Post on 05-Apr-2018
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Learningis aconstantprocess
Boredomisonehindrancetoachieve full
understanding andcomprehension.
One must remember that,Knowledgeitself isPOWER!
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Physical
Assessment
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What is PhysicalAssessment?
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is hands-on examination of the client
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What are the purposes
of Physical Health
Examination?
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to obtain baseline data about theclients functional abilities
to supplement, confirm, or refute dataobtained in the nursing health history
to obtain data that will help the nurse
establish nursing diagnoses and planthe clients care
to evaluate the physiologic outcomes
of health care and thus the progress ofa clients health problem
To screen the presence of cancer.
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Letsget
started
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Components of the physical healthexamination1. Verbal explanations
includes:
when the exam will take placewhere the exam will take placewhy the exam is necessarywho will conduct the exam
what will happen during the examthat privacy will be provided at all times during the examthat confidentiality about the exam and results will not bebreached
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2. Physical preparation
emptying the bowel and bladder
changing into a gowndraping to prevent unnecessary exposure,provide privacy, and to keep the client warmassuming a special position
dorsal recumbentthe client lies on the back with thelegs separated, knees bent, and solesof the feet flat on the bed
areas examined:
head and neck, anterior thorax andlungs, breasts, heart, extremities,
peripheral pulses
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Supine
the client lies flat on the back with thelegs together but extended and slightly
bent at the kneesareas examined:
head and neck, anterior thorax and
lungs, breasts, heart, abdomen,extremities, peripheral pulses
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Sitting
the client sits upright in a chair or on the sideof an examining table or bed or, if physically
unable to maintain an upright position, may besupine in bed with the head elevated
areas examined:
head and neck, posterior and anterior
thorax, lungs, breasts, heart, upperextremities, and to take vital signs
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Lithotomy
the client is in the dorsal
recumbent position with thebuttocks at the edge of theexamining table and the feet
supported in stirrupsareas examined:
rectum and female genitalia
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Genupectoral (knee-chest)
the client kneels, using theknees and chest to bear weightof the body
areas examined:rectum
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SimS
the client lies on either the right or left sidewith the lower arm behind the body, the upperarm bent at the shoulder and elbow, both kneesbent, and the uppermost leg more acutely bentthan the lowermost leg
areas examined:
rectum, vagina
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Prone
the client lies on the abdomen, fat on the bed,
with the head turned to the sideareas examined:
posterior thorax, hip joint movement
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Physical assessment
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1. Prepare the patient
Physically
Provide privacy
Expose only the part to inspect. Cover body
parts. Provide clean gown.
Psychologically
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2. Prepare the equipments
Flatform scale with height attachment
Skinfold caliper
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Sphygmomanometer
stetoscope
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Thermometer
Flashlight/penlight
http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://www.animationfactory.com/en/search/close-up.html?&oid=4954032&s=1&sc=1&st=84&category_id=E1A&q=nurse&spage=1&hoid=cbea7e69afb79cf1679a8c255fd52190http://rds.yahoo.com/_ylt=A0S020veJrdLRicArSCJzbkF;_ylu=X3oDMTBqY2pzbGhoBHBvcwMxMQRzZWMDc3IEdnRpZAM-/SIG=1k9lflcr0/EXP=1270380638/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dmedical%252Bpenlight%2526fr2%253Dsg-rc%26w=279%26h=290%26imgurl=shop.advanceweb.com%252Fimages%252Fproducts%252F2006%252FGI%252FPSG%252FLights%252F02754_Quicklite_PSG%252F02754_Quicklite_PSG_med.jpg%26rurl=http%253A%252F%252Fshop.advanceweb.com%252FMedical-Equipment%252FScissors-Penlights-Pocket-Instruments%252F2754-Click-Penlight.aspx%26size=9k%26name=02754%2bQuicklite%2b...%26p=medical%2bpenlight%26oid=599da442acefd7c0%26fr2=sg-rc%26no=11%26tt=200%26sigr=13bsdl3q0%26sigi=136qrrhn7%26sigb=129ttg4n6http://rds.yahoo.com/_ylt=A0S020sAJ7dLvycAIQ6JzbkF;_ylu=X3oDMTBpaWhqZmNtBHBvcwMzBHNlYwNzcgR2dGlkAw--/SIG=1foelt4bc/EXP=1270380672/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dflashlight%2526ei%253Dutf-8%26w=240%26h=180%26imgurl=www.ryanshead.com%252Farchives%252Fmag_light_flashlight.jpg%26rurl=http%253A%252F%252Fwww.archerytalk.com%252Fvb%252Fshowthread.php%253Fp%253D6750609%26size=4k%26name=mag%2blight%2bflashl...%26p=flashlight%26oid=b3a1f430a91cf78e%26fr2=%26no=3%26tt=1037682%26sigr=11mors60s%26sigi=11jqum0hq%26sigb=122i4an30http://rds.yahoo.com/_ylt=A0S020uuJrdLBBwA.8mJzbkF;_ylu=X3oDMTBpc2VvdmQ2BHBvcwM3BHNlYwNzcgR2dGlkAw--/SIG=1h3s082d9/EXP=1270380590/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dthermometer%2526ei%253Dutf-8%2526fr%253Dyfp-t-701%26w=360%26h=360%26imgurl=www.babbytoro.com%252Fpro%252F20090618122918.jpg%26rurl=http%253A%252F%252Fwww.babbytoro.com%252Fchanpin_info.php%253Fshowlei%253D%2526Leiid%253D%2526n%253D1%2526id%253D175%26size=7k%26name=20090618122918%2bj...%26p=thermometer%26oid=5eb74b8ca6e9eba2%26fr2=%26no=7%26tt=404795%26sigr=1247ia0n8%26sigi=118vci5kn%26sigb=12geodtk7http://rds.yahoo.com/_ylt=A0S020uuJrdLBBwA9cmJzbkF;_ylu=X3oDMTBpdnJhMHUzBHBvcwMxBHNlYwNzcgR2dGlkAw--/SIG=1fpagrr9h/EXP=1270380590/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dthermometer%2526ei%253Dutf-8%2526fr%253Dyfp-t-701%26w=150%26h=258%26imgurl=www.genuineblog.com%252Fwp-content%252Fuploads%252Fthermometer2.jpg%26rurl=http%253A%252F%252Fwww.genuineblog.com%252F%253Fp%253D1953%26size=6k%26name=thermometer2%2bjpg%26p=thermometer%26oid=e19899a9146cacde%26fr2=%26no=1%26tt=404795%26sigr=11213gesp%26sigi=11notebkh%26sigb=12geodtk78/2/2019 Physical Assessment- 2nd Lecture
29/57
Otoscope
opthalmoscope
http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://rds.yahoo.com/_ylt=A0S020p_JbdLD2AAa5KJzbkF;_ylu=X3oDMTBqaTFoaGxvBHBvcwMxNwRzZWMDc3IEdnRpZAM-/SIG=1girm3dle/EXP=1270380287/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dopthalmoscope%2526ei%253Dutf-8%2526fr%253Dyfp-t-701%26w=500%26h=375%26imgurl=farm1.static.flickr.com%252F178%252F450629878_634a29c83a.jpg%26rurl=http%253A%252F%252Fwww.flickr.com%252Fphotos%252Fnadiaahmad2%252F450629878%252F%26size=178k%26name=Visitors%26p=opthalmoscope%26oid=a44610fcf0ec451a%26fr2=%26fusr=nadja0313%26no=17%26tt=215%26sigr=11j179dsm%26sigi=11ke7uf04%26sigb=12i8avo5ohttp://rds.yahoo.com/_ylt=A0S020p_JbdLD2AAbZKJzbkF;_ylu=X3oDMTBqYWdlNjBlBHBvcwMxOARzZWMDc3IEdnRpZAM-/SIG=1gp1noe6q/EXP=1270380287/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dopthalmoscope%2526ei%253Dutf-8%2526fr%253Dyfp-t-701%26w=400%26h=400%26imgurl=www.spservices.co.uk%252Fimages%252Fde130_133.jpg%26rurl=http%253A%252F%252Fwww.spservices.co.uk%252Fproduct_info.php%253FcPath%253D28_276%2526products_id%253D3684%26size=55k%26name=de130%2b133%2bjpg%26p=opthalmoscope%26oid=d44bae777c7e3c26%26fr2=%26no=18%26tt=215%26sigr=12aiih97k%26sigi=119g6u0ke%26sigb=12i8avo5ohttp://rds.yahoo.com/_ylt=A0S020pUJbdLumUAv0yJzbkF;_ylu=X3oDMTBpZTByOGFiBHBvcwMyBHNlYwNzcgR2dGlkAw--/SIG=1f3mqga4l/EXP=1270380244/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dotoscope%2526ei%253Dutf-8%2526fr%253Dyfp-t-701%26w=400%26h=320%26imgurl=z.about.com%252Fd%252Fp%252F440%252Fe%252Ff%252F8771.jpg%26rurl=http%253A%252F%252Fadam.about.com%252Freports%252F000078_5.htm%26size=13k%26name=8771%2bjpg%26p=otoscope%26oid=e24f3bf2ade47662%26fr2=%26no=2%26tt=7297%26sigr=11a1cdsed%26sigi=110nkvos9%26sigb=12dv49k6rhttp://rds.yahoo.com/_ylt=A0S020pUJbdLumUAvkyJzbkF;_ylu=X3oDMTBpdnJhMHUzBHBvcwMxBHNlYwNzcgR2dGlkAw--/SIG=1f5gtjge8/EXP=1270380244/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dotoscope%2526ei%253Dutf-8%2526fr%253Dyfp-t-701%26w=350%26h=230%26imgurl=www.wcvh.com.au%252Fuploads%252Ffiles%252Fotoscope.jpg%26rurl=http%253A%252F%252Fwww.wcvh.com.au%252Fwcvh.php%253Fsec%253D38%26size=14k%26name=otoscope%2bjpg%26p=otoscope%26oid=c0a5a19b3d77a45c%26fr2=%26no=1%26tt=7297%26sigr=116k41e62%26sigi=11a76qa79%26sigb=12dv49k6r8/2/2019 Physical Assessment- 2nd Lecture
30/57
Tuning fork
Nasal speculum
http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://rds.yahoo.com/_ylt=A0S020s6J7dL8xwA96uJzbkF;_ylu=X3oDMTBpY2Y5NXNiBHBvcwM2BHNlYwNzcgR2dGlkAw--/SIG=1g7g1mlg2/EXP=1270380730/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dnasal%252Bspeculum%2526ei%253Dutf-8%26w=400%26h=400%26imgurl=www.museumboerhaave.nl%252FAAcollection%252FAAJPEGS%252FM18%252F1338.jpg%26rurl=http%253A%252F%252Fwww.museumboerhaave.nl%252FAAcollection%252Fenglish%252FM18V11.html%26size=36k%26name=1338%2bjpg%26p=nasal%2bspeculum%26oid=133a05fef7f4f4aa%26fr2=%26no=6%26tt=124%26sigr=11u61uvjc%26sigi=11ofenp6v%26sigb=126u8dofmhttp://rds.yahoo.com/_ylt=A0S020s6J7dL8xwA8quJzbkF;_ylu=X3oDMTBpdnJhMHUzBHBvcwMxBHNlYwNzcgR2dGlkAw--/SIG=1hcrtc2lb/EXP=1270380730/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dnasal%252Bspeculum%2526ei%253Dutf-8%26w=320%26h=320%26imgurl=www.chmedical.co.kr%252Fimages%252Fgoods%252FProduct%252Fnasal%252520speculum.jpg%26rurl=http%253A%252F%252Fwww.chmedical.co.kr%252FMain%252FInstruments%252FInstrumentsSub.aspx%253Fidx%253D4%26size=31k%26name=nasal%2bspeculum%2bj...%26p=nasal%2bspeculum%26oid=26167710752fba98%26fr2=%26no=1%26tt=124%26sigr=125sa9cpv%26sigi=11tjoek1a%26sigb=126u8dofmhttp://rds.yahoo.com/_ylt=A0S020seJ7dLwCYANkiJzbkF;_ylu=X3oDMTBpdnJhMHUzBHBvcwMxBHNlYwNzcgR2dGlkAw--/SIG=1eqvlgsoa/EXP=1270380702/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dtuning%252Bfork%2526ei%253Dutf-8%26w=590%26h=426%26imgurl=www.oasishouse1.com%252Fimages%252FreikiTuningFork.jpg%26rurl=http%253A%252F%252Fwww.oasishouse1.com%252Freiki.htm%26size=44k%26name=reikiTuningFork%2b...%26p=tuning%2bfork%26oid=ac63c81cc1259252%26fr2=%26no=1%26tt=17519%26sigr=114mgf6r8%26sigi=11esgcve8%26sigb=123sc9ib1http://rds.yahoo.com/_ylt=A0S020oYJbdLVGAAiGiJzbkF;_ylu=X3oDMTBpc2VvdmQ2BHBvcwM3BHNlYwNzcgR2dGlkAw--/SIG=1mj54hgen/EXP=1270380184/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dwooden%252Btongue%252Bdeppressor%2526ei%253Dutf-8%2526fr%253Dyfp-t-701%26w=549%26h=470%26imgurl=image.ec21.com%252Fimage%252Foperson%252Foimg_GC02642583_CA02642677%252FWooden_Tongue_Depressor.jpg%26rurl=http%253A%252F%252Foperson.en.ec21.com%252Fproduct_detail.jsp%253Fgroup_id%253DGC02642583%2526product_id%253DCA02642677%2526product_nm%253DWooden_Tongue_Depressor%26size=45k%26name=Wooden%2bTongue%2bDe...%26p=wooden%2btongue%2bdeppressor%26oid=631b004e621d0684%26fr2=%26spell_query=wooden%2btongue%2bdepressor%26no=7%26tt=71%26sigr=13qnt01t5%26sigi=12jjefl47%26sigb=12t1vlblc8/2/2019 Physical Assessment- 2nd Lecture
31/57
Tongue depressor
Pocket vision screener
http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://rds.yahoo.com/_ylt=A0S0205nJ7dL0g4AXgOJzbkF;_ylu=X3oDMTBpdnJhMHUzBHBvcwMxBHNlYwNzcgR2dGlkAw--/SIG=1ikc92ko6/EXP=1270380775/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dpocket%252Bvision%252Bscreener%2526ei%253Dutf-8%26w=400%26h=659%26imgurl=www.medexsupply.com%252Fimages%252FGRF-1243-1.jpg%26rurl=http%253A%252F%252Fwww.medexsupply.com%252Fexam-room-equipment-eye-charts-test-cabinets-grafco-pocket-size-plastic-eye-chart-6-3-8-x-3-1-2--x_pid-3237.html%26size=130k%26name=GRF%2b1243%2b1%2bjpg%26p=pocket%2bvision%2bscreener%26oid=2bc21f2015de7268%26fr2=%26no=1%26tt=2%26sigr=14b43k2au%26sigi=1198vvicu%26sigb=12esg349shttp://rds.yahoo.com/_ylt=A0S0205nJ7dL0g4AXwOJzbkF;_ylu=X3oDMTBpZTByOGFiBHBvcwMyBHNlYwNzcgR2dGlkAw--/SIG=1j0t2hovp/EXP=1270380775/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dpocket%252Bvision%252Bscreener%2526ei%253Dutf-8%26w=80%26h=69%26imgurl=www.schoolkidshealthcare.com%252Ftmp_image.php%253Fitem_id%253D1261%2526amp%253Bwidth%253D80%2526amp%253Bheight%253D80%26rurl=http%253A%252F%252Fwww.schoolkidshealthcare.com%252Fcategory%252FVision-Screeners-and-Slides.html%26size=3k%26name=tmp%2bimage%2bphp%2bit...%26p=pocket%2bvision%2bscreener%26oid=1ccb1187f3404af8%26fr2=%26no=2%26tt=2%26sigr=12d7s7at8%26sigi=12imip93o%26sigb=12esg349shttp://rds.yahoo.com/_ylt=A0S020oYJbdLVGAAiGiJzbkF;_ylu=X3oDMTBpc2VvdmQ2BHBvcwM3BHNlYwNzcgR2dGlkAw--/SIG=1mj54hgen/EXP=1270380184/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dwooden%252Btongue%252Bdeppressor%2526ei%253Dutf-8%2526fr%253Dyfp-t-701%26w=549%26h=470%26imgurl=image.ec21.com%252Fimage%252Foperson%252Foimg_GC02642583_CA02642677%252FWooden_Tongue_Depressor.jpg%26rurl=http%253A%252F%252Foperson.en.ec21.com%252Fproduct_detail.jsp%253Fgroup_id%253DGC02642583%2526product_id%253DCA02642677%2526product_nm%253DWooden_Tongue_Depressor%26size=45k%26name=Wooden%2bTongue%2bDe...%26p=wooden%2btongue%2bdeppressor%26oid=631b004e621d0684%26fr2=%26spell_query=wooden%2btongue%2bdepressor%26no=7%26tt=71%26sigr=13qnt01t5%26sigi=12jjefl47%26sigb=12t1vlblc8/2/2019 Physical Assessment- 2nd Lecture
32/57
Skin-marking pen
Tape measure
http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://rds.yahoo.com/_ylt=A0S020lrJLdLcUAA126jzbkF;_ylu=X3oDMTBxY2RocXU0BHBvcwM2BHNlYwNzcgR2dGlkAwR5aXNmcgMx/SIG=1ldc0d3ef/EXP=1270380011/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dtape%252Bmeasure%2526ei%253Dutf-8%2526y%253DSearch%2526fr%253Dyfp-t-701no=2%26tt=83989%26sigr=110sph1n0%26sigi=11uualbfe%26sigb=12q6ot6pi%26w=480%26h=360%26imgurl=www.hospitalmanagement.net%252Ffeatures%252Ffeature_images%252Ffeature59282%252F2-tape-measure.jpg%26rurl=http%253A%252F%252Fwww.hospitalmanagement.net%252Ffeatures%252Ffeature59282%252Ffeature59282-2.html%26size=53k%26name=2%2btape%2bmeasure%2bj...%26p=tape%2bmeasure%26type=JPG%26oid=2dc4af28ccfec064%26no=6%26tt=83690%26sigr=12b818ub4%26sigi=12ic85kpp%26sigb=12q6ot6pi%26b=0http://rds.yahoo.com/_ylt=A0S020leJLdLxj4AhwmJzbkF;_ylu=X3oDMTBpZTByOGFiBHBvcwMyBHNlYwNzcgR2dGlkAw--/SIG=1gnata7a7/EXP=1270379998/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dtape%252Bmeasure%2526ei%253Dutf-8%2526y%253DSearch%2526fr%253Dyfp-t-701%26w=480%26h=344%26imgurl=mylittlenorway.com%252Fwp-content%252Fuploads%252F2009%252F07%252Ftape-measure.jpg%26rurl=http%253A%252F%252Fmylittlenorway.com%252Fpage%252F9%26size=92k%26name=tape%2bmeasure%26p=tape%2bmeasure%26oid=1b167fcde69c6708%26fr2=%26no=2%26tt=83989%26sigr=110sph1n0%26sigi=11uualbfe%26sigb=12q6ot6pihttp://rds.yahoo.com/_ylt=A0S0206HJ7dLDA8APRaJzbkF;_ylu=X3oDMTBqMjRpazg1BHBvcwMxMARzZWMDc3IEdnRpZAM-/SIG=1ircktf83/EXP=1270380807/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dskin%252Bpen%252Bmarker%2526ei%253Dutf-8%26w=500%26h=500%26imgurl=www.getbetterlife.com%252Fimages%252Fv%252F200905%252F12430592310.jpg%26rurl=http%253A%252F%252Fwww.getbetterlife.com%252F5-pcs-skin-markerblack-for-single-use-direction-for-use_p687.html%253Fzenid%253D21eaab1c8ea600f7f251644e6a035244%26size=126k%26name=12430592310%2bjpg%26p=skin%2bpen%2bmarker%26oid=523a293a79149ee0%26fr2=%26no=10%26tt=64%26sigr=1457d2iua%26sigi=11lun7ikh%26sigb=1270e049j8/2/2019 Physical Assessment- 2nd Lecture
33/57
Reflex hammer or percussion hammer
Cotton balls
http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://rds.yahoo.com/_ylt=A0S020w1JbdLHywAa1iJzbkF;_ylu=X3oDMTBpc2ozM2gzBHBvcwM0BHNlYwNzcgR2dGlkAw--/SIG=1hcpabtsa/EXP=1270380213/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dcotton%252Bballs%2526ei%253Dutf-8%2526fr%253Dyfp-t-701%26w=350%26h=350%26imgurl=blogs.crikey.com.au%252Fcrikey%252Ffiles%252F2008%252F11%252Feli-19-copy.jpg%26rurl=http%253A%252F%252Fblogs.crikey.com.au%252Fcrikey%252F2008%252F11%252F02%252Fcotton-balls%26size=37k%26name=eli%2b19%2bcopy%2bjpg%26p=cotton%2bballs%26oid=a290bbfa55bcaec8%26fr2=%26no=4%26tt=18275%26sigr=11p855c4h%26sigi=11oqcgfrn%26sigb=12h9kdp6qhttp://rds.yahoo.com/_ylt=A0S020w1JbdLHywAaViJzbkF;_ylu=X3oDMTBpZTByOGFiBHBvcwMyBHNlYwNzcgR2dGlkAw--/SIG=1hnog8ko2/EXP=1270380213/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dcotton%252Bballs%2526ei%253Dutf-8%2526fr%253Dyfp-t-701%26w=400%26h=400%26imgurl=imgslide.health.com%252Fimages%252Fslides%252F10450%252Ffull%252F2-milk-eye-gel.jpg%26rurl=http%253A%252F%252Fslideshows.health.com%252Fslide_shows%252F10191%252Fslides%252F10450%26size=17k%26name=2%2bmilk%2beye%2bgel%2bj...%26p=cotton%2bballs%26oid=2ed02d0c6637f9ba%26fr2=%26no=2%26tt=18275%26sigr=11r2s96up%26sigi=11vsq21jh%26sigb=12h9kdp6qhttp://rds.yahoo.com/_ylt=A0S0206mJ7dLBh4AXZuJzbkF;_ylu=X3oDMTBpdnJhMHUzBHBvcwMxBHNlYwNzcgR2dGlkAw--/SIG=1jkephnmf/EXP=1270380838/**http%3a/images.search.yahoo.com/images/view%3fback=http%253A%252F%252Fimages.search.yahoo.com%252Fsearch%252Fimages%253Fp%253Dreflex%252Bhammer%2526ei%253Dutf-8%26w=586%26h=332%26imgurl=www.bengreenfieldfitness.com%252Fwp-content%252Fuploads%252F2009%252F02%252Freflex-hammer.jpg%26rurl=http%253A%252F%252Fwww.bengreenfieldfitness.com%252F2009%252F02%252Fpodcast-episode-30-a-double-episode-super-special-primal-reflex-release-technique-and-psyche-up-tactics%26size=19k%26name=reflex%2bhammer%26p=reflex%2bhammer%26oid=bb96605952ccd568%26fr2=%26no=1%26tt=700%26sigr=14jd74m3v%26sigi=129r6dr8m%26sigb=1255kfm9o8/2/2019 Physical Assessment- 2nd Lecture
34/57
Clean gloves
Pulse oximeter (if necessary)
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Bivalve speculum ( for advance practice)
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3. Clean field.
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Assessment Sequencing
Head to - Toe Assessment
Body Systems Assessment
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Assessment techniques
Inspection
Palpation
Percussion
Auscultation
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Inspection
Close and careful visualization of the personas a whole and of each body system
Ensure good lighting
Perform at every encounter with your client
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Uses of Inspection
to determine the presence of normal and/orabnormal size, shape, color, symmetry, and/or
position of an area of the body need to take into consideration normal variations
as a result of developmental age
need to take into consideration normal variationsas a result of race
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Palpation
an assessment technique in which the examiner feels an
area of the body with the palmar surface of the pads of
the fingers and/or the dorsum of the hand
.
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Uses of Palpation:
to determine texture (e.g., hair)
to determine temperature (e.g., of a skin area)
to determine vibration (e.g., of a joint)
to determine the position, size, consistency, andmobility of organs or masses
to determine distention (e.g., the urinary bladder)
to determine the presence and rate of peripheralpulses
to determine tenderness or pain.
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Light palpation
Use this technique to feel for surfaceabnormalities.
Depress the skin to or 1.5 to 2 cm withyour finger pads, using the lightest touchpossible
Assess for texture, tenderness,temperature. Moisture, elasticity, pulsations,superficial organs, and masses
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Deep palpation
Use this technique to feel internal organsand masses for size, shape, tenderness,symmetry and mobility.
Depress the skin 1 to 2 inches (4 to 5 cm)with firm, deep pressure.
Use one hand on top of the other to exertfirmer pressure if needed.
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Characteristics of masses determined
by palpation:
shape (round, ovoid, tubular, irregular)
size (measured in centimeters)
consistency (firm, edematous, spongy, cytic)
surface (smooth, nodular, granular)
mobility (fixed or immobile, mobile)
tenderness (amount of tenderness to touch) pulsatile (pulsations can or cannot be felt in the
mass)
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Percussion an assessment technique in which
the examiner strikes an area of thebody with the fingers
Uses of percussion:
to determine the borders of anunderlying structure of the body byestablishing the difference betweentissue that is fluid-filled, air-filled, orsolid
to determine the absence orpresence of normal and/oradventitious sounds elicited whilepercussing over an area of thebody
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Types of Percussion :
direct percussion the examiner strikes an area of the body to be percussed
directly with the pads of two, three, or four fingers or withthe pad of the middle finger
indirect percussion first, the examiner places the middle finger of the
nondominant hand, referred to as the pleximeter, firmly onthe clients skin over the area of the body to be percussed.
second, the examiner strikes the distal interphalangeal jointof the pleximeter with the tip of the flexed middle finger ofthe dominant hand, referred to as the plexor
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Indirect percussion
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Direct Percussion
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Sounds elicited by Percussion :
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Sounds elicited by Percussion :
flatness
a soft, high-pitched, "dead stop of sound, absolutedullness" sound of short duration
where found:typically over muscle, bone
dullness
a medium, medium-pitched, "thudlike" sound ofmoderate duration
where found:typically over the liver, heart
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resonance
a loud, low-pitched, "hollow" sound of longduration
where found:typically over the lung
hyperresonance a very loud, very low-pitched, "booming" sound of
very long duration
where found :typically over the emphysematous lung
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tympany
a loud, high-pitched, "musical" sound of
moderate duration where found :
typically over the stomach filled with
gas.
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Auscultation
an assessment technique inwhich an examiner listens tosounds produced from within
an area of the body
Instrument: stethoscope (toskin)
Diaphragmhigh pitched sounds
Heart
Lungs
Abdomen
Bell low pitched sounds
Blood vessels
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Uses of auscultation
to determine the absence orpresence of normal and/or
adventitious sounds produced fromwithin an area of the body
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Types of Auscultation :
direct auscultation
the examiner listensto sounds producedwithin the body byuse of the unaided
ear.
indirect auscultation
the examiner listens tosounds produced fromwithin the body by useof a stetoscope.
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thanks for listening
http://abstract.desktopnexus.com/wallpaper/34288/http://abstract.desktopnexus.com/wallpaper/34288/http://www.animationfactory.com/en/search/close-up.html?&oid=5301113&s=1&sc=1&st=4452&category_id=E1H&spage=1&hoid=365b704e98fcd93b7fa72bd857c1d9b6http://www.animationfactory.com/en/search/close-up.html?&oid=5301113&s=1&sc=1&st=4452&category_id=E1H&spage=1&hoid=365b704e98fcd93b7fa72bd857c1d9b6