Use appropriate listening and questioning skills.Be organized and systematic in your assessment.Confirm patient ID using two patient identifiers (e.g., name and date of birth).A head-to-toe examination checklist is presented below, but expect variations according to different facility policies on performing various types of comprehensive health assessment: HEAD-TO-TOE ASSESSMENT Disclaimer: Always review and follow your hospital policy regarding this specific skill. The patient may obtain a health history before the physical examination.Ī physical examination involves collecting objective data using the techniques of inspection, palpation, percussion, and auscultation as appropriate (Wilson & Giddens, 2013). Any unusual findings should be followed up with a focused assessment specific to the affected body system. The head-to-toe assessment includes all the body systems, and the findings will inform the health care professional on the patient’s overall condition. Emerging clinical situations– any change in patient status will require that the nurse perform a rapid head-to-toe assessment, obtaining both relevant subjective and objective information, patient’s hemodynamic status and the context.ĭefinition of health assessment ( subjective and objective data).This type of assessment will provide a view of what changed or remained the same regarding the patient’s health situation. This assessment will be shorter and less extensive, but the nurse will perform an interview to update subjective data and a head-to-toe assessment to update objective data. Sometimes also called a bedside assessment, it is performed at the beginning of each shift. Shift Assessment– The nurse will perform a follow up comprehensive assessment to update information obtained at admission. The subjective and objective data obtained provides a baseline health status of the patient for a particular time frame. Admission- The nurse performs an admission data base and initial head to toe examination when a patient is first admitted to a patient care unit, or when the patient is first seen in a healthcare facility.The nurse will vary the comprehensive assessment depending on clinical situations: A health history is obtained, followed by a head to toe assessment. Purposes of a comprehensive health assessmentĪ comprehensive health assessment involves collection of subjective and objective data regarding the patient’s health. Learning exercises are included to allow the learner to check and apply knowledge learned. This chapter will provide information on the importance of a comprehensive health assessment, the variations of a comprehensive assessments, and a checklist in performing a head-to-toe physical assessment. document data obtained from a comprehensive heath assessment.differentiate normal and abnormal assessment findings when performing a comprehensive health assessment.utilize correct techniques and positioning in performing a comprehensive health assessment.perform a comprehensive health assessment utilizing therapeutic communication.
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