1. Standard 7 Objective 1
Period 2
Emily & Peter

2. HIPS Injury Assessment
H = History I = Inspection P = Palpation S = Special Tests

3. H is for History Record of patient’s condition (Present and Past)
Medical – Previous serious alignments, allergies, major surgeries, other doctors involved, places treated
Family – Parents alive? Siblings alive? Any genetic diseases (Diabetes & Glaucoma)
Social – Living situation, occupation of patient, education & ability to comprehend situation
Child with asthma living in smoky, damp, & overcrowded area

4. I is for Inspection I’s ONLY (eye) part of examination
Steps to follow:
Lay patient in comfortable position for examination
Make sure area of interest is visible & there is decent lighting
Note shape & size of body area being examined
Record any skin abnormalities, masses, and/or discoloration
Stretch marks and/or surgical scars
List possible causes of irritated area & diagnosis to further investigate

5. P is for Palpation Hands-on part of examination Steps to follow:
Ask patient to most tender spot & reassure you’ll do your best to make them feel better = higher level of cooperation
Using fingertips, gently touch around general area while feeling for true sensitive spots
Sensitive spots could correlate to root of problem
Apply deeper pressure to localize the spot of extreme tenderness
Watch for patient’s facial reactions = Spasms? Guarding?
Remove hands slowly and assess findings

6. S is for Special Tests
Range of Motion: Determine whether range is limited, normal, or excessive…Find out location, quality, and intensity of range as well
Passive = Tests bones, ligaments, nerves, blood vessels, cartilage, joint capsule
Doctor moves joint passively through typical motions & notes any restrictions or hypermobility
Patient must be relaxed & describe when pain is felt + in what movements/positions
Active = Tests inert & contractile structures
Patient moves joint through motions & notes when pain occurs in range
Resistive = Tests for strength and contractile tissues (muscles, tendons, and attachments)
Patient flexes & doctor tries to resist movement = Patient tries to move doctor
Doctor exerts pressure & patient tries to resist movement = Doctor applies pressure while patient tries not to move

7. S is for Special Tests Part 2
Stress Tests: Tests for injured ligaments
Example: Anterior Drawer, Talar Tilt, Cross-Leg Test, External Rotation Stress Test, Squeeze Test
Neurological: Tests for neurological damage in patients (Nerves)
Example: Pinch Grip Test, Anterior Compartment Syndrome, Pencil Test
Functional: Tests for patients’ functional limitation
Example: Seated Hamstring Test, Appley’s Compression Test, Lachman’s Test

8. Decisions Based Off HIPS Assessment
Make educated diagnosis, provide appropriate treatment, send patient home in better shape than when they came in

9. Purpose of HIPS
Accurately assess, treat, and care for patients with injuries that cause them discomfort
Follow outlined protocol so nothing new is thrown at patient
Make a new, life-long patient that will keep coming back to you for treatment

10. Q: Place in order the steps of an injury assessment (Pick 4)
Question #19
Q: Place in order the steps of an injury assessment (Pick 4)
Inspection
Health
Information
Palpation
Subjective
History
Protect
Special tests
Words Given

11. Take Away: Remember HIPS!!!
Answer!
History
Start by getting to know the patient's medical past
Inspection
Look over patient body for injury with eyes only
Palpation
Look over patient body for injury using hands
Special Tests
Run specific tests to guide examination
Take Away: Remember HIPS!!!

12. Bibliography
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