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Head-to-toe assessment - Coggle Diagram
Head-to-toe assessment
Initial steps
• Orientation
• LOC
• Privacy
• Initiate safety protocol
• Hair, scalp, skin
• Eyes
• PERRLA
• EOM
• Nares
• Oral Mucosa
• Teeth
• Symmetry
• Lung sounds
• Heart sounds
• Apical pulse
• Arm strength
• Radial pulses
• Capillary refill
• Skin turgor
• Bowel sounds
• Bowel function
• Urine elimination pattern
• Pulse points of the lower body (list all of them and their location)
• DVT
• Homan’s sign
• Leg strength
• Edema
• Final steps of assessment