Skills of Physical Assessment

Embed Size (px)

Citation preview

  • 7/27/2019 Skills of Physical Assessment

    1/3

    Auscultation (listening to body sounds) is used frequently, most often to assess the heart,

    lungs, and abdomen. A stethoscope is required to heat soft sounds, but in some cases, loud

    sounds, such as those associated with intestinal hyperactivity, are audible with gross hearing (i.e.,

    listening without any instrumentation).

    It is a technical term for listening to the internal sounds of the body, usually using astethoscope; based on the Latin verb auscultare "to

    listen". Auscultation is performed for the purposes of

    examining the circulatory system and respiratory

    system (heart sounds andbreath sounds), as well as

    the gastrointestinal system (bowel sounds).

    Nurses must practice auscultation repeatedly

    on various healthy and ill people to gain proficiency

    with the equipment and experience in interpreting

    data. To ensure the accuracy of findings, it is best toeliminate or reduce environmental noise as much as

    possible.

    http://en.wikipedia.org/wiki/Stethoscopehttp://en.wikipedia.org/wiki/Circulatory_systemhttp://en.wikipedia.org/wiki/Respiratory_systemhttp://en.wikipedia.org/wiki/Respiratory_systemhttp://en.wikipedia.org/wiki/Heart_soundshttp://en.wikipedia.org/wiki/Breath_soundshttp://en.wikipedia.org/wiki/Gastrointestinal_systemhttp://en.wikipedia.org/wiki/Stethoscopehttp://en.wikipedia.org/wiki/Circulatory_systemhttp://en.wikipedia.org/wiki/Respiratory_systemhttp://en.wikipedia.org/wiki/Respiratory_systemhttp://en.wikipedia.org/wiki/Heart_soundshttp://en.wikipedia.org/wiki/Breath_soundshttp://en.wikipedia.org/wiki/Gastrointestinal_system
  • 7/27/2019 Skills of Physical Assessment

    2/3

    Assessment using sense of hearing (auscultation)

    It is important that a nurse learns to listen effectively, so that not only what a client says

    is registered but also the tone of voice, which often conveys a great deal. A nurse must also learn

    how to recognize abnormal sounds. In client care, recognizing abnormal sounds involves the

    ability to detect:

    Abnormalities of breathing: for example, respirations that are wheezing, or noisy or

    distressed

    Abnormalities of heart sounds, blood pressure, bowel sounds or fetal heart sounds, when

    using stethoscope

    Manifestation of a clients distress for example, coughing, expectorating sputum,

    vomiting, crying or moaning

    Changes in the sound or rhythm of technical equipment such as suction artificial

    ventilation apparatus

    Auscultation is listening with a stethoscope to sounds produced by the body. To

    auscultate correctly, listen in a quiet environment. To be successful, the nurse must be

    first able to recognize normal sounds from each body structure, including the passage of

    blood through artery, heart sounds and movement of air through the lungs.

  • 7/27/2019 Skills of Physical Assessment

    3/3