Physical Assessment Charting. Sample physical assessment documentation physical assessment integument. There are also no signs of infection and infestation observed. The client s skin is uniform in color unblemished and no presence of any foul odor he has a good skin turgor and skin s temperature is within normal limit. Recording the physical assessment findings.
The hair of the client is thick silky hair is evenly distributed and has a variable amount of body. To assess the site and chart your findings. Some hospitals have their own form for recording findings and other facilities a narrative or story form. The hair of the client is thick silky hair is evenly distributed and has a variable amount of. Physical assessment documentation example physical assessment integument. He has a good skin turgor and skin s temperature is within normal limit.
He has a good skin turgor and skin s temperature is within normal limit.
There are also no signs of infection and infestation observed. He has a good skin turgor and skin s temperature is within normal limit. Kind of incision or wound location and approximate size kind of dressing gauze tegaderm etc. The hair of the client is thick silky hair is evenly distributed and has a variable amount of body hair. The 1995 guidelines identify body areas and organ systems as a framework for documenting the physical exam but do not say what to chart under either. Recording the physical assessment findings.