Assessment technique and Safety.

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1
What is the Approach to the Physical Assessment?
1. Reduce any anxiety, Start rapport or icebreaker comment.
2. Be self assure, considerate and unhurried,
3. Standard precautions for all patients
4. During the exam be systematic.
2
What are the techniques of Physical Assessment?
1. Inspection
2. Palpation
3.Percussion
4. Auscaltation
When checking the abdominal must inspect, Auscultate, Percussion, then palpation to not alter bowel sounds
3
What is Direct inspection?
See something with plain eyes
4
What is Indirect Inspection
Using a tool to inspect something.
5
What does Palpation Assess for?
Assess for surface characteristics, for masses, Organs, Pulsations, Muscle rigidity, and chest excursions, tenderness and deformity.
6
When assesing lymph nodes what part of hand is used
Use the pads of fingers in a circular motion
7
What must be done when completing a Deep Palpation?
Apply harder pressure with finger tips or pads over an area to a depth greater than 1/2 inch
8
How do you perform Bimanuel Palpation?
Use both hands to feel organ being assessed
9
What is Ballottement plapation used to assess?
Used to assess a partially free-floating object
10
What does Percussion tell us?
Determines the density of the underlying tissue and whether it is solid tissue or filled with air or fluid. Can determine the size and shape of the structure.
11
Where would Resonance percussion be heard?
Hollow sound between two bones
12
Where would tympany percussion be heard?
Gastric Air bubble (Drumlike sound) stomach
13
Where would Dullness percussion be heard?
In the liver a thud sound
14
Where would Hyper resonance Percussion be heard?
Hyper inflated lunch Boom sounds
15
Where would flatness percussion be heard?
Muscles
16
What are spots of the body a person could Ausculatate?
1. Cardiac
2. Lungs
3. Abdomen
4. Vessels.
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