Module 1 part 4 physical assessment-1

Module 1 part 4 physical assessment-1 -...

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M odule 1 part 4 Physical Assessment 1.  Discuss assessment of a client's posture and gait. Pg 177 Pt should be able to stand erect with head up, face forward, arms hanging straight at  the sides, shoulders and hips parallel, and legs straight with both knees and feel side  by side and a few inches apart. Things to note:  any contractures or deformities, whether able to stand on both feet  without assistance, swaying, or loss of balance. Any evidence of uneven distribution of  weigh, swaying, stumbling, favoring one foot, standing on heels, toes or edges of feet,  uneven depth of footprints, or toes pointing laterally or medially rather than straight  ahead. More to note: Variability-  ??? guardedness- ??? foot contact (should be heel to toe)- hip ROM, position of hip during swing through (eg. external rotation) arm-heel-strike synchrony wide base of support posture (leaning forward, to the side, or upright) 2.  Discuss assessment of bones, muscles and joints. Muscles - assess for strength, tone, size, and symmetry. Muscle strength is graded on a 0-5  scale. Impaired strength is called paresis; hemi paresis refers to weakness on one half of the  body.  Bones - assess for normalcy and form. Joints - assess for tenderness, swelling, ROM, crepitation and nodules. 3.  Define terms associated with range of motion: flexion - bending of a joint; angle decreases extension - straightening; angle increases abduction - draws a limb away from the median plane of the body adduction - brings the limb back to the median plane of the body
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external and internal rotation - rotation away from the center of the body; rotation  towards the center of the body dorsflexion - bending the foot up (toes up) plantar flexion - pointing foot down (toes down) 4.  Define the following terms: kyphosis - curving of the spine that causes a bowing of the back, which leads to a hunchback or slouching posture lordosis - exaggerated concavity of lumbar spine.
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This note was uploaded on 09/13/2011 for the course RNSG 1105 taught by Professor Cooper during the Spring '11 term at Austin Community College.

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Module 1 part 4 physical assessment-1 -...

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