Palpation

The digestive system consists of the oral cavity, oesophagus, stomach, liver, gall bladder, spleen, pancreas,intestines, appendix and the rectum. All these organs interlink in order to carry out an environment of homeostasis. Homeostasis is a state of equilibrium inside the body as stated in the Journal of Nursing Standards (Hendry C 2012 page (46-50)).A further consideration is that of legal and ethical concerns within practice. The first part of the digestive system is the oral cavity and…

Mikayla McClellan Mrs. Belcher CNA 14 September 2017 Chinese Cultural Paper The Chinese have a different way of healthcare vs. Americans. Americans want to find and treat the disease while the Chinese look at the bigger picture. They think that the human body is in some way connected to the environment. Chinese doctors look at the imbalances and disharmonies of the person’s illness. Practices such as acupuncture and herbal treatments can be found in many health care centers. They believe…

has had poor relief with analgesics and refuses analgesics. She is unable to tolerate activities of daily living. She is currently using a Lidoderm 5% patch. On examination of the lumbar spine, spasm and tenderness is noted upon paravertebral palpation. Straight leg raise is noted at 60 degrees on the left. Left L5 hypoesthesia is noted. Range of motion is limited. Facet loading test is noted at the LLE. IW was assessed to have lumbar osteoarthritis. She was given a prescription for …

HPI. PHYSICAL EXAM: The examination shows an apprehensive, anxious 4-year-old child who is conversant. She shows no evidence of head trauma and moves her head and neck through a range of motion without pain generation. She is nontender to palpation. Right upper extremity moves at the shoulder, elbow, wrist, and hand without limitation of bones, joints, or soft tissues. Neurologic and vascular tone are intact. Pelvis is stable. The patient is ambulatory and show no restrictions in…

DOI: 11/30/2011. Patient is a 60-year-old male maintenance employee who sustained a work-related injury after tripping over a chain in between 2 pillars which keep cars from turning. Per the AME report dated 04/02/13 by Dr. Hall, the left shoulder was injured. Per the AME report dated 03/11/16 by Dr. Hall, IW was diagnosed with left shoulder pain with chronic left shoulder impingement. IW remains P & S. Based on the medical report dated 12/07/16, the patient continues to experience pain in…

skill that I am slowly beginning to advance. Working with women who have epidurals provides a challenge but good opportunity to further my abilities in the art of palpation, especially if women are unable to sense tightenings. I made a point of not watching the CTG machine uterine activity continuously and worked on my physical palpation skills and visual ability to identify Ellise’s contractions. Ellise was incredibly facilitative and began to work with me, I would say when I though a…

would you validate the diagnosis of fibromyalgia? In diagnosing fibromyalgia, the patient should report a widespread (pain on both sides of the body) chronic pain for 3 or more months. During assessment, the patient should report moderate pain on palpation in no less than 11 of the 18 tender points, including the cervical, thoracic, or lumbar spine. These tender points include the sub-occipital muscle; the anterior lower cervical inter-transverse spaces at C5–7; the second rib costochondral…

Results: Group A: mice from group A, showed normal features of skin, grossly it appeared as a thin and delicate layer, microscopically all of the components of mouse skin were thoroughly examined, including: Epidermis: It was the outermost part of the skin composed of 3-4 sublayers. The stratum basale and stratum spinosum were prominent, while the stratum granulosum was often inapparent, it appeared as intermitten layer, keratohyalin granules were seen in some individual cells. The thickness of…

on his chest x-ray as well as signs and symptoms of cardiogenic shock. Vital assessment tools in identifying and prioritising the nursing care for Frank consist of the ABCDE of primary survey in conjunction with physical examination (inspection, palpation, percussion, and auscultation). This case study will explore relevant nursing assessments such as primary survey, physical examination, and the pathophysiology of cardiogenic shock and how it relates to Frank’s presenting signs and symptoms.…

oximetry. Unless arterial oxygen saturation level is less than 90% supplemental oxygen therapy is not required (Franczyk-Skóra et al. 2013). HR, BP and RR also need to be continually monitored. Since Mr. Peters has arrhythmia, HR needs to be checked by palpation of the pulse. RR should be cross checked with ECG and the patient’s counted rate (Barthel et al. 2012). Continuous circulation assessment is also required. Tn is not detectable early after onset of chest pain, therefore, serial…