HEAD AND NECK ASSESSMENT I RETURN DEMONSTRATION (Student Nurse)

00:13:38
https://www.youtube.com/watch?v=NXB0lsfqNUI

Resumo

TLDRIn this instructional video, Shantal Lati exemplifies the art of conducting a thorough head and neck assessment on a patient. She begins by gathering the required equipment and introducing herself to the patient, ensuring a comfortable environment. The assessment includes a detailed medical history, visual inspections, palpations, and functional tests such as cranial nerve assessments. Shantal showcases strong communication skills, asking questions in the patient’s preferred language, and emphasizing privacy and professionalism. After completing the assessment, she calmly explains the normal findings and offers health tips, fostering a supportive patient experience while preparing to refer any abnormalities.

Conclusões

  • 🩺 Thorough head and neck assessment is crucial in nursing.
  • 🔍 Always ensure patient comfort and consent before assessment.
  • 💬 Communication in the patient's language enhances understanding.
  • 📜 Document any abnormalities for physician referral.
  • 💡 Hand hygiene is essential to prevent infection.
  • 👥 Assess cranial nerve function through facial movements.
  • 🌡️ Observe for symmetry and any unusual findings during inspection.
  • 👍 Lumps or lesions on the head and neck should be documented.
  • 💧 Encourage patients to maintain a balanced diet and hydration.
  • ️👩‍⚕️ Confidentiality is key during patient assessments.

Linha do tempo

  • 00:00:00 - 00:05:00

    The video introduces Shantal Lati, a student nurse, who will demonstrate how to properly assess a patient's head and neck. She begins by introducing herself and asking for the patient's name and birth date to verify identity. After explaining the assessment procedure, she ensures the patient's comfort and confidentiality, proceeds to gather a medical history, and asks about any current issues such as lumps, pain, or previous trauma while discussing the patient's lifestyle.

  • 00:05:00 - 00:13:38

    The assessment begins with an inspection of the patient's head and face, checking for symmetry and abnormalities. Shantal also evaluates cranial nerve function through facial expressions and movement, examines the temporal artery, and assesses the temporomandibular joint. The neck assessment includes observations of the cervical vertebrae, range of motion, and further palpation of the lymph nodes and thyroid gland. After confirming normal findings, she advises the patient on health and wellness and offers to refer to a physician if needed.

Mapa mental

Vídeo de perguntas e respostas

  • What should I do before the assessment?

    Ensure hand hygiene and provide privacy by closing curtains.

  • How is the patient's history taken?

    The nurse asks about lumps, pain, headaches, and past medical history.

  • What are the key parts of the head and neck assessment?

    Inspect and palpate the head, check facial symmetry, assess cranial nerves, and examine the neck.

  • How is cranial nerve function tested?

    By asking the patient to perform specific facial movements.

  • What is the importance of hand hygiene in this procedure?

    It is crucial for preventing infection and ensuring patient safety.

  • What should the patient expect during the assessment?

    The nurse will touch various parts of the head and neck and ask questions regarding their health.

  • What are the common findings during the assessment?

    Normal findings include symmetrical features and no abnormalities.

  • Is the assessment process confidential?

    Yes, all findings are kept confidential.

  • What advice does the nurse give at the end?

    To drink vitamins, enough water, and maintain a balanced diet.

  • What does the nurse do if abnormalities are found?

    Refer the patient to the attending physician.

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Legendas
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Rolagem automática:
  • 00:00:00
    [Music]
  • 00:00:06
    [Music]
  • 00:00:09
    hello everyone this is Shantal Lati your
  • 00:00:11
    student nurse for today's video I'll be
  • 00:00:14
    showing you how to properly assess the
  • 00:00:16
    head and neck of the patient but before
  • 00:00:18
    we start guys let me show you what are
  • 00:00:20
    the equipments that we'll be needing for
  • 00:00:22
    today's video so without other further
  • 00:00:25
    Ado let's get started
  • 00:00:35
    [Music]
  • 00:00:47
    good afternoon ma'am I'm shalati your
  • 00:00:49
    student from Our Lady of Fatima
  • 00:00:51
    University so for verification ma'am may
  • 00:00:53
    I know your name
  • 00:00:56
    po okay how about your birthday ma'am
  • 00:01:00
    10
  • 00:01:01
    1957 okay how old are you po
  • 00:01:05
    64 so for today ma'am I'll just explain
  • 00:01:08
    the procedure that I'll be doing to you
  • 00:01:10
    I'll be assessing your head and neck and
  • 00:01:12
    for me to be able to assess that uh I'll
  • 00:01:15
    be able to touch the certain parts of
  • 00:01:18
    your body specifically in the head and
  • 00:01:20
    neck part so is it okay with you ma'am
  • 00:01:23
    okay okay so rest assured that all of
  • 00:01:25
    the documents and findings are
  • 00:01:27
    completely confidential with me and the
  • 00:01:29
    sending physician that I'll be referring
  • 00:01:31
    you to so ma'am um do you have any
  • 00:01:34
    questions what language is comfortable
  • 00:01:36
    with you is it talog or English
  • 00:01:39
    po okay po um before I start ma'am um
  • 00:01:42
    I'll just have a quick history about you
  • 00:01:46
    so um are there any lumps and lesions or
  • 00:01:49
    on the head or neck that do not heal or
  • 00:01:52
    disappear ano Lums
  • 00:01:57
    mes how about difficulty Kay sa move po
  • 00:02:01
    NG head and neck
  • 00:02:03
    po
  • 00:02:04
    okay how about sa facial or neck pain po
  • 00:02:07
    meron frequent
  • 00:02:10
    headaches Wala po okay um nahilo ba Kayo
  • 00:02:14
    mean or naan NG
  • 00:02:18
    Malai okay po um how about sa past
  • 00:02:21
    history Naman po ta M no is there any
  • 00:02:24
    previous head or neck problems trauma or
  • 00:02:26
    injury POA Naman po so family
  • 00:02:33
    history or neck
  • 00:02:37
    cancer how about po um family history of
  • 00:02:40
    migraine
  • 00:02:42
    headaches okay um s lifestyle and health
  • 00:02:45
    problems last
  • 00:02:47
    partay
  • 00:02:50
    or okay do you wear a hat or
  • 00:02:58
    helmets na postureo Nat nak okay
  • 00:03:05
    po okay um how about Y type of
  • 00:03:08
    recreational activities and or Gaga free
  • 00:03:12
    time ganun
  • 00:03:18
    po okay ma'am so I'll perform the
  • 00:03:21
    assessment na po but before that H I
  • 00:03:24
    just have a hand hygiene po
  • 00:03:33
    and close po curtain para sa privacy
  • 00:03:38
    po assuming that I already closed the
  • 00:03:40
    curtain to provide privacy for the
  • 00:03:42
    patient and I'm done doing the hand
  • 00:03:47
    hygiene so M mag sa out Lang po AKO NG
  • 00:03:50
    loves para sa assessment po
  • 00:04:01
    okay ma'am so the first part of our
  • 00:04:03
    assessment inspect face andate head okay
  • 00:04:07
    Lang po ba Yun
  • 00:04:10
    so okay po um I'll be palpating your
  • 00:04:13
    head po
  • 00:04:22
    ma'am okay I'll just observe your scalp
  • 00:04:26
    po momam
  • 00:04:37
    I just check from the back
  • 00:04:52
    box okay ma'am I observed that um your
  • 00:04:56
    he is symmetrical it is round it is
  • 00:04:58
    erect it is in the midline and you are
  • 00:05:00
    normos falic which means uh your head is
  • 00:05:03
    appropriate and your body um I don't see
  • 00:05:05
    any lesions scars masses that is present
  • 00:05:08
    in your head also um there are no
  • 00:05:11
    parasites present like lices and I
  • 00:05:15
    haven't observed any Alo facia so um
  • 00:05:18
    next one m'am I'll be checking your
  • 00:05:20
    facial Symmetry and your facial movement
  • 00:05:22
    symmetry so okay I'll just observe okay
  • 00:05:27
    so next one maam I'll be checking your
  • 00:05:29
    cranial nerve number seven which is the
  • 00:05:31
    facial nerve so um please um do the
  • 00:05:33
    things that I'll tell you to do so can
  • 00:05:35
    you please raise your eyebrows
  • 00:05:37
    po okay lower it um can you please blink
  • 00:05:41
    your eye for me Po okay um blink um
  • 00:05:43
    close your eyes po tightly tightly po
  • 00:05:46
    ma'am tightly po like ganun Po okay po
  • 00:05:51
    um okay m'am open na po um next PO is
  • 00:05:53
    smile
  • 00:05:54
    po okay frown po to ganun PO
  • 00:06:00
    okay po how about puff po
  • 00:06:02
    cheeks okay po um that's very good
  • 00:06:06
    Mamita any
  • 00:06:10
    abnormalities facial nerve also M I
  • 00:06:13
    didn't see any drooping of the
  • 00:06:18
    face Lang and okay Lang po so next one
  • 00:06:21
    ma'am I'll be palpating your temporal
  • 00:06:23
    artery so allow me to touch you po again
  • 00:06:26
    ma'am
  • 00:06:30
    okay ma'am um can you please bite your
  • 00:06:33
    teeth like this
  • 00:06:34
    PO okay po again po ma'am release po
  • 00:06:38
    then bite po
  • 00:06:40
    ulit okay po next one ma'am I'll be um
  • 00:06:43
    checking your temporo mandibular joint
  • 00:06:45
    so here po um can you please open your
  • 00:06:48
    mouth
  • 00:06:49
    po okay po ma'am again po okay very good
  • 00:06:54
    um I haven't seen any swelling
  • 00:06:57
    Ander any clicking ba Yun M chin KO po
  • 00:07:01
    temporal mandibular joint and temporal
  • 00:07:03
    artery po ba NG pain or tenderness po
  • 00:07:06
    Hindi Naman po okay so that's good to
  • 00:07:09
    know ma'am so nakar any headaches po
  • 00:07:12
    this past few days ma'am Nam po okay so
  • 00:07:15
    that's good to hear ma'am um next part
  • 00:07:18
    assessment is neck part po so um I'll be
  • 00:07:22
    um checking your neck po so um I'll be
  • 00:07:26
    observing this one L po okay
  • 00:07:30
    so okay just peel it okay wait ma'am um
  • 00:07:35
    can you please sip a small amount of
  • 00:07:39
    water
  • 00:07:42
    Lang water po okay po hold Lang
  • 00:07:48
    po okay uh so can you please ano
  • 00:07:52
    po okay po
  • 00:07:55
    M so um I can see po that your ch is in
  • 00:08:00
    the MD line
  • 00:08:07
    and and that's normal po M I didn't see
  • 00:08:10
    any bulging or any
  • 00:08:13
    swelling NE part
  • 00:08:16
    so any tenderness or pain po okay that's
  • 00:08:20
    good to hear po mam so I'll just note
  • 00:08:26
    that PO swallow po
  • 00:08:32
    so next part of our assessment ma'am
  • 00:08:34
    I'll be checking your cervical vertebrae
  • 00:08:36
    po so
  • 00:08:39
    poly
  • 00:08:41
    so no okay ma'am very good po how about
  • 00:08:48
    look side po
  • 00:08:51
    then okay then po side
  • 00:08:54
    po
  • 00:08:56
    po okay ma'am thank you po so much
  • 00:09:00
    um I don't see any irregularities
  • 00:09:04
    Nam and next is neck range or or you
  • 00:09:09
    neck motion po so um can you please um
  • 00:09:11
    look to the ceiling po okay how about
  • 00:09:14
    look to the floor po okay can you look
  • 00:09:18
    here okay Po and can you look there po
  • 00:09:22
    okay ma'am do you feel any tenderness or
  • 00:09:24
    pain Gina an procedure Wala Naman po so
  • 00:09:27
    that's very good ma'am um next next one
  • 00:09:29
    ma'am um I'll be palpating your tra po
  • 00:09:33
    so Po and poster
  • 00:09:37
    poit so po just going to touch your tra
  • 00:09:41
    po
  • 00:09:45
    mam okay
  • 00:09:47
    poang po no observe po M and I can um
  • 00:09:52
    feela middle po siya okay po how about
  • 00:09:56
    can you swallow po m'am swallow po
  • 00:09:59
    to okay next
  • 00:10:02
    po okay next po
  • 00:10:06
    ma'am okay last part swallow wait po
  • 00:10:11
    okay po
  • 00:10:13
    okay okay po I can see that your TR
  • 00:10:16
    rings are working Po and swallow now
  • 00:10:20
    ma'am can you please look up then face
  • 00:10:23
    Flex neck okay next one
  • 00:10:30
    okay po okay um it's okay m'am and NASA
  • 00:10:34
    Middle Line Nam po tra so next one po M
  • 00:10:36
    I'll be osculating your thyroid gland po
  • 00:10:40
    to see if there are any present bruts
  • 00:10:45
    po okay po can you please um inhale po
  • 00:10:50
    then hold your breath down PO for a
  • 00:10:52
    while inhale
  • 00:10:57
    hold exhale po ma'am then inhale po it
  • 00:11:01
    then hold n breath
  • 00:11:06
    po okay ma'am exhale po I can see that
  • 00:11:09
    there are no present brutes and your
  • 00:11:11
    cared artery are functioning well so for
  • 00:11:14
    the last one po mam I'll be palpating
  • 00:11:16
    your lymph nodes so allow me to touch
  • 00:11:18
    your face again po so right now I'm
  • 00:11:22
    palpating your preocular nodes okay po
  • 00:11:26
    which is front of the ears
  • 00:11:29
    be palpating your post oric nodes which
  • 00:11:33
    is behind the
  • 00:11:35
    ear okay the aital node
  • 00:11:41
    po okay the tonsillar
  • 00:11:47
    node okay this mular node okay m'am
  • 00:11:51
    relax Lang po y face
  • 00:11:54
    po submental node
  • 00:11:59
    okay po The Superficial
  • 00:12:07
    note the Deep cervical chain
  • 00:12:16
    node the posterior node
  • 00:12:23
    B and the Supra cicular
  • 00:12:28
    nodes okay so that's the last part of
  • 00:12:31
    your assessment ma'am for the head and
  • 00:12:33
    neck if you have any questions or
  • 00:12:35
    clarifications or if you felt anything
  • 00:12:37
    in your health um I'll refer you to your
  • 00:12:40
    attending physician
  • 00:12:51
    andarys if ever abnormal findings and I
  • 00:12:55
    don't see any abnormal findings Naman po
  • 00:12:57
    so aan po mam um thank you for your
  • 00:12:59
    cooperation
  • 00:13:01
    and for the health is um to drink your
  • 00:13:04
    vitamins um drink enough water and to
  • 00:13:07
    eat Balan diet for everyday especially
  • 00:13:09
    sa P so Mayan PA poay M okay po so po
  • 00:13:15
    assessment for today thank you so much
  • 00:13:20
    [Music]
  • 00:13:30
    moment
  • 00:13:32
    [Music]
Etiquetas
  • head and neck assessment
  • nursing
  • medical examination
  • patient care
  • cranial nerves
  • health history
  • face symmetry
  • palpation
  • education
  • Shantal Lati