This open access textbook is an introductory resource to guide best practices of objective assessment techniques related to inspection, palpation, percussion, and auscultation (IPPA). Its intended audience is students in health-related post-secondary programs such as nursing.

This book is best viewed via the online, Pressbooks format so that you can view the videos and participate in the interactive components. However, a pdf format is also available.

 

About the Authors

Jennifer Lapum, PhD, MN, BScN, RN, Professor, Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada

Michelle Hughes, MEd, BScN, RN, Professor, Professor, School of Community and Health Studies, Centennial College, Toronto, ON, Canada

Oona St-Amant, PhD, MN, BScN, RN, Assistant Professor, Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada

Wendy Garcia, MN, BScN, RN, Instructor, Ryerson University, Faculty of Community Services, Daphne Cockwell School of Nursing, Toronto, ON, Canada

Margaret Verkuyl, MN, NP:PHC, Professor, Centennial College, School of Community and Health Studies, Toronto, ON, Canada

Paul Petrie, RN, BScN, MScN, Professor, George Brown College, Sally Horsfall Eaton School of Nursing, Toronto, ON, Canada

Frances Dimaranan, BScN student, Ryerson, Centennial, George Brown Collaborative Nursing Degree Program, Ryerson University, Toronto, ON, Canada

Mahidhar Pemasani, BScN student, Ryerson, Centennial, George Brown Collaborative Nursing Degree Program, Ryerson University, Toronto, ON, Canada

Nada Savicevic, MA Interactive Design, MArch, BSc (Eng), Instructional Designer, Office of e-Learning, Ryerson University, Toronto, ON, Canada

 

 

Contact person

Dr. Jennifer L. Lapum

jlapum@ryerson.ca

415-979-5000 ex. 556316

350 Victoria St., Toronto, ON, M5B 2K3

@7024thpatient

 

 

Note to Educators Using this Resource

We encourage you to use this resource and would love to hear if you have integrated some or all of it into your curriculum. If you are using it in your course, please consider notifying Dr. Lapum and include the course/program and the number of students.

Funding

This project was supported by a Ryerson University Library OER grant.

Student Advisory Committee

Agata Arent, BScN student, Ryerson, Centennial, George Brown Collaborative Nursing Degree Program, Ryerson University, Toronto, ON, Canada

Lauren Baljeu, BScN student, Ryerson, Centennial, George Brown Collaborative Nursing Degree Program, Ryerson University, Toronto, ON, Canada

Meera Chawda, BScN student, Ryerson, Centennial, George Brown Collaborative Nursing Degree Program, Ryerson University, Toronto, ON, Canada

Nicolas D’Ambrosi, BScN student, Ryerson, Centennial, George Brown Collaborative Nursing Degree Program, Ryerson University, Toronto, ON, Canada

Veronica Fedal, BScN student, Ryerson, Centennial, George Brown Collaborative Nursing Degree Program, Ryerson University, Toronto, ON, Canada

Fonda Tran, BScN student, Ryerson, Centennial, George Brown Collaborative Nursing Degree Program, Ryerson University, Toronto, ON, Canada

Jacqueline Zampese, BScN student, Ryerson, Centennial, George Brown Collaborative Nursing Degree Program, Ryerson University, Toronto, ON, Canada

Acknowledgments

Arina Bogdan, BScN, RN, Ryerson University (artist of the front cover artwork)

Adam Chaboryk, IT Accessibility Specialist, Digital Media Projects, Ryerson University

Linn Clark, Editor, Toronto, Ontario, Canada

Ann Ludbrook, Copyright and Scholarly Engagement Librarian, Ryerson University

Jeevan Marway, BScN, RN, MN, Trillium Health Partners.

Nada Savicevic, Interactive Design, Educational Developer, Centre for Excellence in Learning and Teaching, Ryerson University, Toronto, Ontario, Canada

Sally Wilson, Web Services Librarian, Ryerson University

Contributors – Voices of Experience

Yvette Dalrymple, RN(EC), NP Paediatric, CPHON

Vikky Leung, MN, BScN, BSc, RN, Emergency Department, The Hospital for Sick Children, Nursing Clinical Instructor, Centennial College

Andrea McGowan, BScN, RN, CNE, Island Health – Vancouver Island Health Authority

Cheryl Tai, NP-PHC, MN, Contract Lecturer, Daphne Cockwell School of Nursing, Ryerson University

Customization

This textbook is licensed under a Creative Commons Attribution 4.0 International (CC-BY NC) license except where otherwise noted, which means that you are free to:

SHARE – copy and redistribute the material in any medium or format

ADAPT – remix, transform, and build upon the material for any purpose, even commercially.

The licensor cannot revoke these freedoms as long as you follow the license terms.

 

UNDER THE FOLLOWING TERMS:

Attribution: You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.

No additional restrictions: You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Notice: You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.

No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.

The following attribution statement should be included when using parts of this OER:

© 2020 Ryerson University. Licensed under a Creative Commons Attribution 4.0 International License (CC-BY NC). Communication for the Nursing Professional (1st Canadian edition) by Jennifer L. Lapum, Michelle Hughes, Oona St-Amant, Wendy Garcia, Margaret Verkuyl, Paul Petrie, Frances Dimaranan, Mahidar Pemasani, Nada Savicevic. Download this book for free at:  X

 

License

Icon for the Creative Commons Attribution-NonCommercial 4.0 International License

Physical Examination Techniques: A Nurse's Guide by Jennifer Lapum; Michelle Hughes; Oona St-Amant; Wendy Garcia; Margaret Verkuyl; Paul Petrie; Frances Dimaranan; Mahidhar Pemasani; and Nada Savicevic is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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