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5 Ps of Neurovascular Assessment: A Comprehensive Guide for Healthcare Professionals
Introduction:
Have you ever found yourself facing a patient with a compromised limb, needing to quickly and accurately assess the extent of the damage? Knowing how to effectively perform a neurovascular assessment is crucial for any healthcare professional, from nurses and paramedics to physicians and physician assistants. This in-depth guide will delve into the five Ps of neurovascular assessment – Pain, Pallor, Pulselessness, Paresthesia, and Paralysis – providing you with a comprehensive understanding of each component, along with practical tips and crucial considerations for accurate assessment and effective documentation. Mastering the 5 Ps is not just about ticking boxes; it's about saving limbs and lives. This post offers a detailed explanation of each 'P,' providing you with the knowledge to confidently and efficiently assess neurovascular status in diverse clinical settings.
1. Pain:
Pain is often the first sign of compromised neurovascular function. It's crucial to understand that the intensity and nature of the pain can vary greatly depending on the underlying cause and the individual's pain tolerance. Acute, throbbing pain could indicate increased pressure within a compartment. A dull, aching pain might suggest nerve compression or ischemia. It is vital to:
Assess the location, intensity, and quality of the pain: Use a validated pain scale (e.g., numerical rating scale, visual analog scale) for objective measurement. Document the patient's description of the pain in their own words.
Consider the timing of the onset and any aggravating or relieving factors: This helps pinpoint the potential cause. Did the pain start suddenly after an injury, or did it develop gradually?
Differentiate between vascular and neurological pain: Vascular pain often feels throbbing or pulsing, while neurological pain can be sharp, burning, or tingling.
2. Pallor:
Pallor, or paleness, is a visible sign of decreased blood flow to the affected area. This can be particularly noticeable in individuals with lighter skin tones. However, in darker-skinned individuals, pallor may manifest as a dullness or coolness to the touch. Comparing the affected limb to the unaffected limb is crucial. To effectively assess for pallor:
Compare the color of the affected limb with the contralateral (opposite) limb: This provides a baseline for comparison.
Assess for capillary refill: Gently press on the nail bed and observe how quickly the color returns. Prolonged capillary refill time (>2 seconds) indicates impaired circulation.
Note any discoloration besides pallor: Cyanosis (bluish discoloration) suggests reduced oxygen saturation in the blood, while rubor (redness) might indicate inflammation or arterial insufficiency.
3. Pulselessness:
The absence of a palpable pulse is a serious indicator of compromised arterial blood flow. This requires immediate attention. Accurate assessment involves:
Palpate the distal pulses: Commonly assessed pulses include the radial, dorsalis pedis, and posterior tibial pulses. The location of the pulse will depend on the affected limb.
Use a Doppler ultrasound if necessary: A Doppler can detect weak or absent pulses that may be difficult to palpate manually.
Document the presence or absence of pulses in your assessment notes: Record the strength of the pulse using a descriptive scale (e.g., 0-4+).
4. Paresthesia:
Paresthesia refers to abnormal sensations such as numbness, tingling, or pins and needles. These sensations arise from nerve compression or damage. Effective assessment involves:
Ask the patient about any altered sensations: Use open-ended questions to elicit detailed information about the type, location, and intensity of the paresthesia.
Test light touch and pinprick sensation: This helps assess the integrity of sensory nerves.
Compare sensations in the affected limb with the unaffected limb: This highlights any discrepancies.
5. Paralysis:
Paralysis, or the loss of voluntary movement, is a critical indicator of severe nerve damage or compromised blood supply. Assessment requires:
Assess the patient's ability to move the affected limb actively and passively: Observe the range of motion and strength.
Document the degree of paralysis: Record the specific muscles affected and the ability to move each joint.
Be aware of subtle signs of weakness: Even minor weakness can be significant.
Article Outline: 5 Ps of Neurovascular Assessment
I. Introduction: The importance of neurovascular assessment.
II. The Five Ps:
A. Pain: Assessment techniques, differentiating pain types, documentation.
B. Pallor: Visual assessment, capillary refill, comparison to unaffected limb.
C. Pulselessness: Palpation techniques, Doppler ultrasound use, documentation.
D. Paresthesia: Eliciting patient information, sensory testing, comparison.
E. Paralysis: Active and passive range of motion testing, documentation.
III. Documentation and Reporting: Importance of detailed and accurate documentation.
IV. Clinical Implications and Next Steps: Interpreting findings, initiating appropriate interventions.
V. Conclusion: Recap of key points and emphasis on the importance of timely assessment.
(The content above fulfills sections I and II of the outline. Sections III, IV, and V would follow a similar detailed structure, expanding on documentation, clinical implications, and concluding remarks.)
9 Unique FAQs:
1. What is the difference between arterial and venous compromise? Arterial compromise typically presents with pallor, pulselessness, and pain, while venous compromise may present with swelling, cyanosis, and pain.
2. How often should neurovascular checks be performed? The frequency depends on the patient's condition and the severity of the injury. Frequent checks (e.g., every 15-30 minutes) are necessary for acutely injured patients.
3. What are the potential consequences of neglecting a neurovascular assessment? Neglect can lead to irreversible tissue damage, limb loss, and even death.
4. Can a patient with a normal neurovascular assessment still have underlying injuries? Yes, a normal assessment doesn't rule out other injuries. Further investigations may be needed.
5. How do I document a neurovascular assessment? Use a standardized format, recording each "P" with specific details like location, intensity, and time.
6. What are some common causes of compromised neurovascular status? Trauma, fractures, compartment syndrome, and vascular disease.
7. What are the signs of compartment syndrome? Severe pain, pallor, pulselessness, paresthesia, paralysis, and swelling.
8. When should I consult with a physician or surgeon? Consult immediately if there are signs of compromised neurovascular status or worsening symptoms.
9. What are the different types of pulses that can be assessed? Radial, brachial, femoral, popliteal, posterior tibial, and dorsalis pedis pulses are commonly assessed.
9 Related Articles:
1. Compartment Syndrome: Diagnosis and Management: A detailed overview of compartment syndrome, a condition requiring urgent intervention.
2. Peripheral Artery Disease (PAD): Symptoms, Diagnosis, and Treatment: Focus on the assessment and management of PAD.
3. Deep Vein Thrombosis (DVT): Risk Factors and Prevention: Examines the risk factors and prevention strategies for DVT.
4. Neurological Examination Techniques: Provides a broader overview of neurological assessment methods.
5. Fracture Management and Rehabilitation: Discusses fracture management and the role of neurovascular assessment.
6. Acute Limb Ischemia: Emergency Management Protocols: Covers the emergency protocols for acute limb ischemia.
7. The Role of Doppler Ultrasound in Vascular Assessment: Explains the use of Doppler ultrasound in assessing vascular function.
8. Nursing Care for Patients with Compromised Neurovascular Status: Focuses on the nursing interventions for patients with neurovascular issues.
9. Documentation Best Practices in Emergency Medicine: Emphasizes the importance of accurate and complete documentation in emergency situations.
| 5 ps of neurovascular assessment: Assessment Lippincott Williams & Wilkins, 2007 This full-color quick-reference handbook covers all aspects of the patient history and physical examination to help nurses interpret assessment findings, recognize patient needs, and provide focused care. Information is presented in a succinct, highly bulleted format, with lists, tables, and flowcharts to highlight key facts. Recurring graphic icons include Skill Check (tips for performing physical examination techniques), Culture Cue and Age Alert (specific variations in assessment findings and techniques related to age, culture, or ethnicity), Alert (life- or limb-threatening situations), and Clinical Picture (quick-scan charts visually comparing clusters of abnormal findings and differentiating among possible causes). |
| 5 ps of neurovascular assessment: Illustrated Study Guide for the NCLEX-RN® Exam8 JoAnn Zerwekh, 2012-11-13 It's a fun, visual review for the NCLEX! Illustrated Study Guide for the NCLEX-RN® Exam, 8th Edition covers all the nursing concepts and content found on the latest NCLEX-RN examination. A concise outline format makes studying easier, and 2,300 NCLEX exam-style review questions (including alternate item formats) are included to test your knowledge at the end of each chapter and on the Evolve companion website. Written by NCLEX expert JoAnn Zerwekh, this study guide uses colorful illustrations and mnemonic cartoons to help you remember key concepts for the NCLEX-RN exam. UNIQUE! Mnemonic cartoons provide a fun, easy way to review and remember key nursing concepts and disease processes. UNIQUE! The integrated systems approach incorporates pediatric, adult, and older adult lifespan considerations in each body system chapter.UNIQUE! Appendixes for each chapter summarize medications and nursing procedures for quick reference. Electronic alternate item format questions on Evolve prepare you for the interactive question types on the computerized NCLEX examination, including priority drag-and-drop and hot-spot (illustrated point-and-click) questions. Practice questions on the Evolve companion website are available in both study and quiz modes and separated by content area, allowing you to create a customized review experience based on your personal study needs. Answers and rationales for all review questions show why correct answers are right and incorrect options are wrong. NEW! 2,300 review questions are now included on the Evolve companion website. Two NEW alternate item question types are added: graphic options and questions incorporating audio. UPDATED content reflects the latest NCLEX-RN test plan and incorporated important clinical updates.NEW! Page references to an Elsevier textbook are provided with each question, for further study and self-remediation.NEW! Disorder names are highlighted in color in the index for quick reference. EXPANDED coverage of management of care reflects the increased percentage of this content on the NCLEX-RN test plan. |
| 5 ps of neurovascular assessment: Children and Young People's Nursing Skills at a Glance Elizabeth Gormley-Fleming, Deborah Martin, 2018-04-30 Children and Young People’s Nursing Skills at a Glance is the perfect companion for study and revision for pre-registration children’s nursing students. Highly visual, each clinical skill is covered in a two-page spread, with superb colour illustrations accompanied by clear informative text. Providing up to date, evidence-based information on a wide range of clinical skills that are required by today’s children’s nurses, this comprehensive and accessible text makes it easy for the reader to grasp the fundamentals in order to meet the care needs of the child and family, both in the hospital and community setting. Structured around the key systems of the body, the book is divided into sixteen sections, and covers all the essential clinical skills, including: Principles of assessment Communication Record keeping Drug calculations and administration Safeguarding Care planning Respiratory and cardiac care Gastrointestinal care ECG reading and interpretation Neurological assessment Musculoskeletal care. Aimed at both student nurses and those newly qualified, Children and Young People’s Nursing Skills at a Glance provides need to know, rapid information to ensure safe and effective clinical practice. |
| 5 ps of neurovascular assessment: Compact Clinical Guide to Critical Care, Trauma, and Emergency Pain Management Liza Marmo, MSN, RN, CCRN, Yvonne D'Arcy, MS, APN-C, CNS, FAANP, 2013-02-22 This is an excellent resource for nurses practicing in critical care units, emergency departments, and trauma units, as well as for midlevel providers who manage these patients.--Doody's Medical Reviews Compact ClinicalGuide to Critical Care,Trauma, and EmergencyPain Management is aconcise, easy-to-readresource for nurses whowant to reinforce theirfoundational knowledgein this area.--Critical Care Nurse This addition to Springer Publishingís Compact Clinical Guide to Pain Management Series presents evidence-based national guidelines and treatment algorithms for managing pain in patients in the critical care, trauma, and emergency room settings. Such patients often present with co-morbid and complex conditions which often make accurate pain assessment and treatment a challenge. In an easy-to-use, bulleted format, the book provides the most current information on assessing and managing pain in a variety of critical conditions. Both pharmacological management therapies and non-pharmacologic interventions are included along with information about pain assessment screening tools for special populations. Topics covered include the basics of pain physiology in critical, emergency, and operative care patients, assessing pain in the critically ill, medications and advanced pain management techniques useful with this population, and commonly occurring conditions in the various care environments. Also addressed are the management of particularly challenging patients (elderly, obese) and conditions (chronic pain, renal failure, chemically dependent patients, and burn patients). The book contains tables that efficiently summarize information and figures to illustrate key concepts. Pain rating scales and a helpful equi-analgesic conversion table are included in the Appendix. Key Features: Provides evidence-based information on treating pain in critical care, trauma, and emergency room patients for all practice levels Organized for quick access to pertinent clinical information on treatment options and pain types Provides cross-referenced indexing and easy-to-use assessment and screening tools Includes information for treating especially challenging and difficult to manage patient pain scenarios |
| 5 ps of neurovascular assessment: The Great Ormond Street Hospital Manual of Children's Nursing Practices Susan Macqueen, Elizabeth Bruce, Faith Gibson, 2012-06-18 Clinical skills are a fundamental aspect of nursing care of children and young people. The Great Ormond Street Hospital Manual of Children's Nursing Practices is an evidence-based manual of practical skills in children's nursing which builds on the extensive expertise developed at Great Ormond Street Hospital. It encompasses all aspects of children's nursing from the most basic aspects of everyday practice to advanced practice in high dependency and intensive care to provide a comprehensive resource for all qualified nurses, students, and other health-care professionals involved in caring for children, both in the hospital and the community setting. Children's and young people's nursing presents unique challenges. The Great Ormond Street Hospital Manual utilises the latest clinical research and expert clinical knowledge to address these challenges, and provides the underlying theory and evidence for nursing care of children. It provides a definitive guide to clinical skills procedures in children's and young people's nursing which enables nurses working with children and young people to practice confidently and deliver clinically effective family-centred care. Key features Offers access to clinical procedures developed through the extensive expertise from Great Ormond Street Hospital Contains evidence-based recommendations for expert care Encompasses all aspects of children's care Contains procedures guidelines students can rely on and effectively use in practice following qualfication Highlights specific needs of neonates and adolescents Placed in the context of inter-disciplinary care of the child Includes the rationale for each procedure - the 'why' as well as 'how' Information presented in a similar way to The Royal Marsden Manual of Clinical Nursing Procedures - offering continuity to those working in both adult and paediatric settings This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from iTunes or the MedHand Store. |
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| 5 ps of neurovascular assessment: Mosby's Comprehensive Review of Nursing for NCLEX-RN® Examination Judith S. Green, Mary Ann Hellmer Saul, Dolores F. Saxton, Patricia M. Nugent, Phyllis K. Pelikan, 2008-11-13 Celebrating its 60th anniversary, Mosby’s Comprehensive Review of Nursing for the NCLEX-RN® Examination, 19th Edition is now completely reorganized and in full-color for an even better studying experience! Content is divided into units covering the core areas of medical-surgical, pediatric, maternity/women’s health, and mental health nursing. Smaller chapters within the units break down information into smaller, more manageable pieces for a complete review of key content. NCLEX-RN® examination-style questions, including the newest alternate item formats, follow each unit and help you master the content and practice with critical thinking questions seen on the exam. With over 4,100 questions with rationales in the book and on the companion CD-ROM for practice in print and electronic formats, this all-inclusive review is a vital study tool for the NCLEX-RN® exam. A clear, concise outline format presents in-depth content review from all core clinical areas in an easy-to-study design. Detailed rationales for both correct and incorrect answer options ensure effective and efficient test preparation. Three modes – study, quiz, and exam – on the companion CD provide customized practice. Two comprehensive exams coded by clinical area, client needs categories, and nursing process help you evaluate your strengths and weaknesses and guide your study. More alternate item format questions than ever provide additional practice with these important critical thinking questions. Additional illustrations and tables help you visualize and understand essential nursing content. An overview of the latest NCLEX-RN® test plan highlights the latest changes and content additions to better prepare you for the exam. UNIQUE! A “Get Updates? link on the Companion CD provides access to the latest content and software updates. |
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| 5 ps of neurovascular assessment: HESI Comprehensive Review for the NCLEX-PN® Examination - E-Book HESI, 2014-03-01 Prepare for success on your HESI exit exam and the NCLEX-PN®! The HESI Comprehensive Review for the NCLEX-PN® Examination, 4th Edition provides a complete, all-in-one review of the information you need to know. Written in an easy-to-read outline format, this study tool breaks down chapters by clinical areas and topics emphasized on the NCLEX-PN exam. Rationales are provided for incorrect answers and help you address any areas of weakness. The companion Evolve website offers 500 practice questions, giving you valuable practice in the same electronic testing format you will experience on your nursing school exit exam and on the NCLEX-PN exam. Detailed rationales explain correct and incorrect answer options for practice questions. HESI Hint boxes highlight important clinical information and concepts commonly tested on the NCLEX-PN exam. Pharmacology tables summarize the need-to-know drug therapy content emphasized on the NCLEX-PN exam. Critical thinking study questions reinforce key concepts and content, and also include answer guidelines. Chapters organized by clinical area make it easy to find and study review topics. The Evolve companion website includes 500 NCLEX practice questions, including alternate item formats, providing a testing experience similar to the nursing school exit exam and the NCLEX-PN licensure examination. Updated content reflects the latest NCLEX-PN® test plan. 130 NEW questions are added to the Evolve companion website, bringing the overall total to 500 test questions. NEW fill-in-the-blank and prioritizing questions familiarize you with the new alternate item format item types included on the NCLEX-PN exam. NEW Gerontology quiz prepares you for the exam’s questions on this subject. |
| 5 ps of neurovascular assessment: Adult CCRN Prep Kaplan Nursing, 2017-10-03 Kaplan's Adult CCRN Prep provides focused review for practicing nurses studying for the Adult CCRN certification exam. This guide includes in-depth coverage of all tested material, realistic practice, and effective score-raising strategies to help you face the exam with confidence and take the next step in your professional nursing certification. Essential Review Two full-length practice tests with detailed rationales New 25-question diagnostic quiz to target your study and make the most of your time Ten end-of-chapter practice sets with detailed answer explanations Review of the Synergy Model for Patient Care Comprehensive content review of essential CCRN topics Expert Guidance Expert strategies and advice on how to approach each specific question type Kaplan's expert psychometricians ensure our practice questions and study materials are true to the test. We invented test prep—Kaplan (www.kaptest.com) has been helping students for almost 80 years. Our proven strategies have helped legions of students achieve their dreams. The previous edition of this book was titled Adult CCRN Strategies, Practice and Review with 2 Practice Tests. |
| 5 ps of neurovascular assessment: Trauma Certified Registered Nurse (TCRN) Examination Review Kendra Menzies Kent, MS, RN-BC, CCRN, CNRN, SCRN, TCRN, 2017-01-05 This is a comprehensive review for the new trauma-certified registered nurse exam, featuring innovative clinical judgment--enhancing content review, 500 practice-test Q&As with rationales, test-taking skills, and in-depth coverage of the test blueprint. This review is distinguished by its unique Think in Questions format, which helps readers to anticipate the kinds of questions that might be asked and promotes critical thinking throughout the exam. The content review is comprised of bite-size sections for easier learning and memorization that include thousands of unfolding questions, answers, and hints. The review's user-friendly format guides candidates through each topic with a short content review followed by a Socratic-style Q&A reasoning process to assist in arriving at the best possible clinical judgment. It also includes plentiful tables and charts to reinforce learning, a chapter on test-taking skills, specific guidance on preparing for the certification exam, and useful suggestions related to the exam format. Key Features: Goes beyond mere memorization of facts with Think in Questions Socratic-style content review Provides content review, practice exam-style Q&A with rationales, test-taking skills, and test blueprint format Includes thousands of unfolding questions, answers, and hints Contains bite-size sections for each topic for easier learning and memorization Includes 500 exam-style questions with rationales The Board of Certification for Emergency Nursing (BCEN) is the sole owner of the Trauma Certified Registered Nurse (TCRN) certification program. BCEN does not endorse any TCRN certification exam review resources or have a proprietary relationship with Springer Publishing Company. |
| 5 ps of neurovascular assessment: Care Planning in Children and Young People's Nursing Doris Corkin, Sonya Clarke, Lorna Liggett, 2011-08-24 Care Planning in Children and Young People's Nursing addresses a selection of the most common concerns that arise when planning care for infants, children and young people within the hospital and community setting. Clear and detailed, this text reflects both the uniqueness and diversity of contemporary children's nursing and utilizes images and case studies to provide a holistic insight into the practice of care planning through the reporting of best available evidence and current research, policy and education. Divided into sections for ease of reference, Care Planning in Children and Young People’s Nursing explores both the theory and practice of care planning. Chapters on the principles of care planning include issues such as managing risk, safeguarding children, ethical and legal implications, integrated care pathways, interprofessional assessment, and invaluable parent perspectives. Additional chapters on the application of planning care examine the practical aspects of a wide range of specific conditions including cystic fibrosis, obesity, cardiac/renal failure and HIV/AIDS. Each chapter is interactive, with questions, learning activities and points for discussion creating an engaging and enquiry-based learning approach. Care Planning in Children and Young People’s Nursing is a definitive resource, reflecting innovative practice which is suitable for undergraduate and postgraduate nurse education. |
| 5 ps of neurovascular assessment: Mosby's Comprehensive Review of Nursing for the NCLEX-RN® Examination Patricia M. Nugent, Judith S. Green, Mary Ann Hellmer Saul, Phyllis K. Pelikan, 2011-11-08 A classic resource that has helped nurses pass the NCLEX exam for over 60 years, Mosby's Comprehensive Review of Nursing for the NCLEX-RN® Examination, 20th Edition is fully updated to reflect the newest NCLEX-RN test plan. Content review is presented in a concise and full-color outline format organized by the core areas of medical-surgical, pediatric, maternity/women's health, and mental health nursing, with a practice test following each unit. More than 4,200 practice questions and rationales -- including more than 600 questions in the newest alternate item formats -- are written by a team of trusted NCLEX experts led by author Patricia M. Nugent. This title includes additional digital media when purchased in print format. For this digital book edition, media content may not be included. |
| 5 ps of neurovascular assessment: Cracking the NCLEX Princeton Review, 2003-03 Written and reviewed by a team of clinical nurses and nurse scholars, this guide gives the most targeted review available for the NCLEX-RN. |
| 5 ps of neurovascular assessment: Illustrated Study Guide for the NCLEX-RN® Exam JoAnn Zerwekh, Jo Carol Claborn, 2010-01-05 Fun and engaging, this must-have review resource covers the nursing concepts and content found on the latest NCLEX-RN examination. It features a concise outline format that’s perfect for studying, as well as 2,020 review questions to test your knowledge and help you prepare for the exam. Colorful illustrations and mnemonic cartoons clarify essential nursing concepts and offer a visual way for you to remember key facts for the NCLEX exam. Answers and rationales are provided for every practice question. Unique! An integrated systems approach incorporates pediatric, adult, and older adult lifespan considerations in each body system chapter. Unique! Mnemonic cartoons provide a fun, easy way to review and remember key nursing concepts. A full-color, user-friendly design enhances content and helps you quickly locate special features. Appendixes for each chapter summarize medications and nursing procedures for quick reference. Practice questions at the end of each chapter and on the companion CD -- 2,020 in all -- provide a wealth of NCLEX examination preparation in both print and electronic formats. The companion CD features practice questions available in both study and quiz/exam modes that are divided by content area and allow you to create a customized review experience based on your personal study needs. Electronic alternate item format questions on the CD, such as priority drag-and-drop and hot spot illustrated point-and-click questions, prepare you for the interactive question types you'll encounter on the computerized NCLEX examination. Answers and rationales for all review questions help you understand why correct answers are right and incorrect options are wrong. An Alert! feature highlights key nursing concepts frequently found on the NCLEX examination. Separate chapters on pharmacology and nursing management help you focus on these areas of emphasis on the NCLEX examination. Additional practice questions raise the total to 2,020 in the book and on the companion CD. More figures, charts, and cartoons further illustrate important anatomy, procedures, and disease processes. Application and analysis questions challenge you to use your critical thinking skills and closely mirror the types of questions on the NCLEX-RN® examination. UNIQUE! A pediatric disorders icon makes it easy to distinguish pediatric disorders from adult disorders in chapters with system-integrated content. The detailed table of contents includes disorder headings to help you quickly find information on specific disorders within system-integrated content. |
| 5 ps of neurovascular assessment: Cen Review Manual , 2004 |
| 5 ps of neurovascular assessment: Cracking the NCLEX-RN Jennifer A. Meyer, 2011-02-08 Providing more than one thousand practice questions and complete answer explanations, a thorough study guide helps nursing students prepare for the NCLEX-RN exam and includes eight sample exams on the accompanying CD-ROM. Original. |
| 5 ps of neurovascular assessment: Clinical Psychomotor Skills (5-Point Bondy): Assessment Tools for Nurses Joanne Tollefson, 2018-09-01 Clinical Psychomotor Skills: Assessment Tools for Nurses offers you a unique blend of solid theoretical knowledge, linking it to clinical practice. The combined theory and workbook text covers the key clinical skills and knowledge that you need and helps you to master provable competencies that fulfil the required standards. This edition uses the 3-point Bondy Assessment Scale. The inclusion to this edition of five additional skills, the latest evidence-based material from nursing and associated literature, and reflecting The Nursing and Midwifery Board of Australias Registered Nurse Standards for Practice, make this the essential guide for students of registered nursing programs. |
| 5 ps of neurovascular assessment: NCLEX-RN Exam JoAnn Graham Zerwekh, Jo Carol Claborn, 2010-01-01 Colorful mnemonic cartoons and illustrations make it fun and easy to remember key facts and nursing concepts for the NCLEX-RN?® examination. |
| 5 ps of neurovascular assessment: Oxford Handbook of Clinical Skills for Children's and Young People's Nursing Paula Dawson, Louise Cook, Laura-Jane Holliday, 2012-07-19 The Oxford Handbook of Clinical Skills for Children's and Young People's Nursing provides a concise, current, and evidence-based practical guide to all clinical skills relating to the care of children and young people. |
| 5 ps of neurovascular assessment: Emergencies in Children's and Young People's Nursing E. A Glasper, Gill McEwing, Jim Richardson, 2011-06-09 Emergencies in Children's and Young People's Nursing is a one-stop quick reference for children's and young people's nurses providing emergency care in the acute hospital setting. |
| 5 ps of neurovascular assessment: Abridged Index Medicus , 1993 |
| 5 ps of neurovascular assessment: Orthopaedic and Trauma Nursing Sonya Clarke, Julie Santy-Tomlinson, 2014-09-22 Orthopaedic and Trauma Nursing provides practitioners working in orthopaedic and musculoskeletal trauma settings with the essential evidence, guidance and knowledge required to underpin effective practice. This comprehensive and contemporary textbook explores the variety of adult and paediatric clinical settings where orthopaedic and trauma practitioners work, including acute wards, clinics, community hospitals, nursing homes and patients' homes. Divided into 5 sections, this book looks at: key issues in orthopaedic and musculoskeletal trauma care; specialist practice issues; common orthopaedic conditions and their care and management; musculoskeletal trauma care; and care of children and young people. Suitable for students at degree level as well as those clinicians practicing in more advanced orthopaedic and trauma care roles, Orthopaedic and Trauma Nursing is a foremost authority on orthopaedic and musculoskeletal practice for both students and practitioners. Orthopaedic and Trauma Nursing: Is strongly supported by the latest evidence, with chapters summarizing evidence, with reference to relevant and seminal research Offers practical guidance based on the relevant evidence Focuses on the perspective of the patient with patient narrative and case studies throughout Includes a section specifically dealing with children and young people |
| 5 ps of neurovascular assessment: Emergency Nursing at a Glance Natalie Holbery, Paul Newcombe, 2016-03-21 From the publishers of the market-leading at a Glance series comes a wide-ranging and succinct overview of the key concepts of emergency care. Emergency Nursing at a Glance uses the unique and highly visual at a Glance format to convey vital information quickly and efficiently, ensuring that nursing students have access to all the important topics they need for an emergency care placement. This highly visual, easy-to-read guide is the ideal companion for anyone entering fields involving urgent or unscheduled care. •Includes all aspects of emergency care, including trauma, minor injury, triage processes, patient assessment, common emergency presentations, as well as legal, ethical and professional issues. •Covers care of adults, children, and those with learning disabilities and mental health conditions •Presented in the bestselling at a Glance format, with superb illustrations and a concise approach Emergency Nursing at a Glance is an invaluable resource for nursing students, newly qualified nurses and other healthcare professionals working in emergency departments, urgent care centres, minor injury units and walk-in centres. |
| 5 ps of neurovascular assessment: Quick Review Series for B.Sc. Nursing: 2nd Year E-Book Annu Kaushik, 2018-08-20 QRS for BSc Nursing 2nd Year is an extremely exam-oriented book. The book contains a collection of solved questions, frequently asked, clubbed under the subject wise heading. The question papers from over a span of last 10 years from various Universities will be scanned and most frequently asked questions and those units which carry more weightage in INC Syllabus will be selected. The book will serve the requirements of students to prepare for their examinations. - Subject-Wise collection of different category questions like Long Essay, Short Answers, and Objective Type & Viva Voce type questions - Pont wise answers - Use of Mnemonics facilitating studying. - Use of tables and flowcharts. |
| 5 ps of neurovascular assessment: Drain's PeriAnesthesia Nursing – E-Book Jan Odom-Forren, 2022-12-27 **Selected for Doody's Core Titles® 2024 with Essential Purchase designation in Perioperative** Trusted for more than 30 years, Drain's PeriAnesthesia Nursing: A Critical Care Approach, 8th Edition provides comprehensive clinical content tailored specifically for perianesthesia nurses. An easy-to-use format with five distinct sections — covering the PACU, anatomy and physiology, pharmacology, nursing care, and special considerations — means you get the equivalent of five books in one. Nursing and pharmacologic interventions are integrated with in-depth coverage of pathophysiology, and updated content includes the latest standards and current issues affecting perianesthesia nursing practice. Focusing on research, documentation, and psychosocial considerations, this is the one book that can take you all the way from being a novice nurse in the PACU to preparing for CPAN® or CAPA® certification! - Five separate sections provide comprehensive coverage, including the PACU, anatomy and physiology, pharmacology, nursing care, and special considerations. - Coverage of current policies and issues affecting perianesthesia nursing practice includes patient safety, infection control, managed care implications, pain management, and bioterrorism. - Comprehensive information on the various types of anesthetic agents familiarizes you with what will be used in the PACU. - Special Considerations section details the care of patients with conditions such as malignant hyperthermia, substance abuse, sickle cell anemia, and cardiac arrest. - UPDATED! Revised content throughout provides the most up-to-date information for effective perianesthesia nursing practice. - NEW! Full-color layout makes content more visually appealing and highlights important information. - NEW! Information on SARS/COVID-19 is now included in the Pathogens chapter. - NEW! Chapter on International Care of the Perianesthesia Patient offers complete coverage on this key topic. - UPDATED! Coverage of pain management for the perianesthesia patient features the latest guidelines. - UPDATED! Patient with Chronic Disorders chapter provides current information on caring for these patients. - UPDATED! Evidence-Based Research boxes provide the latest standards of care. |
| 5 ps of neurovascular assessment: Mosby's Manual of Neurological Care Gordon Vogt, Margaret E. Miller, 1985 |
| 5 ps of neurovascular assessment: deWit's Fundamental Concepts and Skills for Nursing -Second South Asia Edition, E-Book Ambika Ravindran, Sonali Banerjee, 2022-09-26 Fundamental Concepts and Skills for Nursing, 6th Edition prepares students to learn the basic concepts and fundamental skills that LPNs/LVNs need to practice in a number of care settings, including hospitals, long-term care facilities, medical offices, clinics, surgery centres, and home care agencies. This second South Asia Edition of DeWit's Fundamental Concepts and Skills for Nursing is a uniquely featured textbook, designed to make a worthy impact on its readers. The book is customised as per the revised B.Sc. Nursing curriculum prescribed by the Indian Nursing Council (INC) to meet the learning requirements of undergraduate students. Nursing professionals aspiring for higher education or career progression will also find this book useful for reference. The full-colour text contains theoretical nursing concepts, step-by-step skills and procedures, and clinical applications to build a strong foundation in the patient care experience. The underlying framework of all the chapters pivots around the nursing process, and also portrays the concepts like psycho-social aspects, critical thinking, communication skills, inter- professional collaborations, patient-family education and cultural integrity.• Discusses more than 80 essential skills and around 30 petite forms of skills with step-by-step format supported with coloured illustrations along with action/rationale format• Each chapter starts with key terms, objectives and has supportive glossary• Enhanced with stimulating highpoints such as Special Clinical Cues, Cultural Considerations, Lifespan Considerations, Focused Assessment, Health Promotion, Legal & Ethical Considerations, Patient Education, QSEN Considerations, Safety Alert and Think Critically boxes• Includes nursing process framework featuring the application of the nursing process and nursing care plans, reinforcing its application in the clinical setting• More than 20 Nursing Care Plans illustrating each step of the nursing process • Includes Concept Maps that help students visualise concepts addressed in the text and learn how a condition or response (relating to symptoms, treatments, and side effects) can affect more than one body system |
| 5 ps of neurovascular assessment: Nursing Care of Children Susan R. James, Kristine Nelson, Jean Ashwill, 2012-02-17 Master the art of caring for children with most effective, efficient, and affordable title on pediatric nursing care. Taking on a family focus, this student-friendly text teaches growth, development, and information on the major body system alterations. Plus, dramatically streamlined content and new learning tools make this new edition even more tailored to your learning needs. Expert reviews of chapter content ensure all chapters include current practices, terms, and updated information. Health Promotion boxes summarize information from the American Academy of Pediatrics to teach you how to perform a comprehensive assessment of well infants and children at various ages. Illustrated Procedure boxes include step-by-step instructions for common nursing tasks. Pathophysiology boxes explain changes in physiology that occur in a variety of diseases and disorders in children. Nursing process highlighted in nursing care plans and in-text discussions. Clinical Reference pages provide students with easy-to-find reference sections, including basic anatomy and physiology, pediatric differences, related laboratory and diagnostic tests, and commonly prescribed medications. Safety Alert boxes highlight patient safety as part of the QSEN initiative for better outcomes of nursing care. Updated Evidence-Based Practice boxes (formerly Using Research to Improve Practice) assist you in determining best practices in your future care of children. Patient-Centered Care boxes guide you in teaching the parents and child about self-care in the home and follow-up care in community-based health care settings. Streamlined Nursing Care Plans have been reformatted to make them easier to read and use. Updated photos throughout the book keep the text up-to-date and visually appealing. Key concepts are highlighted in the book and their definitions are provided in a glossary. |
| 5 ps of neurovascular assessment: All-in-One Nursing Care Planning Resource Pamela L. Swearingen, 2015-02-02 The only book featuring nursing care plans for all core clinical areas, Swearingen's All-In-One Nursing Care Planning Resource, 4th Edition provides 100 care plans with the nursing diagnoses and interventions you need to know to care for patients in all settings. It includes care plans for medical-surgical, maternity/OB, pediatrics, and psychiatric-mental health, so you can use just one book throughout your entire nursing curriculum. This edition includes a new care plan addressing normal labor and birth, a new full-color design, new QSEN safety icons, new quick-reference color tabs, and updates reflecting the latest NANDA-I nursing diagnoses and collaborative problems. Edited by nursing expert Pamela L. Swearingen, this book is known for its clear approach, easy-to-use format, and straightforward rationales. NANDA-I nursing diagnoses are incorporated throughout the text to keep you current with NANDA-I terminology and the latest diagnoses. Color-coded sections for medical-surgical, maternity, pediatric, and psychiatric-mental health nursing care plans make it easier to find information quickly. A consistent format for each care plan allows faster lookup of topics, with headings for Overview/Pathophysiology, Health Care Setting, Assessment, Diagnostic Tests, Nursing Diagnoses, Desired Outcomes, Interventions with Rationales, and Patient-Family Teaching and Discharge Planning. Prioritized nursing diagnoses are listed in order of importance and physiologic patient needs. A two-column format for nursing assessments/interventions and rationales makes it easier to scan information. Detailed rationales for each nursing intervention help you to apply concepts to specific patient situations in clinical practice. Outcome criteria with specific timelines help you to set realistic goals for nursing outcomes and provide quality, cost-effective care. NEW! Care plan for normal labor and birth addresses nursing care for the client experiencing normal labor and delivery. UPDATED content is written by practicing clinicians and covers the latest clinical developments, new pharmacologic treatments, patient safety considerations, and evidence-based practice guidelines. NEW full-color design makes the text more user friendly, and includes NEW color-coded tabs and improved cross-referencing and navigation aids for faster lookup of information. NEW! Leaf icon highlights coverage of complementary and alternative therapies including information on over-the-counter herbal and other therapies and how these can interact with conventional medications. |
| 5 ps of neurovascular assessment: Covid-19: A Critical Care Textbook - E-Book Chris Carter, Joy Notter, 2021-08-11 With the major redeployment of staff during the Covid-19 pandemic, this authoritative textbook provides a practical resource for healthcare professionals who may be new to acute and critical care settings. Written by nurses for nurses, the book will help readers master patient assessment, non-invasive ventilation, the use of high flow nasal oxygenation and renal care. You will learn about the challenges of resuscitation, leadership and responding to a public health emergency, and effective personal protection and hygiene practices. Covid-19: Critical Care textbook has been written by experts with frontline experience of working in hospitals during the pandemic and will remain relevant for those responding to future infectious disease outbreaks or waves of Covid-19. - Self-assessment quizzes to support ongoing learning - Suitable for staff re-deployed and those already working in acute and critical care areas - Fully illustrated to demonstrate the use of PPE and coronavirus-specific procedures - Contributions from key experts who have dealt directly with the disease provide practical insights |
| 5 ps of neurovascular assessment: Maternal-Child Nursing - E-Book Emily Slone McKinney, Susan Rowen James, Sharon Smith Murray, Kristine Nelson, Jean Ashwill, 2017-02-21 - NEW! Completely updated content includes expanded information on the late preterm infant, fetal heart rate pattern identification, obesity in the pregnant woman and children, and the QSEN initiative. - UPDATED! Evidence-Based Practice boxes with newly researched topics offer the most current practice guidelines to promote quality care. - UPDATED! Online resources offer the best interactive tools to learn in the most effective way possible. - NEW! Improved consistency between maternity and pediatric sections makes it easier to switch from one area to the other for more efficient learning. |
| 5 ps of neurovascular assessment: Cumulated Index Medicus , 1993 |
| 5 ps of neurovascular assessment: Medical-Surgical Nursing Priscilla LeMone, Karen Burke, Trudy Dwyer, Tracy Levett-Jones, Lorna Moxham, Kerry Reid-Searl, 2015-05-20 The focus of this product package is to provide students with a strong knowledge base, an understanding of contemporary practice issues in Australia and the capacity for sound clinical reasoning. You will use these professional attributes in order to provide safe and effective nursing care. This easily understood, straightforward Australian edition integrates the following concepts: epidemiology, pathophysiology, pharmacology, legal and ethical issues, therapeutic communication, interprofessional communication and cultural safety. |
| 5 ps of neurovascular assessment: Applying the Roper-Logan-Tierney Model in Practice , 2008 |
| 5 ps of neurovascular assessment: All-In-One Care Planning Resource - E-Book Pamela L. Swearingen, 2011-06-09 The only book with nursing care plans for all core clinical areas, All-In-One Care Planning Resource, 3rd Edition, provides 100 care plans with the nursing diagnoses and interventions you need to know to care for patients in all settings. It includes care plans for pediatric, maternity, and psychiatric nursing in addition to medical-surgical nursing, so you can use just one book throughout your entire nursing curriculum. A new online care plan tutorial walks you through the steps of creating care plans, and updates keep you current with the latest clinical developments, new pharmacologic treatments, QSEN patient safety standards, and evidence-based practice guidelines. Edited by Pamela Swearingen, this book is known for its clear, straightforward approach, its practical and consistent format, and its detailed rationales. Updates from clinical experts ensure the most current, accurate, and clinically relevant content available. A consistent format for each care plan allows faster lookup of key content, with headings for Overview/Pathophysiology, Health Care Setting, Assessment, Diagnostic Tests, Nursing Diagnoses, Desired Outcomes, Interventions with Rationales, and Patient-Family Teaching and Discharge Planning. Color-coded sections for medical-surgical, maternity, pediatric, and psychiatric nursing make it easy to find information quickly. Prioritized nursing diagnoses are listed in order of importance and physiologic need. A two-column format for nursing assessments/interventions and rationales makes it easier to scan information. Detailed rationales for each nursing intervention help you to apply concepts to clinical practice. Outcome criteria with specific timelines help you to set realistic goals for nursing outcomes and provide quality, cost-effective care. NANDA-I taxonomy updates keep you current with NANDA-I terminology and current diagnoses. Updated content covers the latest clinical developments, new pharmacologic treatments, QSEN patient safety standards, and evidence-based practice guidelines. 16 new and updated NANDA-I nursing diagnoses include adult failure to thrive, chronic confusion, risk for shock, interrupted breastfeeding, and impaired environmental interpretation syndrome. Unique! The companion Evolve website includes a narrated online care planning tutorial with step-by-step guidance on how to create accurate and comprehensive care plans. |
| 5 ps of neurovascular assessment: Maternity and Pediatric Nursing Susan Scott Ricci, Terri Kyle, Susan Carman, 2024-09-13 Maternity and Pediatric Nursing, 5th Edition emphasizes key concepts amidst limited class time. Combining maternity and pediatric nursing in a cohesive volume, it equips students with the knowledge and skills for comprehensive care, enhancing their critical thinking and improving patient outcomes. Structured into eleven units, the book covers topics from women’s health, pregnancy, and birth to child health promotion and managing health alterations. Enhanced with threaded case studies, Consider This sections, and detailed nursing care plans, it integrates the strengths of Ricci’s and Kyle/Carman’s texts, with updates on key areas like diversity, equity, inclusion, and current clinical guidelines. |
| 5 ps of neurovascular assessment: The ABCs of NCLEX-RN and EXIT Hesi Test Success ZAHRA PAIKAR, MSN, 2023-02-08 Nursing is in high demand, especially amidst the current Covid-19 pandemic. However, while the supply could be there for nursing students to meet the high demand for nurses, few rarely know the immense pressures of nursing school, the coursework, the standardized exams such as the HESI, the Exit HESI, and finally the dreaded NCLEX-RN exam. Nursing takes a tremendous mental, physical, and emotional toll on future nurses both inside and outside of the classroom setting. Therefore, who is better to write a study guide using two prominent nursing text books on both the EXIT HESI and the NCLEX-RN exam, than a former MSN, CNL student herself. The textbooks are “Saunders Comprehensive NCLEX-RN examination” by Silvestri, the 7th edition and “HESI Comprehensive Review for the NCLEX-RN Examination” by Al-Arabi, Cuellar, Dufrene, Garner, Jemison, Law, Leland, Pine, and Ralph, the 5th edition. This study guide version of these two popular Nursing textbooks will benefit nursing students who need one clear and concise resource that will meet their needs. Additionally, this book includes HESI hints and pyramid points that are highlighted throughout the book and chapters on Personal Nutrition and Fitness, and Mental Health and Wellness. |
| 5 ps of neurovascular assessment: Clinical Nursing Skills at a Glance Sarah Curr, Carol Fordham-Clarke, 2022-03-28 Clinical Nursing Skills at a Glance is the must-have study and revision guide for pre-registration nursing students and newly qualified practitioners alike, providing a visual summary of the essential aspects of clinical nursing skills and procedures. The core platforms of professional practice applicable to nursing adults in a variety of clinical settings are emphasised throughout the text, including care planning, assessment, management, prioritisation and co-ordination of care. Designed to allow rapid reference to critical information, the book is divided into 12 sections organised around systems of the body, with each chapter describing a specific clinical skill. With high-quality images throughout, applications to practice, a review quiz, ‘red flags’ highlighting important aspects to consider in the clinical environment, and reflecting current NMC standards of proficiency for registered nurses, this new evidence-based guide: Allows easy access to the necessary knowledge and skills required by nurses to provide quality care Discusses general principles of care applicable to all, including verbal and non-verbal communication, record keeping, and admission and discharge procedures Covers mandatory skills such as basic life support, infection control, and medicine management Includes access to a companion website featuring interactive multiple-choice questions, case studies, and links to additional resources Offering superb illustrations, up-to-date information, and a reader-friendly approach, Clinical Nursing Skills at a Glance is an invaluable resource for pre-registration nursing students as well as newly qualified nurses, healthcare assistants, and allied healthcare professionals looking to expand their knowledge of nursing skills and procedures. |
| 5 ps of neurovascular assessment: Nursing Diagnosis & Intervention Gertrude K. McFarland, Elizabeth A. McFarlane, 1997 This book provides thorough coverage of both theory and practice of nursing diagnosis. It uses a narrative rather than a list format to explain nursing diagnosis. The book details the formulation of a nursing diagnosis and writing a care plan, as well as providing a resource to clear assessment parameters and planning care. |
