Positions in h.a Flashcards
Test for strabismus
Card opaque
View the mouth and throat and to transilluminate the sinuses
Pen light
For fungus
Woods light
Enlarged visibility of lesion
Magnifying glass
Tongue and examine mouth
4x4 small gauze
Detect pressure on weak pulse
Doppler ultrasound
Measure degree of flexion and extension
Goniometer
Occult blood
Specimen card
Spec cervix through dilation of the vaginal canal
Vaginal speculum
PREPARING FOR THE EXAMINATION
Preparing the physical setting
Preparing oneself
Approaching and preparing the client
Position allows the abdominal muscle to relax and provide easy access to peripheral pulse sites
Supine position
Domain should not be assessed because the abdominal muscles are contracted in this position. The client lies down on the examination table or bed with the knees bent the legs separated and the feet flat on a table or bed
Dorsal recumbent position
Disposition is useful for assessing the rectal and vaginal areas. The client lies on the right side with the lower arm place behind the body and the upper arm flex at the shoulder and elbow the lower leg is lightly flex at the knee while the upper legs is flex at the sharper angle and pulled forward
Sims position
Position is used primarily to assess the hip joint. The client lies down on the abdomen with the head to the side
Prone position
Useful for examining rectum. A 90 degree angle should exist between the body and the hips the client meals on the examination table
Knee chess position
The client may require assistance getting into this position it is used to examine the female genitalia reproductive tracts and rectum. It is supported by stir ups
Lithotomy position
Pleaseee view table physical examination techniques
Inspection percussion palpation auscultation
anytime one health care
provider is transferring client care
responsibilities to another healthcare
provider
Handoff
Rough/ smooth Temperature Warm/ cold in palpation
Texture
Dry/ wet Mobility Fixed/ movable/ still/vibrating
Moisture
Soft/hard/fluid filled Strength of
pulses
Strong/ weak/thready/ bounding
Consistency
& Degree of
Tenderness
Small/medium/large Shape Well defined/irregular
Size
Involves tapping body parts to produce sound waves. The sounds/ vibrations
will allow assessment of underlying structures such as
PERCUSSION
detects inflamed structures in percussion
Eliciting pain
PERCUSSION TYPES
DIRECT, BLUNT, INDIRECT
Direct tapping of a body
part with 1 or 2 fingers
DIRECT
Place on hand on the
body surface and using fist
of the other hand to
strike the back of the
hand flat
BLUNT
Most common type
Produces a sound/tone
that varies with density of
the structures
INDIRECT
process of
confirming or verifying
the subjective and
objective data you have
collected are reliable and
accurate
Validation
Sbar means
Background assessment recommendation situation