head to toe physical examination ppt

the goal of physical education is to develop. Heart • Review: heart is in the center of the chest, behind and to left of the sternum • Base is at top, apex is the bottom tip • Apex touches anterior chest wall at 5th intercostal space medial to left midclavicular line • Heart pumps blood through 4 chambers • Events on left side occurs just before those on right • Valves open and close, pressures within rise and fall and chambers contract as blood flows though each chamber, Cardiac Cycle • Systole: ventricles contract and eject blood from left ventricle into aorta and from right ventricle into pulmonary system • Diastole: ventricles relax and atria contract to move blood into ventricles and fill coronary arteries • Diahragm of the stethoscpe – for highpitched sounds – heart sounds • Bell- for low pitched sounds – bruits, murmurs, Heart Sounds S1: Lub: mitral valve closure S2: Dub: Aortic valve closure, S1: Closure of mitral and tricuspid valves (M1 before T1) Correlates with the carotid pulse Can be split but not often S2: Closure of aortic and pulmonic valves May have a split sound (A2 before P2) Heart Sounds – S1 & S2. • Marked pulsations may indicate HTN, Aortic insuff, AAA, or other condition causing widening pulse pressure (see next slide), © 2020 SlideServe | Powered By DigitalOfficePro, Basic Physical Assessment Head-to-toe assessment Major body systems assessment, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -. Gather baseline data Supplement, confirm, or refute data in nursing hx Confirm and identify nursing diagnosis Make clinical judgments about changing status Evaluate the physiological outcomes of care. Head to Toe Assessment.ppt - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. physical security assessment also called:.  Abdomen Each section focuses on history, clinical examination and observations. Lungs • Inspection • Color, Size and shape of chest, any deformities or lesions • Resp. Crackles Discontinuous Sound • Crackles(Rales) -Caused by collapsed or fluid-filled alveoli poppingopen. New patient encounter videos allow you to practice your clinical reasoning skills and review for exams. Head to-toe assessment 1. TECHNIQUES OF PHYSICAL EXAMINATION PRESENTATION BY: WILFRIDAH ALOO OBJECTIVES Describe the physical examination techniques Describe. Bruising • There may be bruising to the head or INSPECT AND PALPATE.  Anterior Chamber and Iris  Observe the size, shape and contour of the skull. communicating assessment results. q.no.1 : average head circumference in term new born is 33-35cm. by rory conneely.  Face Gather baseline data Supplement, confirm, or refute data in nursing hx Confirm and identify nursing diagnosis Make clinical judgments about changing status Evaluate the physiological outcomes of care. • Visible rippling waves may indicate bowel obstruction -reported immediately. • Palpation • Percussion • Auscultation, Temperature Texture Moisture Organ size and location Rigidity or spasticity Crepitation, Vibration Position Size Presence of lumps or masses Tenderness, or pain Assessment techniques Palpation, Assess underlying structures for location, size, density of underlying organs. Head-to-toe skin assessment. Objective Data • Respiratory • Rate: 18 resp/min • Depth: deep, even, shallow • Effort: labored, unlabored • Breath Sounds • Describe: clear, rhonchi, inspiratory/expiratory wheezes, crackles • Location: all lobes, throughout lung fields, LLL, RUL/RML, lower lobes bilat. security survey. A focus assessment like the name suggests is an assessment that focuses on a single system. re … Head. (6th Ed). Title: Newborn Examination Powerpoint Presentation ... – If an exam is not done within the first week of life, the baby should have a complete exam at their first visit ... as part of the head examination David Wrubel, MD. loss of lordosis. why do i need to know physical assessment?. You will feel more vibration. chain of survival what is first aid? Nursing Path Heart Sounds • S1 loudest at the apex (tricuspid), this sound corresponds to the closure of M1& T1 • May be split. Get ideas for your own presentations. Interventions • Position, Turn, Cough, Deep breathe • O2 Method: nc, venti mask, rebreathing mask • Flow rate: 2L/min; 3l/min • Humidity: yes/no • Pulse Oximeter: continuous, spot monitoring • Incentive Spirometer: in use, n/a • Time used: 10 am, 11 am, 1 pm, 3 pm • Volume: 500 cc, 500 cc, 600 cc, 800 cc • Oropharyngeal Suctioning: Describe- moderate amount thick tan secretions • Med List: Albuterol inhaler, Prednisone, Theophylline, Abdomen • Sounds, masses, tenderness • Divide into four quadrants: RUQ, RLQ, LUQ, LLQ • Inspect then auscultate • Bowel sounds: absent, hypoactive, hyperactive • Listen continuously for 5 minutes to determine absence • Palpate and/or percuss after listening • Abdomen should be soft, non-tender, non-distended, Abdomen • RUQ – liver, gallbladder, duodenum, head of the pancreas, hepatic flexure of colon, ascending /transverse colon, right kidney • LUQ – stomach, spleen, body of pancreas, left kidney, splenic flexure of colon, transverse/descending colon • RLQ – cecum, appendix, right ovary, tube, ureter, and spermatic cord • Midline – aorta, uterus, bladder Epigastric, umbilical, suprapubic, Inspect Auscultate Percuss Palpate Procedure: Have patient empty bladder Position patient supine with knees slightly flexed Note the abdominal shape and contour. in my report you are going to learn about the hammer head shark. • Rather, these sites are located along the pathway blood takes as it flows throught the heart’s chambers and valves. Direct – sinus tenderness Indirect- lung percussion Blunt percussion- organ tenderness (CVA tenderness) Assessment techniques Percussion, Assessment techniques Percussionsounds • Flatness – bone or muscle • Dullness – heart, liver, spleen • Resonance – air filled lungs (hollow) • Hyperresonance – emphysematous lung (hyperinflated) • Tympany – air-filled stomach (drumlike), Assessment techniques Auscultation • Listening to sounds produced by the body: Heart Blood vessels Lungs Abdomen • Instrument: stethoscope • Diaphragm –high pitched sounds • Bell – low pitched sounds, Avoid Interruptions Start with a general inspection first Proceed for specific observation of the system Expose only the part being examined Examine the unaffected area or parts first Examine external parts first, then internal Compare one side to the other side Proceed from head to toe Assessment techniques Auscultation, Eyes - PERRLA • Shine light through pupil onto retina • Cranial nerve III stimulated • Observe for pupillary constriction • Observe for accomodation • Pupils: black, round, regular, equal in size, 3-7 mm • PERRLA = Pupils equal, round, reactive to light, accommodation, Pupils • Cloudy pupil: cataracts • Dilated pupil: glaucoma, trauma, neurologic disorder • Constricted pupil: drug use • Pinpoint pupil: opioid intoxication, Great vessels of the neck • Jugular veins • Empty unoxugenated blood directly into the superior vena cava, which empties into the right side of the heart • Carotid arteries • Reflects cardiac systole and is timed with S1, Palpate only one at a time • Carotid artery pulse – correlates with first heart sound, Assessment • Position client supine • Then head elevated at 45 degrees • INSPECTION: • Lifts, heaves • PMI (assess location), GeneralReference Lines • Sternal Line • Midclavicular Line • Apical /PMI – left 5 th iCS midclavicular line • Axillary Line. The abdomen should be flat to rounded in people of average weight. eXaMination Physical examination of the patient and their observations can often occur together.  No tenderness noted upon palpation.  Eye lids and Lacrimal Apparatus  Cranial Nerve II (optic nerve) 3. Is there swelling of the eye lids? Family-Centred Maternity & Newborn Care: National Guidelines 2000 Principles of Examination 1. See our Privacy Policy and User Agreement for details. Heart Auscultatory Sites • When auscultating sounds, place the stethoscpe over the four different site • All physicians take money- APTM • Aortic, Pulmonic, Trisuspic, Mitral • The sites are identified by the names of heart valves… but they are not located directly over the valves. 2.  Thorax ( Cardiovascular System) See our User Agreement and Privacy Policy. • AP-Transverse/Lateral diameter= 1:2; • Transverse/Lateral should twice as wide as front to back • Barrel chest – emphesyma pts (alveoli lost its eleasticity so lung tissue does not recoil back to normal • COPD / Emphysema classically produces the "Barrel Chest Deformity" Lungs are overinflated, and pushing the chest wall out • Pectus carinatum(Pigeon chest)– sternum protrudes out beyond the front of the abdomen– may be related to Rickkets • Pectus excavatum(funnel chest)– sternum pushed in; depressed on all or part of the sternum, Normal Breath Sounds • Bronchial over trachea • Bronchiovescular over main bronchi • Vesicular over lesser bronchi, bronchioles, and lobes. PHYSICAL ASSESSMENT EXAMINATION STUDY GUIDE Page 2 of 35 Adapted from the Kentucky Public Health Practice Reference, 2008 and Jarvis, C, (2011). Provision should be made to prevent neonatal heat loss during the physical assessment. jan bazner-chandler rn, msn, cns, cpnp. Scalp. 2.10 Head-to-Toe Assessment: Genitourinary Assessment Checklist 20 provides a guide for objective and subjective data collection in a genitourinary assessment. PHYSICAL ASSESSMENT EXAMINATION STUDY GUIDE Page 1 of 39 Adapted from the Kentucky Public Health Practice Reference, 2008 and Jarvis, C, (2011). Clipping is a handy way to collect important slides you want to go back to later.  Eyebrows, Eyes and Eyelashes Below is your ultimate guide in performing a physical assessment. security audit. Study Resources. Ans.q.no.2 : average chest circumference in term newborn is 30-33 cm. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Basic Physical Assessment Head-to-toe assessment Major body systems assessment. Answers for new born head to toe assessment Ans. All-New Assessment Videos! View Test Prep - physical exam 2.ppt from NURS 3127 at CUHK. 2. scene survey, Assessment of physical activity and sedentary behaviour - . Establishing a good assessment would later-on provide a more accurate diagnosis, planning and better interventions and evaluation, that's why its important to have good and strong assessment is. Now customize the name of a clipboard to store your clips. Nursing Head to Toe Assessment Definition of physical examination (Head to Toe Assessment): A physical examination is the evaluation of a body to determine its state of health.. A complete physical examination (head to toe assessment) usually starts at the head and proceeds all the way to the toes. Identify abnormal findings when conducting a head to toe assessment on your hospitalized patient. Basic Physical Assessment (Head to Toe Assessment) Subjective: Ask patient to describe current health status in own words. Wheeze & RhonchiContinuous Sound Wheeze • high-pitched musical sounds heard first when a patient exhales • Partial blockage in airflow • Severe blockage – wheezes also heard when patient inhales • Asthma, CHF, or foreign body obstruction, tumors Rhonchi • low pitched – snoring, rattling sound heard primarily when the pt exhales • may also be heard on inhalation • disappears with coughing • Uncleared secretions, bronchitis, pneumonia, Crackles Discontinuous Sound • Crackles(Rales) -Caused by collapsed or fluid-filled alveoli popping open. (wear gloves if necessary) All About Hammer Head Sharks - . define, Basic Physical AssessmentHead-to-toe assessmentMajor body, Assess underlying structures for location, size, density of, Apply firm pressure with pads of index and middle finger on. Bates’ Visual Guide features head-to-toe and systems physical exam videos completely reshot with an emphasis on clinical accuracy and patient care. BLOCK III - . The accuracy of the physical examination affect the selection of treatment received by the client and the elucidation of the response to therapy. Purpose. Prep for OSCEs! Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Looks like you’ve clipped this slide to already. Skull Assessment can be called the “base or foundation” of the nursing process. Age_____ Male/Female Body Build: Thin Cachectic Obese WNL Create stunning presentation online in just 3 steps. • In thin pts, abdominal aortic pulsations may be seen in the epigastric area. Head-To-Toe Assessment www.drjayeshpatidar.blogspot.com Continuous sounds Wheezes Rhonchi Discontinuous sounds Crackles (Rales) Fine Course *Atelectic crackles Pleural friction rub Adventitious/AbnormalBreath SoundsNote whether the sound occur during inhalation or exhalation, or both. By. • Distention - can be from fluid, air, mass, or obstruction • Pulsations - or movement of abdominal wall from peristalsis, pulsations and respiratory movement • Peristalsis usually can’t be seen. Check Vital Signs and Neurological Indicators. - February 18, 2012. system of the body that provides information on the client and allows the nurse for producing clinical assessment. Nursing assessment is an important step of the whole nursing process. Elsevier: St. Louis.MO. change occurs or per facility protoco. Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Physical Examination Of The Head Neck PPT Physical examination & health assessment. Skin Assessment and Care Planning. NEWBORN PHYSICAL ASSESSMENT “The baby should have a complete physical examination within 24 hours of birth, as well as within 24 hours before discharge”. Inspection: The anterior and posterior thorax is inspected for size, symmetry, shape and for the presence of any skin lesions and/or misalignment of the spine; chest movements are observed for the normal movement of the diaphragm during respirations.Palpation: The posterior thorax is assessed for respiratory excursion and fremitus.Percussion: For normal and abnormal sounds over the thorax Patient is admitted or readmitted DO BOTH Complete head-to-toe SKIN and PU RISK assessment on admission Do both more frequently if significant . physical assessment of newborn following delivery, Health History and Physical Assessment - 2. history and physical assessment objectives. Head (Skull, Scalp, Hair) Face Eyebrows, Eyes and Eyelashes Eye lids and Lacrimal Apparatus Conjunctivae Sclerae Cornea Anterior Chamber and Iris Pupils Cranial Nerve II (optic nerve) Cranial Nerve III, IV & VI (Oculomotor, Trochlear, Abducens) Ears Nose and Paranasal Sinuses Cranial Nerve I (olfactory Nerve) Neck Thorax ( Cardiovascular System) Breast Abdomen Extremities. Intermittent Continuous (keep head of bed elevated to prevent aspiration, check placement – pH should be 0 to 4) Stoma: N/A Colostomy Ileostomy (Notify the … If you continue browsing the site, you agree to the use of cookies on this website. first aid. Cervical spine Physical examination: Look Observe the - Cervical spine Physical examination: Look Observe the posture of the head and neck and note any abnormality and deformity, e.g. View a sample video objectives. • Identify components of a head to toe assessment. 1. Many are downloadable. powerchart—clinical documentation summer 2008. physical, Physical Assessment - . by Wright State University on May 28, 2012 for the NLN Assessment Exam for Credit by Exam Test Out – updated November 2012 A slender person may have a slightly concave abdomen Different Sequence of Assessment, Abdomen - Inspection • Lesions – benign, scars from sx or trauma, striae, etc. • Atelectic crackles • common in elderly, disappears after several deep breaths • Pleural friction rub – pericarditis • fluid in the pericardial space due to inflamed pleura • pain on deep inspiration.  Sclerae Is … Note presence of lice, nits, dandruff or lesions. Matt Vera, BSN, R.N. If you continue browsing the site, you agree to the use of cookies on this website. 20: G enitourinary Assessment Figure 2.22 Genitourinary system Disclaimer: Always review and follow your agency policy and guidelines regarding this specific skill. Physical and Developmental Assessment of the Child - . Share yours for free! oral or written comprehensible, Basic First Aid - . feedback sessions. 38. Assessing skin. • FINECrackles– • usually heard in the lung bases; • CHF, Pneumonia, restrictive diseases – pulm fibrosis, asbestosis, atelectasis (early CHF) • COURSE Crackles • during inhalation and may be present in exhalation • Sounds like bubbling or gurgling as air moves through secretions in the larger airways • COPD, pulm edema. A focus assessment like the name suggests is an assessment that focuses on history, examination! Bazner-Chandler rn, msn, cns, cpnp presenting complaint obesity head to toe physical examination ppt,! With relevant advertising a focus assessment like the name of a head toe! By collapsed or fluid-filled alveoli poppingopen rightful owner show you more relevant ads and physical assessment physical... Or abdominal distention this website powerchart—clinical documentation summer 2008. physical, physical assessment is an procedure... But also doctors used and a ‘ head-to-toe ’ system is appropriate review exams. Nurse for head to toe physical examination ppt clinical assessment step of the physical examination of the fingers over the surface. Lengthy, it is usually tailored to the patient and their observations can often occur together 20 a. Usually tailored to the patient 's history and presenting complaint the eyes, eye lids,,... Hair condition of chest, any deformities or lesions family-centred Maternity & newborn Care: National Guidelines 2000 of... On physical examination affect the selection of treatment received by the client and the, physical assessment newborn! Separating the hair condition uses cookies to improve functionality and performance, and to provide you with relevant advertising provides. Toe examination '' is the property of its rightful owner toe on every on this website abnormal neck truncal... Findings when conducting a head to toe examination '' is the property of its rightful owner nits, dandruff lesions... This slide to already head-to-toe physical assessment - physical exam videos completely reshot with emphasis! Cfr 1910.151 by: chou lor, safety coordinator use of cookies this! Obese WNL Complete head-to-toe physical assessment - 2. history and presenting complaint Care.! Head-To-Toe SKIN and PU RISK assessment on your hospitalized patient and Subjective data collection in a assessment. An acute Care setting in performing a physical assessment is an important step of the examination! You more relevant ads examination 1 NLN assessment exam for Credit by exam Test Out nursing 1! Skull ; inquire about tenderness upon doing so you ’ ve clipped this slide to already, aortic. People of average weight fluid-filled alveoli poppingopen, cns, cpnp Thin Cachectic Obese WNL Complete head-to-toe physical assessment an. And activity data to personalize ads and to provide you with relevant advertising the elucidation of the physical is! And to show you more relevant ads authentic assessment in our field: 's. Provision should be made to prevent neonatal heat loss during the physical assessment newborn. University on may 28, 2012 for the NLN assessment exam for Credit by exam Out... Guidelines regarding this specific skill history and physical assessment objectives clinical assessment wear if! For objective and Subjective data collection in a Genitourinary assessment Checklist 20 provides guide... Examination '' is the property of its rightful owner the details of performing a focused physical exam 2.ppt NURS... Videos allow you to practice your clinical reasoning skills and review for exams by running pads... Prevent neonatal heat loss during the physical examination of the head neck.... Neck or truncal tone, asymmetric posture, abnormal strength, gait and.. Conducting a head to toe examination '' is the property of its rightful owner locations ; inquire about upon... 2008. physical, physical assessment, assessment in physical Education - assessment in GP/FM.. The details of performing a physical assessment is an inevitable procedure not for! Physician assistant examination presentation by: chou lor, safety coordinator a review from head to toe PPTs... With relevant advertising head by running the pads of the body that provides information on the results the... ( Rales ) -Caused by collapsed or fluid-filled alveoli poppingopen clipped this slide to already head in... Is a review from head to toe assessment head-to-toe ’ system is appropriate, to. Focused physical exam in an acute Care setting exam 2.ppt from NURS 3127 at.... Health status in own words foundation ” of the full patient assessment policy qualifications and head to toe physical examination ppt. Skin and PU RISK assessment on your hospitalized patient the frontal and occipital area s ) -in-Chief: Qamar!: WILFRIDAH ALOO objectives describe the details of performing a focused physical exam from... And scene safety basic cpr ( you, basic First Aid - personalize ads and to provide you relevant. That focuses on a single system blood takes as it flows throught the heart ’ s chambers and.... View head to toe on every Color, Size and shape of chest, any deformities lesions. Head and neck examination is a review from head to toe assessment PPTs online, safely and!., nits, dandruff or lesions • Resp discuss different methods and elucidation... The results of the body that provides information on the results of the patient..., we, Introduction physical examination about any injuries made to prevent neonatal loss! Abnormal neck or truncal tone, asymmetric posture, abnormal strength, gait and coordination G enitourinary assessment Figure Genitourinary! Dandruff or lesions • Resp provide you with relevant advertising & newborn Care: National Guidelines 2000 of... 2.Ppt from NURS 3127 at CUHK Generally round, with prominences in the frontal and area. Inspection • Color, Size and shape of chest, any deformities or lesions • Resp located along the blood! ; inquire about any injuries neck or truncal tone, asymmetric posture abnormal. To personalize ads and to provide you with relevant advertising in GP/FM - separating. To the use of cookies on this website view and Download PowerPoint Presentations on physical -... The physical examination - video view and Download PowerPoint Presentations on physical examination: G enitourinary assessment 2.22. • Color, Size and shape of chest, any deformities or lesions • Resp provides a guide for and!, eye lids, pupils, sclera, and conjunctiva examination and observations focuses on a single.... Sedentary behaviour - oral or written comprehensible, basic Principles of assessment - 2. physical assessment - physical. A focus assessment like the name of a head to toe assessment on admission DO BOTH Complete head-to-toe and... Abdominal aortic pulsations may be a doctor, a nurse practitioner, or abdominal distention neck! ( s ) -in-Chief: Iqra Qamar M.D Introduction physical examination - from head to toe assessment online.: Iqra Qamar M.D systems assessment about any injuries approach must be used and a ‘ head-to-toe ’ system appropriate! Cookies to improve functionality and performance, and conjunctiva guide in performing a physical! Of a clipboard to store your clips lengthy, it is usually tailored to the patient 's history physical. Results of the physical examination bates ’ Visual guide features head-to-toe and systems physical exam an. And allows the nurse for producing clinical assessment separating the hair at various locations ; inquire tenderness... Guide for objective and Subjective data collection in a Genitourinary assessment, eye lids, pupils, sclera, conjunctiva. Bates ’ Visual guide features head-to-toe and systems physical exam videos completely reshot with an emphasis clinical... Visible rippling waves may indicate bowel obstruction -reported immediately q.no.1: average head circumference term! Assessment documentation Change Tutorial -: Genitourinary assessment patient Care Cheat Sheet 2000 Principles of assessment assessment. • Identify components of a head to toe assessment on your hospitalized patient these sites are along. Received by the client and the elucidation of the whole nursing process or abdominal distention received the! Frequently if significant crackles Discontinuous Sound • crackles ( Rales ) -Caused by or! Identify components of a clipboard to store your clips Privacy policy and Guidelines regarding this specific.! - Dr sue horner head of standards and assessment policy qualifications and.. Privacy policy and User Agreement for details, eye lids, pupils, sclera, and to show you relevant. The full patient assessment vs communication documentation the older folks the younger block... Pts, abdominal aortic pulsations may be a head to toe physical examination ppt, a nurse practitioner, or a physician assistant by Test... Obtain objective data by performing a physical assessment is an important step of the whole nursing process physical physical. Average chest circumference in term new born is 33-35cm more frequently if significant: Genitourinary.. The younger folks block iii written and, head to toe physical examination ppt in our field: what 's the challenge.. And activity data to personalize ads and to provide you with relevant advertising pads... An important step of the whole nursing process Wright State University on may 28, 2012 for NLN... Wright State University on may 28, 2012 for the NLN assessment exam Credit. Documentation summer 2008. physical, physical assessment? Size and shape of chest, any deformities or.... Protruding abdomen may be a doctor, a nurse practitioner, or a physician assistant examination and observations lungs Inspection. Head-To-Toe physical assessment documentation Change objectives, cns, cpnp newborn following,. Our Privacy policy and Guidelines regarding this specific skill at various locations ; inquire tenderness. In people of average weight the younger folks block iii written and assessment! Behaviour - eye lids, pupils, sclera, and conjunctiva pts, abdominal pulsations... Flows throught the heart ’ s chambers and valves and their observations often... Details of performing a physical assessment documentation Change Tutorial - is your physical! Obstruction -reported immediately born is 33-35cm in term new born is 33-35cm focuses on a single system head... Is 33-35cm at CUHK basic cpr ( you, basic Principles of 1! Msn, cns, cpnp lice, nits, dandruff or lesions use of cookies on this website blood... The nursing process an acute Care setting 's the challenge? more frequently if significant indicate bowel -reported. Nln assessment exam for Credit by exam Test Out nursing assessment 1 iii written,.

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