ABSTRACT
BACKGROUND: To evaluate nursing practice in periodic health examination. METHODS: We make a retrospective evaluation of process data through 10 explicit criteria. We selected a random sample (in evaluation process) and a institutional based sample and population universe (re-evaluation process) of both male and female patients who underwent health examination in nursing consults of a urban health center. RESULTS: We found a substantial improvement in fulfilling degree in 8 out of criteria, although best standard only was reached in 3 criteria (blood pressure determination, somatometrics and tobacco smoking investigation). We also remark the high proportion of risk factors, tobacco smoking (51.6%), obesity (37.6%) and dyslipemia (25.5%). CONCLUSIONS: We remark the importance of entering and developing evaluation and quality assurance methodology among common tasks of primary care teams and correct ubication of periodic health examination in nursing process.
Subject(s)
Health Promotion , Physical Examination , Preventive Medicine , Primary Health Care , Quality of Health Care , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Female , Health Services , Humans , Hypertension/prevention & control , Male , Middle Aged , Obesity/prevention & control , Quality Assurance, Health Care , Smoking Prevention , Spain , Urban PopulationABSTRACT
The slipping rib syndrome can be produced by a direct or indirect traumatism over the sternal tip of the costal cartilages 8, 9 and 10. The main complains are abdominal pain in the right or left upper abdominal, quadrants, and sometimes a sensation of rubbing or slipping of the ribs. The hoocking maneuver is useful in the diagnosis of this syndrome. Three clinical cases of the slipping rib syndrome are reported. This syndrome must be taken into account is the differential diagnosis of the abdominal pain in pediatric patients.
