NURSING ASSESSMENT AND COMMON FINDINGS (Palpation (It may be light…
NURSING ASSESSMENT AND COMMON FINDINGS
An assessment of patient past history including past and current use of medication,surgery or other treatments.
Data related to any hospitalisation and gastriointestinal surgery and blood tranfusions
Nutritional status in relation to food intake,elimination and nausea and vomiting by finding out if there's weight gain or loss.
Asking if the patient is eating well,food preferences,allergies nausea and voming.
Charecteristics of stool in relation to colour,shape, composition and nature.
Charecteristics of pain experienced
Information relating to activity,rest and stressors.
Information on the use of non-steroidal anti-inflamattory drugs or antacids including frequency and duration of stage.
Bowel habits: regularity of defecation, diarrhea or constipation,relationship of defecation to food, pain experienced.
Diarrhoea occurannce in relation to food and pain.
Inspection for height,weight,gait and general appearance.
The mouth and oropharynx
Inspection and examination of various stuctures forming the mouth for symmetry,colour and size.
Inspection of bucal mucosa for areas of pigmentation or lesions
Patient should be placed in supine position with knees slightly flexed and head slightly raised with a pillow.
Patient must relax and breathe slowly.
Abdomen should be inspected for symmetry and contours
Assess whether is flat,rounded,convex,concave or distended
Signs of obvious masses such as skin changes
Use diaphragm of the stethoscope to listen to bowel sounds
Warm the stethoscope to promote relaxation of the abdominal muscles
It should be done on four quadrants to elicit bowel and vascular sounds
It establishes the presence of fluids,air and masses
All four quadrants must be percussed to distribute the dustribution of dulliness or tympany
It may be light,moderate and deep.
Light palpation promote relaxation for deeper palpation
Light palpation is used to detect tenderness,hypersensitivity of the skin and swelling