HEAD AND NECK
PREPARATION
KNOWLEDGE:
1. DESCRIBE THE STRUCTURES AND FUNCTIONS OF THE
HEAD AND NECK
 the structures and function of the head and
neck head and neck has a structure of cranium
it is the bones that form the head that is made
up of cranial bones (bones that surround and
protect the brain) facial bones (bones that form
the eye socket, nose, cheek, jaw. Cranium it is
where the spinal cord connects to the brain
 Thyroid gland -It is the largest endocrine gland
in the body it produces thyroid hormones that
increase the metabolic rate of most body cells it
surrounded by several structures like the
trachea , cricoid cartilage, thyroid cartilage
(adams apple) and hyoid bone
 Lymph nodes and structures - It is surrounded
by a connective tissue capsule and into the
compartment called lymph nodules
2. DIFFERENTIATE THE MAJOR TYPES OF HEADACHES
There are types and characteristics of headache
1. Sinus headache
2. Cluster headache
3. Tension headache
4. Migraine headache
5. Tumor related headache
3.
Then now we can now proceed for the procedure
So first introduced urself and verified clients identity
Good day maam I am jhomela kim s. albis your student
nurse from camarines sur polytechnic colleges
So maam may I know your name po, how about your
birthdate maam, and how about your age maam okay
thank you
2. gather the equipment
So the things that we will need to used is the clean
gloves and one cup of water
3. Explain the procedure to the client and on what you
are going to do
So for today maam ill just explain the procedure that ill
be doing to you ill be assessing your head and neck and
for me to able to assess that ill be able to touch the
certain parts of your body specifically in the head and
neck so is it okay with you maam?
Okay rest assured that all the documents and findings
are completely confidential with me and the attending
physician that ill be referring you to so maam do you
have any questions po
What language is comfortable with you maam is it
tagalog or English po okay before I start maam ill just
have a quick history about you so are there any lumps
or lessions on the head or on the neck that do not heal
and disappear? May mga ano po ba lumps na mga bukol
masses po wala nmn po?
How about sa difficulty po hirap po ba kayo sapag move
ng head and neck niyo po ?
How about po facial head and neck pomeron po ba
kayong mga frequent headache wala nmn
Nahihilo po ba kayo minsan Or nawawalan po ba kayo
ng malay?
Okay how about sa past history nmn tayo maam is there
any previous head and neck problems trauma or injury
po wala nmn po
Sa family history pomeron po ba sa family niyo na
meron or nagkaroon po ng head and neck cancer
how about po sa family history of migraine and
headaches okay
sa lifestyles and health problems nmn po tayov sa last
part nag ssmoke po ba kayo or using tabacco cigarettes
okay do you wear a hat or a helmets po how about
nmn po sa pagtulog niyo ano po ba typical na posture
niyo kapag natutulog okay
how about po maam sa recreational time niyo po ano
po ginagawa niyo pag free time niyo po
4. Observed appropriate infection prevention
procedures
5. okay po maam so ill perform the assessment napo
but before that ill just perform hand hygiene po and
icclose ko lang po yung curtains para po sa privacy niyo
po assuming that I already closed the curtain to provide
the clients privacy to make her comfortable and safe
and done doing the hand hygiene and im gonna put on
the gloves
So maam mag susuot lang po ako ng gloves para sa
assessment po
7.Okay maam so for the first part of our
assessment iinspect kopo head niyo and
8. papalpate ko po yung head niyo so it that
okay with you maam?
Ill be inspecting head for size, shape and
configuration
So ill be palpating your head maam
Palpate head for consistency while wearing
gloves
So ill just observe your scalped maam
I just check from the back nmn po maam
Okay maam I observed that your head is
symmetrical it is round and erect it is in the
midline and you are normocephalic which
means your head is appropriate in your body
and I don’t see anything lessions scars masses
that is present in your head there are no
parasites present like lysis and I haven’t
observed any aloeficia
9. inspect face for symmetry , features,
movement expression and skin condition
Okay next one maam ill be checking your facial
symmetry and your facial movement symmetry
so okay so ill just observe
10. palpate temporal artery for tenderness and
elasticity
So next one maam ill be palpating your
temporal artery so allow me to touch you again
maam okay maam can you please bite your
teeth po okay again po maam relase po then
bite po ulit okay po maam
11. Palpate temporomandibular joint for range
of motion, swelling, tenderness or crepitation
by placing index finger over the front of each
and asking client to open the couth
Next one maam ill be checking your
temporomandibular joint
So here po so maam can you please open your
mouth po okay po maam again po very good
So I haven’t seen any swelling po and di nmn po
ako naka observed ng any clicking while doing it
maam checking your termporal artery and
temporomandibular joint did you feel or
nakaramdam po ba kayo ng any discomfort like
pain and tenderness
12. ask client has frequent headache
So nakaranas po ba kayo ng headaches this past
few days po maam? Di nmn po okay that’s good
to hear po maam

NECK
Okay maam the next part nmn po ng ating assessment
is yung sa neck part po, so ill be checking your neck po
so ill be observingthis one po
1.Okay so inspect neck while it is in a slightly position
Okay maam can you please sip a small amount
of water po
Okay maam pagkainom nniyo po hold niyo lang
po muna sa mouth niyo yung water po
Wait lang po
2. Inspect movement of thyroid and cricoid cartilage
and thyroid gland by having client swallow a small sip
of water
Okay can you please okay po maam
So um I can see po that your trachea is in the
middle line and nung lumunok nmn po kayo
okay lang din nmn po yung naging process nag
up po yung dito sa part nato and that is normal
po maam and I don’t also see any swelling pag
dating posa ating neck part so nung nag sip po
kayo nakaramdam po ba kayo ng any
tenderness or Pain >?
So that good to hear maam So ill just note on
that maam
Di nmn po ba kayo nagkaproblema sap ag
swallor niyo po
3. inspect cervical vertebrate by having client flex neck
So next part of our assessment maam ill be
checking your cervical vertebrae so posteriorly
dito ko po siya iaasess maam , okay very good
Okay dito po tayo look po tayo sa side nato then
medyo angat po how about nmn po sa isang
side then medyou angat din po okay maam
thank you so much
Okay I don’t see any irregularities nmn po nung
ginawa niyo po yun
4. inspect the range of motion of the patient by
having client turn into chin to right and left
shoulder , touch each ear to the shoulder,
touch chin to chest, and lift chin to ceiling
next ko nmn pocheck ko yung neck range or
neck motion niyo po okay can you look at the
ceiling po okay how about look to the floor okay
can you look here and can you look
Okay maam do you feel any tenderness nung
ginagawa po natin yung procedure okay wala
nmn
6. Palpate the trachea by placing your finger in
the sternal notch , feeling to each side,
plapating the tracheal rings.
Next one nmn po maam ill be palpating your
trachea and posteriorly ko siya po ipapalpate
Okay im gonna touch your trachea po maam
Palpate ko lang po sya maam no and observe
ko nmn po maam and I can clear na nasa middle
po siya okay can you swallor po maam
Swallow po tayo maam okay next po okay again
maam last part nmn po ng pag swallow okay po
Okay po Ican see that your thachial rings are
working po and okay nmn po yung pag swallow
Maam can you pls look up then face to me okay
goods po okay maam in then on the other side
Okay its okay maam and nasa middle line nmn
po trachea niyo
7. Auscultate the thyroid gland for bruits if the
gland is enlrage
Then next one maam Ill be auscultating your
thyroid gland to see is there are any present of
brutes okay maam can you please inhale and
hold your breath for awhile inhale hold po ,
exhale, inhale po ulit maam then hold it maam
po exhale po
Ican see that there are no present broots and
your carotid artery are functioning well
So the last one po maam ill be palating your
lymph nodes so allow me to touch your face
maam

Right now ill be palpating for the pre auricular

nodes which in front of the ears

Ill be palpating your post auricular nodes which

is behind the ear okay the occipital mode okay
the tonsillar mode okay submandibular nodes
okay maam relax lang po kayo
Submental nodes
The superficial cervical nodes
Posterior cervical nodes
Deep cervical chain nodes
Supraclavicular nodes