This document outlines guidelines for a normal assessment to be conducted on two consecutive days. It includes sections to assess a patient's mental status, special senses, motor ability, respiratory status, circulatory status, nutritional status, elimination status, female reproductive status, skin and appendages, physical rest and comfort, emotional status, and nursing diagnosis. The assessment covers various areas of a patient's health including their state of consciousness, senses, mobility, vital signs, nutrition, elimination, skin, sleep, emotions, and more to develop a nursing diagnosis.
This document outlines guidelines for a normal assessment to be conducted on two consecutive days. It includes sections to assess a patient's mental status, special senses, motor ability, respiratory status, circulatory status, nutritional status, elimination status, female reproductive status, skin and appendages, physical rest and comfort, emotional status, and nursing diagnosis. The assessment covers various areas of a patient's health including their state of consciousness, senses, mobility, vital signs, nutrition, elimination, skin, sleep, emotions, and more to develop a nursing diagnosis.
This document outlines guidelines for a normal assessment to be conducted on two consecutive days. It includes sections to assess a patient's mental status, special senses, motor ability, respiratory status, circulatory status, nutritional status, elimination status, female reproductive status, skin and appendages, physical rest and comfort, emotional status, and nursing diagnosis. The assessment covers various areas of a patient's health including their state of consciousness, senses, mobility, vital signs, nutrition, elimination, skin, sleep, emotions, and more to develop a nursing diagnosis.
This document outlines guidelines for a normal assessment to be conducted on two consecutive days. It includes sections to assess a patient's mental status, special senses, motor ability, respiratory status, circulatory status, nutritional status, elimination status, female reproductive status, skin and appendages, physical rest and comfort, emotional status, and nursing diagnosis. The assessment covers various areas of a patient's health including their state of consciousness, senses, mobility, vital signs, nutrition, elimination, skin, sleep, emotions, and more to develop a nursing diagnosis.
b. Orientation a. Attention span b. Ability to understand II. STATUS OF SPECIAL SENSES a. Auditory perception b. Visual perception c. Speech perception DAVAO DOCTORS COLLEGE INC. GUIDELINES NORMAL ASSESSMENT DAY 1 DAY 2 d. Tactile perception e. Olfactory perception II. MOTOR ABILITY a. Current mobility b. Posture c. Range of Motion d. Muscle and nervous status
e. Loss of extremities a. Ranges V. RESPIRATORY STATUS
DAVAO DOCTORS COLLEGE INC. GUIDELINES NORMAL ASSESSMENT DAY 1 DAY 2 a. Character b. Use of respiratory aids c. Interfere with respiration
d. Abdominal respiratory opening
. CIRCULATORY STATUS a. Characteristics of arterial pulse
b. Apical-radial pulse c. Blood pressure d. Pulse pressure DAVAO DOCTORS COLLEGE INC. GUIDELINES NORMAL ASSESSMENT DAY 1 DAY 2 e. Mean Arterial Pressure f. Intravenous fluid VII. NUTRITIONAL STATUS a. Condition of buccal cavity
b. Digestion of food c. Weight VIII. ELIMINATION STATUS a. Bowel b. Bladder c. Abnormalities IX. FEMALE REPRODUCTIVE STATUS DAVAO DOCTORS COLLEGE INC. GUIDELINES NORMAL ASSESSMENT DAY 1 DAY 2 a. Age of menarche b. Patterns of menses . STATUS OF SKIN AND APPENDAGES a. Skin b. Hair c. Nails XI, STATE OF PHYSICAL REST AND COMFORT a. Sleep/rest pattern b. Presence of discomfort c. Use of supportive aids XII. EMOTIONAL STATUS DAVAO DOCTORS COLLEGE INC. GUIDELINES NORMAL ASSESSMENT DAY 1 DAY 2 a. Emotional reaction b. Body image c. Ability to relate others XIII. NURSING DIAGNOSIS