|Perfect Number of Pages to Order||5-10 Pages|
Complete physical assessment from head to toe
Physical Assessment from Head to Toe
Documentation of the entire physical examination from head to toe.
The assignment’s goal is to help you improve your writing skills.
To demonstrate the ability to document and identify anomalous results through an objective head to toe assessment.
Competency in the Course:
Demonstrate skin, hair, nail, and musculoskeletal system physical examination skills.
Determine which assessment approaches are most appropriate for the gastrointestinal, breast, and genitourinary systems.
Physically examine the head, ears, and eyes, as well as the nose, mouth, neck, and regional lymphatics.
Apply neurological and respiratory system assessment procedures.
Choose the right physical exam abilities for the cardiovascular and peripheral vascular systems.
Objective findings, giving a brief description of each section’s findings.
Actual or possible risk factors for the client based on the assessment findings, along with a summary of why they were chosen.
Typical American English (correct grammar, punctuation, etc.)
SOAP Notes: Only the subjective and objective portions of Chapter 5
D. D. Sullivan, D. D. Sullivan, D. D. Sullivan (2012). Clinical documentation guide. [E-Book]. http://ezproxy.rasmussen.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=495456&site=eds-live&ebv=EB&ppid=pp 91&db=nlebk&AN=495456&site=eds-live&ebv=EB&ppid=pp_
L. S. Smith, L. S. Smith, L. S. Smith, L (2001, September). Do’s and don’ts in documentation 30. Nursing, 31(9). http://ezproxy.rasmussen.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=107055742&site=eds-live retrieved from http://ezproxy.rasmussen.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true
A thorough examination from head to toe
General Questionnaire (mental health and appearance):
Assessment of the thorax, lungs, and back:
Assessment of the Cardiac and Central Vessels:
Assessment of the musculoskeletal, neurologic, and PV systems:
Various: (Add any additional findings here)
Factors of Actual/Potential Risk:
Rubric for grading documents: 20 potential points
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