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• Liver: Percussion To quantitate the size of the liver
• Liver: Palpation To assess liver enlargement.
• Abdomen: Deep Palpation To evaluate abdominal mass structures.
• Abdomen: Superficial Palpation
• Abdomen: Auscultation
• Abdomen: Observation
• Sample Family Nursing Care Plan

Liver: Percussion To quantitate the size of the liver Posted: 12 Nov 2010 01:36 AM PST Method Of Exam Author: A. Chandrasekhar, MD Consultant: J. Pickleman, MD and M. Klamut, MD * Starting at a level below the umbilicus in the right mid-clavicular line, lightly percuss upward toward the liver. Ascertain the lower border of liver dullness. * Identify the upper border of liver dullness in the mid-clavicular line by lightly percussing from lung resonance down toward liver. An alternate method of estima Redmore this...>>>

Liver: Palpation To assess liver enlargement. Posted: 12 Nov 2010 01:12 AM PST Method Of Exam Author: A. Chandrasekhar, MD Consultant: J. Pickleman, MD and M. Klamut, MD * Place your right hand on the patient’s abdomen in the right lower quadrant. Gently move up to the right upper quadrant lateral to the rectus muscle. Gently pressing in and up, ask the patient to take a deep breath. * If the liver is enlarged, it will come downward to meet your fingertips and will be recognizable. Nor Redmore this...>>>

Abdomen: Deep Palpation To evaluate abdominal mass structures. Posted: 12 Nov 2010 01:00 AM PST Method Of Exam Author: A. Chandrasekhar, MD Consultant: J. Pickleman, MD and M. Klamut, MD * The two handed method may be used. Begin at the right lower quadrant and examine the entire abdomen gently by deep palpation. * Lay one hand over the abdomen and push with the second concentrating on the feel of the bottom hand. Once again, known tender areas should be palpated last. Normal: * Normal pulsation Redmore this...>>>

Abdomen: Superficial Palpation Posted: 12 Nov 2010 12:57 AM PST To evaluate the abdominal wall and intra-abdominal contents Method Of Exam Author: A. Chandrasekhar, MD Consultant: J. Pickleman, MD and M. Klamut, MD Warm up your hands by rubbing them against each other. Prior to starting, ask the patient whether there are any painful areas in the abdomen. After you have inquired about tender areas, this is the last of the four quadrants which should be palpated. Never palpate t Redmore this...>>>

Abdomen: Auscultation Posted: 12 Nov 2010 12:52 AM PST Method Of Exam Author: A. Chandrasekhar, MD Consultant: J. Pickleman, MD * Note that the abdomen should be auscultated prior to palpation. * Auscultate in all four quadrants of the abdomen. * Auscultate for a minute before determining the absence of peristaltic sounds. Note the frequency and character of bowel sounds. Normal: * Bowel sound consist of clicks and gurgles and 5-30 per minute. * An occasional borboryg Redmore this...>>>

Abdomen: Observation Posted: 12 Nov 2010 12:47 AM PST Method Of Exam Author: A. Chandrasekhar, MD Consultant: M. Klamut, MD and J. Pickleman, MD * The patient should be lying flat with arms at his side and relaxed. Observe for: o Contour of the abdomen o Skin and subcutaneous tissue o Umbilicus o Peristalsis and pulsations * Stand on right side and view the abdomen tangentially to visualize peristalsis. Normal: * The contour of the abdomen can vary. * The umbilicus i Redmore this...>>>

Sample Family Nursing Care Plan Posted: 12 Nov 2010 12:40 AM PST Concepts found within family nursing theory revolve around the ability of the family to cope with medical problems and maintain positive lifestyles. The family, in other words, can serve as the real impetus for healthy lifestyles by continually assisting family members to take care of themselves Family Nursing Care Plan Redmore this...>>>

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