NSG 3012 Head-to-Toe Assessment Assignment
Week 4 Project nsg 3012 Head-to-Toe Assessment Assignment
Week 4 Project nsg 3012 Head-to-Toe Assessment Assignment
For this assignment, perform a complete
head-to-toe assessment on one of your chosen participants. Your analysis should
include the following:
Topical headings to delineate systems.
For any system for which you do not have equipment, explain how you would do the assessment.
Detailed review of each system with normal and abnormal findings, along with normal laboratory findings for client age.
An analysis of age-specific risk reduction, health screen, and immunizations.
Your expectation of normal findings and what might indicate abnormal findings in your review of systems.
The differential diagnosis (disease) associated with possible abnormal findings.
A plan of care (including nursing diagnosis, interventions, evaluation).
Client and age-appropriate evidenced based practice strategies for health promotion.
Pharmacological treatments that can be used to address health issues for this client.
Provide your answers in a 6- to 7-page Microsoft Word document.
Support your responses with examples.
On a separate references page, cite all sources using APA format.
Use this APA Citation Helper as a convenient reference for properly citing resources.
This handout will provide you the details of formatting your essay using APA style.
You may create your essay in this APA-formatted template.
Submission Details:
Name your document
SU_NSG3012_W4_A2_LastName_FirstInitial.doc.
Submit your document to the Submissions Area by the due date assigned.
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Being a nurse means being a lot of things to a lot of people. But one of the basics of nursing is performing a head-to-toe assessment. We’ve put together a step-by-step guide to what happens in a nursing assessment and how nurses should understand the physical, emotional and mental aspects of someone’s body systems.
What is a Head-to-Toe Assessment?
A head-to-toe assessment refers to a physical examination or health assessment, and it becomes one of the many important components of understanding a patient’s needs and problems.
Head-To-Toe Assessment Basics
Types of Assessments
There are several types of assessments that can be performed, says Zucchero.
Learn How to conduct a Shadow Health Assessment Assignment
A complete health assessment is a detailed examination that typically includes a thorough health history and comprehensive head-to-toe physical exam. This type of assessment may be performed by registered nurses for patients admitted to the hospital or in community-based settings such as initial home visits. Advanced practice nurses such as nurse practitioners also perform complete assessments when doing annual physical examinations.
A problem-focused assessment is an assessment based on certain care goals. For example, a nurse working in the ICU and a nurse that does maternal-child home visits have different patient populations and nursing care goals, she says. These assessments are generally focused on a specific body system such as respiratory or cardiac. While the entire body is important there is usually not enough time for a detailed full-body assessment.
Length of Assessment
Ferere explains that the duration of the exam is directly in correlation to the patient’s overall health status.
“Health patients with limited health histories may be completed in less than 30 minutes,” she says. “Many health practices have patients complete health history and pre-visit forms prior to presentation for a comprehensive visit. Review of these forms in advance can certainly reduce the required visit time.”
How to Prepare for the Assessment
“Like all clinical settings, standard precautions (formerly universal precautions) should always be practiced with each and every patient to protect both the nurse and patient,” states Zucchero.
“The primary goal of standard precautions is to prevent the exchange of blood and body fluids and includes hand hygiene, use of personal protective equipment, and safe handling and cleaning of potentially contaminated equipment or surfaces.”