1 / 11

Chapter 12— Head and Neck, Including Lymph Nodes and Vessels

Chapter 12— Head and Neck, Including Lymph Nodes and Vessels. Introduction. Head, neck regions Scalp; cranium; lymphatic system; parathyroid, thyroid glands Chapter contents Data collection methodology Signs/symptomology Parathyroid, thyroid imbalances

laurabrooks
Download Presentation

Chapter 12— Head and Neck, Including Lymph Nodes and Vessels

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 12—Head and Neck, Including Lymph Nodes and Vessels

  2. Introduction • Head, neck regions • Scalp; cranium; lymphatic system; parathyroid, thyroid glands • Chapter contents • Data collection methodology • Signs/symptomology • Parathyroid, thyroid imbalances • Correct techniques for inspection and palpation • Common expected and unexpected findings

  3. Structure and Function • Structures interact with multiple body systems. • Integumentary; neurological; respiratory; vascular; gastrointestinal; lymphatic; endocrine • Head • Skeletal structure; muscles; blood supply; nerve supply; salivary glands • Neck (C1–C7) • Trachea • Thyroid, parathyroid glands • Lymphatics

  4. Lifespan Considerations: Older Adults • Bony structures more pronounced • D/T decreased subcutaneous fat • Skin lesions more likely • Careful assessment for skin cancers, especially in commonly sun-exposed areas • Hypothyroidism/hyperthyroidism more common • Hypothyroidism > Hyperthyroidism • Cultural considerations

  5. Urgent Assessment • Acute head injuries and neurologic changes • Stabilization of head, neck; trauma assessments • Neck pain: usually muscle tension, spasm • Beware: fever + headache; possible cardiac • Lymphatics • > 1 cm; fixed, irregular, hard or rubbery • Require emergency investigation for cancer • Hyperthyroidism: “thyroid storm”, “thyroid crisis” • Hypermetabolism in all systems

  6. Subjective Data Collection • Multiple systems may influence structure, function • Assessment of risk factors • Personal history • Medications • Family history • Risk reduction and health promotion • Reducing injury risk • Preventing thyroid disorder complications • Early detection of masses or malignant lymph nodes

  7. Common Symptoms • Common head, neck symptoms • Headache; neck pain • Limited neck movement • Facial pain • Lumps/masses • Hypo/hyperthyroidism • Lifespan considerations: older adults • Cultural considerations

  8. Objective Data Collection • Equipment; preparation • Common and specialty or advanced techniques • Head-to-toe assessment • Comprehensive physical examination • Inspection: head; hair; neck • Palpation • Head: temporal artery + pulse; scalp • Neck: thyroid; head, neck lymph nodes; cervical spine; neck, in general • Auscultation: enlarged thyroid only

  9. Critical Thinking • Common laboratory and diagnostic testing • CT; MRI; lumbar puncture; thyroid labs: TSH, T3, T4 • Diagnostic reasoning: Nursing diagnosis, outcomes, and interventions • Outcomes (partial list) • Patient verbalizes increased energy, well-being. • Pain goals are met. • Interventions (partial list) • Allow for period of rest before planned activity. • Set small, achievable short-term activity goals

  10. Question • Is the following statement true or false? An expected finding with neck palpation is lymph nodes larger than 1 cm in size.

  11. Answer • False • Rationale: Lymphatics larger than 1 cm, fixed, irregular, or hard or rubbery require emergency investigation. Such signs raise the possibility of cancer.

More Related