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Head to toe assessment - Coggle Diagram
Head to toe assessment
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LOC ( patient knows self, place ,time ans situation)
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initial safety protocol
locked wheel of bed, or wheel chair
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Hair ,scalp,skin
skin is uniform,unblemished,no foul odor,normal temperature
no lesion,no lice dandruff, clean and dry,
thick hair ,silky,evenly distributed,no infestation
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Perrla,EOM
Pupils Equal,Round,Reactive,to light and accommodation
Nares,oral mucosa teeth
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appeared symmetric,straight
no dentures,bu-cal mucous is pink,moist, no thrush
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apical pulse,radial pulse arm strength,
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capillary refill, skin turgor
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skin color is uniform,no scars,no bruise skin temperature is warm temperature
bowel sounds, bowel function
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