Preparation of patient for health assessment

nursing assessment

1. PREPARATION OF PATIENT FOR HEALTH ASSESSMENT

2. INTRODUCTION Nurse should develop a systematic approach to physical examination Head to toe approach Starting at the head and neck ,progressing down the body and examining the feet last Body system approach Examining each system in a predetermined order (Eg: musculoskeletal system ,cardiovascular, and neurological system)

3. Prepare your self Prepare the environment Prepare the client

4. Preparing your self (Nurse) Theoretical knowledge of Anatomy and Physiology. Examination techniques and equipments Therapeutic communication and documentation Seek help from your instructor fellow students and other health care professionals .

5. Preparing the environment Time should be convenient for nurse and client. Area should be well lighted. Equipment should be organized. Provide privacy.

6. Preparing the environment Room should be warm enough to be comfortable for the client. Family and friends should not be present unless client ask for some one .

7. Preparation of environment includes… Positioning Draping instrumentation

8. POSITIONING Sitting/fowler’s

9. SUPINE AND PRONE

10. STANDING

11. DORSAL RECUMBENT

12. SIM’S POSITION

13. LITHOTOMY

14. KNEE-CHEST POSITION

15. DRAPING Drapes should be arranged so that the area to be assessed is exposed and other body area covered. Exposing the body frequently embarrassing to clients. Drapes are made of paper ,cloth or bed linen.

16. Provide warmth Provide privacy

17. INSTRUMENTATION All equipments needed for examination should be, Clean Good working order Readily accessible Equipment frequently set upon trays ready for use

18. Articles / Instruments Flash light Nasal speculum Ophthalmoscope Otoscope Percussion hammer Turning fork Vaginal speculum Cotton applicators Gloves lubricant Tongue blades (depressor)

19. Articles / Instruments Pulse oxymeter Scale with height measurement road Specimen container Sterile swab Stethoscope Tape measure Thermometer Wrist watch Sphygmomanometer

20. Flash light Nasal speculum

21. Ophthalmoscope Otoscope

22. Percussion hammer Turning fork

23. Vaginal speculum Cotton applicators

24. Gloves Lubricant

25. Tongue depressor Pulse oxymeter

26. Scale with height measure road Specimen containers

27. Stethoscope Tape measure

28. Thermometer Wrist watch

29. SNELLENS CHART SPHYGMOMANOMETER

30. PREPARATION OF CLIENT Clients physical comfort is vital for a successful examination Emptying bladder and bowel Dressing and draping the patient properly Routinely ask for clients comfort

31. PSYCHOLOGICAL PREPARATION Remain calm Explain each procedures Allow client to feel free to ask questions and mention any discomfort

32. THANK YOU