Skin color assessment
[DOC File]Skin Observation Protocol Sample Documentation
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Skin Observation Protocol Sample Documentation The text in this sample documentation can be considered an outline to use when you follow the Skin Observation Protocol. Each client’s response to the Skin Observation Protocol will be unique to that client and should reflect their individualized assessment and care needs.
ASSESSMENT
Bleb/milk blister Nipple Condition After Feeding Skin intact. Normal color. Rounded and elongated. Mild tenderness in first week or initial seconds of latch on Crescent-shaped abrasions. Crease or compression stripe ... Lactation Assessment of the Maternal Breast Page 3 of 3 . Perinatal Safety Initiative 7/22/04. Revised 7-9-08 FINAL. HCA ...
[DOC File]CHAPTER 7
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8. A red skin color on a light-colored individual may indicate: D, K A. shock or fright. (191) B. heatstroke, high blood pressure, or elevated temperature. C. hemorrhage, heat exhaustion, or insulin shock. D. airway obstruction or respiratory insufficiency. 9. An unconscious athlete who has a feeble and irregular pulse, has breathing that
[DOC File]PREVENTION PLAN FOR SKIN BREAKDOWN OVER PRESSURE POINTS
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To print on assessment detail, under Bathing section. Preventing Problems With The Skin. Do’s: Look at the skin at least once a day for changes in color or temperature (warmth or coolness), rashes, sores, odor or pain. Pay special attention to the pressure points. Use mild soap (avoid soaps labeled “antibacterial” or “antimicrobial”).
Basic Physical Assessment Handout - Quia
Temperature and color of extremities. 2 Genitalia: Physical assessment of genitalia is unnecessary unless patient has a current concern. If physical assessment of genitalia is done, note any odors, foreskin if male, STD S/S. Urination: Color, frequency, continence, pain ... 3 Assess skin turgor on forearm. Assess for edema – LE, UE.
[DOC File]Skin, Hair and Nails Study Questions
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Skin color changes (pallor, cyanosis, jaundice, rashes, bruises) Pruritis itching (from renal ds, IDDM, dry skin, lymphomas, leukemias) ... Methods of Clinical Assessment for TTH and CH. Regional. Plumb line/Posture. ROM. Plain C films. Segmental. Static and motion palpation. Algometry. Dynamic Radiographs.
[DOCX File]Pressure Ulcer Prevention Toolkit
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Remember that increased skin temperature can be a sign of fever or impending skin problems such as a Stage I pressure ulcer or a diabetic foot about to ulcerate. Touch the skin to evaluate if it is warm or cool. Compare symmetrical body parts for differences in skin temperature. Skin Color. Ensure that there is adequate light.
[DOC File]CARE PLAN CONCEPT MAP
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Skin/Mucosa-include IV site assessment * Skin color appropriate to ethnicity. Extremities warm and dry. Turgor elastic. IV site clear, patent and dry. No redness, swelling or pain. Psychosocial. Thinking is congruent with situation. Patient stated he felt a little depressed due to the C. diff diagnosis but still had a positive attitude
[DOC File]Health Assessment Check Off Sheet
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Title: Health Assessment Check Off Sheet Author: Patrick Heyman Last modified by: heymanp Created Date: 4/23/2009 1:10:00 PM Company: Palm Beach Atlantic University
[DOC File]Review of Systems (ROS) Assessment Guide
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Swelling, edema, leg pain with walking, numbness, tingling, changes in skin color, history of phlebitis, varicose veins, HTN. Gastrointestinal: ... Review of Systems (ROS) Assessment Guide ...
[DOCX File]Update _2_0_160
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Update verbiage under Skin Inspection > Skin Color > “Usual for ethnicity” ... If your site opts to embed the skin assessment content into the shift assessment, you must thoroughly test dialog load times. If load time is greater than 30 seconds, do not embed the Skin Inspection/Assessment dialog. In addition, performance on all acute ...
[DOC File]Newborn Assessment Study Guide - My Illinois State
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Newborn Assessment Study Guide. Upon completion of this study guide, the student will be able to: 1. Identify the assessment criteria for each component of the physical assessment of the newborn. 2. Discuss the significance of the assessment findings for a normal newborn. 3.
[DOC File]SKIN ASSESSMENT - MRS. ROGERS' ANATOMY
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INTEGUMENT ASSESSMENT. Is the skin intact? If the skin is not intact, how do you describe any lesions? Any bruises? What color? Is there any redness or discoloration of the skin? Is the skin warm and dry? Is there any increased heat? (Check with the back of the hand and compare sides of the body.) Is there any increased coolness? Is there any ...
[DOC File]ANATOMICAL DIAGRAMS-SKIN SURFACE ASSESSMENT
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anatomical diagrams-skin surface assessment Utilize diagrams to document all injuries and findings including cuts, lacerations, bruises, abrasions, redness, swelling, bites, burns, scars and stains/foreign material on patient’s body.
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