H. Ass Ch 3

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H. Ass Ch 3
2015-08-29 11:31:23

H. Assess Ch 3
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  1. anthropometric measurements
    include height and weight
  2. 4 techniques of physical assessment
    • inspection, palpation, percussion, and auscultation
    • performed in this order, with exception of abdominal assessment, which precedes palpation and percussion so as not to alter the bowel sounds
  3. direct inspection vs indirect inspection
    • direct involves directly looking at your pt (duh)
    • indirect involves using equipment to enhance visualization
  4. light palpation
    • applying very gentle pressure, pressing about 1/2 inch
    • best for assessing surface characteristics, such as temp, texture, mobility, shape and size
    • also useful in assessing pulses, areas of edema, and tenderness
  5. deep palpation
    • for palpating an area to a depth greater than 1/2"
    • used to assess organ size, detect masses and further assess areas of tenderness
  6. ballottement
    • a palpation technique used to assess a partiall free-floating object
    • deep palpation is applied to one area, causing partially attached object to become palpable in another area
    • frequently used to assess fetus during prego
    • also used to assess fluid in suprapatellar pouch
  7. percussion
    • used to assess density of underlying structures, areas of tenderness, and deep tendon flexes
    • entails striking body surface w quick, light blows and eliciting vibration & sound
    • sound determines density of underlying tissue and whether it's solid tissue or filled w air or fluid
  8. two factors influence the sound produced during percussion
    • the thickness of the surface being percussioned and your technique
    • more tissue you have to percuss, the duller the sound
  9. direct or