1. Differentiate between normal and abnormal findings.
2. Demonstrate the correct methods of examining the heart and circulatory system utilizing inspection, auscultation, percussion and palpation.
3. Demonstrate the appropriate physical assessment method in order to obtain accurate data.
4. Compare and contrast age-specific, organic or environmental variables which may influence assessment results.
Normal and abnormal findings
Basic clinical problem is to distinguish between normal and abnormal finding both in clinical and laboratory examination of the patient. When a diagnostic test is reported as normal, the clinician generally uses it only to rule out certain diseases. An abnormal finding during a physical examination is anything that is irregular and does not follow accepted standards. The evaluation of fine differences is the most difficult task, which represents an important part of the physician`s skill. In order to differentiate successfully between the normal and abnormal findings, clinician should be acquainted with basic principles of biological events measurement.
The 70% development on non-performing credits from 2015 to 2016 is unwanted for bank productivity, dissolvability and financial turn of events (Lowland, 2016, IMF, 2016). Baabereyir (2009) and Ngwa (2010) believed that credit risk is the main gamble banks are helpless to and Ghanaian banks are no exemption.
Arrangement of versatile cash administrations by media transmission organizations is seen as a danger by 55.6% of Ghanaian banks in the 2016 financial review. While portable cash balance on float grew multiple times from 2012 to 2015with exchange volume of 266.3 million, conventional bank stores became by 116% from GHS 19.6 billion to GHS 42.2 billion for a similar period. Banks dread media transmission organizations are contenders rather than accomplices in the goal of monetary consideration (Swamp, 2015; PwC, 2016).
End
Banks are key to financial development. Sound guideline and management of the financial business is vital for cross country improvement (Allen and Carletti, 2008; Singh, 2010).
Execution of regulative and primary changes repositioned the Ghanaian financial area from chapter 11, credit proportioning, low monetary intermediation, cash-ruled framework and loan fee controls to a market-based framework. Changes reinforced the independence of the national bank to form procedures, upgraded rivalry, prompting a very much promoted and beneficial industry directed by local and reception of global accepted procedures.
Utilizing on innovation, expansion of electronic financial administrations and items and the hope of banking areas of emerging nations outperforming those of created nations, Ghanaian bank entrance is projected to increment to rope in the unbanked people, address issues of high loaning rates to alleviate the dangers inclined toward the area.
Suggestion
To tackle the ideal potential for improvement, the national bank ought to charge banks and media transmission organizations to team up to help rope in the unbanked people which has positive ramifications on financial solidness and macroeconomic turn of events (Mehrotra and Yetman, 2015; Burgess and Pande, 2005; Levine, 2005).