VCH - Physical Assessment for Nurses and Healthcare Professionals (2024)

Physical Assessment for Nurses and Healthcare Professionals offers a practical and comprehensive guide to best clinical practice when taking patient history and physical examination. This accessible text is structured in accordance with the competencies for advanced practice in assessment, diagnosis and treatment as published by the RCN. Following a systematic, systems-based approach to patient assessment, it includes a summary of the key clinical skills needed to develop and improve clinical examination in order to confidently assess, diagnose, plan and provide outstanding care.

In this revised edition, colour photographs and case studies have been included to assist health care practitioners in their assessment of the patient. This important guide:
* Includes a highly visual colour presentation with photographs and illustrations
* Features a wide range of key learning points to help guide practice
* Offers illustrative examples, applications to practice and case studies

Written for health care students, newly qualified and advanced nurse practitioners, and those in the allied health professions, Physical Assessment for Nurses and Healthcare Professionals is the essential guide for developing the skills needed to accurately access patient history and physical examination.

List of Contributors xvii

Foreword xix

Preface xxi

Acknowledgements xxiii

Introduction: The First Approach xxv

Chapter 1 Interviewing and History Taking 1
Carol Lynn Cox

Chapter 2 General Health Assessment 15
Carol Lynn Cox

Chapter 3 Examination of the Skin, Hair, and Nails 37
Siobhan Hicks

Chapter 4 Examination of the Cardiovascular System 67
Carol Lynn Cox and Carrie E. Boyd

Chapter 5 Examination of the Respiratory System 103
Carol Lynn Cox and Jessica Ham

Chapter 6 Examination of the Abdominal System 123
Anthony McGrath

Chapter 7 Examination of the Male Genitalia 149
Michael Babco*ck, Carol Lynn Cox, and Anthony McGrath

Chapter 8 Examination of the Female Breast 159
Victoria Lack

Chapter 9 Examination of the Female Reproductive System 167
Victoria Lack

Chapter 10 Examination of the Nervous System 185
Michael Babco*ck and Graham M. Boswell

Chapter 11 Examination of the Eye 241
Helen Gibbons

Chapter 12 Mental Health Assessment 267
Patrick Callaghan

Chapter 13 Examination of the Musculoskeletal System 287
Daniel Apau, Michael Babco*ck, and Nicola L. Whiteing

Chapter 14 Assessment of the Child 333
Carol Lynn Cox

Chapter 15 Assessment of Disability Including Care of the Older Adult 375
Carol Lynn Cox and Brandy Lunsford

Chapter 16 Imaging Techniques, Clinical Investigations, and Interpretation 383
Jennifer Edie

Chapter 17 Basic Examination, Notes, and Diagnostic Principles 415
Carol Lynn Cox and Brandy Lunsford

Chapter 18 Presenting Cases and Communication 425
Carol Lynn Cox and Brandy Lunsford

Appendices 433

Index 441

In order for nurses and related healthcare professionals to be able to provide a high level of holistic care to their patients based on clinical reasoning, it is essential that they possess effective physical assessment skills which will assist them in gathering the cues which will ultimately direct them towards compiling differential diagnoses. With regards to appropriate publications focusing on this aspect of assessment, there is a wide range to choose from, which vary in size, complexity and cost, all of which can be off-putting to the potential reader. Wiley Blackwell appears to have addressed these three issues within their new physical assessment publication, edited by Professor Carol Cox from the University of London. Those individuals seeking a very readable but concise resource (440 pages) will find that this book will meet their needs and will be impressed by a large number of quality illustrations/photographs and clearly laid out blocks of text.

The content is divided up into 18 chapters ranging from interviewing and history taking through to imaging techniques, clinical investigations and interpretation and each of the different authors brings with them a wealth of experience and qualifications from their own clinical speciality. Each chapter provides the reader with clear and concise information interspersed with appropriate tables and diagrams which contribute towards enhancing the overall learning experience. Despite the high level of general readability, all of the content is very well supported by an appropriate level of quality references supporting evidence-based practice. With regards to consolidating the learning that has occurred during the reading of the chapter, the reader has the opportunity to review a relevant short case study which greatly encourages the nurse to reflect on their self-learning and to identify aspects of the topic that they may wish to further develop. Physical assessment is a vital component of patient care and is firmly ingrained within both undergraduate and post-graduate nurse/healthcare education and it is essential that professionals can source an affordable but comprehensive resource. With this book retailing for approximately $75 (NZ), it makes it very attractive for those on a limited budget. This book has a good appealing nature to it and will be a welcome addition to the range of physical assessment resources, regardless of a student's academic ability.

Michael.J.McGivern

Nursing tutor (New Zealand)

Carol Lynn Cox is Professor Emeritus, School of Health Sciences, City, University of London, UK, and Clinic Manager and Director of Nursing, Health and Hope Clinics, Pensacola, Florida, USA.

VCH - Physical Assessment for Nurses and Healthcare Professionals (2024)

FAQs

What does a nursing physical assessment include? ›

What is included in a physical assessment? There are three parts to a physical assessment. Each assessment should collect vital signs, complete a physical evaluation which involves inspection, percussion, palpation, and auscultation, and a questionnaire that can provide insights into the patient's life.

What is included in a head to toe assessment? ›

Include general appearance, behavior, mood, mobility (i.e., balance and coordination), communication, overall nutritional status, and overall fluid status. 7. Address patient needs before starting assessment (toileting, glasses, hearing aids, etc.).

What are the 4 techniques used in physical examination? ›

WHEN YOU PERFORM a physical assessment, you'll use four techniques: inspection, palpation, percussion, and auscultation. Use them in sequence—unless you're performing an abdominal assessment. Palpation and percussion can alter bowel sounds, so you'd inspect, auscultate, percuss, then palpate an abdomen.

Can an RN assess a patient? ›

The hospital standards are specific to only a Registered Nurse (RN) performing the nursing assessment within 24 hours after admission. It may be possible for an LPN to collect the data and then have an RN review the data and complete the assessment to determine the patient's needs and developing the plan of care.

What are the 4 basic physical assessment? ›

The order of physical assessment techniques usually occur in the following order: inspection, palpation, percussion, and auscultation. Use them in sequence—unless you're performing an abdominal assessment.

What are the 4 general components of a nursing assessment? ›

What Are the Four Commonly Used Nursing Assessments?
  • Inspection. This technique uses the eyes, ears, or nose to look for observable signs on the body. ...
  • Auscultation. This usually follows inspection, particularly during abdominal assessments. ...
  • Palpation. ...
  • Percussion.
Jan 2, 2020

What are the steps of a physical assessment? ›

Inspection (looking at the body) Palpation (feeling the body with fingers or hands) Auscultation (listening to sounds, usually with a stethoscope) Percussion (producing sounds, usually by tapping on specific areas of the body)

What does a physical exam include? ›

In general, the standard physical exam typically includes: Vital signs: blood pressure, breathing rate, pulse rate, temperature, height, and weight. Vision acuity: testing the sharpness or clarity of vision from a distance. Head, eyes, ears, nose and throat exam: inspection, palpation, and testing, as appropriate.

What are the 4 components of a physical exam? ›

Physical examination is the process of evaluating objective anatomic findings through the use of observation, palpation, percussion, and auscultation. The information obtained must be thoughtfully integrated with the patient's history and pathophysiology.

How should a nurse assess a patient? ›

Initial evaluation or the general survey may include:
  1. Stature.
  2. Overall health status.
  3. Body habitus.
  4. Personal hygiene, grooming.
  5. Skin condition such as signs of breakdown or chronic wounds.
  6. Breath and body odor.
  7. Overall mood and psychological state.

What assessment should the nurse include? ›

An RN uses a systematic, dynamic way to collect and analyze data about a client, the first step in delivering nursing care. Assessment includes not only physiological data, but also psychological, sociocultural, spiritual, economic, and life-style factors as well.

Which assessments should a nurse perform? ›

A nursing assessment may include, but is not limited to the following:
  • environmental assessment.
  • cultural assessment.
  • physical assessment.
  • psychological assessment.
  • safety assessment.
  • psychosocial assessment.

What is included in a physical health assessment? ›

Physical exam (medical examination)

Auscultation: Listening to your body. Inspection: Looking at your body. Palpation: Feeling your body with their fingers or hands. Percussion: Tapping or producing sounds on specific areas of your body.

What is included in the PT assessment? ›

Your PT specialist should evaluate your level of your strength, posture, flexibility, balance and coordination.

What does nursing assessment involve? ›

What is a nursing assessment? A nursing assessment is a process where a nurse gathers, sorts and analyzes a patient's health information using evidence informed tools to learn more about a patient's overall health, symptoms and concerns.

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