Physical Assessment

1.

PHYSICAL
ASSESSMENT
Presented by Narikbay Islam

2.

Physical
assessment
Physical assessment is a systematic data
collection method that uses the senses of sight,
hearing, smell and touch to detect
health problems. There are four techniques used
in physical assessment and these are:Inspection,
palpation, percussion and auscultation. Usually
history taking is completed before
physical examination

3.

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2
Inspection
It's the use of vision to distinguish the normal from
the abnormal findings.
Body parts are inspected to identify color, shape,
symmetry, movement, pulsation and texture.
Principals of inspection
Availability of adequate light
Position and expose body part to view all surfaces
Inspect each area for size, shape, color, symmetry,
Position and abnormalities.
If possible compare each area inspected with the
same area on the opposite side.
Use additional light to inspect body cavities
3
4
Palpation It involves use of hands to touch body parts for
data collection. The nurse uses fingertips and palms to determine
the size, shape, and configuration of underlying
body structure and pulsation of blood vessels. It help to detect the
outline of organs such as
thyroid, spleen or liver and mobility of masses. It detects body
temperature, moisture , turgor,
texture, tenderness, thickness, and distention.
Percussion It is the technique in which one or both hands are used to
strike the body surface to produce a sound called percussion note
that
travels through body tissue. The character of the sound determines
the location, size and density of underlying
structure to verify abnormalities. An abnormal sound suggest a mass
or
substance like air, fluid in an organ or cavity.

4.

Preparation for
physical exam
Infection prevention
Follow IP precaution through out procedure
Environment
P/A requires privacy and away from other destructors
throughout
Equipment
Get all the necessary equipmen, other equipment
needs to be warmed before
being placed on the body e.g. rubbing diaphragm of
the stethoscope briskly getween hands.

5.

Auscultation
It involves listening to sounds and a
stethoscope is mostly used. Various body systems
like cardiovascular, respiratory and gastrointestinal
have
characterized sounds. Bowel, breath, heart and
blood movement
sounds are heard using the stethoscope. It is
important to know the normal sound
te distinguish from abnormal.

6.

Basic concepts
Concept 1
Concept 2
Concept 3
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THANK YOU FOR
YOUR ATTENTION