Brief Summary
This video provides a step-by-step guide on how to properly assess the head and neck of a patient. It covers the necessary equipment, patient interaction, and detailed examination techniques, including inspection, palpation, and auscultation. The assessment includes checking for symmetry, masses, lesions, and the function of cranial nerves, as well as evaluating the thyroid gland and lymph nodes.
- Proper assessment of the head and neck involves inspection, palpation, and auscultation.
- Checking cranial nerve function is crucial for identifying neurological issues.
- Palpating lymph nodes helps detect potential infections or abnormalities.
The video introduces a demonstration of how to properly assess the head and neck of a patient. The presenter, Shantal Lati, a student nurse, outlines the equipment needed for the assessment and prepares to begin the procedure.
Shantal introduces herself to the patient, verifies her identity (name: Erlinda, birthday: October 10, 1957, age: 64), and explains the procedure, ensuring the patient's consent. She assures the patient of confidentiality and asks about any discomfort or language preferences (Tagalog). A brief medical history is taken, including questions about lumps, lesions, difficulty moving the head and neck, facial or neck pain, headaches, dizziness, past head or neck problems, family history of thyroid or neck cancer and migraine headaches, and lifestyle factors such as hat or helmet use and recreational activities.
Before starting the physical assessment, Shantal performs hand hygiene and ensures the patient's privacy by closing the curtain. She puts on gloves in preparation for the hands-on examination.
Shantal begins by inspecting and palpating the patient's head. She observes the scalp for lesions, scars, masses, and parasites like lice, and notes the absence of alopecia. The head is symmetrical, round, erect, and in the midline, with a normal head size (normocephalic).
The assessment moves to facial symmetry and the function of cranial nerve number seven (facial nerve). The patient is asked to perform various facial movements, including raising eyebrows, blinking, closing eyes tightly, smiling, frowning, and puffing cheeks. Shantal observes for any abnormalities or drooping of the face.
Shantal palpates the temporal artery and checks the temporomandibular joint (TMJ). The patient is asked to bite down to check the temporal artery. For the TMJ, the patient opens and closes her mouth, and Shantal listens for any clicking, swelling, pain, or tenderness. The patient reports no recent headaches.
The assessment transitions to the neck, where Shantal observes the trachea's position and asks the patient to swallow a small amount of water to assess thyroid movement. She notes that the trachea is in the midline and there are no visible bulges or swellings.
Shantal checks the cervical vertebrae and the patient's neck range of motion. The patient is asked to look up, down, and side to side. Shantal inquires about any pain or tenderness during these movements, to which the patient reports none.
The trachea is palpated to ensure it is in the midline. The patient is asked to swallow to assess the movement of the tracheal rings. Shantal then auscultates the thyroid gland to check for any bruits, instructing the patient to inhale, hold their breath, and exhale. No bruits are detected, indicating proper function of the carotid artery.
The final step involves palpating the lymph nodes, including the preauricular, postauricular, occipital, tonsillar, submandibular, submental, superficial cervical, deep cervical chain, posterior cervical, and supraclavicular nodes.
Shantal concludes the assessment, noting that there are no apparent abnormal findings. She advises the patient to consult her attending physician if she has any questions or health concerns. She also provides general health advice, including taking vitamins, drinking enough water, and eating a balanced diet.
Summarize any YouTube video in seconds
Get summaries like this one for any video, in your language, with the free Summ app.
Transcript
Full transcript of “HEAD AND NECK ASSESSMENT I RETURN DEMONSTRATION (Student Nurse)”. Click a timestamp to open the video at that moment. Need another video? Use the YouTube transcript generator.
0:00 [Music] hello everyone this is Shantal Lati your student nurse for today's video I'll be showing you how to properly assess the head and neck of the patient but before we start guys let me show you what are the equipments that we'll be needing for today's video so without other further Ado let's get started [Music]
0:47 good afternoon ma'am I'm shalati your student from Our Lady of Fatima University so for verification ma'am may I know your name po okay how about your birthday ma'am 10 1957 okay how old are you po 64 so for today ma'am I'll just explain the procedure that I'll be doing to you I'll be assessing your head and neck and for me to be able to assess that uh I'll be able to touch the certain parts of your body specifically in the head and neck part so is it okay with you ma'am okay okay so rest assured that all of the documents and findings are completely confidential with me and the sending physician that I'll be referring you to so ma'am um do you have any
1:34 questions what language is comfortable with you is it talog or English po okay po um before I start ma'am um I'll just have a quick history about you so um are there any lumps and lesions or on the head or neck that do not heal or disappear ano Lums mes how about difficulty Kay sa move po NG head and neck po okay how about sa facial or neck pain po meron frequent headaches Wala po okay um nahilo ba Kayo mean or naan NG Malai okay po um how about sa past
2:21 history Naman po ta M no is there any previous head or neck problems trauma or injury POA Naman po so family history or neck cancer how about po um family history of migraine headaches okay um s lifestyle and health problems last partay or okay do you wear a hat or helmets na postureo Nat nak okay po okay um how about Y type of
3:08 recreational activities and or Gaga free time ganun po okay ma'am so I'll perform the assessment na po but before that H I just have a hand hygiene po and close po curtain para sa privacy po assuming that I already closed the curtain to provide privacy for the patient and I'm done doing the hand hygiene so M mag sa out Lang po AKO NG loves para sa assessment po
4:01 okay ma'am so the first part of our assessment inspect face andate head okay Lang po ba Yun so okay po um I'll be palpating your head po ma'am okay I'll just observe your scalp po momam I just check from the back
4:52 box okay ma'am I observed that um your he is symmetrical it is round it is erect it is in the midline and you are normos falic which means uh your head is appropriate and your body um I don't see any lesions scars masses that is present in your head also um there are no parasites present like lices and I haven't observed any Alo facia so um next one m'am I'll be checking your facial Symmetry and your facial movement symmetry so okay I'll just observe okay so next one maam I'll be checking your cranial nerve number seven which is the facial nerve so um please um do the things that I'll tell you to do so can you please raise your eyebrows
5:37 po okay lower it um can you please blink your eye for me Po okay um blink um close your eyes po tightly tightly po ma'am tightly po like ganun Po okay po um okay m'am open na po um next PO is smile po okay frown po to ganun PO okay po how about puff po cheeks okay po um that's very good Mamita any abnormalities facial nerve also M I didn't see any drooping of the face Lang and okay Lang po so next one ma'am I'll be palpating your temporal
6:23 artery so allow me to touch you po again ma'am okay ma'am um can you please bite your teeth like this PO okay po again po ma'am release po then bite po ulit okay po next one ma'am I'll be um checking your temporo mandibular joint so here po um can you please open your mouth po okay po ma'am again po okay very good um I haven't seen any swelling Ander any clicking ba Yun M chin KO po temporal mandibular joint and temporal artery po ba NG pain or tenderness po Hindi Naman po okay so that's good to
7:09 know ma'am so nakar any headaches po this past few days ma'am Nam po okay so that's good to hear ma'am um next part assessment is neck part po so um I'll be um checking your neck po so um I'll be observing this one L po okay so okay just peel it okay wait ma'am um can you please sip a small amount of water Lang water po okay po hold Lang po okay uh so can you please ano po okay po
7:55 M so um I can see po that your ch is in the MD line and and that's normal po M I didn't see any bulging or any swelling NE part so any tenderness or pain po okay that's good to hear po mam so I'll just note that PO swallow po so next part of our assessment ma'am I'll be checking your cervical vertebrae po so poly
8:41 so no okay ma'am very good po how about look side po then okay then po side po po okay ma'am thank you po so much um I don't see any irregularities Nam and next is neck range or or you neck motion po so um can you please um look to the ceiling po okay how about look to the floor po okay can you look here okay Po and can you look there po okay ma'am do you feel any tenderness or pain Gina an procedure Wala Naman po so
9:27 that's very good ma'am um next next one ma'am um I'll be palpating your tra po so Po and poster poit so po just going to touch your tra po mam okay poang po no observe po M and I can um feela middle po siya okay po how about can you swallow po m'am swallow po to okay next po okay next po ma'am okay last part swallow wait po okay po
10:13 okay okay po I can see that your TR rings are working Po and swallow now ma'am can you please look up then face Flex neck okay next one okay po okay um it's okay m'am and NASA Middle Line Nam po tra so next one po M I'll be osculating your thyroid gland po to see if there are any present bruts po okay po can you please um inhale po then hold your breath down PO for a while inhale hold exhale po ma'am then inhale po it
11:01 then hold n breath po okay ma'am exhale po I can see that there are no present brutes and your cared artery are functioning well so for the last one po mam I'll be palpating your lymph nodes so allow me to touch your face again po so right now I'm palpating your preocular nodes okay po which is front of the ears be palpating your post oric nodes which is behind the ear okay the aital node po okay the tonsillar
11:47 node okay this mular node okay m'am relax Lang po y face po submental node okay po The Superficial note the Deep cervical chain node the posterior node B and the Supra cicular nodes okay so that's the last part of your assessment ma'am for the head and
12:33 neck if you have any questions or clarifications or if you felt anything in your health um I'll refer you to your attending physician andarys if ever abnormal findings and I don't see any abnormal findings Naman po so aan po mam um thank you for your cooperation and for the health is um to drink your vitamins um drink enough water and to eat Balan diet for everyday especially sa P so Mayan PA poay M okay po so po assessment for today thank you so much
13:20 [Music] moment [Music]
