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Related Concept Videos

Assessment of the Mouth01:26

Assessment of the Mouth

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A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
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Nursing Assessment01:29

Nursing Assessment

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The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
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Assessment of Respiration01:23

Assessment of Respiration

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The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Pulse Assessment Sites01:11

Pulse Assessment Sites

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Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
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Assessment of radial pulse01:11

Assessment of radial pulse

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Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
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Author Spotlight: Advancing Pediatric Epilepsy Surgery in Children Through Novel Biomarkers and Enhanced Localization
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[Presurgical assessments].

A Kahlmeyer1, P J Goebell2, B Wullich2

  • 1Urologische und Kinderurologische Klinik, Universitätsklinikum Erlangen, Krankenhausstr. 12, 91054, Erlangen, Deutschland. andreas.kahlmeyer@uk-erlangen.de.

Der Urologe. Ausg. A
|March 5, 2019
PubMed
Summary
This summary is machine-generated.

Geriatric assessments are crucial for predicting risks in elderly patients undergoing radical urological surgery. Screening tools are more practical than comprehensive assessments for identifying high-risk individuals and guiding treatment decisions.

Keywords:
CognitionCystectomyGeriatric AssessmentsNephrectomyProstatectomy

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Area of Science:

  • Geriatric Medicine
  • Urology
  • Oncology

Background:

  • Guidelines recommend geriatric assessments for elderly patients undergoing radical urological tumor surgery to estimate perioperative risks and mortality.
  • Comprehensive geriatric assessments offer detailed health insights but are complex for routine clinical use.

Purpose of the Study:

  • To explain commonly used geriatric assessments.
  • To provide an overview of their predictive significance in radical urological tumor surgery.

Main Methods:

  • Review of geriatric screening tools for assessing functional status, mobility, cognition, mood, nutrition, frailty, comorbidities, and polypharmacy.
  • Analysis of evidence on the predictive value of these assessments in specific urological procedures.

Main Results:

  • Screening tools are more feasible than comprehensive assessments for clinical routine.
  • Comorbidity indices like Charlson Comorbidity Index (CCI) and ASA score are valuable for predicting complications in cystectomy.
  • ECOG score aids in assessing perioperative risks for kidney tumor surgery.
  • Prostatectomy assessments focus on identifying patients with adequate life expectancy for radical surgery.

Conclusions:

  • Geriatric screening tools are essential for optimizing perioperative risk stratification in elderly patients undergoing urological cancer surgery.
  • Targeted use of validated tools like CCI, ASA, and ECOG scores improves patient selection and surgical planning.