Patient assessment examples 2025

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Head to Toe Assessment Checklist Collect their vital signs. (Its encouraged to ask permission before touching a patient. Check heart rate. Measure blood pressure. Take body temperature. Pulse oxymetry. Respiratory rate. Check pain levels. Check hight and weight and calculate their BMI.
Document the patients vital signs: Blood pressure. Pulse rate. Respiratory rate. SpO2 (also document supplemental oxygen if relevant) Temperature (including any recent fevers)
Identify the components of the patient assessment process. scene size-up. primary assessment. history taking. secondary assessment. reassessment.
0:00 2:34 And make treatment decisions. Sample is the start of a conversation between you the investigator.MoreAnd make treatment decisions. Sample is the start of a conversation between you the investigator. And the patient your research subject.
In addition to objective and subjective information, be sure to include the following pieces of information: Weight: Specify units. Condition: Evaluate general appearance, and include Body Condition Score, Locomotion Score, and other appropriate scores. Temperament: Record patient behavior.
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The patient assessment begins with a comprehensive medical history review. A detailed medication history is an important part of the evaluation for polypharmacy. Any new medications, both prescription and over-the-counter ones, should be assessed and addressed.

sample patient assessment