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  2. Gordon's functional health patterns - Wikipedia

    en.wikipedia.org/wiki/Gordon's_functional_health...

    Cognitive-perceptual-assessment of neurological function is done to assess, check the person's ability to comprehend information; Self perception/self concept; Role relationship—This pattern should only be used if it is appropriate for the patient's age and specific situation. Sexual reproductivity; Coping-stress tolerance; Value-Belief Pattern

  3. Nursing assessment - Wikipedia

    en.wikipedia.org/wiki/Nursing_assessment

    For example, the Waterlow score and the Braden scale deals with a patient's risk of developing a Pressure ulcer (decubitus ulcer), the Glasgow Coma Scale measures the conscious state of a person, and various pain scales exist to assess the "fifth vital sign". The use of medical equipment is routinely employed to conduct a nursing assessment.

  4. Nursing documentation - Wikipedia

    en.wikipedia.org/wiki/Nursing_documentation

    For example, Wang et al. [16] that although the electronic nursing assessment form contained more documented assessment forms, which covered a wider range of resident care needs, they did not perform better than the previous [null paper-based assessment forms according to] the quality criteria of [null completeness] and timeliness. Therefore ...

  5. HEENT examination - Wikipedia

    en.wikipedia.org/wiki/HEENT_examination

    Sample text Head "NC/AT" or "Normocephalic, atraumatic" Eyes: ophthalmoscope "EOM intact, PERRLA, anicteric, no injection, fundus WNL (within normal limits), no papilledema" Ears: otoscope "TM intact, noninflamed" Nose: otoscope "No congestion" Throat: otoscope "Oropharynx WNL" or "no erythema or exudate" Mouth: otoscope

  6. Rapid trauma assessment - Wikipedia

    en.wikipedia.org/wiki/Rapid_trauma_assessment

    A rapid trauma assessment goes from head to toe to find these life threats: [1] [3] [5] Cervical spinal injury; Level of consciousness; Skull fractures, crepitus, and signs of brain injury; Airway problems (although these were checked during the initial assessment, they are rechecked during the rapid trauma assessment) such as tracheal deviation

  7. Review of systems - Wikipedia

    en.wikipedia.org/wiki/Review_of_systems

    A review of systems (ROS), also called a systems enquiry or systems review, is a technique used by healthcare providers for eliciting a medical history from a patient. It is often structured as a component of an admission note covering the organ systems, with a focus upon the subjective symptoms perceived by the patient (as opposed to the objective signs perceived by the clinician).