n326Physical Examination Techniques

n326Physical Examination Techniques - PhysicalExamination...

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Physical Examination  Techniques Eileen McCann DNP RN Family Nurse Practitioner
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Physical Examination Systematic way of collecting objective  data Purpose Detect problems related to altered function Establish baseline data for comparison Identify risks for additional health problems
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Physical Examination Techniques – in sequence Mnemonic: “I’ll Properly Perform Assessment” Inspection Palpation Percussion Auscultation
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Physical Examination Inspection Visual exam – individual as whole then  each body system Begins when first meet patient Takes time Compare sides Need good lighting Use of equipment
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Physical Examination Palpation Applies  sense of touch Many factors assessed Use different parts of hand Fingertips Finger-thumb Dorsa Ulna surface/base of fingers Calm, gentle approach Warm hands Tender areas last
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Physical Examination Palpation –  types Light Detect surface characteristics Deep  2 hands, applying firm, steady pressure  Bimanual ”with 2 hands”
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Physical Examination Percussion Methods Direct: tapping directly onto the body part  (directly on a clavicle)  Indirect: tapping on the middle finger of  your hand over the body part ( hand over  the lungs) 
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