From Foundations of Nursing by Christensen Kockrow, pages 93 through 120.
Habits and lifestyle patterns
Fun and pleasure
Rest and recreation
All members of one cultural group behave in exactly the same manner
As a nurse, it is important to identify and examine our own cultural and ethnic beliefs
Cultural and ethnic diversity have no impact in health care
Patient's response to signs and symptoms are independent of their cultural values
"I will do it as soon as possible"
"I think the next shift will have to do it"
"After I give the medication"
"Maybe later, when I am done with others"
Head to toe is systemic while focused concentrates on regional parts
Head to toe is completed when the patient is admitted; focused concentrates on a particular part of a body
Head to toe is done on every shift while focused is done when the person is admitted
Both RN's and LPN's should do head to toe assessments as well as focused assessments
I will need to determine the etiology of any pathologic symptoms you might have.
Oh nothing, it is just something that we do.
It is a way for us to know how we are going to take care of you later
Maybe you can tell me how you got here.
Do a focused assessment on the foot first and do the complete physical assessment later
If a complete physical assessment is necessary, it is best to assess any painful areas last.
Focus on the pain and provide comfort before anything else.
Since the patient is a new admit, concentrate on the general physical assesment only
Give patient a warm blanket
Ask if patient wants a glass of water
Offer patient to empty his/her bladder
Provide a small
Skin, hair, head and neck including eyes, ear, nose and mouth
Chest, back, arm, abdomen
Perineal area, legs and feet
Eyes and ears alone
Range of motion
Level of consiousness
Problem and solution
Pain and safety
Order of assessment
Level of consciousness
Deep tendon reflexes
Cranial nerve assessment
Increase in systolic blood pressure
Irregular breathing pattern
Widening pulse pressure
Glasgow Coma Scale
Motor function assessment
A chair to sit on
Use a stethoscope over the clothing of a patient who feels cold
Instruct patient to breathe through his or her mouth quietly and more deeply and slowly than in a usual respiration
Allow a patient with a slight lower back pain to lie supine on bed
Listen to the heart sound at the same time that your are listening to the lung sounds
Here's an interesting quiz for you.