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Health Assess Ch.8

Assessment Tachniques and the Clinical Setting

QuestionAnswer
What are the 4 pieces of Physical Assessment? Inspection, Palpation, Percussion, and Auscultation
Inspection Concentrated watching; begins as soon as the patient walk in; compare right and left side
Palpation Applies sense of touch to assess: texture, temp., moisture, swelling, vibration, etc.
What are fingertips good for? Best for fine tactile, such as texture, swelling, pulsation and lumps
What are the grasping action of the fingers and thumb good for? To detect the position, shape and consistency of an organ
What is the dorsa of hands and fingers good for? Best for determining temperature b/c skin is thinner than on palms
What are the base of fingers good for? Best for vibration
Percussion Tapping the person's skin with short, sharp strokes to assess underlying structures
Direct percussion The striking hand directly contacts the body wall; sound and tenderness
Indirect percussion The strinking hand contacts the stationary hand fixed on the person's skin; vibration
Auscultation Listening to sounds using a stethoscope; Assess heart, lungs, and abdomen(bowel)
Diaphragm of Stethocope Flat; Best used for high-pitched sounds- breath, bowel, and normal heart sounds
Bell of Stethocope Deep, hollow cuplike shape; Best for soft-pitched sounds- heart murmurs
The examination room should be: Warm, comfortable, quiet, private, well lit, no interruptions and have equipment ready
What is an otoscope used for? The ear
What is an opthalmoscope used for? The eye
Nosocomial infection An infection acquired during hospitalization
Standard Precautions Intended for use with all patients regardless of their risk or presumed infection status
Standard Precautions apply to: Blood; Bodily fluids, secretions, & excretions except sweat; nonintact skin; mucous membrane
Transmission-Based Precautions Intended for use with patients w/ documented transmissible infections
Three Types of Transmission-Based Precautions Airborne, Droplet, and Contact
General Approach to the Clinical Setting Consider your emotional state and that of the person being examined; Be confident
During and Ending of Examination Always inform the patient what you are doing, and summarize your findings at the end
Created by: Futuredoctor09
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