Head To Toe Assessment Report
# 31: Collects information on patient using assessment skills of observation, interview, history taking, interpretation of laboratory data, mental health assessment, and physical assessment, including inspection, palpation, auscultation, and percussion.
What I learned:
This week I performed a head to toe assessment on a patient returned from surgery for Lap appendectomy. Assessment included patient’s pulse and respiratory rate, blood pressure, temperature and level of consciousness. Additional assessment include pain assessment, oxygen saturation, IV rates, urine output and operative site. These assessments are crucial in detecting early signs of patient deterioration. Hence it is vital that the patient is observed for signs of hemorrhage, shock, and side effects of analgesia. …show more content…
TACE is a special type of chemoembolization to treat liver cancer. This treatment works by blocking the supply of blood to the cancerous tumor in the liver (Canadian Cancer Society, 2016).
What I did to learn it:
I learned how to perform postoperative assessment by observing my preceptor, reading my medical surgical text book, and reviewing the policy and procedure protocol on assessment.
I learned that after a patient has received a TCAE, the patient has to remain lying still for 2-6 hours with head flat after the procedure. This is to prevent bleeding from the femoral (groin) artery where a tube was inserted. Patient blood pressure, pulse, and oxygen was monitored. Additionally, the puncture site was monitored for bleeding.
Evaluation of learning:
My preceptor reviewed the data I collected from performing the assessment and was in agreement with the information documented.
I had a discussion with my preceptor to make sure that there were no misunderstandings about what I read and how I conducted patient
What I learned:
This week I performed a head to toe assessment on a patient returned from surgery for Lap appendectomy. Assessment included patient’s pulse and respiratory rate, blood pressure, temperature and level of consciousness. Additional assessment include pain assessment, oxygen saturation, IV rates, urine output and operative site. These assessments are crucial in detecting early signs of patient deterioration. Hence it is vital that the patient is observed for signs of hemorrhage, shock, and side effects of analgesia. …show more content…
TACE is a special type of chemoembolization to treat liver cancer. This treatment works by blocking the supply of blood to the cancerous tumor in the liver (Canadian Cancer Society, 2016).
What I did to learn it:
I learned how to perform postoperative assessment by observing my preceptor, reading my medical surgical text book, and reviewing the policy and procedure protocol on assessment.
I learned that after a patient has received a TCAE, the patient has to remain lying still for 2-6 hours with head flat after the procedure. This is to prevent bleeding from the femoral (groin) artery where a tube was inserted. Patient blood pressure, pulse, and oxygen was monitored. Additionally, the puncture site was monitored for bleeding.
Evaluation of learning:
My preceptor reviewed the data I collected from performing the assessment and was in agreement with the information documented.
I had a discussion with my preceptor to make sure that there were no misunderstandings about what I read and how I conducted patient