Head to Toe Assessment Flashcards

This set covers types of health assessments, urgent clinical indicators, levels of disease prevention, and steps for collecting subjective and objective data.

Comprehensive Assessment

A Head to Toe assessment that includes collecting history, review of systems, psychosocial information, functional status, and objective data.

Focused Assessment

An assessment that focuses on a specific area of concern using OLDCARTS and HOME questions pertinent to the complaint.

Screening Assessment

Random checks conducted in the absence of a complaint to determine if an undetected condition exists.

Emergent Assessment

A rapid assessment for ABC, Bleeding, Seizures, or Injury where objective data is collected while asking about subjective data.

Urgent Assessment Criteria

Clinical signs including Cyanosis or pallor, Respiratory difficulty, Unstable BP or pulse, Bleeding, Acute mental status changes, Seizures, and Chest pain.

OLDCARTS

A systematic approach used to explore the chief complaint during the collection of subjective data.

HOME

A systematic approach used to explore the history of the chief complaint during the collection of subjective data.

Review of Systems (ROS)

A component of subjective data collection that follows a head to toe format to identify problems in areas other than the chief complaint.

Primary Prevention

A teaching opportunity focused on the prevention of disease through immunizations and healthy habits.

Secondary Prevention

A teaching opportunity focused on identifying problems early, such as screening for HTN or Mammography.

Tertiary Prevention

A teaching opportunity focused on reducing complications with a chronic illness, such as foot care for diabetics or breathing techniques for those with COPD.

Vital Signs

Objective data collected that includes BP, Pulse, Resp Rate, Temp, $O_2$ Saturation, and Pain rating.

General Survey

The first step in collecting objective data during a head-to-toe physical assessment.

Assessment Modifications: Age

Adjusting assessment techniques to accommodate Pediatric and Elderly clients.

Functional Health Status

A category of subjective data collected to evaluate a patient's ability to perform daily activities.