Are facial features symmetrical and are limbs symmetrical in length? Do you notice any bony protrusions or deformities on one side of the body, but not the other? For example, findings may include “symmetrical facial features with no deformities” or “asymmetrical facial features with left-sided facial droop.”.Is it coordinated and balanced? Do they limp, stagger, shuffle, or is their gait uncoordinated or rigid? For example, findings may include “balanced gait” or “slow, shuffling feet with rigid movement of body and limbs.”.Gait (i.e., balance and movement of limbs while walking).Are they standing or sitting upright or are they bent/slumped over or leaning to one side? For example, findings may include “client sitting erect in chair” or “leaning to right side.”.For example, when inspecting the client overall, you may assess the following: The systematic process involves inspecting the client overall to gain a general impression, and then inspecting specific body areas and body systems to focus your assessment. For example, if you notice that the upper left eye lid is drooping, is this the same for the upper right eye lid? This comparison is helpful because symmetry is usually a good thing, whereas asymmetry should draw your attention as a potential cue for an abnormal finding. ![]() When doing so, you should complete a bilateral comparison in which you compare the left side of the body to the ride side for comparison. While inspecting, you should note both normal and abnormal findings. A magnifying glass may also be helpful to let you get a better look at a specific area. For example, tangential lighting is often used to inspect the thyroid, the jugular pulsation, the apical impulse, and skin lesions. Tangential lighting involves using the penlight at a low angle and to one side of the area that you are viewing. Tangential lighting with a penlight is also effective to help you see specific body areas or lesions, as it focuses the light and highlights contours and protrusions on a relatively flat surface. ![]() Good overhead lighting is important to help you see the client.
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