Writing a head to toe assessment videos

This is an example of a head-to-toe narrative assessment note. I have my first-semester nursing students start by writing out a narrative assessment on the clinical floor, before proceeding to any facility assessment flowcharts.

Writing a head to toe assessment videos

The hair of the client is thick, silky hair is evenly distributed and has a variable amount of body hair. There are also no signs of infection and infestation observed. The client has a light brown nails and has the shape of convex curve.

It is smooth and is intact with the epidermis. When nails pressed between the fingers Blanch Testthe nails return to usual color in less than 4 seconds. The head of the client is rounded; normocephalic and symmetrical.

writing a head to toe assessment videos

There are no nodules or masses and depressions when palpated. The face of the client appeared smooth and has uniform consistency and with no presence of nodules or masses.

Eyes and Vision Eyebrows: Hair is evenly distributed. Eyelashes appeared to be equally distributed and curled slightly outward. There were no presence of discharges, no discoloration and lids close symmetrically with involuntary blinks approximately times per minute.

Eyes The Bulbar conjunctiva appeared transparent with few capillaries evident. The sclera appeared white. The palpebral conjunctiva appeared shiny, smooth and pink. There is no edema or tearing of the lacrimal gland. Cornea is transparent, smooth and shiny and the details of the iris are visible.

The client blinks when the cornea was touched. The pupils of the eyes are black and equal in size. The iris is flat and round.

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PERRLA pupils equally round respond to light accommodationilluminated and non-illuminated pupils constricts. Pupils constrict when looking at near object and dilate at far object. Pupils converge when object is moved towards the nose.

When assessing the peripheral visual field, the client can see objects in the periphery when looking straight ahead. When testing for the Extraocular Muscleboth eyes of the client coordinately moved in unison with parallel alignment.

The client was able to read the newsprint held at a distance of 14 inches. Ears and Hearing Ears: The Auricles are symmetrical and has the same color with his facial skin.

The auricles are aligned with the outer canthus of eye. When palpating for the texture, the auricles are mobile, firm and not tender. The pinna recoils when folded. During the assessment of Watch tick test, the client was able to hear ticking in both ears. Nose and Sinus Nose: The nose appeared symmetric, straight and uniform in color.Nursing assessment is an important step of the whole nursing process.

Assessment can be called the “base or foundation” of the nursing process. With a weak or incorrect assessment, nurses can create an incorrect nursing diagnosis and plans therefore creating wrong interventions and evaluation.

A head-to-toe assessment refers to a physical examination or health assessment, and it becomes one of the many important components of understanding a patient’s needs and problems. In this guide, we interviewed the following healthcare experts to learn their best practices for conducting head-to-toe assessments.

Head-to-Toe Narrative Assessment Example - Student Nurse JourneyStudent Nurse Journey. Head-to-Toe Narrative Assessment Example - Student Nurse JourneyStudent Nurse Journey Newborn Care, Nursing School Notes, Nursing Schools, Nursing Students, Pediatric Nursing. Kimma.

Neonatology. Nursing Tips Nursing Notes Medical Assistant Classes. Head-to-Toe Assessment For this assignment, perform a complete head-to-toe assessment on one of your chosen participants.

Your analysis should include the following: Topical headings to delineate systems.

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For any system for which you do not have equipment, explain how you would do the assessment. Detailed review of each system with normal and abnormal findings, along [ ].

writing a head to toe assessment videos

A head-to-toe nursing assessment is a comprehensive process that reviews the health of all major body systems (from “head-to-toe,” hence the name). head-to-toe assessments are usually performed by nurses as part of a physical exam, although physician assistants, EMTs, and doctors also sometimes perform head-to-toe assessments.

This is an example of a head-to-toe narrative assessment note. I have my first-semester nursing students start by writing out a narrative assessment on the clinical floor, before proceeding to any facility assessment flowcharts.

Head-to-Toe Assessment | Write my Essay | I need help with my School Assignment