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Plan of Care - Essay Example

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Evelyn Riley’s case scenario is a typical example of a clinical situation that requires these elements, physical assessment and medical history…
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Plan of Care

The organs include head, neck, nose, mouth, and throat. The visual assessment will encompass looking for anomalous shape, color, size, texture among other aspects. Generally, nurses utilize physical assessment expertise and skills to identify the patient’s problems and develop a basis of data and information, which are utilized for subsequent nursing processes (Cox & Turner, 2010).
I will explain to the student the assessment techniques that are involved in the physical assessment including palpation, percussion and auscultation. Palpation incorporates the utilization of hands to feel the body organs in enabling the assessment of abnormal shape, size, level and location of pain. On the other hand, Percussion incorporates the generation of sound by scrapping or tapping the body part in order to determine the parameters including the organ density and size (Cox & Turner, 2010). Consequently, auscultation entails listening to sound produced by various organs like the throat and lungs. These are the assessment techniques utilized in Evelyn’s scenario:
Critical observation is conducted first whereby the nurse takes appropriate time in observing the patient with all senses including eyes, nose and ears. In this process, the nurse must utilize good lightning in order to ascertain his observation on color, shape, position and symmetry. Consequently, observation for odors of skin and mouth is essential (Sawyer, 2012).
In this process, deep (5-8 cm) and light (1 cm) touch by the back of the nurse’s hand (or fingers) is utilized to assess the patient’s skin temperature. Consequently, use fingers to inspect the moisture, tender areas and texture.
This is an essential part of the physical assessment where by the nurse strikes the body surface to generate sound. The following sounds; resonant, dull, flat and tympanic are utilized to determine shape and size of underlining structures in the relevant body organs (Sawyer, 2012).
This assessment mostly ... Read More
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