How to assess homan s sign
[DOC File]EVIDENCE-BASED PRACTICE PROTOCOL
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Homan’s sign is neither sensitive nor specific; Present in 50% of patients without DVT) (Schreiber, 2009) (Use SBAR-CUS when reporting s/s to healthcare provider) Recognize and report (call 911) for signs/symptoms of a pulmonary emboli (PE) including:
[DOC File]Neurological Disorders - Valencia
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Assess for Homan’s sign. Establish . Apply Ted hose. HOME CARE INTERVENTIONS . Identify ways to reduce stress. Maintain a safe, quiet environment. Minimize environment stress. Exercise hands, arms, legs and regularly. Complications with GBS. Respiratory Failure. Contractures. Aspiration. Pneumonia PARKINSON’S DISEASE (PD)
CTPN – Assessment Evaluation Sheet
Assess Lower Extremities – Pedal pulses (quality) ROM, movement, weakness. Homan’s Sign (positive +, negative -) Calf (pain, heat, edema, circumference) Edema (pitting, non-pitting) Capillary Refill & Nail bed Condition. Skin condition (intact, dry, moist, cracked)
[DOC File]NURS 1327 – Transition from Vocational to Professional Nursing
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Assess Homan’s sign. Maintain fluid volume status. Maintain IV insertion sites. Prevent complications of elimination. Increase fluid intake. High fiber diet. Increase activity. Record characteristics/ frequency of bowel and bladder elimination. Intake and output. Assess abdomen (bowel sounds, distension) Maintain indwelling foley catheter ...
[DOC File]The Blood Vessels
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Positive Homan’s sign – with knee flexed, dorsiflex foot and observe for pain in calf. Homan’s sign is not particularly reliable. Pain, redness, and palpable “cord” in calf. D. Intervention. Report promptly. Never massage sore calf muscles. E. Complications: Pulmonary …
[DOC File]Care of the post-operative client
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assess for positive Homan’s sign, chart + or – postoperatively. change position slowly in bed and at transfers. assist with ROM exercises, include active leg/ankle exercises. encourage/assist with early ambulation. avoid use of knee gatch/pillow under knees ( a big NO NO)
[DOC File]Vascular Lab worksheet
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Do NOT rely on Homan’s Sign (squeezing calf with passive DF). Sensitivity is only 50%. Well’s Clinical Prediction Rule for DVT. Wells PS, Anderson DR, Bormanis J, et al: Value of assessment of pretest probability of deep-vein thrombosis in clinical management, Lancet 350:1795-1798, 1997. Clinical Presentation Possible Score Client’s Score
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