Physical Assessment- Mental Health, GCS, Skin Flashcards
What is Infection control in physical assessment?
hand hygiene,
standard/additional precautions,
cleaning of equipment
Correct environment for physical assessment?
privacy & dignity,
warm, quiet, lighting, equipment
clean, working and available
e.g. Stethescope, blanket etc
A Patient- (physical & psychological) before physical assessment?
explain in appropriate terminology (therapeutic interaction), informed consent, appropriate dress, empty bladder (abdominal), assess for pain, correct position.
What does IPPA stand for?
I-Inspection (sight, sound, smell)
P-Palpation (touch)
P-Percussion (touch, sound)
A-Auscultation (sound via stethoscope)
What is inspection in physical assessment?
• Look: – collecting objective data • Inspection: – concentrated observation – Careful scrutiny – Comparing – Counting – Measuring – Smelling
What is palpation?
The act of touching a patient in a therapeutic manner to elicit specific information
What tools do you need for palpation?
Tools: Hands
– Clean
– Short nails
– Warm
What is the purpose for palpation?
- Locate organs and assess size of organs
– Assess texture/temperature/moisture/lumps
– Measure, pulsations, rigidity, swelling, tenderness
What is the technique used for palpation?
– Informative
– Slow
– Systematic
– Gentle
When do you use your fingertips for palpation?
fine tactile discrimination eg. Palpate pulses & breast examination
When do you use the Dorsum of the hand in palpation?
Temperature
When do you use the Palmar pads of the metacarpal
phalangeal joints in palpation?
for vibration (use palmar pads for thrills or vibration of the precordium)
When do you use the Palmar pads or ulnar surface in palpation?
of the hand, also for vibration (use for tactile fremitus over the thorax)
Fingertips in palpation?
grasp the skin over the sternum to assess turgor
What is percussion?
The technique of striking one object against another that
produces sound