![]() Registered nurses, advanced practice nurses such as nurse practitioners, and doctors typically do the complete head to toe physical assessment and examination and document all of these details in the patient's medical record however, licensed practical nurses review these details and compare this baseline physical examination data and information to the current patient status as they are providing ongoing care. Some facilities use special forms for this data and information. Nurses provide privacy, explain and reinforce the procedures to the client and insure that the client is as comfortable as possible during the physical examination.Īs with all other aspects of nursing care, all data and information that is collected with the health history and the physical examination are documented according to the particular facility's policies and procedures. Nurses prepare and position clients for physical examinations. For example, does the patient appear to be older than their actual age? Does the patient appear to be younger than their actual age? The general survey includes the patient's weight, height, body build, posture, gait, obvious signs of distress, level of hygiene and grooming, skin integrity, vital signs, oxygen saturation, and the patient's actual age compared and contrasted to the age that the patient actually appears like. Perform comprehensive health assessmentĪpplying the Knowledge of Nursing Procedures and Psychomotor Skills to the Techniques of Physical Assessmentīaseline data that is collected after the health history and before the complete head to toe examination includes a general survey of the client. ![]()
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