Head to Toe Assessment Organization is key to a good comprehensive head to toe assessment. A systematic approach will maximize the patient’s comfort, avoid unnecessary position changes, and enhance clinical efficiency. In general, a head-to-toe approach is the...

Pain Assessment All nurses have the ethical responsibility to assess and relieve pain utilizing individualized interventions and plan of care, free of personal biases (ANA, 2018). To assess pain adequately and accurately, a multidisciplinary, measurement-based...

The Health History Always document date and time of the encounter.Include the patient’s identifying information including name, age, date of birth, and gender.Identify the source of information, whether it is the patient, a parent or family member, a...