Palpation Essays

Holistic Assessment- Mr. Eric (student’s spouse) Performing a thorough health assessment lays the foundation for any health provider to be able to provide effective and efficient care to patients. When performing a health assessment this allows the health provider an insight as to how to diagnose a patient, plan how to take care of patient, implementing interventions and evaluation the outcome of the nursing process in providing patient care. When a nurse performs a holistic assessment, it is simply

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of motion; tenderness to palpation at the paraspinal muscle; spasm at the bilateral cervical trigger point, bilateral trapezius rigger point, and bilateral rhomboid trigger point. There is also bilateral tenderness to palpation of facet joints C5-C7, positive Spurling’s test, foraminal compression test. Physical examination of the lumbar spine revealed decreased range of motion on all planes; tenderness to palpation at the lumbar paraspinous area; tenderness to palpation over the lumbar spine; bilateral

Whether you are performing a comprehensive / general survey assessment or a focused assessment, there are four basic tools employed which includes inspection, auscultation, percussion, and palpation (Jarvis, 2008). These methods recommended to be utilized in a well arranged manner from least disturbing or invasive to most invasive to the patient (Jarvis, 2008). Inspection is the first and most commonly used and during this assessment, the provider is striving to identify conditions that can be seen

bowel sounds. Listen to the bowel sound for a full minute before determining if they are normal, hypoactive, hyperactive or absent. Next is do the percussion and palpation. Percuss the abdomen for general tympani, liver span, and splenic dullness. For palpation, press the skin about ½ inch to ¾ inch with the pads of the fingers. Palpation will allow for the assessment of the texture, tenderness, temperature, moisture, pulsations, masses, and internal organs. When palpating the abdominal region, be

The nurse would be able to collect all the necessary data and findings to formulate a nursing diagnosis to refer to the appropriate health care professionals. As per the physical assessment of the breasts, the nurse will conduct inspection and palpation of the breasts and axillae of the patient to determine if there are any abnormal findings that may pose as manifestations of breast cancer. Note: There is no auscultation step of the physical breast examination. The nurse will first start inspecting

In this course, we learn about the knowledge of diagnostics. Diagnostic is a bridge connecting basic study and clinical science. The teacher also told us some example in diagnostic. The first example is a woman with the Hyperthyroidism, if thyroid produce too much T3 or T4, it will lead to this disease. How can we diagnosis this disease, the clearest symptom is the patient’s neck will be swelling. The second example is a woman with the Cushing’s syndrome, the reasons cause this disease is the level

DOI: 9/1/2014. The patient is a 51-year old right hand dominant female customer service representative who sustained carpal tunnel syndrome due to typing. Per medical report dated 01/23/15, the patient was advised to continue use of thumb splints and over-the-counter medications and to have a second steroid injection, which was administered on this visit. EMG/NCV study performed on 03/26/15 revealed mild to moderate right carpal tunnel syndrome and mild left carpal tunnel syndrome. Per medical

• Patient Information: -Name/Gender/Race: Valentina Palmero/Female/Caucasian -DOB: 12/4/1992 -Age: 24 years -Date of exam: 4/12/17 • Chief Complaint: Night sweats and unexplained weight loss. Patient says she has recurring episodes of extreme perspiration, soaking her clothes and bedding during sleep. Patient also notes that she has been losing weight for no apparent reason, dropping 10 pounds in a month. • History of Present Illness: The patient is a 24 year old female complaining of night sweats

DOI: 5/23/2016. Patient is a 48-year-old male sales employee who sustained injury due to a car accident. Per OMNI, he was initially diagnosed with cervical and left shoulder sprain/strain. Based on the latest medical report dated 07/15/16, the patient notes his neck pain radiating to his left upper extremity is now described as 5/10 in intensity and notes the associated tingling on his left arm is now worse. He states his left shoulder pain is improving and is now described as 7/10 in intensity

my receipt of same. Subsequently, she presented to Dr. Joseph Wilson, D.C. of the ABQ Injury Clinic with continued complaints of headaches, pain in her neck, upper and lower back. Dr. Wilson notes that examinations revealed moderate to severe palpation tenderness noted in the cervico-thoracic and lumbosacral paraspinal musculature with muscle hypertonicity, taut tender fibers and associated active trigger points. Range of motion was limited with muscle guarding and spasm. Joint fixation hypomobility

in this unit therefore, I have appointed a second mentor (Appendix 5) and introduce her to Sandra. I appointed Shelly (this is pseudonym) as a second mentor because she is also one of the senior staff nurse in this unit and an expert in abdominal palpation in pregnancy mother. She has a working experience of eight years, and been appointed as a mentor for the past two years. I am confident that Shelly will be able to monitor and assist Sandra in performing her work very well. 5.0

solitary, sessile, reddish pink exophytic growth measuring about 0.6 cm × 0.4cm was seen extending from mesial aspect of mandibular left lateral incisor up to mesial aspect of mandibular left canine. The growth was firm in consistency and non-tender on palpation. On radiographic examination no abnormality was detected. A provisional diagnosis diagnosis of POF was given which was confirmed by histopathologic

Palpation of the lumbar spine revealed hypertonic spasms along the lumbar paraspinal muscles bilaterally. Sensation is decreased to sharp at the thigh, foot at L4, L5, and S1 on the right. Lumbar spine range of motion is restricted due pain and stiffness on flexion, extension and left lateral bending. Straight leg raise is positive on the right. Range of motion of the left wrist is restricted on flexion and extension due to pain. Palpation reveals + 3 tenderness at the

has been going to aquatic exercise classes and has been taking pain medication. He also returns for a follow up visit on his lumbar spine and to further discuss surgical options. On physical examination of the lumbar spine revealed tenderness to palpation on paraspinous muscles. Range of motion revealed flexion of 90 degrees, extension of 15 degrees; with forward bending the patient can reach mid shins. Straight leg raise is negative at 70 degrees. Per assessment and plan, patient is a status post

DOI: 6/21/2014. The patient is a 52-year-old right-handed female technician who sustained a work-related injury to when metal paper holder sprung out and hit her. She did not lose consciousness but was disoriented and confused. Based on the latest medical report dated 02/27/16, the patient reports that after the injury, she had headaches on the right side of the head and had tinnitus almost right away. She developed blurry vision the next day, nausea disruptions to balance and hearing changes

1.0 INTRODUCTION I was qualified as trained nurse about 10 years ago. I have been working in pediatrics ward, outpatient department and lastly in the operating theatre (OT). Currently, I am working in Obstetrics and Gynecology (O&G) ward after getting midwifery courses. As one of the senior trained staff nurse with midwifery, one of my responsibilities to orientated and guided new trained nurses who are posted into our unit. Mentoring is a complex term but as in health profession, it is a voluntary

previous rotor cuff instability of the glenohumeral (G/H) joint. The patient is unfamiliar with the significance of the injury and the components of the rotator cuff requesting explanation of how the rotator cuff works. Presentation and Examination: Palpation and engaging the rotator cuff muscles helps isolate and identify which muscles are injured. The patient presents increased pain with lateral rotation of the shoulder. Both the infraspinatus and teres minor both are suspect to be the cause of pain

This patient is laying in lateral recumbency, but the patient can also be in sternal recumbency. Generously clip the area around the cephalic vein to remove all the fur. Locate the cephalic vein either by sight or palpation. When placing the catheter, it is important to start as distally as possible in case you face difficulty placing the catheter and need to move higher on the leg. Disinfect the clipped area using the cleaning solution. The first wipe should always be with alcohol, the 2nd wipe

examination quiet, safe and has adequate light. During inspection, the nurse observes the physical appearance of her patient, note the skin color, respiratory rhythm, rate and depth, monitor oxygen saturation, symmetry of the chest and shape. During palpation, the nurse uses her index finger to check for the position of the trachea and to ensure that the trachea is central. During percussion, the nurse strikes the chest to determine the condition of the underlying tissues. The nurse percusses the lobes