Health Assessment Ch. 5- Assessment Techniques Flashcards
4 types of assessment techniques
order of assessment
a. (I)nspection
b. (P)alpation
c. (P)ercussion
d. (A)uscuitation
Inspection
the OBSERVATION part of the assessment
a. uses your senses of vision, hearing, and smell
Direct vs Indirect Inspection/Auscuitation
- direct: naked eye
- indirect: instrument (stethoscope,etc)
Characteristics inspected by nurse
a. location
b. size
c. color
d. pattern
e. shape
f. odors
g. symmetry
Palpation
the TOUCHING part of the assessment
Light vs Deep palpation
- light (1cm) : assesses for textures, masses, and tenderness
- deep (5cm) : assesses for organ size, location, masses, and tenderness
3 parts of hands used to palate
a. finger pads
b. dorsal (back) surface of the hand
c. ulnar surface or ball of the hand
Direct Percussion
- directly tapping the area
- assesses for pain, sinuses, etc.
Indirect Percussion
striking your middle finger that is on the area
Blunt Percussion
assesses for organ tenderness
Percussion Sounds
a. tympany- drumlike (stomach)
b. dull- thud (dense or solid orans/liver or heart)
c. resonance- hollow (lungs)
d. hyperresonance- booming (diseased lungs)
e. flat- dead stop (muscle or bone)
Auscuitation Sounds
a. pitch
b. intensity
c. duration
d. quality