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.
[Link] CHRISTABEL MR. TEJASVI T.
[Link] 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: [Link] 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.
