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 To assess pain adequately and accurately, a multidisciplinary, measurement-based approach is best.

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