Scribd Logo
Upload

Welcome to Scribd!

  • Basic Head To Toe Assessment

    Uploaded by

    Jenny
    16 views1 page
    The document outlines a head-to-toe patient assessment that checks vital signs, respiratory, cardiovascular, neurological, musculoskeletal, gastrointestinal, genitourinary, and integumentary systems through examination of various indicators and systems and documents the findings.

    Original Description:

    Original Title

    Basic Head to Toe Assessment

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The document outlines a head-to-toe patient assessment that checks vital signs, respiratory, cardiovascular, neurological, musculoskeletal, gastrointestinal, genitourinary, and integumentary systems through examination of various indicators and systems and documents the findings.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    16 views1 page

    Basic Head To Toe Assessment

    Uploaded by

    Jenny
    The document outlines a head-to-toe patient assessment that checks vital signs, respiratory, cardiovascular, neurological, musculoskeletal, gastrointestinal, genitourinary, and integumentary systems through examination of various indicators and systems and documents the findings.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Head to Toe Assessment

    2 patient identifiers – Environment check – Equipment check (suction/oxygen) – Lines check (catheter/oxygen)

    VITALS:
    Temp:
    Pulse: SpO2:
    Resp: Oxygen: Y/N
    BP:
    Pain: Y/N (PQRST)

    RESPIRATORY:
    Air entry: Dyspnea (SOB):
    LUL: Cough:
    LLL: Oxygen:
    RUL:
    RML:
    RLL:

    CARDIOVASCULAR:
    Perfusion (colour): Peripheral edema: Y/N
    Skin to touch: Venous compression: Y/N
    Capillary refill: Pedal pulses:
    Pulse – Rhythm/Quality:

    NEUROLOGICAL:
    LOC: Mood:
    Orientation x3: Hearing:
    Cognitive Changes: Vision:

    MUSCULOSKELETAL:
    ROM:
    Weakness:
    Mobility aid:

    GASTROINTESTINAL:
    Oral status: Bowel Sounds:
    Difficulty swallowing: Y/N LUQ:
    Passing Flatus: LLQ:
    Last BM: RUQ:
    Abdomen: RLQ:

    GENITOURINARY:
    Incontinent product: Urine Character:
    Urinary Device: Output:

    INTEGUMENTARY:
    Skin concern: Edema:
    Wounds/Dressings: Pitting edema:
    Turgor:

    You might also like