Sl no Time Objectives Content Teachers activity Learners activity Evaluation

5 min INTRODUCTION:

Physical assessment is the outline for a head to toe

examination

OBJECTIVE:
5min Students will be  To collect information about the child and Explains using Students are What is the
able to list out the to teach the child and the parents about the the blackboard listening and objective of
objectives, child’s body and current state of health, as participating in physical
purposes, goals well as to ensure health in the future. the discussion assessment?
and importance.
of physical PURPOSE :
assessment  To gain an understanding of the child, so
5min that informed decision can be made.
Explains using Students are What is the
the blackboard listening and purpose of
participating in physical
the discussion examination?
GOALS:
 Minimize stress and anxiety associated
10min with assessment of various body parts.
 Foster trusting nurse ,child, parent Explains the goals Students are What are the
relationship. physical listening and goals of physical
 Allow for maximizing preparation of the assessment using participating in assessment?
child. blackboard, OHP. the discussion
 Preserve security of the parent child
relationship.
 Maximizing accuracy of assessment
 findings.

IMPORTANCE:
 Gathering of the information
 It provides the data to make the nursing
diagnosis
5min Students will be  Helps to plan implement and evaluate the Explains using Listening to the
able to define the nursing care the black board class What are the
importance of  Provides the back ground information on importance of
physical a child and family. physical
assessment assessment?

SKILLS USED IN PHYSICAL ASSESSMENT

 Inspection or observation
 Palpation
15min Students will be  Percussion Demonstrate Participating in What are the
able learn about  Auscultation using power point the discussion skills used in
the skills used in physical
physical assessment?
examination and STEPS OF PHYSICAL EXAMINATION
will use in clinical HEAD TO FOOT ASSESSMENT.
practice
1. GENERAL OBSERVATION
 Physical observation begins with
60min Students acquire inspection of general appearance to form a Explains using Students are What are the
knowledge general appearance or impression of the the power point listening and steps involved in
regarding head to child’s health and well being and to and black board participating in the physical
foot assessment pinpoint specific body areas that will need the discussion assessment?
and will be able detailed assessment
to use in the 2. VITAL SIGNS
clinical practice.  Vital signs refer to temperature, pulse,
respiration. Blood pressure or the state of
vital bodily functions

BODY MEASUREMENT
 Height
 Weight
 Head circumference
 Chest circumference
SKIN
 inspection-
texture,moisture,temperature,color,lesions
and turgor..
 observe for
macules,papules,plaques,bullae,pistules
and purpura.

HAIR
 inspection
observe for pediculi/ticks.
color, texture, elasticity, distribution
and allopecia.

NAILS
 inspection
color abnormalities:-
blueness
yellow-

HEAD AND NECK

 inspection
 observe for posture control and range of
motion
 palpation
asymmetry of skull
late closure of fontanel
enlargement of head with open fontanel

FACE
 observation
high or low fore head or close
edema of face
NECK
 inspection and palpation
turners syndrome:.
smaller skull
swelling
macewen sign.
edema
LYMPH NODES
 inspection and palpation
lymphadenopathy:
shortly/ small, firm nodes
occipital post auricular
EYES
 inspection of external ear structure – eye
lids, eye lashes, palpable fissures, lacrimal
apparatus, orbit, conjunctiva,
sclera,cornea, pupils, iris,lens and occularn
muscles
EYE LASHES
blepharospam
marginal belpharitis
 stye/hordeolum

EAR
 inspection and palpation
helix
antihelix
concha
targus
NOSE AND SINUSES
nose is flat – cleft palate
child breath through mouth
SINUSES
 sinusitis

MOUTH ,THROAT AND THE PHARYNX

 inspection of external structure of mouth
observe for chalitis, drying, crack, chelosis
thrush
hard palate
teeth
gums

THORAX & LUNGS:

 inspection of skin
examination of breast
inspection and palpation of thorax
palpation anr percussion and auscultation
of thoracic organs

HEART.
 inspection and palpation
thrill and pericardial friction rub may
 befelt
7 reas to be examined
sternoclavicular
aortic
pulmonary
apical
epigastric
ectopic

ABDOMEN
 inspection
auscultation, percussion and palpation .
examine for hernia
examine of anal area

EXAMINATION OF THE ANAL AREA

 inspection
abnormalities: diapher rash,anal fissures,
scratch mark, redness and sign of
inflammation
palpation:
anorectal stenosis/ imperforate anus.

GENITALIA

 inspection and palpation of genitalia

girl checked for clitoris,urethral meatus,
fused labia and palpable masses.
boys scrotum: may be small and firm/
pendulous and loose. Ingunial hernia wall
of scrotum for edema,color, masses.
 orchitis
dark scrotum

MUSCULOSKELETAL SYSTEM
 inspection and palpation
joints
muscles
vertebral column
extremities

NEUROLOGIC EXAMINATION.

 testing for
cerebral functioning
motor system function .
sensory system function.
cerebellar function.
cranial testing
reflex testing
neurological soft signs
SUMMARY

Till now we all studied regarding the physical assessment

QUESTIONS

A) what are the skills used in the physical assessment?

B) what are the reflexes seen in the new born?

ASSIGNMENT

Write an assignment on physical assignment of the new born.

 K R COLLEGE OF NURSING
BENGALURU
LESSON PLAN ON
PHYSICAL ASSESSMENT

SUBMITTED TO, SUBMITTED BY.

MRS.VINUTHA CHRISTABEL MR. TEJASVI T.

ASSO.PROF CHILD HEALTH NURSING DEPT 1ST YEAR MSc NURSING

K R COLLEGE OF NURSING K R COLLEGE OF NURSING

SUBMITTED ON,

13-12-2010
 STUDENT PROFILE

NAME OF THE STUDENT: MR.TEJASVI T.

NAME OF THE EVALUATOR: MRS. VINUTHA CHRASTABEL

TOPIC: PHYSICAL ASSESSMENT

SUBJECT: CHILH HEALTH NURSING.

PLACE; 3RD YEAR BSc NURSING

DATE; 13-12-2010

TIME; 11AM- 1PM

METHOD OF TEACHING; DISCUSSION, LECTURE.

A.V AIDS ; OHPS, BLACK BOARD, CHARTS, POWER POINT

SPECIFIC OBJECTIVE
At the end of the class students will gain knowledge regarding physical assessment.

GENERAL OBJECTIVES

At the end of the class students will be able to.

1) Define the term assessment

2) Demonstrate different skills used during physical assessment.
3) Calculate the nutritional requirement of the child.