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Health examination

Health examination. Ms christine Mn prev. DEFINITION. Health examination Health examination is the systematic assessment of human body which involves the use of one’s senses to determine the general physical and mental conditions of the body. Physical examination.

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Health examination

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  1. Health examination Ms christine Mn prev

  2. DEFINITION • Health examination • Health examination is the systematic assessment of human body which involves the use of one’s senses to determine the general physical and mental conditions of the body

  3. Physical examination • Physical examination is defined as a complete assessment of a patient’s physical and mental status. • A physical assessment is the systematic collection of objective information that is directly observed or is elicited through examination techniques

  4. Indication of health examination • On admission • On discharge • On follow up • Health camps • Before and after diagnostic and therapeutic procedure.

  5. TECHNIQUE OF PHYSICAL ASSESSMENT

  6. INSPECTION

  7. GENERAL INSPECTION OF A CLIENT FOCUSES ON • Overall appearance of health or illness • Signs of distress • Facial expression and mood • Body size • Grooming and personal hygiene

  8. PALPATION

  9. PRINCIPLES OF PALPATION • You should have short fingernails. • You should warm your hands prior to placing them on the patient. • Encourage the patient to continue to breathe normally throughout the palpation. • If pain is experienced during the palpation. discontinue the palpation immediately. • Inform the patient where, when, and how the touch will occur, especially when the patient cannot see what you are doing.

  10. LIGHT PALPATION

  11. DEEP PALPATION

  12. PERCUSSION

  13. TYPE OF PERCUSSION • DIRECT PERCUSSION

  14. INDIRECT PERCUSSION

  15. AUSCULTATION

  16. FOUR CHARACTERISTICS OF SOUND • 1.Pitch (ranging from high and low):frequency or number of oscillations generated per second by vibrating object • 2. Loudness (ranging from soft to loud): amplitude of sound • 3. Quality (gurgling or swishing) • 4. Duration (short, medium or long)

  17. OLFACTION

  18. EQUIPMENTS • STETHOSCOPE

  19. OPHTHALMOSCOPE

  20. OTOSCOPE

  21. SNELLEN CHART

  22. NASAL SPECULUM

  23. VAGINAL SPECULUM

  24. TUNING FORK

  25. PERCUSSION HARMER

  26. SPHYGMOMANOMETER

  27. POSITIONING • Sitting/fowler’s

  28. STANDING

  29. SUPINE AND PRONE

  30. DORSAL RECUMBENT

  31. Sim’s

  32. LITHOTOMY

  33. KNEE-CHEST

  34. PREPARING THE ENVIRONMENT

  35. PREPARING THE PATIENT • PSYCHOLOGICAL PREPERATION

  36. PHYSICAL PREPERATION

  37. ARTICLES REQUIRED • Screen to provide privacy • Bowl for antiseptic lotion • Kidney tray and paper bag • Weighing machine and height scale • Patient gown

  38. ARTICLES REQUIRED • Bath blanket to cover the patient • Pair of leggings • Draw sheet to cover patient’s chest • Square drum containing test tube, gauze piece, cotton swab, specimen bottle, swabsticks • Gloves • lubricant

  39. ARTICLES REQUIRED • Torch • Ophthalmoscope • Snellen’s chart • Book for colour blindness • Pen • Flash card • Autoscope with speculum of different sizes • Percussion Hammer • Tuning fork

  40. ARTICLES REQUIRED • Nasal speculum • Mouth gag • Laryngeal mirror • Tongue depressor • Stethoscope • Inch tape

  41. ARTICLES REQUIRED • Sterile tray for vaginal examination • Proctoscope • VITALS TRAY

  42. ARTICLES FOR NEUROLOGICAL EXAMINATION • Powder, soap • Snellan’s chart • Pencil or pen • Cotton wicks • Torch • Tuning fork • Salt, sugar

  43. ARTICLES FOR NEUROLOGICAL EXAMINATION • Tongue depressor • 2 test tubes one with hot water and other with cold water • Safety pins • Some thing solid for grasping • Sharp object like key • Reading material to assess eyes and language of person • Knee harmer

  44. GENERAL SURVEY • Identification data • Gender and race • Age • Signs of distress • Body type • Posture • Gait

  45. GENERAL SURVEY • Body movements • Hygiene and grooming • Body odour • Affect and mood • Speech • Substance abuse:

  46. VITALS SIGNS

  47. HEIGHT AND WEIGHT:

  48. ASSESSING INTEGUMENT SYSTEM • Assessing skin • Skin color • Erythema

  49. CYANOSIS

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