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NURS 6512 - Advanced Health Assessment & Diagnostic Reasoning Advanced Health Assessment Midterm Study Guide BMI formula - Weight (in Pounds) / Height (in inches) Squared x 703 BMI in adul... ts - <15 severe level, indicative of anorexia <19 underweight 19-24.9 Optimal weight 25-29.9 Overweight 30-34.9 Class I obesity; slow weight loss advised to promote permanent weight loss 35-39.9 Class II obesity, slow weight loss advised (may be candidate for bariatric sx) > than or equal to 40 Class III or "extreme obesity (formerly called morbid obesity) Infants double their weight in the first ____ months and triple their weight by the ____ year. - 4-5; 12 Full term gestational age - 37-42 weeks 2 goals of a patient history - 1. identify what the patient's problem is 2. establish reliability of the patient Why is it important to complete a review of systems after a history? - to identify complementary or symptoms that may seem unrelated Tips when discussing a sensitive topic - provide privacy, direct & firm, no apologies, no judgement, avoid confrontation, no jargon, document carefully 4 steps in approaching the examination of sensitive areas - 1. introduction & why 2. open ended questions to explore pt's feelings 3. repeat what's been said & give feedback 4. take questions from pt Where do you perform the monofilament test? - great toe, heel, ball of foot How to write a problem list - severe problems first date of onset active or inactive brief eval of problem differential diagnosis [Show More]

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