Documentation Of The Complete Head-To-Toe Physical Assessmen

Documentation of the complete head to toe physical assessment

Complete Head To Toe Assessmentgeneral Survey Mental Status Appeara

Complete Head to Toe Assessment General Survey (mental status & appearance): Head: Eyes: Ears: Nose: Mouth: Neck: Thorax/Lung/Back Assessment: Cardiac/Central Vessel Assessment: Gastrointestinal: Genitourinary: Musculoskeletal/Neuro/PV Assessment: Other: (Add any additional findings here) Actual/Potential Risk Factors: BUIE HARWOOD BRIDGET MAY CURT SHERMAN An Integrated History to the Present Chapter 19 English Restoration Chapter 19: English Restoration ï‚Ÿ 19. ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman English Restoration Restoration of monarchy brings major changes Foreign influences replace Elizabethan & Jacobean styles in architecture, interiors, & furnishings Architecture wholeheartedly adopts classicism Influenced by Italian Renaissance, French or Italian Baroque, Dutch Palladianism, or Inigo Jones Interiors—exuberantly Baroque or subdued classical with three-dimensional wood carving or plasterwork Furniture—Baroque design elements & principles French influence or Dutch curving silhouettes Chapter 19: English Restoration ï‚Ÿ 19. ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman CONCEPTS Eclectic, dominated by foreign influences Baroque comes with Italian craftsmen; English architects & designers visiting Italy; Charles II & his nobles; Huguenot craftsmen Stimulate some elaboration or exuberance Conditions not conducive to a Baroque—no Catholic Church or absolute monarchy Most common—subdued, restrained, conservative Baroque Dutch-like character from trade or craftsmen who emigrate with William & Mary Sir Christopher Wren creates more elaborate Baroque Conservative & elaborate used to express power & wealth Chapter 19: English Restoration ï‚Ÿ 19. ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman ARCHITECTURE Form & details defined by rational classicism with some Baroque elements Classical elements, large scale, symmetry, center emphasis, advancing & receding planes, some curves Never as plastic as Italy or as grand as France Sir Christopher Wren introduces Baroque concepts & motifs Most Baroque work for royal family Most creative—city churches, London Sir John Vanbrugh & Nicholas Hawksmoor create most obvious Baroque in country houses, city churches Sir Roger Pratt introduces rectangular block house Becomes standard Georgian house in England& America Chapter 19: English Restoration ï‚Ÿ 19. ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman 19-1.

Architectural Detail: Carved panel detail, c. 1670; England. English Restoration. Chapter 19: English Restoration ï‚Ÿ 19.* ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman 19-2a. S.

Mary-le-Bow, Cheapside and floor plan, ; London, England; Sir Christopher Wren. English Restoration. Chapter 19: English Restoration ï‚Ÿ 19.* ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman 19-2b. S. Mary-le-Bow, Cheapside, nave, ; London, England; Sir Christopher Wren.

English Restoration. Chapter 19: English Restoration ï‚Ÿ 19.* ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman 19-3a. S. Paul’s Cathedral, ; London, England; Sir Christopher Wren. English Restoration.

Chapter 19: English Restoration ï‚Ÿ 19. ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman 19-3b. S. Paul’s Cathedral, floor plan, ; London, England; Sir Christopher Wren. English Restoration. Chapter 19: English Restoration ï‚Ÿ 19. ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman 19-3c.

S. Paul’s Cathedral, nave ; London, England; Sir Christopher Wren. English Restoration. Chapter 19: English Restoration ï‚Ÿ 19.* ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman 19-4. Coleshill and floor plan, c.

1650 (destroyed by fire 1952); Oxfordshire, England; Sir Roger Pratt. English Restoration. Chapter 19: English Restoration ï‚Ÿ 19.* ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman 19-5. Belton House, ; Lincolnshire, England; house by William Stanton. English Restoration.

Chapter 19: English Restoration ï‚Ÿ 19. ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman 19-5b. 19-5. Belton House, floor plan, ; Lincolnshire, England; house by William Stanton. English Restoration. Chapter 19: English Restoration ï‚Ÿ 19. ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman 19-5c.

Belton House, drawing room, ; Lincolnshire, England; carving by Grinling Gibbons. English Restoration. Chapter 19: English Restoration ï‚Ÿ 19.* ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman 19-6a. Blenheim Palace, ; Oxfordshire, England; Sir John Vanbrugh and Nicholas Hawksmoor. English Restoration.

Chapter 19: English Restoration ï‚Ÿ 19. ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman INTERIORS Conservative & extravagant interiors Conservative—somber, unostentatious classicism Human scale, restraint, repose Classical details, wall paneling, compartmentalized plaster ceilings, wood floors Wood carving most common decoration—staircases, paneling, windows, doors, chimneypieces Extravagant—express power & wealth Large scale, wall & ceiling paintings in vivid colors, complexity, plasterwork & woodcarving with gilding Executed by foreign craftsmen Chapter 19: English Restoration ï‚Ÿ 19. ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman 19-8.

Queen’s Antechamber (Blue Drawing Room), Ham House, ; Surrey England. English Restoration. Chapter 19: English Restoration ï‚Ÿ 19.* ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman 19-9a. Stair hall, Sudbury Hall, c. 1676; Derbyshire, England; carving by Edward Pierce; plasterwork by Robert Bradbury.

English Restoration. Chapter 19: English Restoration ï‚Ÿ 19.* ©2011 Pearson Education Upper Saddle River, NJ 07458 Architecture and Interior Design: An Integrated History to the Present Buie Harwood, Bridget May, and Curt Sherman 19-9b. Stair hall, Sudbury Hall, c. 1676; Derbyshire, England; carving by Edward Pierce; plasterwork by Robert Bradbury; ceiling painting by Louis Laguerre. English Restoration.

Paper For Above instruction

The comprehensive head-to-toe physical assessment is a fundamental component of nursing practice, providing critical information for identifying patient health status, potential risks, and guiding appropriate interventions. This documentation delineates objective findings across multiple body systems, assesses risk factors based on these findings, and emphasizes the importance of thorough, accurate, and unbiased clinical observation and recording.

Head and Neck Assessment

The assessment begins with the evaluation of the head and neck region. The head is normocephalic with a symmetric facial structure. The hair scalp appears healthy without signs of flaking or lesions. The eyes are clear, with pupils equal, round, reactive to light and accommodation (PERRLA), and extraocular movements intact. Any abnormalities such as jaundice, pallor, or scleral icterus are absent. The ears are symmetrical, with no tenderness or discharge. The nasal mucosa appears moist, without deformity or congestion. The oral cavity reveals intact mucous membranes, no ulcerations, and normal dentition. The neck exhibits a supple range of motion with no lymphadenopathy or thyromegaly. Palpation of regional lymph nodes is unremarkable, and carotid pulses are palpable and equal bilaterally.

Head and Eyes

Inspection shows no visible abnormalities in the scalp, face, or eyes. Eye movements are smooth, and pupils respond normally to light. No signs of conjunctivitis or discharge are noted. The conjunctivae are pink, and sclerae are white. Visual acuity was not formally tested but no gross deficits are observed.

Ears

External ears are symmetrical with no erythema or lesions. The tympanic membranes appear intact. Otoscopic examination reveals no signs of infection or cerumen impaction.

Nose and Mouth

The nasal passages are patent and moist, with no congestion or polyps. The oral cavity appears healthy, with no signs of ulceration, lesions, or dental issues. The tongue and oropharynx are clear, and mucous membranes are moist and pink. No abnormal odors are detected.

Neck and Regional Lymphatics

The neck is supple with full range of motion. Palpation of the cervical, supraclavicular, and submental lymph nodes shows no enlargement or tenderness. No thyroid enlargement or nodules are palpable.

Thorax and Lung Assessment

The thorax appears symmetrical, with an anteroposterior to lateral ratio of approximately 1:2. Auscultation reveals clear breath sounds bilaterally with no adventitious sounds such as wheezes, crackles, or rhonchi. Chest expansion is symmetric, and tactile fremitus is normal.

Cardiac and Central Vascular Evaluation

Inspection shows no visible pulsations or abnormalities. Palpation reveals a regular, non-tender point of maximal impulse (PMI) at the fifth intercostal space at the midclavicular line. Auscultation demonstrates a normal S1 and S2 with no murmurs, rubs, or gallops. Peripheral pulses (radial, dorsalis pedis) are palpable and equal bilaterally.

Abdominal Assessment

The abdomen is flat, with bowel sounds present in all quadrants. Tenderness, distension, or masses are not observed. Palpation reveals a soft, non-tender abdomen with no hepatosplenomegaly or masses palpable. No rebound or guarding is noted.

Genitourinary & Musculoskeletal/Neuro/PV

The genitourinary assessment was deferred based on context or patient preference. Musculoskeletal evaluation shows full range of motion with no deformities, swelling, or tenderness. Neuro assessment indicates normal gait, cranial nerve function, sensation, and reflexes. Peripheral vascular assessment confirms adequate circulation with no edema or cyanosis.

Additional Findings and Risk Factors

Potential risk factors identified include lifestyle considerations such as smoking or inadequate exercise if documented. Current findings do not reveal immediate health risks but underscore the importance of routine screening and health promotion strategies tailored to individual patient needs.

Conclusion

Overall, the comprehensive head-to-toe assessment provides a detailed snapshot of the patient's current health status, facilitating early detection of abnormalities and supporting clinical decision-making. Maintaining meticulous documentation, free from bias, and including objective data ensures effective communication among healthcare providers and supports optimal patient outcomes.

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