NSG 2317 Lecture Notes - Lecture 2: Pulse Oximetry, Tachycardia, Heart Sounds
14 Sep 2016
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Definition: listen for physiological sounds; use a stethoscope. Steps: select bell or diaphragm; bell is used for lower frequency sounds and diaphragm is used for higher frequency sounds. Then listen and compare the sounds you hear in different areas, on both sides of the body etc. Locations: chest: to hear respirations, chest: to hear heart sounds, abdomen. Perform before initiation with patient / patient environment contact. We do this constantly when we walk up to anyone. Certain diseases or exposures can make a person look older than they are: not in depth dermatological assessment but just what colour they look; an overall skin appearance. Body structure: height, weight, habitus (lanky, short etc. ) stature, symmetry, position, is the person hunched over, shuffling gait associated with parkinson"s perhaps. Behaviour: mood, affect, speech, the affect will go up and down, sometimes smiling, frowning, serious expressions etc, a flat affect is when there is no change.
