Written by Tiffany Lyle Hello future nurses! Here is an outline of how to conduct a complete head to toe assessment. Included in this outline…
The Head-to-Toe Assessment is a thorough examination performed by nurses and physicians to assess a patient’s entire health. This thorough inspection starts at the top…
We will lead you through how to do your head-to-toe nursing assessment (including what to look for throughout each phase) now that you understand what…
How We Make Studying for Nursing School Easy Learning how to complete head-to-toe assessments will help you perform better as a future nurse or nursing…
Head You will want to examine the head for discomfort or abnormalities. Things to look for during the head assessment include: Inspection with your eyes…
This is the section where the patient can elaborate on their chief complaint. An acronym often used to organize the HPI is termed “OLDCARTS”: Onset:…
Approximate Synonyms for Diagnosis Code F90.9 for ADHD Approximate synonyms for ADHD have been used to describe various types of the disorder, as well as…
What Do ICD Codes Mean? The International Classification of Diseases (ICD) codes have become critical to medical documentation and diagnosis in healthcare. These standardized codes,…
Structure Subjective, Objective, Assessment, and Plan are the four headings of a SOAP note. Each heading is explained more below. Subjective This is the SOAP…
Subjective – The “history” section HPI: include symptom dimensions, chronological narrative of patient’s complains, information obtained from other sources (always identify source if not the…