Head To Toe Assessment Case Study

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1. Discuss the age specific physical assessment/s properly completed this week. State techniques you used in completing the physical assessment of your patient. Often these techniques will differ from an examination of an adult.
* My patient was a 19 year old male by the name of B. Upon assessing him I made sure I had a friendly approach to ensure him he was safe. I obtained permission to do the assessment as well as provide privacy and comfort as he was very shy/modest. I did the assessment in a head to toe sequence, as I would an adult. I engaged in conversation with him during the assessment and it helped the patient establish a trusting relationship. I asked questions and allowed him to explain to me why he was in the hospital. We talked …show more content…
List all medications administered and procedures performed.
* - Wet to dry dressing change - Administer IV medications - Use IV pump - Administer PO medications - Ambulated with patient in the hallway - Head to toe assessment - Tramadol 50mg PO every 6 hours - Tylenol #3 PO every 6 hours - Ceftriaxone 1 gram IV push (push over 3 minutes) - Flexeril 5mg PO every 8 hours - Flagyl 500mg IVPB - Enoxaparin 40mg Subcut every 24 hours - Sodium Phosphate 15mmol one time dose IVPB 8. State how you plan to improve during your next clinical rotation on Pediatrics. Think about such things as time management, medication administration, preparation for the rotation, professionalism, team work, and communication.
* I will continue to make sure I am specific and knowledgeable about my patient conditions and how my interventions and rationales relate specifically to my patient. I will continue to work on my time management as well as completing my tasks on time. I think we worked well as a team therefore, we will keep working as a

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