NU 333-01 Physical Assessment
Michaela P. Capulong
NU 333-01: Physical Assessment for the Nursing Professional
June 29, 2015
Journal 7
When I do my assessment on admission, I always include the assessment findings that I expect to be abnormal if the patient has definite cardiovascular problem. I notify the MD and the nurse practitioner immediately if I find abnormal findings or values. I ensure to chart the education and the correction in response of the abnormal findings. In addition to that, tests and labs should be done to rule out problems. It is essential to know the patient’s health history before conducting the physical exam. I ensure to perform thorough cardiovascular and peripheral vascular assessments, and chart the findings clearly and in a timely manner. Discharge
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I have used these assessments daily as a rehabilitation/geriatric nurse. These assessments are valuable to use for patients who might have compromise circulatory problems. This includes orthopaedic patients, medical history of PVD and DVT, and non-healing wounds. Peripheral pulses are hard to find in patients who are sick and dehydrated. I use the Doppler to find the pulses in the foot or ankles because they can be difficult sometimes in patients with circulatory problems. Positioning is useful in the treatment of Peripheral Vascular Disease. Also, leg elevation is vital in patients with edema.
I have learned a lot from this unit regarding the cardiovascular and peripheral vascular system. The shadow health physical assessment and concept lab are very informative and helpful. I would definitely apply my learned knowledge on my daily assessment of my patients. I learned how to assess the heart and peripheral vascular system thoroughly. Lastly, this unit helped me understand the circulatory system better, and will help me improve my assessment skills.
Jarvis, C. (2012), Physical Examination & Health Assessment (6th ed.) Elsevier/Saunders: St. Louis,
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