Peripheral Vascular ORA

Question 1

What are three questions to ask related to peripheral vascular and lymphatic system?

Answer 1

1. Any leg pain or cramps? If yes, OPQRSTUV 2. Any changes to your skin temperature or coloration on your arms or legs? 3. Any swelling in your arms and legs?

Question 2

What are the key components to the introduction of the ORA?

Answer 2

1) Hand hygiene 2) Introduces self to client with name and proper designation (1st year BScN student) 3) Identify patient using two factors 4) Privacy and confidentiality 5) Provides plan for care/assessment details. 6) Gets consent 7) Considers patient comfort

Question 3

What are key components to the closing of the ORA?

Answer 3

1) Closes interview with intention 2) Summarizes findings 3) Gives patient opportunity to ask questions and state any further information. 4) HAND HYGIENE!

Question 4

What equipment is required for the peripheral vascular and lymphatic system ORA?

Answer 4

• Tape measure

Question 5

What is the order of the physical examination for the peripheral vascular and lymphatics system?

Answer 5

1) Inspect arms for colour, size, any lesions 2) Palpate pulses: radial, brachial 3) Check epitrochlear node. 4) Inspect legs for colour, size, any lesions, trophic skin changes. 5) Palpate the skin for temperature of feet and legs. 6) Palpate inguinal nodes. 7) Palpate pulses in lower extremities: femoral, popliteal, posterior tibial, dorsalis pedis 8) Engage in teaching and health promotion as applicable

Question 6

What health promotion is suitable for this assessment?

Answer 6

Foot health and ensuring that blood flow continues to the feet.

Question 7

What positional considerations are there with this assessment?

Answer 7

Sitting while inspecting and palpating the arms, supine while assessing legs. Can inspect leg colour while patient is seated.