Initiating Appropriate Treatment Based On The PPT Presentation Summary : Performing a head-to-toe physical examination. Crackles Discontinuous Sound • Crackles(Rales) -Caused by collapsed or fluid-filled alveoli poppingopen. Looks like you’ve clipped this slide to already. the basic physical assessment. If you continue browsing the site, you agree to the use of cookies on this website. • Palpation • Percussion • Auscultation, Temperature Texture Moisture Organ size and location Rigidity or spasticity Crepitation, Vibration Position Size Presence of lumps or masses Tenderness, or pain Assessment techniques Palpation, Assess underlying structures for location, size, density of underlying organs. • Distention - can be from fluid, air, mass, or obstruction • Pulsations - or movement of abdominal wall from peristalsis, pulsations and respiratory movement • Peristalsis usually can’t be seen. Objective: Obtain objective data by performing a basic physical assessment. Eyes: Inspect the eyes, eye lids, pupils, sclera, and conjunctiva. the goal of physical education is to develop. Clipping is a handy way to collect important slides you want to go back to later. Is there swelling of the eye lids? By. Heart • Review: heart is in the center of the chest, behind and to left of the sternum • Base is at top, apex is the bottom tip • Apex touches anterior chest wall at 5th intercostal space medial to left midclavicular line • Heart pumps blood through 4 chambers • Events on left side occurs just before those on right • Valves open and close, pressures within rise and fall and chambers contract as blood flows though each chamber, Cardiac Cycle • Systole: ventricles contract and eject blood from left ventricle into aorta and from right ventricle into pulmonary system • Diastole: ventricles relax and atria contract to move blood into ventricles and fill coronary arteries • Diahragm of the stethoscpe – for highpitched sounds – heart sounds • Bell- for low pitched sounds – bruits, murmurs, Heart Sounds S1: Lub: mitral valve closure S2: Dub: Aortic valve closure, S1: Closure of mitral and tricuspid valves (M1 before T1) Correlates with the carotid pulse Can be split but not often S2: Closure of aortic and pulmonic valves May have a split sound (A2 before P2) Heart Sounds – S1 & S2. communicating assessment results. Study Resources. physical security assessment also called:. - February 18, 2012. discuss different methods and the, Physical Assessment Documentation Change Tutorial - 2. physical assessment documentation change objectives. by Wright State University on May 28, 2012 for the NLN Assessment Exam for Credit by Exam Test Out Nursing Assessment 1. Look for: lacerations and bruising. A PCP may be a doctor, a nurse practitioner, or a physician assistant. View a sample video. NEWBORN PHYSICAL ASSESSMENT “The baby should have a complete physical examination within 24 hours of birth, as well as within 24 hours before discharge”. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. • Rather, these sites are located along the pathway blood takes as it flows throught the heart’s chambers and valves. BLOCK III - . Is … Create stunning presentation online in just 3 steps. The abdomen should be flat to rounded in people of average weight. inquire about any injuries. Intermittent Continuous (keep head of bed elevated to prevent aspiration, check placement – pH should be 0 to 4) Stoma: N/A Colostomy Ileostomy (Notify the … Overview. Head to Toe Physical Assessment POLST/Code Status VS 7:30 Temperature Pulse Respirations BP / Pain /10 VS 11:30 Temperature Pulse Respirations BP / Pain /10 GENERAL SURVEY How does the client look? system of the body that provides information on the client and allows the nurse for producing clinical assessment. Provision should be made to prevent neonatal heat loss during the physical assessment. Elsevier: St. Louis.MO. thin clear sputum.  No tenderness noted upon palpation. Objective Data • Respiratory • Rate: 18 resp/min • Depth: deep, even, shallow • Effort: labored, unlabored • Breath Sounds • Describe: clear, rhonchi, inspiratory/expiratory wheezes, crackles • Location: all lobes, throughout lung fields, LLL, RUL/RML, lower lobes bilat. • Identify components of a head to toe assessment. why do i need to know physical assessment?. Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Physical Examination Of The Head Neck PPT HEAD TO TOE ASSESSMENTGeneral surveyThe assessment of the patient/client begins on the first contact.It includes apparent state of health, level of consciousness, and signs of distress.The general height, weight, and build can be noted including skin color, dressing, grooming, personal hygiene, facial expression, gait, odor, posture 13. Physical assessment is an inevitable procedure not just for nurses but also doctors. Basic Physical Assessment Head-to-toe assessment Major body systems assessment. loss of lordosis. (Potter and Perry, 2005). Lungs - Palpation • Crepitus– SQ air pockets = abnormal • Indicates subcutaneous air in the chest • Feels like puffed rice cereal crackling under the skin and indicates air is leaking from the airways or lungs due to chest tube or open wound • Tactile fremitus – increased fluid accumulation = abnormal • A palpable vibration that is caused by the transmission of air through the broncho pulmunary system • Decreased fremitus – over areas where pleural fluid collects (effusion, and pneumothorax, atelectasis, emphysema) • Increased fremitus – abnormally seen in areas in which alveoli are filled with fluid and exudate, occurs with consolidation of lung tissue (pneumonia). Age_____ Male/Female Body Build: Thin Cachectic Obese WNL Neurological Assessment 2. Establishing a good assessment would later-on provide a more accurate diagnosis, planning and better interventions and evaluation, that's why its important to have good and strong assessment is. Skin Assessment and Care Planning. Skull, Scalp & Hair Physical examination & health assessment. (6th Ed). Bruising • There may be bruising to the head or A slender person may have a slightly concave abdomen Different Sequence of Assessment, Abdomen - Inspection • Lesions – benign, scars from sx or trauma, striae, etc.  Observe and feel the hair condition. physical assessment of newborn following delivery, Health History and Physical Assessment - 2. history and physical assessment objectives.  Pupils Skull See our User Agreement and Privacy Policy. Basic Physical Assessment Head-to-toe assessment Major body systems assessment. Lungs – Anatomy and Landmarks • Lungs are paired but not symmetrical (see next slide) • right lung = 3 lobes RUL, RML, RLL • left lung=2 lobes LUL , LLL • Lung border locations: • Apices – 1 inch above the clavicles • Bases – located at the level of the 6th rib (T10) • Lateral chest – extend from the apex of the axilla to the 7th or 8th rib.  Cranial Nerve II (optic nerve) • Atelectic crackles • common in elderly, disappears after several deep breaths • Pleural friction rub – pericarditis • fluid in the pericardial space due to inflamed pleura • pain on deep inspiration. Head (Skull, Scalp, Hair) Face Eyebrows, Eyes and Eyelashes Eye lids and Lacrimal Apparatus Conjunctivae Sclerae Cornea Anterior Chamber and Iris Pupils Cranial Nerve II (optic nerve) Cranial Nerve III, IV & VI (Oculomotor, Trochlear, Abducens) Ears Nose and Paranasal Sinuses Cranial Nerve I (olfactory Nerve) Neck Thorax ( Cardiovascular System) Breast Abdomen Extremities. Learn new and interesting things.  Face A systematic approach must be used and a ‘head-to-toe’ system is appropriate.  Palpate the head by running the pads of the fingers over the entire surface of (6 Eds). INSPECT AND PALPATE. Direct – sinus tenderness Indirect- lung percussion Blunt percussion- organ tenderness (CVA tenderness) Assessment techniques Percussion, Assessment techniques Percussionsounds • Flatness – bone or muscle • Dullness – heart, liver, spleen • Resonance – air filled lungs (hollow) • Hyperresonance – emphysematous lung (hyperinflated) • Tympany – air-filled stomach (drumlike), Assessment techniques Auscultation • Listening to sounds produced by the body: Heart Blood vessels Lungs Abdomen • Instrument: stethoscope • Diaphragm –high pitched sounds • Bell – low pitched sounds, Avoid Interruptions Start with a general inspection first Proceed for specific observation of the system Expose only the part being examined Examine the unaffected area or parts first Examine external parts first, then internal Compare one side to the other side Proceed from head to toe Assessment techniques Auscultation, Eyes - PERRLA • Shine light through pupil onto retina • Cranial nerve III stimulated • Observe for pupillary constriction • Observe for accomodation • Pupils: black, round, regular, equal in size, 3-7 mm • PERRLA = Pupils equal, round, reactive to light, accommodation, Pupils • Cloudy pupil: cataracts • Dilated pupil: glaucoma, trauma, neurologic disorder • Constricted pupil: drug use • Pinpoint pupil: opioid intoxication, Great vessels of the neck • Jugular veins • Empty unoxugenated blood directly into the superior vena cava, which empties into the right side of the heart • Carotid arteries • Reflects cardiac systole and is timed with S1, Palpate only one at a time • Carotid artery pulse – correlates with first heart sound, Assessment • Position client supine • Then head elevated at 45 degrees • INSPECTION: • Lifts, heaves • PMI (assess location), GeneralReference Lines • Sternal Line • Midclavicular Line • Apical /PMI – left 5 th iCS midclavicular line • Axillary Line. Orthopedic Physical Assessment - . Many are downloadable.  Conjunctivae jan bazner-chandler rn, msn, cns, cpnp. All About Hammer Head Sharks - . View Head To Toe Assessment PPTs online, safely and virus-free! A protruding abdomen may be due to obesity, pregnancy, ascites, or abdominal distention. You will feel more vibration. Note presence of lice, nits, dandruff or lesions. 38. View and Download PowerPoint Presentations on Physical Examination Of The Head Neck PPT. first aid. prepare yourself your safety and scene safety basic cpr (you, Basic Principles of Assessment - . Head. Even though this approach is … define, Basic Physical AssessmentHead-to-toe assessmentMajor body, Assess underlying structures for location, size, density of, Apply firm pressure with pads of index and middle finger on. Heart Auscultatory Sites • When auscultating sounds, place the stethoscpe over the four different site • All physicians take money- APTM • Aortic, Pulmonic, Trisuspic, Mitral • The sites are identified by the names of heart valves… but they are not located directly over the valves. The exam … Head-To-Toe Assessment oral or written comprehensible, Basic First Aid - . health assessment. See our Privacy Policy and User Agreement for details. Amt. Authentic Assessment in Physical Education - Assessment in our field: what's the challenge?. 2. neonate and, Nursing Care of Newborn and Family Assessment - Assessment of newborn. rate and depth • Pattern of respiration – regular rhythm • Abnormal patterns • Hyperventilation-fast rate and deep breathing • Tachypnea >28 vs. bradypnea <10 • Stertorous -“death rattle” –seen in comatose patient, Lungs • Inspection • Check size, shape, symmetry • Altered shape ex., COPD, barrel chest • Altered symmetry ex., kyphosis (hunchback), scoliosis (S) • Altered breathing ex., rib fractures, pneumothorax • Altered color ex., hypoxia • Retractions from airway obstruction, respiratory distress • Scars from lung surgery, trauma, Looking at related structures • Skin: cyanosis, pallor • Nails: Clubbing • Spongy nail matrix and nail angle of greater than 160 degrees • Associated with congenital heart disease, AP DiameterAnterior Posterior Diameter • The diameter of the chest from front to back should half the width of the chest. Assess the integumentary system while progressing through. 2. Preview Clinical reference quick assessment for common conditions; Clinical reference complete older person evaluation; Clinical reference complete physical examination; Clinical reference head-to-toe examination of the adult; Clinical reference head-to-toe examination of the child; Clinical reference head-to-toe examination of the neonate Purpose. (wear gloves if necessary) Assessing skin. Mnemonics and tips related to psychiatric nursing, Acid base imbalances nursing care plan & management, Acne vulgaris nursing care plan & management, No public clipboards found for this slide. mladenka vrcic-keglevic, md, phd head of family medicine department, medical school, univerity of, A Head-to-Head Comparison of the Sport Concussion Assessment Tool 2 (SCAT2) - And the military acute concussion, Physical Education Assessment - . View Test Prep - physical exam 2.ppt from NURS 3127 at CUHK.  Ears The PowerPoint PPT presentation: "Head to toe examination" is the property of its rightful owner.  Sclerae objectives.  Head (Skull, Scalp, Hair) If you continue browsing the site, you agree to the use of cookies on this website. Emergency Medical Operations - . Extra Heart Sounds- S3… • a low-pitch vibration in early diastole immediately after S2 • Rapid ventricular filling: ventricular gallop May be a cardinal sign of CHF in adults • May be normal in children, and patients with high cardiac output (athletes) • Pathological in adults: CHF, HTN, CAD • S1 -- S2-S3 • Sounds like: Ken--tuc-ky, Extra Heart Sounds- S4… • Soft, low-pitched sound in late diastole immediately before S1 • Atria contract and eject blood into resistant ventricles (slow ventricular contraction): atrial gallop • May be physiological in infants and small children • Common in HTN pts • S4-S1 — S2 • Sounds like Ten-nes--see, Heart Sounds • Normal (Lub-dub, Lub-dub) • S1 Lub (Closure of AV Valves at start of systole) • S2 Dub – (Closure of pulmonic and aortic valves upon end diastole) • 3rd Heart Sound – Middle 3rd of diastole • 4th Heart Sound – Atrial, S1 Systole S2 Diastole S1 Systole S2 S4 S3 S4 M T A P M T A P, Peripheral Pulses • Apply firm pressure with pads of index and middle finger on pulse site without occluding pulse • Measure strength of pulse and equality • Assess carotid, radial, and pedal • Also assess brachial, posterior tibial, and dorsalis pedis, Apply firm pressure with pads of index and middle finger on pulse site without occluding pulse Measure strength of pulse and equality Assess carotid, radial, and pedal Also assess brachial, posterior tibial, and dorsalis pedis Documentation of Pulses Peripheral Pulses, Grading • 0 = Absent, not palpable • 1+- Diminished, barely palpable • 2+- Easily palpable, normal pulse • 3+ - Full pulse, increased • 4+ - Strong, bounding, cannot be obliterated, Lower Extremities • Pedal pulses • Foot strength bilaterally • Homan’s Sign • Capillary refill (see next slide) • Edema • Pain, Capillary Refill • Should test fingers and toes • Press down on nail to compress capillaries • Color goes white, then release • Color should return briskly; < 3 seconds • Document “sluggish” if > 3 seconds, Depress pretibial area & medial malleolus for 5 seconds Grade pitting edema 1+ to 4+ Assessing for Edema. Title: Newborn Examination Powerpoint Presentation ... – If an exam is not done within the first week of life, the baby should have a complete exam at their first visit ... as part of the head examination David Wrubel, MD. Purpose. The accuracy of the physical examination affect the selection of treatment received by the client and the elucidation of the response to therapy. PHYSICAL ASSESSMENT EXAMINATION STUDY GUIDE Page 1 of 39 Adapted from the Kentucky Public Health Practice Reference, 2008 and Jarvis, C, (2011). chapter 7. general approaches toward examining the child. (Normocephalic). Performing A Head To Toe Physical Examination. Physical and Developmental Assessment of the Child - . by rory conneely. Now customize the name of a clipboard to store your clips. Basic Physical AssessmentHead-to-toe assessmentMajor body systems assessment, Purpose • Gather baseline data • Supplement, confirm, or refute data in nursing hx • Confirm and identify nursing diagnosis • Make clinical judgments about changing status • Evaluate the physiological outcomes of care, Provides baseline subjective information Guides and directs your physical assessment Identifies Strengths Actual or potential health problems Support system Teaching needs Discharge and referral needs Use of effective communications skills Family history Life patterns Sociocultural history Spiritual health Mental reactions Emotional reactions Health History, PHYSICAL ASSESSMENT • Validates the patient’s complaints related to health • Assists in formulating nursing diagnoses and interventions • Monitors current health problems • Obtains baseline information for future assessments, Assessment techniques • Inspection …Always first!!! 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