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PREPARATION OF PATIENT
FOR
HEALTH ASSESSMENT
INTRODUCTION
• Nurse should develop a systematic
approach to physical examination
Head to toe approach
Starting at the head and neck ,progressing
down the body and examining the feet last
Body system approach
Examining each system in a predetermined
order (Eg: musculoskeletal system
,cardiovascular, and neurological system)
• Prepare your self
• Prepare the environment
• Prepare the client
Preparing your self (Nurse)
• Theoretical knowledge of Anatomy and
Physiology.
• Examination techniques and equipments
• Therapeutic communication and
documentation
• Seek help from your instructor fellow
students and other health care professionals .
Preparing the environment
• Time should be
convenient for nurse
and client.
• Area should be well
lighted.
• Equipment should be
organized.
• Provide privacy.
Preparing the environment
• Room should be
warm enough to be
comfortable for the
client.
• Family and friends
should not be
present unless
client ask for some
one .
Preparation of environment
includes…
• Positioning
• Draping
• instrumentation
POSITIONING
• Sitting/fowler’s
SUPINE AND PRONE
STANDING
DORSAL RECUMBENT
SIM’S POSITION
LITHOTOMY
KNEE-CHEST POSITION
DRAPING
• Drapes should be arranged so that the area
to be assessed is exposed and other body
area covered.
• Exposing the body frequently embarrassing
to clients.
• Drapes are made of paper ,cloth or bed linen.
•Provide warmth
•Provide privacy
INSTRUMENTATION
• All equipments needed for examination
should be,
– Clean
– Good working order
– Readily accessible
– Equipment frequently set upon trays ready for
use
Articles / Instruments
• Flash light
• Nasal speculum
• Ophthalmoscope
• Otoscope
• Percussion hammer
• Turning fork
• Vaginal speculum
• Cotton applicators
• Gloves
• lubricant
• Tongue blades
(depressor)
Articles / Instruments
• Pulse oxymeter
• Scale with height measurement road
• Specimen container
• Sterile swab
• Stethoscope
• Tape measure
• Thermometer
• Wrist watch
• Sphygmomanometer
Flash light Nasal speculum
Ophthalmoscope Otoscope
Percussion hammer Turning fork
Vaginal speculum Cotton applicators
Gloves Lubricant
Tongue depressor Pulse oxymeter
Scale with height
measure road
Specimen containers
Stethoscope Tape measure
Thermometer Wrist watch
SNELLENS CHART SPHYGMOMANOMETER
PREPARATION OF CLIENT
• Clients physical comfort is vital for a
successful examination
• Emptying bladder and bowel
• Dressing and draping the patient properly
• Routinely ask for clients comfort
PSYCHOLOGICAL
PREPARATION
•Remain calm
•Explain each procedures
•Allow client to feel free to ask
questions and mention any discomfort
Preparation of patient for health assessment