Your essential guide in the assessment and diagnostic process. Step by step, you’ll hone your ability to perform effective health assessments, obtain valid data, interpret the findings, and recognize the range of conditions that can be indicated by specific findings to reach an accurate differential diagnosis. You’ll have coverage of 170 conditions and symptoms across the lifespan at your fingertips. ***** Powerful little clinical assessment tool! “Book required for graduate nursing course. Didn't disappoint! Especially helpful with formulating the differential diagnoses in the care plan...”—Susan, Online Reviewer ***** Really good organization. Helpful descriptions. Easy to find information. “I actually really liked this text for my Advanced Assessment course. I liked how it was broken down by area or body system, and then further broken down my differential diagnosis. The information is organized in a way that makes sense and is super easy to skim to find exactly what you need.”—Alexx, Online Reviewer Expanded, Revised & Updated! Thoroughly updated to reflect the art and the science of primary care practice as well as the newest evidence and changes in health care New Chapter! Differential Studies New & Expanded! Content in Chapter 1 on history taking-techniques and skills for special populations Expanded! Lab diagnostics information, as well as discussions of health disparities, cultural humility, and competency New Content! Genetic testing for pharmacologic prescriptions for psychiatric mental health conditions New! Diagnosis algorithm decision trees designed to help nurses assess and diagnose conditions such as chronic sore throat, chronic insomnia, and more Coverage of 170 conditions and symptoms across the life span—including children, older adults, and pregnant patients. Complaint-focused approach organized by body system, including discussions of complex conditions Step-by-step how tos for taking a focused history, performing a physical based on presenting complaints/problems, and interpreting the findings Guidance on selecting diagnostic tests and interpreting those studies to help narrow down the diagnoses Prediction rules for selected disorders Quick-reference features, including red flags Ÿ assessment pearls Ÿ medications causing symptoms Ÿ and selected causes of symptoms

A guide to advanced assessment and clinical diagnosis, this text is organized in a body systems framework and focuses on the adult patient. Each chapter focuses on a major problem associated with each particular body system.

The first textbook to specifically target the scope of practice for advanced practice nurses and physician assistants With a focus on promoting sound clinical decision-making and a streamlined and highly accessible approach, this text for advanced practice nurses and physician assistants delivers up-to-date primary care health assessment techniques for individuals throughout the lifespan. Each chapter offers a concise overview of anatomy and physiology and an in-depth review of normal and abnormal findings. The holistic assessment section for each system—emphasizing the importance of social considerations—further prepares students for informed clinical practice. Chapters feature a comprehensive assessment of special populations, including patients with disabilities; pediatric, pregnant, and elderly patients; and transgendered and veteran populations, as well as differential diagnosis guidance in tabular format. Chapters are further enhanced with illustrations, images, and case studies that demonstrate clinical reasoning and application of principles to practice. A robust ancillary package includes an instructor manual, discussion questions, multiple-choice questions, and PowerPoint slides. Key Features: Addresses anatomy and physiology, normal and abnormal findings, and holistic health assessment, including assessment of special populations Offers case studies with examples of documentation and coding information Fosters diagnostic reasoning and critical-thinking with thorough differential diagnosis tables Provides visual guidance on the recognition and assessment of normal and abnormal findings with illustrations and images Includes a robust ancillary package with an instructor manual, discussion questions, multiple-choice questions, and PowerPoint slides

Advanced Health Assessment and Diagnostic Reasoning, Third Edition covers the diagnostic reasoning process that providers must follow when assessing an actual case. The text outlines each step of the health assessment process and further demonstrates the link between health history and physical examination. It also provides the healthcare professional with the essential data needed to formulate a diagnosis and treatment plan. New Online Course! Advanced Health Assessment and Diagnostic Reasoning, Third Edition features Navigate Premier Access, a robust online course complete with interactive lectures, eBook with health assessment videos and audio clips, syllabus, instructor resource guide, image bank, practice activities, discussion questions, and testing items. Key Features: • Outlines the health assessment and diagnostic reasoning process for a nurse practitioner assessing a new patient • Provides the essential data needed to formulate a diagnosis and treatment plan • Covers the anatomy and physiology of each system • Includes coverage of specific populations (pediatric, pregnancy, geriatric) • Navigate 2 Premier Access

This manual-style reference presents the clinical skills needed to assess health and provide care to women of all of ages, with systematic reviews of all aspects of female mental and bodily health. The authors and contributors comprehensively cover female reproduction, anatomy, and physiology as examined at the cellular level. Also discussed are developmental, psychological, and sociocultural dimensions of women. Offering an integrated approach to women's health care, the authors delineate the roles and functions of various health care providers serving female patients, including physician's assistants, nurse midwives, and nurse practitioners. The chapters present assessment strategies that are on the leading edge of the expanded role of the advanced practice clinician. The chapter authors provide full, in-depth discussions of each assessment skill and technique as well as an understanding of the rationale behind each assessment. Key Topics Discussed: Health assessment: physical examinations, assessment of pregnant women, and assessment and clinical evaluation of obesity in women Female Reproduction: anatomy, physiology, and the reproductive cycle Contraceptive devices: the diaphragm, intrauterine contraception, and contraceptive implants Assessment of women at risk: domestic violence, STIs, and sexual assault Assessment of the infertile woman: initial evaluations, donor insemination, and more

Now in its second edition, Advanced Pediatric Assessment is an in-depth, current guide to pediatric-focused assessment, addressing the unique anatomic and physiological differences among infants, children, and adults as they bear upon pediatric assessment. The second edition is updated to reflect recent advances in understanding of pediatric assessment for PNPs, FNPs, and other practitioners, as well as students enrolled in these advance practice educational programs. This includes a new chapter on the integration of pediatric health history and physical assessment, a Notable Clinical Findings section addressing abnormalities and their clinical significance at the end of each assessment chapter, updated clinical practice guidelines for common medical conditions, updated screening and health promotion guidelines, and summaries in each chapter. Based on a body-system framework, which highlights developmental and cultural considerations, the guide emphasizes the physical and psychosocial principles of growth and development, with a focus on health promotion and wellness. Useful features include a detailed chapter on appropriate communication techniques to be used when assessing children of different ages and developmental levels and chapters on assessment of child abuse and neglect and cultural considerations during assessment. The text presents nearly 300 photos and helpful tables and boxes depicting a variety of commonly encountered pediatric physical findings, and sample medical record documentation in each chapter. NEW TO THE SECOND EDITION: A chapter on the integration of pediatric health history and physical assessment Notable Clinical Findings addressing important abnormalities and their clinical significance in each assessment chapter Updated clinical practice guidelines for common medical conditions Updated screening and health promotion guidelines Accompanying student case study workbook (to be purchased separately) KEY FEATURES: Focuses exclusively on the health history and assessment of infants, children, and adolescents Provides the comprehensive and in-depth information needed by APN students and new practitioners to assess children safely and accurately Includes family, developmental, nutritional, and child mistreatment assessment Addresses cultural competency, including specific information about the assessment of immigrant and refugee children Fosters confidence in APNs new to primary care with children Ellen M. Chiocca, MSN, CPNP, APN, RNC-NIC, is a clinical assistant professor in the School of Nursing at DePaul University. She received a master of science degree in nursing and a postmaster nurse practitioner certificate from Loyola University, Chicago, and a bachelor of science degree in nursing from St. Xavier University. Prior to joining the faculty at DePaul University, she taught at Loyola University, Chicago, from 1991 to 2013. Ms. Chiocca’s clinical specialty is the nursing of children. Her research focuses on how various forms of violence affect children’s health. She is certified in neonatal intensive care nursing and as a pediatric nurse practitioner. In addition to teaching at DePaul, Ms. Chiocca also continues clinical practice as a pediatric nurse practitioner at a community clinic in Chicago. Ms. Chiocca has published more than 25 journal articles and book chapters, and is also a peer reviewer for the journal Neonatal Network. She is currently pursuing a PhD in nursing.

In five chapters, this volume presents recent developments in fatigue assessment. In the first chapter, a generalized Neuber concept of fictitious notch rounding is presented where the microstructural support factors depend on the notch opening angle besides the loading mode. The second chapter specifies the notch stress factor including the strain energy density and J-integral concept while the SED approach is applied to common fillet welded joints and to thin-sheet lap welded joints in the third chapter. The forth chapter analyses elastic-plastic deformations in the near crack tip zone and discusses driving force parameters. The last chapter discusses thermomechanical fatigue, stress, and strain ranges.