Evidence-Based Physical Examination: Best Practices for Health & Well-Being Assessment

by Kate Gawlik DNP, APRN-CNP, FAANP (Editor), Bernadette Mazurek Melnyk PhD, APRN-CNP, FAANP, FNAP, FAAN (Editor), Alice Teall DNP, APRN-CNP, FAANP (Editor)

Overview

The first book to teach physical assessment techniques based on evidence and clinical relevance.

Grounded in an empirical approach to history-taking and physical assessment techniques, this text for healthcare clinicians and students focuses on patient well-being and health promotion. It is based on an analysis of current evidence, up-to-date guidelines, and best-practice recommendations. It underscores the evidence, acceptability, and clinical relevance behind physical assessment techniques.

Evidence-Based Physical Examination offers the unique perspective of teaching both a holistic and a scientific approach to assessment. Chapters are consistently structured for ease of use and include anatomy and physiology, key history questions and considerations, physical examination, laboratory considerations, imaging considerations, evidence-based practice recommendations, and differential diagnoses related to normal and abnormal findings. Case studies, clinical pearls, and key takeaways aid retention, while abundant illustrations, photographic images, and videos demonstrate history-taking and assessment techniques. Instructor resources include PowerPoint slides, a test bank with multiple-choice questions and essay questions, and an image bank. This is the physical assessment text of the future.

Key Features:
• Delivers the evidence, acceptability, and clinical relevance behind history-taking and assessment techniques
• Eschews “traditional” techniques that do not demonstrate evidence-based reliability
• Focuses on the most current clinical guidelines and recommendations from resources such as the U.S. Preventive Services Task Force
• Focuses on the use of modern technology for assessment
• Aids retention through case studies, clinical pearls, and key takeaways
• Demonstrates techniques with abundant illustrations, photographic images, and videos
• Includes robust instructor resources: PowerPoint slides, a test bank with multiple-choice questions and essay questions, and an image bank
• Purchase includes digital access for use on most mobile devices or computers

Product Details

ISBN-13:	9780826164544
Publisher:	Springer Publishing Company
Publication date:	01/27/2020
Sold by:	Barnes & Noble
Format:	eBook
Pages:	700
File size:	44 MB
Note:	This product may take a few minutes to download.

About the Author

Kate Sustersic Gawlik, DNP, APRN-CNP, FAANP, FNAP is an associate professor of clinical nursing at The Ohio State University. She is certified by the American Nurses Credentialing Center as an adult and family nurse practitioner. She has extensive background in primary care, with experience in family practice, college health, urgent care, and reproductive care. Her clinical interests are evidence-based practice, population health, preventive medicine, clinician well-being, parental burnout, health professionals’ education, wellness, and cardiovascular disease prevention. She has served as the project manager for the Million Hearts® initiatives at Ohio State's College of Nursing since 2013. She leads and serves on multiple state and national workgroups targeted at improving cardiovascular population health and improving student health and wellness.

Dr. Gawlik started her nursing career in 2006 and completed her MSc in nursing with a specialization as an adult/geriatric nurse practitioner in 2009 from The Ohio State University. In 2015, she graduated with her DNP and a post-master's certificate as a family nurse practitioner from The Ohio State University. Dr. Gawlik was awarded the Outstanding Faculty Award in 2013 and the Outstanding Leadership Award in 2017 at The Ohio State University. She received an Abstract of Distinction at the Council for the Advancement of Nursing Science Conference in 2016 and the Editor's Pick for 2017 Paper of the Year by the American Journal of Health Promotion for "An Epidemiological Study of Population Health Reveals Social Smoking as a Major Cardiovascular Risk Factor." She was awarded the 2018 American Association of Nurse Practitioner State Award for Excellence for Ohio. She was inducted as a fellow into the American Association of Nurse Practitioners in June 2018 and into the National Academies of Practice in March 2021. She received the 2022 American Association of Colleges of Nursing Innovations Award.

Dr. Gawlik has been teaching nursing students since 2007. She has taught a variety of undergraduate, RN--BSN, and graduate nursing courses and serves as a clinical preceptor for advanced practice nursing students. Her passion lies in teaching in the online platform, both in synchronous and asynchronous classrooms. She has been teaching solely online since 2012. Dr. Gawlik developed an online educational module on cardiovascular population health that is used nationally and internationally. The educational module has led to the cardiovascular screening of over 100,000 people. Her educational interests include the development of new and innovative teaching modalities and pedagogies for online teaching with a focus on advanced assessment, evidence-based practice, and health promotion courses.

Bernadette Mazurek Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAA, is the Vice President for Health Promotion, University Chief Wellness Officer, and Helene Fuld Health Trust Professor of Evidence-Based Practice and Dean of the College of Nursing at The Ohio State University. She also is a Professor of Pediatrics and Psychiatry at the College of Medicine and Executive Director of the Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare. Dr. Melnyk is a nationally and internationally recognized expert in evidence-based practice, intervention research, child and adolescent mental health, and health and wellness. She is both a pediatric nurse practitioner and psychiatric mental health nurse practitioner, and co-editor of eight books, including Evidence-Based Physical Examination: Best Practices for Health and Well-Being Assessment; Evidence-Based Physical Examination Handbook; Implementing the Evidence-Based Practice (EBP) Competencies in Healthcare: A Practical Guide for Improving Quality, Safety, and Outcomes; Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice (4th Edition); Implementing EBP: Real World Success Stories; A Practical Guide to Child and Adolescent Mental Health Screening, Early Intervention and Health Promotion (3rd Edition); Intervention Research and Evidence-Based Quality Improvement: Designing, Conducting, Analyzing and Funding (2nd Edition); and Evidence-Based Leadership, Innovation and Entrepreneurship in Nursing and Healthcare. Dr. Melnyk has over 33 million dollars of sponsored funding from federal agencies and foundations and has authored over 450 publications. She is an elected fellow of the National Academy of Medicine, the American Academy of Nursing, the National Academies of Practice, and the American Association of Nurse Practitioners, and serves as Editor of the journal Worldviews on Evidence-based Nursing. Dr. Melnyk served a 4-year term on the United States Preventive Services Task Force and recently served on the mental health standing committee of the National Quality Forum. She is a currently a member of the board of directors for the National Forum for Heart Disease and Stroke Prevention and a member of the National Academy of Medicine's Action Collaborative on Clinician Well-being and Resilience. She has received numerous national and international awards, including being named an edge-runner three times by the American Academy of Nursing.

Alice M. Teall, DNP, APRN-CNP, FAANP, FNAP, is an Associate Clinical Professor and Director of Graduate Health and Wellness Programming at The Ohio State University. An expert in nursing education, Dr. Teall was honored with the Innovations in Professional Nursing Education Award from the American Association of Colleges of Nursing, the Provost Award for Distinguished Teaching from Ohio State, and the Presidential Award for Faculty Excellence from Wright State University. While serving as director of the online Family Nurse Practitioner program at The Ohio State University, she was chosen as College of Nursing Graduate Educator of the Year for 4 consecutive years. Dr. Teall is coeditor of five textbooks, including Evidence-Based Physical Examination Handbook and Assessment and Diagnosis Review for APRN Certification Exams.

Alice M. Teall began her nursing career as a diploma graduate of Miami Valley Hospital School of Nursing in 1983. She earned her BS in Nursing from Capital University, her MS with a specialization as a Family Nurse Practitioner from Wright State University, and her DNP from Ohio State. She has certifications as a Family and Pediatric Nurse Practitioner and as an Integrative Nurse Coach. Her areas of clinical expertise include adolescent health, primary care of at-risk youth and families, college health, and recovery from substance use disorder. Dr. Teall is a Fellow of the American Academy of Nurse Practitioners and the National Academies of Practice.

An experienced educator, Alice M. Teall has taught assessment online and on campus for students across nursing programs, including LPN, traditional undergraduate, RN--BSN completion, accelerated graduate entry, traditional master's, BS-to-DNP, post-master's, and doctoral programs. Dr. Teall has published and presented nationally about the effective use of classrooms as engaged and collaborative communities of inquiry, where active learning, timely feedback, diversity of thought, and support for self-care and wellness are norms. Her contributions to advanced practice education include innovative use of synchronous web-conferencing, incorporation of wellness coaching techniques in clinical practice, and preparation for the use of telehealth to improve access to quality care and effectively address population health.

Table of Contents

Contributors

Preface

Acknowledgments

List of Videos

Instructor Resources

PART I: FOUNDATIONS OF CLINICAL PRACTICE

1. APPROACH TO EVIDENCE-BASED ASSESSMENT OF HEALTH AND WELL-BEING

2. EVIDENCE-BASED HISTORY-TAKING APPROACH FOR WELLNESS EXAMS, EPISODIC VISITS, AND CHRONIC CARE MANAGEMENT

3. APPROACH TO IMPLEMENTING AND DOCUMENTING PATIENT-CENTERED, CULTURALLY SENSITIVE EVIDENCE-BASED ASSESSMENT

4. EVIDENCE-BASED ASSESSMENT OF CHILDREN AND ADOLESCENTS

5. APPROACH TO THE PHYSICAL EXAMINATION: GENERAL SURVEY AND ASSESSMENT OF VITAL SIGNS

PART II: EVIDENCE-BASED PHYSICAL EXAMINATION AND ASSESSMENT OF BODY SYSTEMS

6. EVIDENCE-BASED ASSESSMENT OF THE HEART AND CIRCULATORY SYSTEM

7. EVIDENCE-BASED ASSESSMENT OF THE LUNGS AND RESPIRATORY SYSTEM

8. APPROACH TO EVIDENCE-BASED ASSESSMENT OF BODY HABITUS (HEIGHT, WEIGHT, BODY MASS INDEX, NUTRITION)

9. EVIDENCE-BASED ASSESSMENT OF SKIN, HAIR, AND NAILS

10. EVIDENCE-BASED ASSESSMENT OF THE LYMPHATIC SYSTEM

11. EVIDENCE-BASED ASSESSMENT OF THE HEAD AND NECK

12. EVIDENCE-BASED ASSESSMENT OF THE EYE

13. EVIDENCE-BASED ASSESSMENT OF THE EARS, NOSE, AND THROAT

14. EVIDENCE-BASED ASSESSMENT OF THE NERVOUS SYSTEM

15. EVIDENCE-BASED ASSESSMENT OF THE MUSCULOSKELETAL SYSTEM

16. EVIDENCE-BASED ASSESSMENT OF THE ABDOMINAL, GASTROINTESTINAL, AND UROLOGICAL SYSTEMS

PART III: EVIDENCE-BASED PHYSICAL EXAMINATION AND ASSESSMENT OF SEXUAL AND REPRODUCTIVE HEALTH

17. EVIDENCE-BASED ASSESSMENT OF THE BREASTS AND AXILLAE

18. EVIDENCE-BASED ASSESSMENT OF SEXUAL ORIENTATION, GENDER IDENTITY, AND HEALTH

19. EVIDENCE-BASED ASSESSMENT OF MALE GENITALIA, PROSTATE, RECTUM, AND ANUS

20. EVIDENCE-BASED ASSESSMENT OF THE FEMALE GENITOURINARY SYSTEM

21. EVIDENCE-BASED OBSTETRIC ASSESSMENT

PART IV: EVIDENCE-BASED PHYSICAL EXAMINATION AND ASSESSMENT OF MENTAL HEALTH

22. EVIDENCE-BASED ASSESSMENT OF MENTAL HEALTH

23. EVIDENCE-BASED ASSESSMENT OF SUBSTANCE USE DISORDER

24. EVIDENCE-BASED ASSESSMENT AND SCREENING FOR TRAUMATIC EXPERIENCES: ABUSE, NEGLECT, AND INTIMATE PARTNER VIOLENCE

25. EVIDENCE-BASED THERAPEUTIC COMMUNICATION AND MOTIVATIONAL INTERVIEWING IN HEALTH ASSESSMENT

PART V: SPECIAL TOPICS IN EVIDENCE-BASED ASSESSMENT

26. EVIDENCE-BASED HISTORY AND PHYSICAL EXAMINATIONS FOR SPORTS PARTICIPATION EVALUATION

27. USING HEALTH TECHNOLOGY IN EVIDENCE-BASED ASSESSMENT

28. EVIDENCE-BASED ASSESSMENT OF PERSONAL HEALTH AND WELL-BEING FOR CLINICIANS: KEY STRATEGIES TO ACHIEVE OPTIMAL WELLNESS

29. EVIDENCE-BASED HEALTH AND WELL-BEING ASSESSMENT: PUTTING IT ALL TOGETHER

Editorial Reviews

Reviewer: Erica Sciarra, PhD,DNP, RN, CNE (Monmouth University School of Nursing and Health Studies)
Description: This is a valuable resource filled with evidence-based guided health assessment techniques essential for any healthcare practitioner, beginning with basic documentation techniques and progressing to physical assessments of body systems. It includes information on special topics such as sports physicals, technology integration, and maintenance of clinician health.
Purpose: The purpose is to provide a reference guide for evidence-based assessment skills and techniques, including pediatric and geriatric considerations. Each section is organized into essential topics for healthcare providers. Assessments of body systems include a review of basic anatomy, appropriate history questions, physical exam techniques, and diagnostic considerations. This book meet's the authors' objectives.
Audience: The book can serve as a valuable resource for a student nurse, nurse practitioner student, or physician assistant student in the clinical setting. If offers a comprehensive stepwise approach to health assessment including documentation. It can also be used by experienced healthcare providers as a quick reference to fine-tune skills and/or include new evidence-based practice assessment techniques in their clinical toolbox.
Features: This easy-to-understand reference book is seamlessly organized into evidence-based assessments of each body system. There are special considerations regarding history taking and documentation. Each section begins with an overview of the anatomy of the system including pediatric and geriatric considerations complete with colorful illustrations. Each body system discussion includes key history taking questions, review of systems, and preventive patient teaching. Abnormal exam findings and indications are clearly described as well as related diagnostic and lab tests. Case studies are included at the end of each chapter to enhance understanding.
Assessment: This reference book is an excellent resource for practitioners to enhance their history taking and physical exam skills. Tables and colorful illustrations help break down complex concepts in an easy-to-understand format. The ability to download an electronic copy to a smart phone or any electronic device is priceless for on-the-go use. Each body system includes evidence-based considerations and essential clinical pearls for the novice or experienced practitioner.

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