Question

A. Differentiate between focused and complete physical assessment. B. John Bosco a very good swimmer accidentally hits his head to the floor of a swimming pool during a swimming competition after diving from a 30 feet height. He was picked with a head injury in a state of unconsciousness. Describe the scale that you will used in assessing his level of unconsciousness. (7 MARKS

Answer 1

A.Focused physical examination is the examination of a patient based on the presenting complaint.In this either only the particular system is involved or two systems.

In complete physical assessment,examination of complete head to toe is involved.That means a thorough assessment is performed.

B.The scale that is used to assess the level of unconsciousness and the consciousness is known as Glassgow coma scale.It has four criterias and each one carries points.The criterias and the scores are the following

1. Eye opening the maximum score is 4

If there is spontaneous eye opening-4

Opens eye to verbal commands_3

Opens eyes to pain - 2

No response -1

2.Motor response maximum has 6 points

Obeys commands- 6

Localises pain-5

Withdrawal from pain-4

Flexion response to pain-3

Extension response to pain-2

No motor response-1

3 Verbal response maximum has 5 points

Oriented -5

Confused -4

Inappropriate words -3

Incomprehensible sound -2

No response-1

Here the maximum score is 15 and the least one is 3.The score 3 is considered as comatoes