performing a head to toe assessment 2
Post on 01-Jun-2015
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Performing a Head to Toe Assessment
Performance Behaviors
Steps in the assessment
• Inspection• Auscultation• Percussion• Palpation
Assessment video
Auscultation
• Bowel Sounds• Vascular Sounds
Assess and compare bilateral lower extremities
• Movement and strength• Temperature and color• Dorsalis pedis and posterior tibial • pulses• Capillary refill• Sensation
Finishing steps
• Listen to posterior lung sounds if not done earlier
• Reposition patient for comfort• Place call light within reach• Open curtain and wash hands
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