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Comprehensive Patient Assessment Guide

The document outlines a comprehensive patient profile and history collection format, including personal, medical, family, and socio-economic details. It details physical assessments across various body systems, medication charts, intake and output records, nursing notes, and care plans. Additionally, it includes sections for nutritional assessments, health education, and discharge planning, culminating in a conclusion emphasizing quality patient care.
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0% found this document useful (0 votes)
12 views25 pages

Comprehensive Patient Assessment Guide

The document outlines a comprehensive patient profile and history collection format, including personal, medical, family, and socio-economic details. It details physical assessments across various body systems, medication charts, intake and output records, nursing notes, and care plans. Additionally, it includes sections for nutritional assessments, health education, and discharge planning, culminating in a conclusion emphasizing quality patient care.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

IDSTORY COLLECTION

PATIENT PROFILE

I. History Collection:
Name
Age
Sex
Education
Occupation
Religion
Marital Status
Husband's Name
Wife's Name
Address

Date of Admission
Diagnosis
Ward Name
I.P. No
Bed No.

III. Chief complaints

IV. History of Health status:

(a) Present Medical History

(b) Past Medical History

(c) Present Surgical History

(d) Past Surgical History

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V. Family History
(a) Family Tree

Name of family Health


Age Relationship Occupation Remarks
Member status

VI. Personal History


(a) Habits
(b) Sleep
(c) Nutrition
(d) Elimination Pattern

VII. Socio Economic Status


(a) Housing
(b) Ventilation
(c) Electricity
(d) Water supply

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PHYSICAL ASSESSMENT/EXAMINATION

Vital signs:
Temperature
Pulse
Resp. Rate B.P.

General Appearance
Nourishment
Body build
Health
Activity
Consciousness
Look
Body curves
Movement
Height
Weight

Skin
Colour
Texture
Temperature
Lesions
Rashes
Lumps
Itching
Dryness
Moles

Head
Sm:
Shape

Hair & Scalp/ Skull/ face


Colour
Distnbution
Hair loss
Dandruff
Lice
Healthy

Eyes
Vision/Visual Acuity

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Eyeballs
Conjunctiva
Sclera
Cornea and Iris
Pupils
Fundus
Eye muscles
Eye brows
Eye lashes
Lens
Glasses
Discharge
Pain
Itching

Ears
Hearing
Ear Canals
Ear Drum
External Ear
Tymphanic Membrane
Pain
Itching
Ringing
Vertigo

Nose & Sinuses


Deviated nasal septum
External Nares
Nostrils
Discharge
Allergies
Frequent colds
Obstruction
Pain
Epistaxis

Mouth & throat


Tongue
Lesions
Lips
Bleeding
Tooth decay
Dental care
Odour
Throat & Pharynx
Mucus Membrane
Gums

4
Neck
Stiffuess
Limited motion
Lymph nodes
Swelling
Pain
Thyroid Gland
Swallowing Reflex
Cervical Spine
Muscles of Back(Neck)

I. Respiratory System
H/O Smoking
Sputum (Colour)
Asthma
Wheezing
Haemoptysis
Cough
Shortness of Breath
Inspection

Palpation

Percussion

Auscultation

II. Cardio Vascular System


H/O Hypertension
Varicose veins
Dyspnea
Orthopnea
Chest pain
Palpitation
Claudication
Heart sound
Pulse
Heart beat
Inspection

Palpation

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Percussion

Auscultation

III. Gastro Intestinal System

Shape & Symmetry


Abdominal girth
Pain
Abdominal distension
Artificial Openings
Anorexia
Diarrhea
Nausea
Constipation
Vomiting
Hemetemes is
Food intolerance
Bowel sounds
Abdomen
Soft & Tender
Inspection

Palpation

Percussion

Auscultation

IV. Genito urinary system

Nocturia
Dysuria
Incontinence
Infection
Frequency
H/0 Illness (or) surgery
Inspection

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Palpation

Percussion

Auscultation

V. Genito Reproductive system:

Female
Menses
Menarche
Cycle
Duration
No. of Pregnancies
Menopause
Vagina I Discharge
H/O STD

Male
Pain
Soreness
Discharge
H/O STD's
Swelling

VI. Musculo-skeletal system

Posture
Muscular pain/cramps
Pain
Swelling
Upper extremities
Range of motion
Colour of extremities
Any deformities
Lower extremities
Range of motion
Colour of extremities
Any deformities

Inspection

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Palpation

Percussion

Auscultation

VII. lntegumentary system

Color
Texture
Moisture

Dryness
Bleeding
Discharge
Infection

VIII. Hematological System

Rb%
Bleeding tendencies
Any blood transfusions

IX. Neurological system

Level of consciousness
Activity
Dizziness
Posture & gait
Tremors (or) seizures
Sensation of pain
Mental status

Motor function

Sensory function

Cranial nerves

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GCS

Reflexes

INVESTIGATIONS:

[Link] Name of Investigations Patient Value Normal Value Remarks

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MEDICATION CHART

S. Name of the drug Dose Route Frequency Action Side Nurse's


No Effects responsibility

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INTAKE AND OUTPUT RECORD

Name: Hospital No. Age: Sex:

Date Time Oral Naso Intra Other Total Urine Vomitus Aspirations Other Total
Fluids Gastric Venous Routs

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Kardex form
Date Medications Dose Time Date Nursing care plan Time

Date Treatment Dose Time

Age Sex Bath T.P.R B.P Diet


Religion

Name of the patient Bed Diagnosis Doctor name IPNO


no

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NURSES NOTES

Name: [Link]:
Age: Ward:
Sex: Diagnosis:
Bed No: Doctor Name:

TIME DIET MEDICATIONS NURSING CARE PLAN

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Theory application: ( For Msc level)

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NUTRITIONAL ASSESSMENT:

[Link] Time Food item [Link]

15
Anatomy and physiology: ( with diagram)

16
Disease condition:
Book picture Patient picture

17
NURSING DIAGNOSIS: {Sdays)
Day-1:

Day-2:

Day-3:

Day-4:

Day-5:

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Nursing Care Plan:( Sdays)
Assessment Diagnosis Goal Planning Rationale Implementation Evaluation

19
Health Education:(Sdays)
Day-1:

Day-2:

Day-3:

Day-4:

Day-5:

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Recording and Reporting:
(Sdays) Day-1:

Day-2:

Day-3:

Day-4:

Day-5:

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Summary:

Mr/Ms/Mrs. x was admitted in ........ Hospital on .........(date) with chief


complaints of ... .................................... and he/she was diagnosed as
. . . . .. . .. . . ... . .. . . . . and he/she was given the
treatment like
. . . . .. . .. . . ... . .. . . . .. . .. . . . ... . . .. .. . he/she was now better than during the
time of admission.

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Discharge plan:

Mr/Ms/Mrs. x was admitted with chief complaints of ...............................


And diagnosed as . .. . . . . . .. . . . .. . ... .... he/she was given the quality care for
his improvement of health status and he was better now and doing all his activities
of daily living and health education also given to the patient and their family
members . He/she was planned to discharge within 3days as per the condition of
the patient and orders of the physician.

23
Conclusion:
If I got a chance of taking care of the patient with chief complaints
of.......................... & diagnosed as .......................... & I will able to take
care of the patient independently with quality of care & for better outcome &
improvement ofthe patient's health status.

24
Bibliography:
Book references:

Journal references:

Web references:

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