HNN114 Lecture Notes - Lecture 1: Musical Tone, Pubic Symphysis, Xiphoid Process
HNN114
ABDOMINAL ASSESSMENT
1
INTERVIEW TECHNIQUES
WHAT NOT TO DO: WHAT TO DO:
- Give unwanted advice - Facilitation
- Provide false reassurance - Silence
- Using authority - Reflection
- Using avoidance language - Empathy
- Engaging in distancing - Clarification
- Using professional jargon - Ensure privacy
- Using leading or biased questions - Do not interrupt
- Talking too much - Eye contact
- Interrupting - Touch
- Usig hy uestios - Facial expressions
OPEN/CLOSED QUESTIONS
OPEN ENDED
CLOSED
Use for narrative information
Use for specific information
Calls for long paragraph answers
Calls for short one or two worded answers
Elicits feelings, opinions and ideas
Elicits cold facts
Builds and enhances rapport
Limits rapport and leaves interaction neutral
SUBJECTIVE VS. OBJECTIVE DATA
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Subjective data
1. Presenting concern
2. Food intolerance
3. Abdominal pain
4. Nausea/vomiting
5. Bowel functioning
6. Past abdominal history
7. Health and lifestyle management
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Objective data
SURFACE ANATOMY OF ABDOMEN AND QUADRANTS
RUQ: Liver, gallbladder,
duodenum, head of pancreas, right
kidney and adrenal, hepatic flexure
of colon, part of ascending and
transverse colon.
LUQ: Stomach, spleen, left lobe of
liver, body of pancreas, left kidney
and adrenal, splenic flexure of
colon, part of transverse colon and
descending colon.
RLQ: Caecum, appendix, right ovary and tube, right ureter, right spermatic cord.
LLQ: Part of descending colon, sigmoid colon, left ovary and tube, left ureter, left spermatic cord.
MIDLINE: Aorta, uterus (if enlarged) and bladder (if distended).
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HNN114
ABDOMINAL ASSESSMENT
3
SURROUNDING STRUCTURES
ANATOMICAL LOCATIONS OF MAJOR ABDOMINAL ORGANS
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Document Summary
Calls for short one or two worded answers. Subjective data: presenting concern, food intolerance, abdominal pain, nausea/vomiting, bowel functioning, past abdominal history, health and lifestyle management. Ruq: liver, gallbladder, duodenum, head of pancreas, right kidney and adrenal, hepatic flexure of colon, part of ascending and transverse colon. Luq: stomach, spleen, left lobe of liver, body of pancreas, left kidney and adrenal, splenic flexure of colon, part of transverse colon and descending colon. Rlq: caecum, appendix, right ovary and tube, right ureter, right spermatic cord. Llq: part of descending colon, sigmoid colon, left ovary and tube, left ureter, left spermatic cord. Midline: aorta, uterus (if enlarged) and bladder (if distended). Abdomen: the part of the body of a vertebrate containing the digestive and reproductive organs. Liver: the liver plays a number of roles in metabolism and regulation. The liver regulates most chemical levels in the blood and excretes bile.
