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CCRP Patient Assessment Study Guide.pdf, Exams of Nursing

CCRP Patient Assessment Study Guide.pdf

Typology: Exams

2024/2025

Available from 07/03/2025

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CCRP Patient Assessment Study Guide
Assessment - an objective evaluation or
appraisal of an individual's health status,
including acute and chronic conditions
How does an assessment gather information? - through collection of data, observation, and
physical examination
What type of assessment?
•Gather information about the patient from available sources such as medical records or
reports from diagnostic studies
• Perform direct measurements on the patient such as 12-lead EKG, blood pressure, or body
mass index - objective assessment
What type of assessment?
• Conduct standardized tests, such as a
12-lead EKG or a 6 minute walk test
• Observe patient responses or reactions such as cardiac rhythms on telemetry, oxygen
saturation on pulse oximetry - objective assessment
In what type of assessment does the patient provides the information, usually as solicited -
Subjective assessment
What type of assessment does the patient?
• Describing their cardiac event
• Rating their level of pain or exertion - Subjective assessment
What type of assessment does the patient?
• Reporting on recent behavior, eg, diet,
smoking, exercise
• Evaluating their own status by completing surveys - Subjective assessment
At the time of program entrance and exit, all patients should undergo or have the following
current screening and assessments: - • Current medical history - medical or surgical profile
(or both), including complications, comorbidities, and other pertinent medical history
• Physical examination - cardiopulmonary
systems assessment and musculoskeletal
assessment, particularly upper and lower
extremities and lower back
Resting 12-lead electrocardiogram
• Current medications, including dose and
frequency
• Cardiovascular disease (CvD) risk profile
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CCRP Patient Assessment Study Guide Assessment - ✔an objective evaluation or appraisal of an individual's health status, including acute and chronic conditions How does an assessment gather information? - ✔through collection of data, observation, and physical examination What type of assessment? •Gather information about the patient from available sources such as medical records or reports from diagnostic studies

  • Perform direct measurements on the patient such as 12-lead EKG, blood pressure, or body mass index - ✔objective assessment What type of assessment?
  • Conduct standardized tests, such as a 12 - lead EKG or a 6 minute walk test
  • Observe patient responses or reactions such as cardiac rhythms on telemetry, oxygen saturation on pulse oximetry - ✔objective assessment In what type of assessment does the patient provides the information, usually as solicited - ✔Subjective assessment What type of assessment does the patient?
  • Describing their cardiac event
  • Rating their level of pain or exertion - ✔Subjective assessment What type of assessment does the patient?
  • Reporting on recent behavior, eg, diet, smoking, exercise
  • Evaluating their own status by completing surveys - ✔Subjective assessment At the time of program entrance and exit, all patients should undergo or have the following current screening and assessments: - ✔• Current medical history - medical or surgical profile (or both), including complications, comorbidities, and other pertinent medical history
  • Physical examination - cardiopulmonary systems assessment and musculoskeletal assessment, particularly upper and lower extremities and lower back
  • Resting 12-lead electrocardiogram
  • Current medications, including dose and frequency
  • Cardiovascular disease (CvD) risk profile

The goal of __________ is to determine the care, treatment, and services that will meet the patient's initial and continuing needs. Identifying and delivering the right care, treatment, and services depends on the following three processes... - ✔assessment

  1. Collecting information about the patient's health history as well as physical, functional, and psychosocial status
  2. Analyzing the information in order to understand the patient's needs for care, treatment, and services
  3. Making care, treatment, and services decisions based on the analysis of information collected Individualized case management - ✔is an integrated disease-management process that provides specific risk factor intervention strategies. The patient is the center of the process and takes an active role. Initial assessment has several purposes, name four: - ✔•Confirm referral diagnosis - it is not enough for a health care provider to scribble a diagnosis on a prescription pad or to type it onto an electronic referral sheet; that diagnosis must be confirmed by an official medical document to justify patient enrollment in rehab and subsequent payment for services rendered
  • Collect baseline data - each patient's starting point is verified through a series of facts and figures about their status
  • Begin risk stratification - information gleaned from activities comprising this first encounter may provide clues to the likelihood of a recurrent cardiac event
  • Build rapport with the patient - spending time with and showing a caring attitude toward a new patient sets the stage for all staff: patient encounters that follow during rehab "Stable" HF is further defined - ✔as not having a recent (within last 6 weeks) cardiovascular hospitalization or a planned cardiovascular procedure (within the last 6 months) New York Heart Association criteria for heart failure that qualifies for cardiac rehab. - ✔New York Heart Association class II through IV despite being on optimal heart failure therapy for at least 6 weeks Name Six Elements of the Assessment: - ✔1. Event/Medical history
  1. First Patient appointment/initial Encounter
  2. admission interview/Patient history
  3. Cardiovascular Exam
  4. EKG and Cardiac Rhythm Strips
  5. Body size and strength measurements What should be included in the cardiovascular vital signs? - ✔temperature, pulse, and respiration rate are standard; blood pressureshould be taken in both arms and in 2 positions, upright and supine; oxygen saturation via pulse oximetry is also recommended, especially in patients with history of CHF or COPD