Sign Up Now
Get instant access to over 1 million+ study documents
OR
Already registered? click here to login
By creating your account, you agree to our terms of service, privacy policy and student honor code.
Patient Scenario
Components of the Physical Examination -- The basic components of the physical exam can be delineated into four major pars: 1) Inspection, 2) Palpation, 3) Percussion, 4) Auscultation:
Inspection -- assess breathing abnormalities, cough, patient color, stained fingers, neck, thorax; focus on abnormal reactions, color, movement, or sound.
Palpation -- indicates tender areas, observed abnormalities, respiratory expansion, vibration
Percussion -- audible sounds when chest wall is percussed; dull or flat or resonant; sound and quality
Auscultation -- lung sounds and vibrations, intensity of breath sounds, absence of fluid, presence of consolidation (Introduction to Full Medical Examinations, 2010).
Part 2 -- a. Blood pressure is the pressure exerted by blood circulating through the vessels. It is usually measured with a sphygmomanometer which uses the height of a column of mercury to reflect the pressure. Modern devices measure output electronically or digitally. Patients are fitted with a cuff over their upper arm, air pressure is applied, and then listening with a stethoscope to the brachial artery at the elbow, the examiner releases the pressure into the cuff creating a "whooshing" or "pounding" sound. The pressure at which this first occurs is the systolic pressure; the cuff is further released...
The top measure is the systolic (maximum) and diastolic (minimum) pressure based on the speed and pumping actions of the heart.
c. Ranges of the two numbers, particularly compared over time, give a mean average of pressure. Hypo- and Hyper-tension occur based on measurements. For instance 90-110/60-79 is considered desired, depending on age and condition of patient. >180/>110 is hypertensive crisis.
d. Mr. Smith's BP is 165/100; he is 60, but likely in pain from headache and intestinal blockage. According to tables dealing with classification of BP for adults, Mr. Smith is in the initial part of Stage II hypertension, or the ranges of 160-170/100-109.
e. The higher the pressure, the more stress on the heart and higher the chance of unhealthy tissue growth in the arteries. Persistent hypertension increases the risk for stroke, heart attacks, heart and renal failure, particularly in older adults. Mr. Smith should be stabilized and continually monitored to see if his pressure decreases once the pain has abated (American Heart Association, 2012; How to measure blood presure, 2011; What is blood pressure?, 2012).
Part 3 -- Mr. Smith was given a CBC (Complete Blood Count) to measure features of red blood cells (which carry oxygen), infection fighting…
REFERENCES
Biology -- Patient Scenario What are the components of physical examination? Describe each component. Physical examination consists of 5 basic components after obtaining a patient's description of the history of his/her systems. First, the provider observes the patient for physical signs of disease and evaluates such factors as mobility, posture, facial expression, alertness, responsiveness to stimuli and changes in skin color (Jarvis, 2011, pp. 33, 127-9). Secondly, one must take a patient's
Patient Scenario 1. What are the components of physical examination? Describe each component. (See Module 1, Commentary, Topic 8. Disease Categories, Part B. Steps in Diagnosis attached) As per the course module, there are several components of a physical examination. To begin with, we have the observation of the diseases’ physical signs as well as assessment of a few factors such as skin color changes, stimuli responsiveness, alertness, mobility, facial expression, posture, etc.
patient was admitted due to a broken hip which required a total hip replacement (THR). This injury has required two weeks of in-hospital rehabilitation to this point, and Mr. Trosak will probably need more physical rehabilitation to completely recover from the injury. Since there are secondary concerns (such as some loss of cognitive function (text, 462)) after a fall, it will be necessary to monitor MR. Trosak. The falling
6. Identify the collaborative team members pertinent to the care of the geriatric patient in the scenario, including the emergency room nurse's response to changes in the level of consciousness and increasing respiratory distress. The collaborative team here would consist of a primary care physician / geriatrician, pain management specialist, laboratory specialists, and x-ray team. Additional consultants may be neurologist, neurosurgeon, gastroenterologist, psychologist, and drug and alcohol detoxification specialist. In the case
Mental Health Case Study Connect Key issues in this Case Study A review of patient information reveals the following major issues; Schizophrenia Disorder: This seems to be in relation to her daughter (aged one) being placed in a foster care facility by the Department of Family Services. Substance/drug abuse: Patient overdosed on prescribed medicines -- Quetiapine and Sodium Valproate (nearly two weeks' dosage). She smoked an average of ten cigarettes a day, consumed marijuana,
It is also quite possible that there is a significant "placebo effect" when dealing with GI (or other) treatments. The patients may be truly relaxing, but may also believe that they are managing their pain through breathing and imagery, meaning they are, in fact doing just that (Bresler; Menzies). Evidence-Based Practice Analysis -- Clearly, the use of GI techniques to supplement and help wean patients off pharmaceutical pain management solutions