COLLECTING OBJ DATA

Cards (42)

  • Information elicited through physical assessment techniques is called objective data
  • To become proficient with physical assessment skills, the
    nurse must have basic knowledge in three areas:

    Types and operation of equipment needed for the
    particular examination
    Preparation of setting, oneself & the client for
    physical examination
    Performance of the four assessment techniques
    (IPPA)
  • Types and operation of equipment needed for the particular examination
  • Preparation of setting, oneself & the client for physical examination
  • Performance of the four assessment techniques (IPPA)
  • General principles while performing a Physical Assessment:
  • Wash your hands
  • Standard Precautions: Infection control practices during the delivery of health care
  • Guidelines for using Personal Protective Equipment (PPE)
  • Guidelines for Respiratory Hygiene/Cough Etiquette:
  • Educate health personnel on the importance of source control measures to contain respiratory secretions
  • Guidelines for practicing the technique of Inspection:
  • Ensure the room is a comfortable temperature
  • Use good lighting
  • Observe before touching
  • Expose the body part being inspected while draping the rest of the client as appropriate
  • Note characteristics like color, patterns, size, and location while inspecting the client
  • Guidelines for Palpation:
  • Palpation involves using parts of the hand to touch and feel for various characteristics
  • Three different parts of the hand are used for palpation: Finger pads, Ulnar/palmar surface, Dorsal surface
  • Types of Palpation:
  • Light palpation: used to feel for pulses, tenderness, skin texture, temperature, and moisture
  • Moderate palpation: depress the skin surface to feel for body organs & masses
  • Deep palpation: apply pressure to feel deep organs or structures covered by thick muscle
  • Bimanual palpation: use two hands to feel the structure
  • Guidelines for Percussion:
  • Involves tapping body parts to produce sound waves
  • Three types of percussion: Direct, Blunt, Indirect or Mediate
  • Sounds (Tones) Elicited by Percussion:
  • Resonance, Hyperresonance, Tympany, Dullness, Flatness
  • Guidelines for Auscultation:
  • Use a stethoscope to listen for body sounds
  • Sounds detected using Auscultation are classified by intensity, pitch, duration, and quality
  • Positioning the Client:
  • Sitting position
  • Supine position
  • Dorsal recumbent position
  • Sim’s position
  • Standing position
  • Prone position