assess peripheral vascular status when examining the lower extremities. Show When you assess the legs you will be assessing the parts of the skin (color and condition of skin on legs), peripheral vascular system (pulses, color, edema, lesions of legs), musculoskeletal system (movement, strength, and tone of legs), and neurologic system (ankle and patellar reflexes, clonus). Normal Findings: - Empties bladder independently (or urinary catheter patent) If patient's condition warrants, examine the external genitalia and anus Inspect for: Recommended textbook solutions
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Fundamentals of Nursing9th EditionAmy Hall, Anne Griffin Perry, Patricia A Potter, Patricia Stockert 875 solutions Comprehensive health assessment: involves an in depth assessment of the whole person, including the physical mental emotional cultural and spiritual aspects of the patients health. Collected through physical eximination and interview. May take as long as 2 hours to complete. Is generally performed when patient is admitted. Focused assessment: less encompassing and involves and eximination and an interview regarding a specific body system. Provides a cluster of data about just one body system being assessed. Initial head to toe shift assessment: quick overall assessment of the patients condition to establish a baseline against which you can compare later assessments. This baseline is necessary for you to be able to identify changes in the patients condition. Consists of performing a focused assessment of the following systems, neurological, cardiovascular, respiratory, integumentary, gastrointestinal, genitourinary, muscular, skeletal. Also includes vitals, appearance, speech, safety risk factors, tubes and equipment, comfort or complaints, needs. Recommended textbook solutions
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Pathophysiology for the Health Professions6th EditionKarin VanMeter, Robert Hubert 1,226 solutions What is a focused head to toe assessment?Simply put, a head to toe assessment is an exhaustive process that checks the health status of all major body systems. It is a comprehensive physical examination that shines a light on a patient's needs and problems.
What is head to assessment focused assessment?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. Any unusual findings should be followed up with a focused assessment specific to the affected body system.
What is the difference between a focused and a comprehensive assessment?While focused assessments are useful for providing quick data based on the patient's specific symptoms, comprehensive assessments allow the healthcare team to see the big picture. These types of assessments are done during admission, at the start of a shift, and when assessing for a non-specific illness.
What is a focused assessment in nursing?A focused assessment collects relevant information pertaining to the current condition of the patient after a change or new symptom develops. Nurses use the “PQRST” system to guide their data collection and to determine what questions to address to the patient.
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