Physical Examination of the Hospitalized Patient: Introduction (00:47)
The scope and frequency of an examination for a hospitalized patient depends upon his or her condition. This program will demonstrate how to: approach the shift examination, focus the exam for a medical patient, and adapt it for a surgical patient.
Approach to the Examination (00:45)
Assessment parameters include: mental status, general appearance, vital signs, pain, and the respiratory, cardiovascular, GI, neurologic, and urinary systems. Review the patient's chart to determine which elements you need to complete.
Medical Patient Examination (03:34)
Morton Samuels was admitted with congestive heart failure and pulmonary edema. See his orders and review the previous shift report. During examination: check equipment, observe general appearance, and ask general questions.
Medical Patient Examination: Mental and Physical (03:29)
Use creative methods to establish mental status. Examinations should include: blood pressure, pulse oximetry reading, detailed heart and lung examination, and skin examination. Hear examples of an S3.
Medical Patient Examination: Extremities and Abdomen (01:37)
Examinations should include: capillary refill in extremities, posterior tibial pulses, dorsalis pedis pulses, pretibial edema, and skin. Ask about common GI symptoms. Note the color of urine and check fluid intake and output.
Surgical Patient Examination (02:31)
Nina Flores had a bowel resection two days ago. See her orders and review the previous shift report. During examination: check equipment, observe general appearance, ask general questions, check vital signs, and focus the rest of the exam on pain, the GI system, and the respiratory system; assess other body systems as needed.
Surgical Patient Examination: GI, Respiratory, and Other System Evaluations (04:20)
Examination should include: flatus or stool, abdomen contour, bowel sounds, surgical wound, breath sounds, skin examination, cardiovascular system, neurologic system, urinary system, and mobility assessment.
Documentation and Summary (01:11)
Document your examination findings according to facility policy and compare them to previous findings. Adjust patient care as prescribed and your nursing care. Physical examination can be condensed or expanded as needed. See discharge instructions for Flores.
Credits: Physical Examination of the Hospitalized Patient: Mosby's Physical Examination Video Series (01:12)
Credits: Physical Examination of the Hospitalized Patient: Mosby's Physical Examination Video Series
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