Professor of Nursing, Illinois Wesleyan University, Bloomington, Illinois
Family Nurse Practitioner, Bloomington, Illinois
Ann Eckhardt, PhD, RN
Associate Professor of Nursing, Illinois Wesleyan University, Bloomington, Illinois
Australian Adapting Editors
Helen Forbes, RN, BAppSc (Adv Nurs), (La Trobe University), MEdStudies
(Monash University), PhD (University of Sydney)
Nurse Consultant (Education), Formerly Associate Professor and Associate Head of School (Teaching & Learning), School of Nursing & Midwifery, Deakin University, Melbourne, Victoria
Elizabeth Wa , RN, DipN (College of Nursing Australia), BAppSc (Adv Nurs) (Lincoln Institute of Health, Sciences), MNS (La Trobe University), Cert Prom Cont, FACN
Nurse Consultant (Education), Formerly Course Coordinator Master of Nursing, (Urological & Continence) Course, School of Nursing & Midwifery, La Trobe University, Melbourne Campus, Melbourne, Victoria
Original illustrations by Pat Thomas, CM, FAMI East Troy, Wisconsin
Assessment photographs by Kevin Strandberg Professor of Art, Illinois Wesleyan University, Bloomington, Illinois
Table of Contents
Cover image
Title page
Copyright
Text features
About the Australian adapting editors
About the US author
Australian and New Zealand contributors
Contributors to US edition
Australian and New Zealand reviewers
Preface
Contents
UNIT 1. Approaches and contexts of health assessment in nursing
1. The context and frameworks of health assessment
Bibliography
Websites
2. Critical thinking in health assessment
Bibliography
Websites
3. Developmental tasks across the life span
Bibliography
4. Cultural safety
Bibliography
Websites
5. Screening for family violence and abuse
Subjective data
Objective data
Bibliography
Websites
Australia
New Zealand
6. Screening for substance abuse
Bibliography
UNIT 2. Health assessment tools and techniques
7. The health assessment interview
Bibliography
8. The health history
Bibliography
9. Physical assessment techniques
Bibliography
Website
10. General survey and vital signs
Objective data
Bibliography
UNIT 3. Assessing mental health, neurological and sensory function
11. Mental health assessment
Structure and function
Subjective data
Objective data
Documentation and critical thinking
Abnormal findings
Abnormal findings for advanced practice
Bibliography
12. Neurological assessment
Structure and function
Subjective data
Objective data
Further objective assessment for advanced practice
Documentation and critical thinking
Abnormal findings
Abnormal findings for advanced practice
Bibliography
13. Pain assessment
Structure and function
Subjective data
Objective data
Documentation and critical thinking
Abnormal findings
Bibliography
14. Eye assessment
Structure and function
Subjective data
Objective data
Further objective assessment for advanced practice
Documentation and critical thinking
Abnormal findings
Abnormal findings for advanced practice
Bibliography
15. Ear assessment
Structure and function
Subjective data
Objective data
Documentation and critical thinking
Abnormal findings
Bibliography
Websites
UNIT 4. Assessing cardiovascular function
16. Peripheral vascular assessment
Structure and function
Subjective data
Objective data
Further objective assessment for advanced practice
Documentation and critical thinking
Abnormal findings
Abnormal findings for advanced practice
Bibliography
Websites
17. Cardiac assessment
Structure and function
Subjective data
Objective data
Further objective assessment for advanced practice
Documentation and critical thinking
Abnormal findings
Abnormal findings for advanced practice
Bibliography
Websites
UNIT 5. Assessing respiratory function
18. Upper airways assessment
Structure and function
Subjective data
Objective data
Further objective assessment for advanced practice
Documentation and critical thinking
Abnormal findings
Bibliography
19. Lower airways assessment
Structure and function
Subjective data
Objective data
Further objective assessment for advanced practice
Documentation and critical thinking
Abnormal findings
Abnormal findings for advanced practice
Bibliography
Web resources
UNIT 6. Assessing musculoskeletal function
20. Musculoskeletal assessment
Structure and function
Subjective data
Objective data
Further objective assessment for advanced practice
Documentation and critical thinking
Abnormal findings for advanced practice
Bibliography
UNIT 7. Assessing nutrition and metabolic function
21. Nutritional and metabolic assessment
Structure and function
Subjective data
Objective data
Further objective assessment for advanced practice
Documentation and critical thinking
Abnormal findings
Abnormal findings for advanced practice
Bibliography
Websites
22. Skin, hair and nails assessment
Structure and function
Subjective data
Objective data
Documentation and critical thinking
Abnormal findings
Abnormal findings for advanced practice
Bibliography
UNIT 8. Urinary and bowel function
23. Abdominal assessment
Structure and function
Subjective data
Objective data
Further objective assessment for advanced practice
Documentation and critical thinking
Abnormal findings
Abnormal findings for advanced practice
Bibliography
24. Assessment of urinary function
Structure and function
Subjective data
Objective data
Documentation and critical thinking
Abnormal findings
Bibliography
Websites
25. Assessment of bowel function
Structure and function
Subjective data
Objective data
Further objective assessment for advanced practice
Documentation and critical thinking
Abnormal findings
Bibliography
UNIT 9. Assessing sexuality and reproductive function
26. Female sexual and reproductive assessment
Structure and function
Subjective data
Objective data
Further objective assessment for advanced practice
Documentation and critical thinking
Abnormal findings for advanced practice
Bibliography
Websites
27. Male sexual and reproductive assessment
Structure and function
Subjective data
Objective data
Further objective assessment for advanced practice
Documentation and critical thinking
Abnormal findings for advanced practice
Bibliography
Websites
28. Breasts assessment
Structure and function
Subjective data
Objective data
Further assessment for advanced practice
Documentation and critical thinking
Abnormal findings
Abnormal findings for advanced practice
Bibliography
29. Assessing the pregnant woman
Structure and function
Subjective data
Objective data
Documentation and critical thinking
Abnormal findings for advanced practice
Bibliography
30. Using health assessment in clinical practice: Pu ing it all together
Bibliography
Illustration credits
Index
Weblinks
Copyright
Elsevier Australia. ACN 001 002 357 (a division of Reed International Books Australia Pty Ltd) Tower 1, 475 Victoria Avenue, Chatswood, NSW 2067
This adaptation of Physical Examination and Health Assessment, 8th edition by Carolyn Jarvis with Ann Eckhardt, was undertaken by Elsevier Australia and is published by arrangement with Elsevier Inc.
Jarvis’s Health Assessment & Physical Examination; 3rd edition
All rights reserved. No part of this publication may be reproduced or transmi ed in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
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Notice
The adaptation has been undertaken by Elsevier Australia at its sole responsibility. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds or experiments described herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contributors in relation to the adaptation or for any injury and/or damage to persons or property as a ma er of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
National Library of Australia Cataloguing-in-Publication Data
Senior Content Strategist: Libby Houston
Content Project Manager: Shruti Raj
Edited by Kathryn Mason Pak
Proofread by Tim Learner
Cover and design by Lisa Petroff
Index by Innodata Indexing
Typeset by GW India
Printed in China by 1010 Printing International Limited
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Text features
About the Australian adapting editors
Helen Forbes, RN, BAppSc (Adv Nurs) (La Trobe University), MEdStudies (Monash University), PhD (University of Sydney)
Elizabeth Wa , RN, DipN (College of Nursing Australia), BAppSc (Adv Nurs) (Lincoln Institute of Health Sciences), MNS (La Trobe University), Cert Prom Cont, FACN
Helen Forbes
Helen has a background in general adult acute care nursing as well as a focus on care of patients following head and neck surgery. She has extensive higher education experience and has held various teaching and leadership roles at both undergraduate and postgraduate levels over the past 35 years. Until recently she was Associate Professor and Associate Head of School (Teaching & Learning) at the School of Nursing & Midwifery, Deakin University, Melbourne. Helen’s current teaching interests include clinical education, health assessment and adult acute care nursing. She has taught health assessment at undergraduate and postgraduate level for many years locally and internationally. She has vast experience in curriculum design and development in nursing education. Helen is now a Nurse Education Consultant.
Elizabeth Wa
Liz has a background in adult acute care nursing and has practiced in both hospital and community-based midwifery. Her main clinical focus is in urological and continence nursing. She has over 30 years’ experience in higher education, teaching in undergraduate and postgraduate nursing programs. She has significant experience in curriculum design and development. Liz’s current teaching interests include urological and continence nursing, health assessment, adult acute care nursing and clinical education. She has taught health assessment at undergraduate and postgraduate level for many years. Liz is currently working as a nurse consultant (education).
About the US author
Carolyn Jarvis received her PhD from the University of Illinois at Chicago, with a research interest in the physiologic effect of alcohol on the cardiovascular system; her MSN from Loyola University (Chicago); and her BSN cum laude from the University of Iowa. She is Professor, School of Nursing at Illinois Wesleyan University, where she teaches Health Assessment, Pathophysiology, and Pharmacology. Dr Jarvis has taught physical assessment and critical care nursing at Rush University (Chicago), the University of Missouri (Columbia), and the University of Illinois (Urbana). Her current research interest concerns alcohol-interactive medications, and she includes Honors students in this research.
In 2016, Illinois Wesleyan University honored Dr Jarvis for her contributions to the ever-changing field of nursing with the dedication of the Jarvis Center for Nursing Excellence. The Jarvis Center for Nursing Excellence equips students with laboratory and simulation learning so that they may pursue their nursing career with the same commitment as Dr Jarvis.
Dr Jarvis is the Student Senate Professor of the Year (2017) and was honored to give remarks at commencement. She is a recipient of the University of Missouri’s Superior Teaching Award; has taught physical assessment to thousands of baccalaureate students, graduate students, and nursing professionals; has held 150 continuing education seminars; and is the author of numerous articles and textbook contributions.
Dr Jarvis has maintained a clinical practice in advanced practice roles first as a cardiovascular clinical specialist in various critical care se ings and as a certified family nurse practitioner in primary care. During the last 12 years, her enthusiasm has focused on
