Scribd
Upload
451 views

Physical Assessment

Physical examination involves systematically assessing a patient's physical and mental status through various methods including inspection, palpation, percussion, auscultation, and olfaction. Inspection involves visually examining the patient, palpation feels the body for abnormalities, percussion taps the body to determine underlying structures, auscultation listens to internal sounds using a stethoscope, and olfaction smells for characteristic odors that may indicate issues. The examination aims to understand a patient's health, detect early disease, determine the cause and severity of illness, and identify needed treatment or care.

Uploaded by

Zanie Cruz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
451 views

Physical Assessment

Physical examination involves systematically assessing a patient's physical and mental status through various methods including inspection, palpation, percussion, auscultation, and olfaction. Inspection involves visually examining the patient, palpation feels the body for abnormalities, percussion taps the body to determine underlying structures, auscultation listens to internal sounds using a stethoscope, and olfaction smells for characteristic odors that may indicate issues. The examination aims to understand a patient's health, detect early disease, determine the cause and severity of illness, and identify needed treatment or care.

Uploaded by

Zanie Cruz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 30

METHODS OF

PHYSICAL
EXAMINATION
DEFINITION OF PHYSICAL
EXAMINATION
➢Physical Examination is defined as a
complete Assessment of a patient’s
physical and mental status

➢Physical assessment is a systematic


collection of objective information that
is directly observed or elicited through
examination technique.
DEFINITION OF PHYSICAL
EXAMINATION
•Physical
examination is a
systematic data
collection method
that uses the
PURPOSE OF PHYSICAL
EXAMINATION
• To understand the physical and mental well-
being of the patient.
• To detect disease in its early stage
• To determine the cause and the extend of
disease
• To understand any changes in the condition
of disease, any improvement or regression.
• To determine the nature of the treatment or
nursing care needed for the patient.
METHODS OF PHYSICAL
EXAMINATION

INSPECTION
PERCUSSION

PALPATION

AUSCULTATION

OLFACTION
DEFINITION
• It is a deliberate,
purposeful and
systematic collection
of data fromthe
client through the
visual examination
(that is, assessing by
usingthe sense of
sight)
GUIDELINES OF INSPCTION
• Make sure that adequate
lighting is available ,either
direct or tangential.
• Uses direct light sources
(eg., a penlight or lamp) to
inspect body cavities.
• Inspect each area for size,
shape, color, symmetry,
position, and abnormality.
GUIDELINES OF INSPCTION
• Position and expose
body parts as needed
so all surfaces can be
viewed but privacy can
be maintained.

• When possible, check


for side-to-side
symmetry by
comparing each area
with its match on the
opposite side of the
body
• Palpation is the
process of using
one's hands to
check the body,
especially while
perceiving
/diagnosing a
disease or
illness.
PURPOSE OF PALPATION
• Examination of the body surface (skin,
smoothness, dryness, irregularities
etc…)
• Examination of internal organs (shape,
size, consistency etc…)
• To look for abnormal resistances.
• Detection of painful areas
• To feel movement of fluids within the
body.
PRINCIPLES OF PALPATION
• Prepare for palpation by warming hands,
keeping fingernails short, and using a
gentle approach.
• Palpation proceeds slowly, gently, and
deliberately.
• Encourage the patient continue to
breath normally through out the
palpation.
• Ask the patient to point to more
sensitive areas.
PRINCIPLES OF PALPATION
• Ask the patient to point to more
sensitive areas.

• Watching for nonverbal signs of


discomfort.

• If the pain is experiencd during


palpation discontinue the palpation
immediately.
TYPES OF PALPATION

• LIGHT
PALPATION

• DEEP
PALPATION
LIGHT PALPATION

A method of
determining the
outlines of organs
or masses by
lightly palpating the
surface with the tip
of a finger for 1 to 2
centimeter.
DEEP PALPATION
• Deep
palpation is
used to feel
internal organs
and masses,
usually
pressing down
4-5 centimeters.
• Percussion is a methodof
tapping the skin with the
fingertips to vibrate
underlying tissues and
organs, to determine the
structure.
TYPES OF PERCUSSION

Direct percussion

Indirect percussion

Fist percussion
Direct percussion:-

It involve tapping lightly with the pad


of the fingers directly on the client
skin
Indirect percussion:-

• It can be performed
by using two finger left
middle
finger[Pleximeter
finger] is placed over
the area and its middle
phalanx is tapped with
the tip of the right
middle finger or index
finger [percussing
finger]
Fist percussion:-
• It involve placing
one hand flat
against the body
surface and striking
the back of the
hand with a
clenched fist of the
other hand
• Auscultation is
listening to the
internal sounds of
the body, usually
using a
stethoscope.
PURPOSE OF AUSCULATION
• Auscultation is
performed for the
purposes of examining
the circulatory and
respiratory systems, as
well as the
gastrointestinal system.
• Its helps to listening for
body sounds typically
from organs and tissues
to assess their
functions.
TYPES OF AUSCULTATION

Direct Indirect
auscultation Auscultation
Direct Auscultation
• It involve
listening to the
client body sound
without using any
assistive
instrument [eg
wheezing, chest
congestion]
Indirect Auscultation
• Involve
listening to
the client
body sound
with the use
of a
stethoscope
• Another skill that
used during
assessment, certain
alteration is body
function create
characteristic body
odors, smelling can
detect abnormalities
that unrecognized
by other means.
Assessment of characteristic
odors:
• Alcohol odor from oral cavity means
ingestion of alcohol.
• Ammonia from urine means urinary tract
infection.
• Body odor from skin, particularly in
areas where body parts rub together
means poor hygiene, excess
perspiration (bromidrosis).
Assessment of characteristic
odors:
• Feces odor from wound site means
wound abscess, but if this odor from
vomitus this means bowel obstruction,
and if the odor from rectal area this
means fecal incontinence.
• Foul–smelling stools in infant from
stool means mal absorption syndrome.
• Halitosis from oral cavity means poor
dental and oral hygiene, gum disease.
Assessment of characteristic odors
• Halitosis from oral cavity means poor
dental and oral hygiene, gum disease.
• Sweet, fruity ketone from oral cavity may
be from diabetic acidosis.
• Musty odor from casted body part means
infection inside cast.
• Fetid odor from tracheostomy or mucous
secretions means infection of bronchial
tree (pseudomonas bacteria).

You might also like