Physical Assessment

Front 1

Purpose of a patient assessment

Back 1

-Provide baseline data
-used to establish a nsg diagnosis and plan care
-Help to monitor previously identified problems
-Screens for variations from "normal stage"

Front 2

Basic principles to include

Back 2

-Be efficient, concise and complete
-use systematic approach
-move extermally to internally
-examine normal or unaffected areas first
-Consider your position and the position of client
-explain wat you r doing, and instruct the patient as to his/her role during the assessment
-Do not include inferences, suspicions or statements not supported by data