How is their emotion status (calm, agitated, stressed, crying, flat affect, drowsy)?.Do they easily get out of breath while talking to you (coughing etc.)?.Does their skin color match their ethnicity does the skin appear dry or sweaty?.Looking at the overall appearance of your patient: do they look their age, are they alert and able to answer your questions promptly or is there a delay?.For example, you should already be collecting the following information : NOTE: Before even assessing a body system, you are already collecting important information about the patient. In addition, ask the patient where they are, the current date, and current events (who is the president and vice president) etc.Ĭollect vital signs: heart rate, blood pressure, temperature, oxygen saturation, respiratory rate, pain level Provide privacy, perform hand hygiene, introduce yourself to the patient, and explain to the patient that you need to conduct a head-to-toe assessmentĪsk the patient to confirm their name and date of birth by looking at the patient’s wrist band (this helps assess orientation to person and confirms you have the right patient). Palpation (palpation and percussion are done last to prevent from altering bowel sounds).However, with the abdomen it is changed where auscultation is performed second instead of last. The sequence for performing a head-to-toe assessment is: Video Demonstration on a Head-to-Toe Nursing Assessment Also depending on what specialty you are working in, you will tweak what areas you will focus on during the assessment.
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