Health Assessment



No hello I'm Becca I'm gonna be your student nurse today I'm going to shut the door isn't privacy I'm going to come over and wash my hands I do you have any allergies okay are you at any pain yeah okay so now I'm going to check your name and what's your name Paige Pincus and you're due to birth 11:04 93 okay do you know where you are you DM F and you know the date November 13th okay choose alert and oriented times three there's no obvious body odor she appears our stated age and there's no pain and she's not allergic to anything so now we're going to start our head-to-toe assessment I'm going to start up at your hair I'm checking for any lice or lesions okay and there are number present and the hair is evenly distributed I'm going to come down and her face is cool and dry to touch I'm going to start with your eyes if I can have you follow my pen light in okay miss convergence and accommodation and now I'm going to have you stare straight ahead I'm going to check cranial nerve three and her pupils constrict consensually and now I'm going to move on to her mouth and I need to get your time that's cranial nerve 12 and I have you say ah ah it's cranial nerve nine and I'm checking her tonsils which are great zero because they're absent and I'm going to check her buccal mucosa which is clear in her cheeks are pink and all of her teeth are present and there's no lesions and your gums can I have you puff out your cheeks and kind of smile and frown and my eyebrows that's crying under seven and now I'm going to come down and do her carotid help bidding one at a time and then graded as a 2 plus and now I'm going to listen to it and check for any bruit sore whooshing sounds so can I have you take a big drink breath in and let it out and then hold it okay I'm gonna have you do the same thing for the outside but then out and hold okay and I did it handy whooshing your bruit switch is a good sign and now I'm going to move on to our arms they're cool and dry to touch her hair is evenly distributed and there's no obvious lesions and now I'm going to do her brachial pulses bilaterally I'm grade those as a two plus and when I come down and do a radial pulses also grade those as a two plus and then I'm going to check her hands and there's no clubbing in her fingernails and I'm going to do capillary refill and it's instantaneous and now can I have you grasp my fingers and pull down okay so her she has muscle strength in her arms which is good and I'm going to go on to her lung sounds I'm going to listen to eight spots on the front two on the sides eight on the back and two on the side again so I'm going to have you take a deep breath every time I said that okay now I'm going to go onto our back into eight here okay and there's no adventitious thumbs and while I'm on your back I'm going to do with cross drove vertebral angle tell me if there's any tenderness okay we're into the other side okay and now we're making sure that it's two to one ratio as it is which is the correct proportion okay and now we're going to come and do her heart sounds so to start on the right second intercostal space which is the aortic okay I'm on her left and second intercostal space which is the pulmonic and third intercostal space which is the herbs fourth intercostal space which is the tricuspid our unit out of the fifth midclavicular intercostal space which is the mitral which is also the apical pulse that you listen to over 60 seconds and when you're out tap s2 is heard louder and down below s1 is heard louder and now do you have to use the restroom okay and I have you lay down and check your abdomen is it the paper I pull your shirt reaction okay I'm going to inspect before I'd touch at all when I get down low to make sure that her stomach is flat and I'm convex or concave and it is and so now we're going to start by a skull tating starting in the right lower because that's where the cecum is so the vowel sounds are fridge ladder and if there are no bowel sounds you should listen for five minutes before you write down that there was nothing right and now I'm going to go and percuss and the sound should be tympanic except for over the liver it should be adult and then we're going to palpate and then the right lower should be the appendix and the right upper should be the liver and then the left upper should be the spleen and there was no masses anywhere on her abdomen so she is all set listening for you and so we're here we're going to go down to the lake making sure that they're cool and dried to touch and making sure that the hair is evenly distributed I'm going to come and do your popliteal pulse grading it at a tube Plus and then do the posterior tibial pulse creating in a tube Plus and then we're going to do the dorsal PD Alex pulse which is also two plus and then I'm going to check her toenails for clubbing and check them for capillary refill as well and those should also be instantaneous and I'm going to do the Babinski test going from the heel and a J up to your toes you do the same for the other foot let the toes curl that's a normal sign okay snack and heavy sit-up can you see it up and I'm going to do Roberts test if I can have you pose your eyes and stand for 20 seconds making sure that she doesn't sway and that she can stand upright okay you're all set and now I'm going to have you walk to the end of the room checking her natural gait and now I'm going to have you walk back heel to toe a fan her gait was straight and she wasn't wobbly so that completes a head-to-toe assessment

28 Comments

  1. جسمها حلو. قوي.

  2. hou lucky

  3. Он он

  4. اويل قلبي لو بس اكون معكن شو بدي انيك نياكه بس من طيازكن بس من ورا اخ مزكا نلحوس الطيو انا مدخل اصبعي فيها

  5. ครัน0906642622

  6. .

  7. Bonjour Monsieur

  8. ,,

  9. Nice

  10. Peitao gostoso

  11. 05352814751

  12. I am excited for my assessment ! 😝!

  13. Km9.

  14. Name girl

  15. what

  16. what

  17. no comment

  18. So nice

  19. 6.
    Ovomaltine

  20. B

  21. й!фн, вк]й.оу

  22. К м

  23. Patient is so Cute😍

  24. ..

  25. wzfygfxcvbubno zcdtrruvyblimovbnxzzfdgjgfjvcb c b cb mb haz cb vbg f acceso vc g y n z cvf eh .zcghcv vb hg y che c bk o van gr s negó .

  26. Becca you should do more of this honey your a sweetheart

  27. I'm gonna shut the door for privacy and then go ahead and post on YouTube for the world to see, your welcome.

  28. V

Leave a Reply

Your email address will not be published. Required fields are marked *