NUR 634 Topic 7 DQ 2

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

NUR 634 Topic 7 DQ 2 Assessment Description

Practice the physical exam techniques outlined in the topic’s assigned Bate’s Examination Videos and write a reflection on the following:

Identify three techniques that you learned from the videos.

What aspects of the assigned physical examination are you doing
well?

What are you going to focus on for improvement as you practice for the skills check off?

Scholarly resources are not required.

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Resources

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Bates’ Guide to Physical Examination and History Taking NUR 634 Topic 7 DQ 2

Required

Read Chapter 19 in Bates’ Guide to Physical Examination and History Taking.

View Resource

Bates’ Visual Guide: 12-Month Access Card to BatesVisualGuide.com With OSCE Clinical Skills Videos

Optional

View and complete video segments 13.1-13.8 in “Volume 13: Abdomen” in Bates’ Visual Guide: 12-Month Access Card to Bates

… Read More

https://batesvisualguide.com/

CareOnPoint

Optional

Read “Gastrointestinal Disorders,” located in the CareOnPoint? application.

http://app.careonpoint.

NUR 634 Topic 7 DQ 2 Sample

Bate’s physical examination videos have been very critical when conducting clinical assessments of different patients and guiding my clinical diagnosis. For example, I have learned the importance of dividing the abdomen into different quadrants and regions before performing a detailed abdominal examination. This helps one identify the organs in different abdominal areas during a physical exam (Yamashita et al., 2020). In addition, I have learned the importance of performing a generalized systemic, cardiovascular, and respiratory examination to evaluate different gastrointestinal and hepatobiliary diseases. Some diseases, such as liver cirrhosis, cholelithiasis, gastric and pancreatic ulcers, and pancreatitis, also affect different organs, including the heart and the liver. I have also learned about the systematic approach to abdominal examination (DiLeo Thomas et al., 2021). This includes inspection, palpation, percussion, and auscultation, similar to cardiovascular and respiratory system examinations. NUR 634 Topic 7 DQ 2

I have noted that I have been very confident when performing a systematic approach to an abdominal examination. I have also noted that I usually start an abdominal examination by subdividing the abdomen into four quadrants and nine regions to help me narrow down any condition affecting any of the abdominal regions or quadrants. I can also identify signs of peritonitis when performing an abdominal examination, such as reduced abdominal movements with respiration, rigidity, tenderness, and guarding (Neupane et al., 2022). Additionally, I can recognize signs of intestinal obstruction, such as abdominal distension and loud bowel sounds during auscultation. NUR 634 Topic 7 DQ 2 I can also recognize and characterize a mass by superficial and deep palpation of the abdomen.

Despite being confident when performing an abdominal examination, I am having challenges when asked or required to ballot for different abdominal organs such as the spleen, kidney, and gall bladder (DiLeo Thomas et al., 2021). I am also having challenges recognizing hepatomegaly and splenomegaly when using palpation and percussion techniques, especially in obese people.

NUR 634 Topic 7 DQ 2 References

DiLeo Thomas, L., & Henn, M. C. (2021). Perfecting the Gastrointestinal Physical Exam: Findings and Their Utility and Examination Pearls. Emergency Medicine Clinics of North America, 39(4), 689–702. https://doi.org/10.1016/j.emc.2021.07.004

Neupane, S., Koirala, D. P., Kharel, S., Silwal, S., & Yadav, K. K. (2022). Clinical profile and management of perforation peritonitis in Bharatpur hospital, Nepal: A prospective study. Annals of Medicine and Surgery, 82. https://doi.org/10.1016/j.amsu.2022.104528

Yamashita, S., Tago, M., Katsuki, N. E., Nishi, T. M., & Yamashita, S. (2020). Relationships between sites of abdominal pain and the organs involved: a prospective observational study. BMJ Open, 10(6), e034446. https://doi.org/10.1136/bmjopen-2019-034446 NUR 634 Topic 7 DQ 2