LEARN MORE...

Colon

Content type

User Generated

Uploaded By

Anbzvfun

Pages

Showing Page:

1/5

Rectal Examination

Student's Name

Department, Institution of Affiliation

Course Code: Course Name

Professor's Name

Showing Page:

2/5

Rectal Examination

Steps

A rectal examination is a quick and painless process wherein a nurse or doctor uses their

finger to check for issues inside a patient's bottom (Stephan et al., 2018). The first step in the

examination is asking the patient to lie or stand in a suitable position. There is the standing

position wherein the patient stands with toes pointed inwards and then leans over a table. Also,

there is the knee to chest position in which the patient lies on a table while bending his or her

knees forward to the chest level. Further, there is the lateral decubitus position, also known as

sims, which is usually the most preferred wherein the patient lies on his or her left or right side

with one hip straight and the other bent depending on the side on which he/she is lying in. once

the patient is in a proper position, lubricate the index finger and gently insert the finger after

preparing the patient of such invasion. The external sphincter tone is then appreciated, with the

patient being asked to bear down. They should also be able to feel for sphincter tightening in the

process. Next, palpate the prostate gland and feel for tenderness, nodules, and proximate gland

approximate size (Stephan et al., 2018). The rectal wall should then be palpated both clockwise

and anticlockwise to feel tenderness, masses, and nodules. The finger should then be removed

and checked for any fecal material, then subjected to a guaiac kit. This marks the end of the

rectal examination.

Rationale

This examination is essential in the prescreening of nodules or enlargements in the

prostate and rectal areas. The insertion also allows for identifying any cause of rectal bleeding,

which is why the finger has to be gloved and lubricated to prevent it from causing bleeding and

leading to infection (Stephan et al., 2018). Further, it is critical to understand how the palpate

Showing Page:

3/5

End of Preview - Want to read all 5 pages?

Access Now

Unformatted Attachment Preview

1 Rectal Examination Student's Name Department, Institution of Affiliation Course Code: Course Name Professor's Name 2 Rectal Examination Steps A rectal examination is a quick and painless process wherein a nurse or doctor uses their finger to check for issues inside a patient's bottom (Stephan et al., 2018). The first step in the examination is asking the patient to lie or stand in a suitable position. There is the standing position wherein the patient stands with toes pointed inwards and then leans over a table. Also, there is the knee to chest position in which the patient lies on a table while bending his or her knees forward to the chest level. Further, there is the lateral decubitus position, also known as sims, which is usually the most preferred wherein the patient lies on his or her left or right side with one hip straight and the other bent depending on the side on which he/she is lying in. once the patient is in a proper position, lubricate the index finger and gently insert the finger after preparing the patient of such invasion. The external sphincter tone is then appreciated, with the patient being asked to bear down. They should also be able to feel for sphincter tightening in the process. Next, palpate the prostate gland and feel for tenderness, nodules, and proximate gland approximate size (Stephan et al., 2018). The rectal wall should then be palpated both clockwise and anticlockwise to feel tenderness, masses, and nodules. The finger should then be remo ...
Purchase document to see full attachment