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Micro teaching


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Micro teaching

  1. 1. Micro-Teaching on Palpation By:-Prakash Mahala M.Sc. Nsg 1styear
  2. 2. 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
  3. 3. 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 ConsumersA technique used in physical examination in which the examinerfeels the texture, size, consistency, and location of certain body partswith the hands.Mosbys Medical Dictionary
  4. 4. General PrincipleEnsure 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.
  5. 5. Type:-There are two type :-(a) Light palpation(b) Deep palpation
  6. 6. 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.
  7. 7. 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.
  8. 8. Palpation of neck:-
  9. 9. Gallbladder :-
  10. 10. The bladder:-
  11. 11. Palpation of the liver:
  12. 12. The spleen:
  13. 13. Pancreas:-
  14. 14. Tenderness pointsCostovertebral CostolumberPoint Point
  15. 15. conclusionPalpation is used to palpate underlying organand tissue for their location and size and todetermine any abnormalities in that organ.
  16. 16. BIBLIOGRAPHY•Medical surgical nursing, levis, publisher mosby, edition 7th ,page no 45-46•Foundation of nursing, publication mosby, edition 4th ,page no 54•••www://•Macleod’s clinical examination elsevier science, 10th edition,page no 160-163•Fundamentals of nursing,7th edition, barbara kozier, page no565-567