Module 11 Documentation of the complete head to toe physical assessment.docx (1)

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Module 11 Documentation of the complete head to toe physical assessment.docx (1) NUR2180 Documentation of the complete head to toe physical assessment Rasmussen University NUR2180 Documen... tation of the complete head to toe physical assessment The patient is a 35-year-old black African female, height 5'6, weight 232 lb. The patient is awake, alert, aware of stimuli from the environment and self conscious, respond appropriately and reasonably to stimuli, and is in a good mood. Her thought process is logical, goal-directed, coherent, and relevant; it forms complete thoughts. The patient is orientated to person, place, and time€”no signs of distress or anxiety. Posture is erect, and the position is relaxed. The patient moves with feelings of independence; gait is smooth, rhythmic, and effortless; opposite arm swing and well-coordinated; person turns smooth; step length about 15 inches from heel to heel. Able to walk in a straight line heel-to-toe and heel-to-heel fash. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [Show More]

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