Health Assessment and Physical
Examination Notes 2022-2023
What is a physical examination - the techniques used to gather objective data about
the body
What are the purposes of a physical examination - 1. to obtain
...
Health Assessment and Physical
Examination Notes 2022-2023
What is a physical examination - the techniques used to gather objective data about
the body
What are the purposes of a physical examination - 1. to obtain baseline data
2. to identify nursing diagnoses
3. to monitor the status of a previously identified problem
4. to screen for health problems
What are the types of physical examinations - 1. Comprehensive physical
assessment
2. focused physical assessment
3. system -specific assessment
4. ongoing assessment
How do you prepare to perform a physical exam...three things - 1. prepare yourself
2. prepare the environment
3. prepare the client
what are the two approaches to a physical exam - 1. head to toe approach
2. body systems approach
.How do I prepare the client for a physical exam - 1. select a time when the client is
relaxed and receptive
2. establish rapport with the client
3. alert the client before touching him/her
4. consider developmental and cultural differences
What techniques do I need to perform a physical exam - 1. Inspection--use of sight
2. Palpation--use of touch
3. Percussion-- use of tapping
4. Auscultation--use of hearing
What modifications are there for different age groups - 1. Infants--parental holding or
pads on table
2. Toddlers--they're the squirmers...engage them
3. Preschoolers--demonstrate procedures on doll or parent
4. School-age children--develop rapport
5. Adolescents--self conscious
6. Young adults and middle adults--we're cool
7. Older adults--assess ability to perform activities of daily living (use SPICES)
What is a general survey - your overall impression of the client......
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