OSCE UAP | Pengukuran Kekuatan Otot

Summary

This transcript details a medical exam focused on assessing muscle strength, conducted by a nurse named Nurul Hasanah. The nurse performs a series of physical tests on a patient, assessing muscle strength in various areas of the body, including the head, neck, arms, and legs. The purpose of the test is to evaluate muscle function, detect potential muscle weakness, and assist in diagnosing possible conditions. The nurse documents the findings and discusses the results with the patient, offering insight into their physical condition and scheduling further evaluations.

Takeaways

• 😀 The speaker introduces themselves as Nurul Hasanah, a medical student performing an OSCE (Objective Structured Clinical Examination) on muscle strength measurement.
• 😀 The purpose of the examination is to assess muscle function, strength, and help with diagnosing potential issues in the patient.
• 😀 The speaker begins by establishing the patient's identity and confirming basic details like their name and age.
• 😀 The muscle strength test involves the patient performing various movements while the nurse applies resistance to assess muscle strength.
• 😀 The exam covers several areas of the body, including the head, neck, shoulders, arms, and legs to evaluate muscle function and strength.
• 😀 The speaker asks the patient to perform a series of movements like head tilts, shoulder raises, and arm lifts to check for muscle weakness or tremors.
• 😀 The nurse applies resistance during movements to assess whether the patient can maintain the position or movement, which helps evaluate muscle strength.
• 😀 The speaker also assesses the patient's grip strength by asking them to squeeze the nurse’s fingers and checks the legs for strength and flexibility.
• 😀 The test also includes assessing the patient's ability to raise their legs and hold them against resistance to determine the strength in the lower extremities.
• 😀 After the muscle strength test, the speaker documents the results, notes any abnormalities, and explains that the patient showed some weakness in the lower extremities, while the upper body muscles were normal.
• 😀 The speaker ends the session by informing the patient they will report the findings to the doctor and schedule a follow-up examination in 15 minutes.

Q & A

What is the primary goal of the muscle strength measurement described in the script?

The primary goal is to assess the function and strength of muscles, which can help diagnose conditions affecting the patient's muscles and overall health.

How does the nurse begin the assessment of the patient?

The nurse begins by introducing themselves, confirming the patient's identity and age, and explaining the procedure of measuring muscle strength.

What specific test does the nurse perform to assess the strength of the patient's muscles?

The nurse conducts muscle strength tests by applying resistance to different parts of the patient's body (head, shoulders, arms, legs) and asks the patient to resist or perform specific movements, evaluating whether the patient can hold or resist the pressure.

How is the patient's head strength tested?

The patient is asked to tilt their head upwards and downwards, as well as turn it from side to side, while the nurse applies resistance to test the strength of the neck muscles.

What does the nurse do if the patient shows difficulty performing the movements?

If the patient has difficulty performing the movements, the nurse helps by assisting with the movement and assessing the level of muscle strength using resistance.

What specific issue is noted during the muscle strength assessment of the lower extremities?

The nurse notes a decrease in muscle strength in the patient's lower extremities, where the patient is unable to move or lift the legs without assistance.

How does the nurse evaluate the patient's hand strength?

The nurse asks the patient to squeeze their hands or grip the nurse's fingers, and then tests the resistance by applying force to see if the patient can maintain the grip.

What is the nurse's assessment of the patient's upper extremities?

The nurse finds that the muscle strength in the patient's upper extremities, especially the right hand, is active and intact, with a score of 5 on the muscle strength scale.

What is the significance of a muscle strength score of 1 on the lower extremities?

A score of 1 indicates that there is muscle contraction present but no functional movement in the lower extremities, signifying significant muscle weakness or impairment.

What is the next step after the nurse finishes the muscle strength testing?

After the assessment, the nurse documents the findings and plans to report the results to the doctor. The nurse also schedules a follow-up examination for further physiological and pathological evaluations.