Micro-Teaching on Palpation By:-Prakash Mahala M.Sc. Nsg 1styear
Introduction :-Palpation is the examination of the body using the sense of touch . The pads of the finger are used because their concentration of nerveending make them highly sensitive to tactile discrimination. Palpation is used to determine :- (a)texture (b)Temperature (c) Vibration (d) position (e) size (f)consistency and mass of organ (g)distention
Definition:-The act of feeling with the hand; the application of the fingers withlight pressure to the surface of the body for the purpose ofdetermining the condition of the parts beneath in physical diagnosis.Dorlands Medical Dictionary for Health ConsumersA technique used in physical examination in which the examinerfeels the texture, size, consistency, and location of certain body partswith the hands.Mosbys Medical Dictionary
General PrincipleEnsure that the examiner hand are warm. If the patient is in a low bed ,sit on ,or kneel bedside the bed.Ask the patient to place the arms alongside the body to help relaxthe abdominal wall.Ask the patient to report any tenderness elicited during theexamination.During palpation , observe the patient face for any grimace indicateof local discomfort.Area of tenderness should be palpated last.
Type:-There are two type :-(a) Light palpation(b) Deep palpation
Light palpation:-Light (superficial) palpation should always precede deeppalpation because heavy pressure on the fingertips can dull thesense of touch.For light palpation the nurse extend the dominant hand’s fingerparallel to the skin surface and pressure gentle while moving thehand in a circle.
Deep palpation:-Place one on top of other and feel with lower hand deep palpation is done with two hand . In deep bimanual palpation the nurse extend the dominanthand as for light palpation then place the finger pad of the non-dominant hand on the dorsal surface of the distal interphalangealjoint of the middle three finger of the dominant hand.