Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Assessment Techniques and the Clinical Setting.

Slides:



Advertisements
Similar presentations
Clinical Examination of the Ear, Nose and Throat Dave Pothier St Mary’s 2003.
Advertisements

In The Name of God.
Copyright 2002, Delmar, A division of Thomson Learning Chapter 8 Physical Assessment Techniques.
Techniques of Physical Assessment
Assessment Physical Assessment Part 1 Helen Harkreader, RN, PhD.
Huda Al-Owairdy Clinical Pharmacy Dept.
Chapter 3 Techniques and Equipment for Physical Assessment
الجامعة السورية الخاصة كلية الطب البشري قسم الجراحة M.A.Kubtan1.
Examination and Treatment Areas
Faculty of Nursing-IUG Chapter (4) Physical Assessment Techniques.
PHYSICAL ASSESSMENT/ EXAMINATION HEAD TO TOE
الجامعة السورية الخاصة كلية الطب البشري قسم الجراحة M.A.Kubtan1.
Health History and Physical Examination Chapter 3 Overview Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
1 Medical Assisting Chapter 22 PowerPoint ® to accompany Second Edition Ramutkowski  Booth  Pugh  Thompson  Whicker Copyright © The McGraw-Hill Companies,
Head & Neck Examination of A SURGICAL PATIENT
Diagnostic Procedures & Pharmacology
History and Physical Part II. Healthcare workers are on the front line of fighting the spread of infectious disease. Healthcare workers are on the front.
1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Nursing Assessment: Musculoskeletal System Chapter 62.
© 2009 The McGraw-Hill Companies, Inc. All rights reserved 38-1 Purpose of General Physical Examination  To confirm an overall state of health Baseline.
History & Examination of a lump
Copyright © 2011, 2007, 2003, 1999 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 32 Assisting With the Physical Examination.
Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Abdomen Chapter 21.
Purpose of General Physical Examination
Anus, Rectum, and Prostate
Physical Examination 2 nd Affiliated Hospital China Medical University 内科 郑长青.
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 3 Techniques of Physical Examination and Equipment.
Methods and pysical examination. 1Inspection 2Palpation ▲ 3Percussion ▲ 4Auscultation ▲ 5Smell.
Introduction to physical examination & general survey. Shahzad Bashir RN, BScN, DCHN Instructor New Life College of Nursing October 28, 2014 In The Name.
The Physical Examination
Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Heart and Neck Vessels Chapter 19.
Assisting with the Primary Physical Examination
U11 Assisting with the Physical Exam
By Dr. Hala Yehia. Methods of Examination Objectives: 1-List 4 techniques for physical assessment. 2-Define inspection. 3-Determine characteristics of.
Assisting with Physical Examinations. Methods and equipment vary from MD to MD 3 major kinds of examinations – EENT – GYN – General/complete physical.
Copyright © 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins Health History and Physical Assessment Lecture 1.
1 By Dr. Zahoor. Respiratory System General Inspection Respiratory rate – count per minute or for 30 seconds and multiply by 2  Examine the patient for.
1 Copyright © 2011, 2007, 2003, 1999 by Saunders, an imprint of Elsevier Inc. All rights reserved. Assisting with the Primary Physical Examination Chapter.
1 Copyright © 2011, 2007, 2003, 1999 by Saunders, an imprint of Elsevier Inc. All rights reserved. Assisting with the Primary Physical Examination Chapter.
Chapter 25 Health Assessment. Purposes of the Health Assessment Establish the nurse-patient relationship. Gather data about the patient’s general health.
Types, techniques, equipment, and positions
© 2014 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
PHYSICAL METHOD OF EXAMINATION Dr. Sangram Biswal Deptt. Of Epidemiology and Preventive Medicine.
3.01 Understand Diagnostic and Therapeutic Services
Health History and Physical Assessment
Miss.M.N Priyadarshanie
3.01 Understand Diagnostic and Therapeutic Services
The Physical Examination
Chapter 3—Physical Examination Techniques and Equipment
Elizabeth M. Long, DNP, APRN, GNP-BC, CNS, 2016
History & Examination of a lump
Vital signs.
3.01 Understand Diagnostic and Therapeutic Services
Collect Patient Data PP2
3.01 Understand Diagnostic and Therapeutic Services
Health Assessment and Physical Examination Denise Coffey MSN, RN
Health History and Physical Assessment
Physical Examination Techniques M. Rich, RN
Physical Examination Techniques
Collect Patient Data PP2
Examination of Respiratory System
Chapter Three Approach to the Physical Assessment.
3.01 Understand Diagnostic and Therapeutic Services
Health Assessment and Physical Examination Denise Coffey MSN, RN
Islamic University of Gaza Faculty of Nursing
Assessments Fundamentals Unit 7.
The Physical Examination
Infection Control Fundamentals Unit 2.
Bell Ringer True/False
Presentation transcript:

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Assessment Techniques and the Clinical Setting Health Assessment Across the Lifespan NRS 102

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-2 Cultivating Your Senses  Inspection  Do not rush  Compare patient’s right side with left side  Use good lighting  Obtain adequate exposure (of the patient)  Will include instruments in many body systems Otoscope/ophthalmoscope Otoscope/ophthalmoscope Specula: vaginal, nasal Specula: vaginal, nasal Penlight Penlight

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-3 Cultivating Your Senses (cont.)  Palpation  Purpose  Use different parts of the hands  Light vs. deep palpation

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-4 Palpation Specifics Characteristics Assessed by Palpation Texture Texture Temperature Temperature Moisture Moisture Organ location and size Organ location and size Swelling Swelling Vibration or pulsation Vibration or pulsation Rigidity or spasticity Rigidity or spasticity Crepitation Crepitation Presence of lumps or masses Presence of lumps or masses Presence of tenderness or pain Presence of tenderness or pain

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-5 Palpation Specifics (cont.) Uses for particular parts of the hand  Fingertips—best for fine tactile discrimination, as of skin texture, swelling, pulsation, and determining presence of lumps  A grasping action of the fingers and thumb—to detect the position, shape, and consistency of an organ or mass  The dorsa (backs) of hands and fingers—best for determining temperature because the skin here is thinner than on the palms  Base of fingers (metacarpophalangeal joints) or ulnar surface of the hand—best for vibration

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-6 Cultivating Your Senses  Percussion  Purpose  Indirect percussion Stationary hand Stationary hand Striking hand Striking hand  Characteristics of percussion notes Resonant Resonant Hyperresonant Hyperresonant Tympany Tympany Dull Dull Flat Flat

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-7 Cultivating Your Senses (cont.)

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-8  Auscultation  Fit and quality of stethoscope  Diaphragm and bell endpieces  Eliminate confusing artifacts Cultivating Your Senses (cont.)

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-9 Setting  Examination room  Examination table

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-10 Equipment  Platform scale with height attachment  Skinfold calipers  Sphygmomanometer  Stethoscope with diaphragm and bell  Thermometer  Pulse oximeter (in hospital setting)  Flashlight or penlight  Otoscope/ophthalmoscope  Tuning fork  Nasal speculum  Tongue depressor

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-11 Equipment (cont.)  Pocket vision screener  Skin-marking pen  Flexible tape measure and ruler  Reflex hammer  Sharp object (split tongue blade)  Cotton balls  Bivalve vaginal speculum  Clean gloves  Materials for cytologic study  Lubricant  Fecal occult blood test materials

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-12 A Safer Environment  Clean the equipment  Clean vs. used area for handling equipment  Nosocomial infections  Handwashing or alcohol-based hand rub  Wear gloves  Standard precautions  Transmission-based precautions

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-13 Approach to the Clinical Setting  General approach  Patient’s emotional state  Examiner’s emotional state

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-14 Approach to the Clinical Setting (cont.)  Hands on  Measurement and vital signs  Begin with person’s hands  Concentrate on one step at a time  Examination sequence  Brief health teaching  When findings are complicated  Summarize findings for person

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-15 Your physical examination of the patient should begin on the hands because A.They are easy to reach from any position. B.They reveal a great deal about the patient. C.They will always be clean and dry. D.They are a place people are accustomed to being touched by strangers.

Elsevier items and derived items © 2008, 2004, 2000, 1996, 1992 by Saunders, an imprint of Elsevier Inc. Chapter 8: Assessment Techniques and the Clinical Setting Slide 8-16 Which of the following characteristics is not evaluated via palpation? A.Temperature B.Resilience C.Density D.Crepitation