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Ms. Ogidan

 Ms. Ogidan Essay

Regular Lab Assignment Template

Directions and Grading Criteria

1 . Use the this form to adopt notes when completing your physical examination as defined in the " Weekly Lab Assignment Recommendations. pdf” found in Doc Writing as well as the Teachers Assignment site in your course shell. 2 . Record simply objective data. Score is depending on THOROUGHNESS and being TO THE POINT. 3. Prevent vague conditions such as " good turgor” or " normal nodes”. For example , employ " capillary refill below 3 sec. ” rather than " good capillary refill”. Use " Tympanic membranes intact, landmarks noted” rather than " typical TM”. 5. Complete each section of the document based on the current week's lab practice. Each week you can turn in a similar document with the additional portions completed. Therefore you will essentially pass this document backwards and forwards adding to this each time. We all will use it in NR 304 culminating within a total Physical sample records 5. Each week it will be rated with the expectation that feedback will be useful for improvement this week. ~| Your Description

Basic Survey & Vital Signs Document the physical appearance, mental status, behavior, and mobility. File blood pressure, heart beat, respiratory charge, oxygen saturation, and temp. | •Physical Appearance – Patient is a healthy 33 year old African American Male with dark brown eyes. Ht: 5'10Wt: 196 poundsColor: Even Complexion, Pt. lip area are lilac in color so lacks is not present. discomfort level 0/10 on discomfort scale. Zero over the counter prescription drugs have been taken. Orientation: A& O x3 (time, place, and person), client refuses any major depression or stress; answers your concerns appropriately when asked. Costume and Tidying: Patient was well groomed, and had suitable footwear. Curly hair is short and efficiently groomed. (Pt. stated not any dryness and breakage). Range of motion: Patient experienced normal freedom denied any pain or joint weakness in x4 extremities; good posture is normal with no deviations or perhaps...

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