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Related Concept Videos

Physical Assessment of the Respiratory Tract II: Palpation01:24

Physical Assessment of the Respiratory Tract II: Palpation

Physical assessment of the respiratory tract is critical in identifying potential health issues. One key component of this assessment is palpation, a technique healthcare providers use to assess the body for abnormalities. This content explores the method of palpation in evaluating the respiratory tract, focusing on thoracic palpation and tactile fremitus.
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Data Collection III01:05

Data Collection III

The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the patient.
Physical Assessment of the Respiratory Tract III: Percussion01:29

Physical Assessment of the Respiratory Tract III: Percussion

The respiratory system, fundamental to life, consists of complex structures responsible for gas exchange. The percussion assessment is critical to understanding this system's health and functionality. This non-invasive assessment technique allows healthcare providers to evaluate the density or aeration of the lungs, thereby identifying potential abnormalities.
Percussion in Respiratory Assessment
Percussion evaluates underlying tissue composition with audible and tactile vibrations,...
Physical Assessment of the Respiratory Tract II: Inspection01:27

Physical Assessment of the Respiratory Tract II: Inspection

Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration can...

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Physical function assessment tools in pediatric rheumatology.

Lakshmi Nandini Moorthy1, Margaret Ge Peterson, Melanie J Harrison

  • 1Robert Wood Johnson Medical School-UMDNJ, Dept, of Pediatrics, Division of Rheumatology, New Brunswick, NJ 08903, USA. LNMOORTHY@MAC.COM.

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Pediatric rheumatic diseases like juvenile idiopathic arthritis (JIA) and juvenile dermatomyositis (JDM) impair children's physical function and quality of life (QOL). Understanding measurement tools is key for assessing disease impact and guiding interventions.

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Area of Science:

  • Pediatric Rheumatology
  • Clinical Outcomes Assessment

Background:

  • Pediatric rheumatic diseases, including juvenile idiopathic arthritis (JIA) and juvenile dermatomyositis (JDM), significantly impact children's physical function and quality of life (QOL).
  • Assessing these impacts is complex due to disease variability, children's developmental stages, and the use of proxy respondents.
  • Physical function, QOL, health-related QOL (HRQOL), and health status are crucial outcome measures, often used interchangeably.

Purpose of the Study:

  • To review constructs related to physical function in pediatric rheumatic diseases.
  • To discuss the scales used for measuring these outcomes in children.
  • To highlight the importance of understanding these instruments for clinical assessment and intervention.

Main Methods:

  • Literature review of outcome measures in pediatric rheumatic diseases.
  • Discussion of constructs including physical function, QOL, HRQOL, and health status.
  • Analysis of measurement scales and their application in pediatric populations.

Main Results:

  • Various constructs are used to evaluate the impact of pediatric rheumatic diseases on children.
  • Numerous scales exist to measure physical function and QOL, but their application in children presents unique challenges.
  • Age-appropriateness of questionnaires and respondent roles (child vs. proxy) influence data reliability.

Conclusions:

  • A comprehensive understanding of measurement instruments is essential for accurately assessing functional outcomes in pediatric rheumatic diseases.
  • Effective assessment aids in evaluating disease and treatment impact on children's lives.
  • Informed measurement strategies can guide the development of targeted interventions to improve pediatric patient care.