Chapter 2. Patient Assessment Show A comprehensive head-to-toe assessment is done on patient admission, at the beginning of each shift, and when it is determined to be necessary by the patient’s hemodynamic status and the context. The head-to-toe assessment includes all the body systems, and the findings will inform the health care professional on the patient’s overall condition. Any unusual findings should be followed up with a focused assessment specific to the affected body system. A physical examination involves collecting objective data using the techniques of inspection, palpation, percussion, and auscultation as appropriate (Wilson & Giddens, 2013). Checklist 17 outlines the steps to take. Checklist 17: Head-to-Toe Assessment
How the nurse would assess a patient's visual acuity?To test visual acuity, use a Snellen chart and have the patient wear glasses or contact lenses if they normally wear them. Tell the patient to first cover the right eye, then left eye, and lastly read the chart with both eyes.
How do you assess the patient's eye?Have the patient follow your pen light by moving it 12-14 inches from the patient's face in the six cardinal fields of gaze (start in the midline) Watch for any nystagmus (involuntary movements of the eye). Reactive to light? Dim the lights and have the patient look at a distant object (this dilates the pupils). What is a card chart or other print source held at 14 inches from the client used to test for?Explanation: Near vision is tested by asking the client to read newspaper print held 14 inches from the eyes. Shining a light on the bridge of the nose tests the corneal light reflex.
Why do we need to assess the eyes of the patient?Regular eye examinations are important because: having your vision corrected can improve the quality of day-to-day life. they will help detect certain eye conditions such as cataracts, glaucoma and age-related macular degeneration, which could lead to sight loss. poor vision could be a risk for falls.
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