knowledge and problem solving) emotional functioning (feelings, mood, behaviors, and stability).
• Mental Health


  is an essential part of one’s total health and more than just the absence of mental disabilities and disorders.
• Health


  WHO states ”___ is a state of complete, physical, mental, social well-being and not merely the absence of disease or infirmity.
• Mental Health


  WHO further defines ___ as “a state of well-being in which the individual realizes his or her own abilities, and can cope with the normal stresses of life, can work productively and is able to make a contribution to his/her community.
• Growth


  refers to addition of new skill and component
• Development


  refers to refinement, expansion or improvement of existing skills or components
• Erik Erickson


  was an analyst who adapted and expanded Sigmund Freud’s psychosexual theory.
• psychosocial theory

  Erickson’s theory was known as
• Psychosocial being


  defined as the intrapersonal and interpersonal responses of a person to external events
• Dr. Jean Piaget


  described himself as a genetic epistemologist (one who studies the origins of knowledge).
• Lawrence Kohlberg


  he assumed that a person must enter moral stage hierarchy in an ordered and irreversible sequence.