what is functional assessment and supportive emotional measure ?

[miniangel729]

we have an practice lab assisngment, and we have to answer some questions.

an 75 y/o men slipped and fell in the bathroom and was admitted to the er. he received a total right hip replacement 2 days ago. he lives in a two-story house with his dog, renny, which he adores. patient have history of htn, cataract and is hard of hearing.

there are several questions we need to answer.. but there are three that i was stucked on..

what are the components of a functional assessment? why is this important for this patient?

first of all..what is functional assessment?? is it just like the regular physical assessment?

what supportive emotional measure can the nurse provide a hospitalized patient?

what does supportive emotional measure mean? is it like try to talk to the patient about their feelings?

what is the difference between abnormal and significant finding?

(i tried to answer it, don't know if its correct though..)

abnormal finding are findings that are not within patient’s normal range. for example, changes in lung sound, heart rate, mobility or altered consciousness, etc.

significant finding does not necessary have to be abnormal or and is something important to be noted in order to assist in patient care. an example for this case would be hypertension, cataract, and hard of hearing.

[Daytonite, BSN, RN]

i am not being mean here, but it is obvious that english is not your primary language. when you are having difficulty understanding what is being asked in questions like this, one of the first things you need to do is look up words in dictionaries to make sure you are understanding all their meanings correctly. some words have a more specific meaning in the medical world, such as "functional".

first of all, what is a functional assessment? is it just like the regular physical assessment?

do you have a copy of

taber's cyclopedic medical dictionary

? in it, the word

function

is defined as

the manner in which the individual can perform successfully the tasks and roles required for everyday living.

in other words, it is how the patient is able to accomplish their adls (activities of daily living). that's what we nurses do. a functional assessment is an assessment of the patient's ability to perform their daily tasks of living (adls). how are they accomplishing the tasks of eating, sleeping, bathing, grooming, dressing, toileting, working, relaxing, communicating their needs, etc.

what does supportive emotional measure mean?

supportive - to give confidence, comfort, strength to

emotional - having to do with feelings such as love, hate, fear, anger, grief, joy

measure - a course of action, i.e.

nursing interventions

what is the difference between abnormal and significant finding?

an abnormal finding during a physical examination is anything that is irregular and does not follow accepted standards. not all abnormal findings are worthy of being problems that require attention. something that is abnormal becomes a significant finding and worthy of being a problem that requires attention when it takes on a special or suggestive meaning. for example, a dark black spot on someone's back. a mole, will be abnormal, but generally not a case for concern. what will be a significant finding about it is if it has turned very, very dark since the last time you saw it, the significance of that being that this darkening may be a symptom of melanoma. findings become significant when they are symptoms of problems.

in your case scenario. . .an 75 y/o men slipped and fell in the bathroom and was admitted to the er. he received a total right hip replacement 2 days ago. he lives in a two-story house with his dog, renny, which he adores. patient have history of htn, cataract and is hard of hearing.

what are the components of a functional assessment? why is this important for this patient?

this person has fallen and fractured their hip which is why they received a hip replacement. when discharged, adls will include having to get around his home which is 2-stories high? where is his bedroom? is it upstairs? what other rooms are upstairs? what does his daily schedule generally consist of? what mobility problems will he have? with this surgery, how is he going to need to modify what he does at home? how large is this dog? how does the dog get taken care of to go to the bathroom? is the patient going to be able to do that with his new hip?

what supportive emotional measure can the nurse provide a hospitalized patient?

what kind of emotions can you imagine a person would have after having a fall and breaking a hip and needing to be hospitalized? one problem i see is that this person has a dog at home that needs to be cared for. who is going to care for the dog while he is in the hospital? what kind of emotions might this person have? worry, fear, concern? what would you say to him if he says, "i don't know how i'll ever be able to climb those stairs." it is quite possible that the dog this man "adores" he may not be able to care for anymore because of his medical conditions. if he faces the possibility of having to give up the dog, imagine the anticipated grief he must be feeling. what kind of emotional support would the nurse need to provide? if you have a care plan book you could check the interventions for this nursing diagnosis:

anticipatory grieving