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PHYSICAL ASSESSMENT FORMAT -Long bond paper -Typewritten -Font: Arial -Font Size: 12 -Spacing: 1.

5 Margins: 1 inch per side First: Title Page Second and to Nth Page: a. Biographical data (follow history form) b. Admission History I. Chief Complaint II. Admitting Diagnosis III. Admission Date IV. Ward/Room/Bed Number V. Physician C. History of Present Illness (Follow history form) -Should start from the first onset of manifestation -Narrative presentation d.Past Health History (follow history form) -Narrative presentation e.Family Health History I. Genogram II. Narrative f. Gordon's Functional Health Patterns -Narrative Presentation g.Physical Assessment -Follow PA 1-3 Guide -Present in Narrative Form h.Conclusion -What are the pertinent findings? -Summarize the over-all health condition of your client -How did you find the assessment? feelings? insights? Realizations? -Significance to you as student nurses and as professional nurses someday i. References -At least 3 current books, electronic sources and other references -Observe correct format for citation of references

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