Physical Assessment Head to toe assessment.

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Presentation transcript:

Physical Assessment Head to toe assessment

Objectives Review previous lecture content(any questions?) Head to Toe Assessment to a Spanish speaking patient

Signos Vitales I am going to measure your blood pressure. Voy a medir su presión arterial. I’m going to take your pulse. Voy a tomar su pulso I’m going to take your temperature. Put thermometor under your tounge Voy a tomar su temperatura. Ponga el termometro debajo su lengua I’m going to measure your oxygen level. Voy a medir su nivel de oxígeno Your blood pressure is___ Su presión arterial es_____ Your pulse is___ Su pulso es__________ Your temperature is___ Su temperatura es_______ Your oxygen level is_____ Su nivel de oxígeno es____ Responses Es normal/ No es normal Está un poco alta/baja Está muy alta/ muy baja

Review BP 130/85 HR 121 HR 76 Temp 35.9°C Temp 36.0°C 100% 99% 145/90 “I’m going to take your vital signs” “I’ m going to____” “your___is” Is it normal, high, low? BP 130/85 HR 121 HR 76 Temp 35.9°C Temp 36.0°C 100% 99% 145/90 115/80 HR 88 HR 59 Temp 38.2°C 39.0°C 88% 94% 85/60 Use these numeric values for pracice!

Head to Toe Assessment Neuro Eyes Heart Lungs Abdomen Lower Extremities

AAO X 3 “What is your full name” “Do you know what__it is?” day month year “Do you know where you are” “Cual es su nombre completo” “Sabe que__es?” Dia Mes Año “Sabe donde está?”

Ojos/Eyes Checking pupil response “Mire directamente a la luz” “Look directly at the light” “Mire directamente a la luz”

Corazon/Heart Heart Sounds “I’m going to listen to your heart” Arm Strenght “Squeeze my hands” “Relax your grip” “Voy a escuchar a su corazon” “Apriete mis manos” “Relaje su agarre”

Pulmones/Lungs Lungs Sounds “I’m going to listen to your lungs” “Breath deeply and exhale” “again…” “Voy a escuchar a sus pulmones” “Respire profundo y exale” “otra vez…”

Abdomen Abdomen “I’m going to listen to your stomach” “ I’m going to press on your abdomen” “Tell me if it hurts” “Voy a escuchar a su estomago” “Voy a presionar en su abdomen” “Digame si le causa dolor”

Piernas/Legs Lower extremeties “I’m going to examine your legs for swelling” Muscle Strength Push your feet forward Pull your feet back Push your hands forward Pull your hands back “Voy a examinar sus piernas para ver si estan hinchadas” “ Empuje sus pies hacia el frente” “Tire sus pies hacia atras” “Empuje sus manos hacia el frente” “Tire sus manos hacia atras”