Title: Documentation of the complete head to toe physical assessment.



Title:

Documentation of the complete head to toe physical assessment.

Module 11 Content

1.

Top of Form

Remember if you cannot feel something then it is “nonpalpable,” if you can’t hear something just state they were not heard such as no bowel sounds heard (unless you listened for the full five minutes which we wouldn’t want to do for our purposes – then you could document absent bowel sounds). Be descriptive if necessary but at the same time be brief.

Title:

Documentation of the complete head to toe physical assessment.

Purpose of Assignment:

To demonstrate the ability to document the findings of an objective head to toe assessment and identify abnormal findings.

Course Competency:

Demonstrate physical examination skills of the skin, hair, nails, and musculoskeletal system.

Prioritize appropriate assessment techniques for the gastrointestinal, breasts, and genitourinary systems.

Demonstrate physical examination skills of the head, ears, and eyes, nose, mouth, neck, and regional lymphatics.

Apply assessment techniques for the neurological and respiratory systems.

Select appropriate physical examination skills for the cardiovascular and peripheral vascular systems.

Instructions:

Content:

· Objective findings including short descriptive paragraph of findings for each section.

· Actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them.

Format:

· Standard American English (correct grammar, punctuation, etc.)

Bottom of Form

Module 11

Content

1.

Remember if you

cannot

feel something then it is “nonpalpable,” if you can’t hear someth

i

n

g

j

u

st

state they were not heard such as no bowel sounds heard (unless you listened for the full five

minutes which we

wouldn’t want to do for our purposes

then you could document absent

bowel sounds). Be descriptive if necessary but at the same time be brief.

Title:

Documentation of

the

complete head to toe physical assessment

.

Purpose of Assignment:

To demonstrate the ability to document

the findings of an

objective

head to toe

assessment

and

i

dentify abnormal findings.

Course Competency:

Demonstrate physical examination skills of the skin, hair, nails, and musculoskeletal system.

Prioritize appropriate assessment techniques for the gastrointestinal, breasts, and genitourinary

systems.

Demonstrate physical examination skills of the head, e

ars, and eyes, nose, mouth, neck, and

regional lymphatics.

Apply assessment techniques for

the neurological and respiratory systems.

Select appropriate physical examination skills for

the

cardiovascular and peripheral vascular

system

s.

Instructions:

Content:

·

Objective findings

including

s

hort de

scriptive paragraph of findings for each section

.

·

A

ctual or potential risk factors for the client based on the assessment

findings

with

description or reason for selection of them.

Format

:

·

Standard American English (correct grammar, punctuation, etc.)

Module 11 Content

1.

Remember if you cannot feel something then it is “nonpalpable,” if you can’t hear something just

state they were not heard such as no bowel sounds heard (unless you listened for the full five

minutes which we wouldn’t want to do for our purposes – then you could document absent

bowel sounds). Be descriptive if necessary but at the same time be brief.

Title:

Documentation of the complete head to toe physical assessment.

Purpose of Assignment:

To demonstrate the ability to document the findings of an objective head to toe assessment and

identify abnormal findings.

Course Competency:

Demonstrate physical examination skills of the skin, hair, nails, and musculoskeletal system.

Prioritize appropriate assessment techniques for the gastrointestinal, breasts, and genitourinary

systems.

Demonstrate physical examination skills of the head, ears, and eyes, nose, mouth, neck, and

regional lymphatics.

Apply assessment techniques for the neurological and respiratory systems.

Select appropriate physical examination skills for the cardiovascular and peripheral vascular

systems.

Instructions:

Content:

 Objective findings including short descriptive paragraph of findings for each section.

 Actual or potential risk factors for the client based on the assessment findings with

description or reason for selection of them.

Format:

 Standard American English (correct grammar, punctuation, etc.)


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