health physical assessment in nursing first edition n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Health & Physical Assessment in Nursing First Edition PowerPoint Presentation
Download Presentation
Health & Physical Assessment in Nursing First Edition

Loading in 2 Seconds...

play fullscreen
1 / 110

Health & Physical Assessment in Nursing First Edition - PowerPoint PPT Presentation


  • 249 Views
  • Uploaded on

Health & Physical Assessment in Nursing First Edition. Donita D’Amico and Colleen Barbarito. Chapter 19 Abdomen. LEARNING OBJECTIVE ONE. LEARNING OBJECTIVE ONE. Abdomen Gastrointestinal system Structures of other body systems. LEARNING OBJECTIVE ONE. Gastrointestinal System.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Health & Physical Assessment in Nursing First Edition' - hoshi


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
health physical assessment in nursing first edition
Health & Physical Assessment in NursingFirst Edition

Donita D’AmicoandColleen Barbarito

Chapter 19

Abdomen

learning objective one1
LEARNING OBJECTIVE ONE
  • Abdomen
    • Gastrointestinal system
    • Structures of other body systems
learning objective one2
LEARNING OBJECTIVE ONE
  • Gastrointestinal System
learning objective one3
LEARNING OBJECTIVE ONE
  • Gastrointestinal System
    • Alimentary canal
      • Mouth
      • Pharynx
      • Esophagus
      • Stomach
      • Small and large intestines
      • Rectum
      • Anus
learning objective one4
LEARNING OBJECTIVE ONE
  • Gastrointestinal System
    • Accessory organs
      • Teeth
      • Salivary glands
      • Liver
      • Gallbladder
      • Pancreas
learning objective one5
LEARNING OBJECTIVE ONE
  • Related Structures
    • Peritoneum
    • Abdominal wall muscles
learning objective one6
LEARNING OBJECTIVE ONE
  • Related Structures
    • Aorta
learning objective one7
LEARNING OBJECTIVE ONE
  • Related Structures
    • Kidneys
    • Ureters
    • Bladder
    • Spleen
    • Reproductive organs
learning objective two1
LEARNING OBJECTIVE TWO
  • Abdomen
    • Largest cavity of the body
    • Contains structures from the digestive system and other body systems
learning objective two2
LEARNING OBJECTIVE TWO
  • Abdomen - Inferior to the Diaphragm and Superior to the Pelvic Floor
learning objective two3
LEARNING OBJECTIVE TWO
  • Abdominal Landmarks
    • Xiphoid process
    • Umbilicus
    • Costal margin
    • Iliac crests
    • Pubic bone
learning objective two4
LEARNING OBJECTIVE TWO
  • Mapping - Dividing the Abdomen into Four Quadrants and Nine Regions
learning objective two6
LEARNING OBJECTIVE TWO
  • Four Quadrants
    • Midsternal line from the xiphoid process through the umbilicus to the pubic bone
    • Horizontal line perpendicular to the first line, through the umbilicus
    • Two perpendicular lines form four equal quadrants of the abdomen
learning objective two7
LEARNING OBJECTIVE TWO
  • Four Quadrants
    • Quadrants named
      • Right upper quadrant (RUQ)
      • Right lower quadrant (RLQ)
      • Left upper quadrant (LUQ)
      • Left lower quadrant (LLQ)
learning objective two8
LEARNING OBJECTIVE TWO
  • Four - Quadrant Method
    • Gallbladder
    • Kidneys
    • Costovertebral angle
    • Liver
    • Spleen
    • Midline structures
      • Abdominal aorta
      • Urinary bladder
      • Uterus
slide25
Figure 19.6 Upper torso: Organs of the four abdominal quadrants. Lower torso: Organs of the nine abdominal regions.
learning objective two10
LEARNING OBJECTIVE TWO
  • Nine Regions
    • Extend the right and left midclavicular lines to the groin
    • Horizontal line across the lowest edge of the costal margin
    • Horizontal line at the level of the iliac crests
    • Abdomen divided into nine regions
learning objective two11
LEARNING OBJECTIVE TWO
  • Nine Regions
    • Names of the regions
      • Right hypochondriac
      • Epigastric
      • Left hypochondriac
      • Right lumbar
      • Umbilical
      • Left lumbar
      • Right inguinal
      • Hypogastric or pubic
      • Left inguinal
learning objective three1
LEARNING OBJECTIVE THREE
  • Focused Interview
    • General questions
learning objective three2
LEARNING OBJECTIVE THREE
  • Specific Questions
    • Illness or infection
    • Symptoms
    • Pain
    • Behaviors
    • Infants and children
    • Pregnant female
    • Older adult
    • Environment
learning objective four1
LEARNING OBJECTIVE FOUR
  • Equipment
    • Examination gown and drape
    • Examination gloves
    • Examination light
    • Stethoscope
    • Skin marker
    • Metric ruler
    • Tissues
    • Tape measure
learning objective four2
LEARNING OBJECTIVE FOUR
  • Other Considerations
    • Age
    • Gender
    • Language
    • Culture
learning objective five1
LEARNING OBJECTIVE FIVE
  • Abnormal Abdominal Findings
    • Abnormal sounds
learning objective five2
LEARNING OBJECTIVE FIVE
  • Abnormal Abdominal Findings
    • Pain
learning objective five3
LEARNING OBJECTIVE FIVE
  • Abnormal Abdominal Findings
    • Distention
    • Hernias
learning objective five4
LEARNING OBJECTIVE FIVE
  • Abnormal Abdominal Sounds
    • Hypo- and hyperactive bowel sounds
    • Vascular sounds of bruits and venous hums
    • Friction rubs
learning objective five5
LEARNING OBJECTIVE FIVE
  • Abdominal Pain
    • Direct
    • Referred
learning objective five6
LEARNING OBJECTIVE FIVE
  • Abdominal Distention
    • Obesity
learning objective five7
LEARNING OBJECTIVE FIVE
  • Abdominal Distention
    • Gas
learning objective five8
LEARNING OBJECTIVE FIVE
  • Abdominal Distention
    • Tumor
learning objective five9
LEARNING OBJECTIVE FIVE
  • Abdominal Distention
    • Ascites
learning objective five10
LEARNING OBJECTIVE FIVE
  • Abdominal Hernias
    • Umbilical
learning objective five11
LEARNING OBJECTIVE FIVE
  • Abdominal Hernias
    • Ventral
learning objective five12
LEARNING OBJECTIVE FIVE
  • Abdominal Hernias
    • Hiatal
learning objective five13
LEARNING OBJECTIVE FIVE
  • Alterations of the Gastrointestinal Tract
    • Nutritional problems
    • Eating disorders
    • Cancers
    • Ulcers
    • Inflammatory and infectious diseases
learning objective five14
LEARNING OBJECTIVE FIVE
  • Nutritional Disorders
    • Malnutrition
    • Anorexia
    • Obesity
    • Binge eating
learning objective five15
LEARNING OBJECTIVE FIVE
  • Cancers of the Gastrointestinal Tract
    • Esophagus
    • Stomach
    • Colon
learning objective five16
LEARNING OBJECTIVE FIVE
  • Inflammatory Processes
    • Ulcerative colitis
    • Esophagitis
    • Peritonitis
    • Hepatitis
    • Crohn’s disease
learning objective six1
LEARNING OBJECTIVE SIX
  • Special Considerations - Developmental, Psychosocial, Cultural, and Environmental
learning objective six2
LEARNING OBJECTIVE SIX
  • Developmental Considerations - Pediatric
    • Rounding of the infant’s abdomen
    • Presence of the umbilical cord
    • Abdominal respirations in the toddler
learning objective six3
LEARNING OBJECTIVE SIX
  • Developmental Considerations - Pediatric
    • Visible peristaltic waves
    • Congenital defects
    • Abdominal size
learning objective six4
LEARNING OBJECTIVE SIX
  • Developmental Considerations - Pregnant Female
    • Enlarging of the abdomen
    • Fundal height measurements
    • Gastrointestinal discomfort
learning objective six5
LEARNING OBJECTIVE SIX
  • Developmental Considerations - Pregnant Female
    • Skin changes
learning objective six6
LEARNING OBJECTIVE SIX
  • Developmental Considerations - Geriatric
    • Rounding and protrusion of the abdomen
    • Decrease in intestinal activity
    • Changes in the teeth
    • Dietary changes
learning objective six7
LEARNING OBJECTIVE SIX
  • Psychosocial Considerations
    • Stress
    • Body image
learning objective six8
LEARNING OBJECTIVE SIX
  • Cultural and Environmental Considerations
    • Culture
    • Customs
    • Family and religious practices
    • Finances
learning objective seven1
LEARNING OBJECTIVE SEVEN
  • Physical Assessment of the Abdomen
    • Techniques
      • Inspection
      • Auscultation
      • Percussion
      • Palpation
learning objective seven2
LEARNING OBJECTIVE SEVEN
  • Areas of the Abdominal Assessment
    • Inspection of the abdomen
learning objective seven3
LEARNING OBJECTIVE SEVEN
  • Areas of the Abdominal Assessment
    • Auscultation of the abdomen
learning objective seven4
LEARNING OBJECTIVE SEVEN
  • Areas of the Abdominal Assessment
    • Percussion of the abdomen
learning objective seven5
LEARNING OBJECTIVE SEVEN
  • Areas of the Abdominal Assessment
    • Percussion of the liver
learning objective seven6
LEARNING OBJECTIVE SEVEN
  • Areas of the Abdominal Assessment
    • Percussion of the spleen
learning objective seven7
LEARNING OBJECTIVE SEVEN
  • Areas of the Abdominal Assessment
    • Palpation of the abdomen
learning objective seven8
LEARNING OBJECTIVE SEVEN
  • Areas of the Abdominal Assessment
    • Palpation of the liver
learning objective seven9
LEARNING OBJECTIVE SEVEN
  • Areas of the Abdominal Assessment
    • Palpation of the spleen
learning objective seven10
LEARNING OBJECTIVE SEVEN
  • Areas of the Abdominal Assessment
    • Palpation of the aorta
    • Palpation for rebound tenderness
learning objective seven11
LEARNING OBJECTIVE SEVEN
  • Areas of the Abdominal Assessment
    • Percussion for ascites
learning objective seven12
LEARNING OBJECTIVE SEVEN
  • Areas of the Abdominal Assessment
    • Testing for psoas sign
learning objective seven13
LEARNING OBJECTIVE SEVEN
  • Areas of the Abdominal Assessment
    • Testing for Murphy’s sign
learning objective eight1
LEARNING OBJECTIVE EIGHT
  • Focus Areas Outlined in the Healthy People 2010
    • Colorectal cancer
    • Foodborne illness
learning objective eight2
LEARNING OBJECTIVE EIGHT
  • Key Objectives for Colorectal Cancer
    • Reduce rate of death
learning objective eight3
LEARNING OBJECTIVE EIGHT
  • Key Objectives for Foodborne Illness
    • Reduce infections by foodborne pathogens
    • Reduce anaphylaxis deaths from food allergies
learning objective nine1
LEARNING OBJECTIVE NINE
  • Critical Thinking and the Nursing Process