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The skin turgor test is conducted by pinching the skin on the patient's body, in a location such as the forearm or the back of the hand, and watching to see how quickly it returns to its normal position, [3] low turgor causes the skin to "tent". [2] The skin turgor test can be unreliable in patients who have reduced skin elasticity, such as the ...
poor capillary refill (e.g. when the patient's fingertip is pressed, the skin turns white, but upon release, the skin does not return to pink as fast as it should - usually >2 seconds) decreased skin turgor (e.g. the skin remains "tented" when it is pinched) a weak pulse
A person demonstrates how to assess capillary refill time (CRT) on a dummy [1] Capillary refill test on index finger pulp. [2]Capillary refill time (CRT) is defined as the time taken for color to return to an external capillary bed after pressure is applied to cause blanching. [3]
Skin turgor for hydration; Janeway lesion; Osler's node; At the nails Splinter hemorrhage and Quincke's pulsation should be looked for as well as any deformity of the nail such as Beau's lines, clubbing or peripheral cyanosis. Inspect the head for: Cheeks for the malar flush of mitral stenosis.
Nursing assessment is the gathering of information about a patient's physiological, psychological, sociological, and spiritual status by a licensed Registered Nurse. Nursing assessment is the first step in the nursing process. A section of the nursing assessment may be delegated to certified nurses aides.
The documentation of nursing assessment is the recording of the process about how a judgment was made and its related factors, in addition to the result of the judgment. It makes the process of nursing assessment visible through what is presented in the documentation content. [4]
Progress Notes are the part of a medical record where healthcare professionals record details to document a patient's clinical status or achievements during the course of a hospitalization or over the course of outpatient care. [1] Reassessment data may be recorded in the Progress Notes, Master Treatment Plan (MTP) and/or MTP review. Progress ...
The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. [1] [2] [8] The length and focus of each component of a SOAP note vary depending on the specialty; for instance, a surgical SOAP note is likely to be much briefer than a medical SOAP note, and will focus on issues that relate to post-surgical status.