Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 84 views

    Adolescent Discussion

    Uploaded by

    api-442656024
    Physical exams of adolescents should make them comfortable by assessing them in their clothes on an exam table using direct language. The adolescent and adult exams are similar, including a head to toe exam alone without parents and a genital assessment. Common skin findings include acne, while normal nails are smooth and curved with clean edges. New hair growth in pubic and axillary areas is expected, and musculoskeletal exams assess range of motion and joint inspection. Abnormal findings may include eczema, lice, or scoliosis. Male reproductive exams involve palpating and inspecting the penis and scrotum with affirmation, while collecting subjective data separately without judgment. Males are staged using Tanner staging of pubic hair and genital development

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Adolescent Discussion

    Uploaded by

    api-442656024
    84 views2 pages
    Physical exams of adolescents should make them comfortable by assessing them in their clothes on an exam table using direct language. The adolescent and adult exams are similar, including a head to toe exam alone without parents and a genital assessment. Common skin findings include acne, while normal nails are smooth and curved with clean edges. New hair growth in pubic and axillary areas is expected, and musculoskeletal exams assess range of motion and joint inspection. Abnormal findings may include eczema, lice, or scoliosis. Male reproductive exams involve palpating and inspecting the penis and scrotum with affirmation, while collecting subjective data separately without judgment. Males are staged using Tanner staging of pubic hair and genital development

    Original Description:

    Original Title

    adolescent discussion

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Physical exams of adolescents should make them comfortable by assessing them in their clothes on an exam table using direct language. The adolescent and adult exams are similar, including a head to toe exam alone without parents and a genital assessment. Common skin findings include acne, while normal nails are smooth and curved with clean edges. New hair growth in pubic and axillary areas is expected, and musculoskeletal exams assess range of motion and joint inspection. Abnormal findings may include eczema, lice, or scoliosis. Male reproductive exams involve palpating and inspecting the penis and scrotum with affirmation, while collecting subjective data separately without judgment. Males are staged using Tanner staging of pubic hair and genital development

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    84 views2 pages

    Adolescent Discussion

    Uploaded by

    api-442656024
    Physical exams of adolescents should make them comfortable by assessing them in their clothes on an exam table using direct language. The adolescent and adult exams are similar, including a head to toe exam alone without parents and a genital assessment. Common skin findings include acne, while normal nails are smooth and curved with clean edges. New hair growth in pubic and axillary areas is expected, and musculoskeletal exams assess range of motion and joint inspection. Abnormal findings may include eczema, lice, or scoliosis. Male reproductive exams involve palpating and inspecting the penis and scrotum with affirmation, while collecting subjective data separately without judgment. Males are staged using Tanner staging of pubic hair and genital development

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    SPECIAL CONSIDERATIONS

    Special considerations should be kept in mind while performing physical exams on


    adolescents. Our text suggests that adolescents are most comfortable being assessed
    on an exam table, around the clothes they are wearing (Jarvis, 2020). Common
    language that is direct and honest should be used to describe the reasoning for each
    part of the physical exam (Jarvis, 2020).

    SIMILARITIES OF ADOLESCENT AND ADULT EXAMS

    In comparison, the adolescent and adult exam are very similar. It is suggested that a
    head to toe physical exam be conducted alone, without the parent, that ends with a
    quick, thorough assessment of the genitals (Jarvis, 2020).

    NORMAL FINDINGS FOR SKIN, HAIR, NAILS, & MUSCULOSKELETAL SYSTEMS

    Acne is a common skin finding for adolescents due to changes in sebaceous gland
    function. Assess the severity, duration and at-home treatment for the adolescent’s acne.
    Even skin tone, that is smooth, warm and dry to the touch, with good turgor is a normal
    finding (Jarvis, 2020)

    Nails should be smooth and curved or flat. Appropriate hygiene is observed with clean
    nail edges. Capillary refill with 2 seconds demonstrates normal circulation (Jarvis, 2020)

    New hair growth is expected in the pubic and axillary areas, (Marshall and Tanner,
    1970).

    Musculoskeletal system review is conducted similarly to that of an adult. Normal


    findings show full range of motion, muscle strength, and inspection and palpation of
    joints to show no irritations.

    ABNORMAL FINDINGS FOR SKIN, HAIR, NAILS, & MUSCULOSKELETAL


    SYSTEMS

    Eczema is a common skin lesion noted in children. Eczema causes great itching and
    may affect sleep and mood (Jarvis, 2020).

    Lice is an abnormal, however common, finding upon hair inspection of school-aged


    children. Eggs, shells, and/ or the louse may be observed at the base of the hair. Scalp
    itching may also be noted (Watkins, 2015).

    Scoliosis is a musculoskeletal curvature abnormality of the spine, detected at


    adolescence (Jarvis, 2020).

    ASSESSMENT OF ADOLESCENT MALE REPRODUCTIVE SYSTEM


    Palpation and inspection of the penis and scrotum should be conducted with a firm
    touch. Affirmation of normal findings should be given verbally at the time of inspection.
    Subjective data gathered at a separate time from physical examination, should be
    collected without judgement and in a manner that allows the adolescent to feel normal
    with all responses (Jarvis, 2020).

    TANNER STAGING

    Males are staged by growth of pubic hair and genital development. A physical
    assessment is required to see where this particular patient falls (Marshall & Tanner,
    1970).

    References
    Jarvis, C. (2020). Physical Examination &Health Assessment. St. Louis, Missouri:
    Elsevier.

    Marshall, W. and Tanner, J. (1970). Variations in the pattern of pubertal changes in


    boys. Archives of Disease in Childhood, 45, 13-23. Retrieved from: https://adc.bmj.com/

    Watkins, J. (2015). Looking at the diagnosis and treatment of head lice. British Journal
    of School Nursing, 10, 90-92. Retrieved from: http://www.markallengroup.com/ma-
    healthcare/

    You might also like