Inspection and palpation of each part of the head was

Inspection and palpation of each part of the head was done separately in order for us to
give focus on each part and be more systematic.
Ms. Jones assessment did not reveal any significant findings. Other than her telling us
that she wears corrective lenses, her HEENT assessment is normal for a healthy person. Her head
is normocephalic, PERRLA bilaterally, whispered words heard bilaterally, gag reflex intact,
dentition does not show evidence of caries or infection and no bruits heard on auscultation of the

PATIENT ANALYSIS AND HEALTH 7
carotid. Palpation did not reveal any mass, lumps, tenderness or nodules. Neck has full ROM
with strength 5/5.
Specific intervention for Ms. Jones regarding HEENT is for her to have a follow up visit
to her eye doctor yearly.
Respiratory . Physical assessment of the thorax and lungs follows a technique of
inspection of the patient, observing the body positioning and posture, inspection of the chest
taking note of the chest shape and breathing pattern, palpation of the chest to check for
tenderness, mass or lesion, percussion of the chest and auscultation of breath sound and voice.
Doing the inspection first gives us a general idea whether a person has some presenting
respiratory problem. How the patient sit, shape of the chest and the breathing pattern will tell us
that the patient may have a respiratory problem that they didn’t even know. An example of this is
a barrel chest. In a barrel chest, the AP-to-lateral ratio near 1:1, round shape. Ribs are more
horizontal and costal margin is widened. This finding will reveal a patient that has COPD,
chronic asthma or normal aging (Jensen & Sabin, 2015 p.449).
On the case of Ms. Jones, we did the assessment following the technique on the anterior
chest first starting from inspection, palpation, percussion to auscultation. After doing the anterior,
we then proceeded to do the posterior chest following the same technique. Ms. Jones assessment
did not reveal any abnormal findings. She has no mass, lesions or tenderness, tactile fremitus is
equal bilaterally both on anterior and posterior, percussion is resonant and lung sounds are clear
to auscultation.
For Ms. Jones respiratory intervention, we will let her carry an emergency medicine all
the time such as Epipen including her inhaler Proventil and continue her current medication
regimen.

PATIENT ANALYSIS AND HEALTH 8
Cardiovascular . Assessment of the cardiovascular starts with asking the patient for risk
factors to identify how likely the patient is to develop or already has a problem with
cardiovascular disease. Gathering of the objective data is focused mainly on the neck vessels and
precordium including taking the blood pressure, listening for heart sounds and checking for
circulation and tissue perfusion (Jensen & Sabin, 2015 p. 467).