NUR 634 Topic 11 DQ 2

Discussion: Review the physical exam techniques outlined in the topic’s assigned Bates’ Physical Examination Videos and write a reflection on the following:

NUR 634 Topic 11 DQ 2 Assessment Description

Review the physical exam techniques outlined in the topic’s assigned Bates’ Physical Examination Videos and write a reflection on the following:

1. Identify three techniques for the male exam that you learned from the videos.
2. Identify three techniques for the female exam that you learned from the videos.
3. Identify two communication or interpersonal techniques you have learned to successfully interact with patients in a vulnerable setting.

Scholarly resources are not required.

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NUR 634 Topic 11 DQ 2 Sample

Bate’s physical examination findings have been crucial in enhancing my clinical skills in my practice. I have learned how to perform a digital rectal examination among male patients to evaluate the prostate. I have learned the best patient’s position to lie to make the procedure more comfortable and how to evaluate the size and constituency of the prostate gland and differentiate benign prostatic hypertrophy and prostatic cancer based on my palpation findings (Teoh et al., 2023). Additionally, I have also learned how to perform a penile examination and recognize various congenital malformations such as hypospadias, epispadias, phimosis, and paraphimosis. I can also perform scrotal examination to identify testicular conditions such as cryptorchidism, varicocele, and hydrocele.

I have also learned several aspects of female examination, such as the breast examination. NUR 634 Topic 11 DQ 2 I can divide the breast into four quadrants, nipple, and axilla, and identify any swellings, masses, and lymph node involvement in breast cancer (Huang et al., 2022). In addition, I can also perform a sterile speculum examination to identify congenital and acquired conditions of the cervix and vagina, such as cervicitis, polyps, cervical ectopy, and cancer. I can also incorporate a bimanual examination to evaluate pelvic and adnexal masses that involves a digital cervical and superficial abdominal examination.

A crucial communication technique I have learned when interacting with patients in a vulnerable setting is active listening. This skill allows one to build trust with the patient and continuously assures them that their concerns are heard, understood, and addressed (Mohd Salim et al., 2022). I have also learned the importance of building a relationship with patients by establishing a good rapport with them. Active listening and good rapport often make the patient feel comfortable with the healthcare provider, thus improving their clinical experience.

NUR 634 Topic 11 DQ 2 References

Huang, N., Chen, L., He, J., & Nguyen, Q. D. (2022). The Efficacy of Clinical Breast Exams and Breast Self-Exams in Detecting Malignancy or Positive Ultrasound Findings. Cureus, 14(2). https://doi.org/10.7759/cureus.22464

Mohd Salim, N. A., Roslan, N. S., Hod, R., Zakaria, S. F., & Adam, S. K. (2022). Exploring Critical Components of Physician-Patient Communication: A Qualitative Study of Lay and Professional Perspectives. Healthcare, 11(2). https://doi.org/10.3390/healthcare11020162

Teoh, M., Lee, D., Cooke, D., & Nyandoro, M. G. (2023). Digital Rectal Examination: Perspectives on Current Attitudes, Enablers, and Barriers to Its Performance by Doctors-in-Training. Cureus, 15(6). https://doi.org/10.7759/cureus.40625 NUR 634 Topic 11 DQ 2