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Venue: Butuan Doctors College Room OB 203 Time: 2:00 PM Total Hour: 1 Hour and 3 Minutes General Objectives

This document outlines an assessment of a patient conducted at Butuan Doctors College. It includes the patient's vital signs and a physical exam noting the head, eyes, nose, mouth, ears, neck, chest, lungs, heart, and abdomen. The assessment was presented as part of a 1 hour and 3 minute meeting with 11 objectives, including delivering background on the patient and comparing their condition to normal development standards.

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Nic Korapat
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© Attribution Non-Commercial (BY-NC)
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Download as PPT, PDF, TXT or read online on Scribd
45 views

Venue: Butuan Doctors College Room OB 203 Time: 2:00 PM Total Hour: 1 Hour and 3 Minutes General Objectives

This document outlines an assessment of a patient conducted at Butuan Doctors College. It includes the patient's vital signs and a physical exam noting the head, eyes, nose, mouth, ears, neck, chest, lungs, heart, and abdomen. The assessment was presented as part of a 1 hour and 3 minute meeting with 11 objectives, including delivering background on the patient and comparing their condition to normal development standards.

Uploaded by

Nic Korapat
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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BUTUAN DOCTORS’ COLLEGE

BUTUAN CITY

Venue: Butuan Doctors College Room OB 203


Time: 2:00 PM
Total Hour: 1 hour and 3 minutes
General Objectives:
SPECIFIC CON- TIME DISCUS EVALUA
OBJEC- TENT/TO ALLOTM SANT TION
TIVES PIC
ENT
1.To praise Opening 2 mins Ms.Moron,
and glorify our prayer Rodelissa
Almighty
Father

2.To introduce Reading of 2 mins Mr. Juma-os,


the presenters Syllabus Nico T .
and the flow
presentations

3.To give an Introduction 5 mins. Ms. Moron,


overview Rodelissa
about the
content of our
presentation
4.To deliver the Patient Profile 5 mins Ms. Menil,
background of Jane
the patient

5.To present Assessment 10 mins Ms. Maestro,


the data's Yvonne
gathered prior
client’s
subjective and
objective
condition
6.To determine Normal 5 mins
child's standard Growth And
characteristics Development
with respect to
According to
his age.
Age
7. To identify Comparative 15 mins. Ms. Murio,
the distinctions analysis Maribeth
between the
child’s normal
functioning from
the clients
recent
8.Disegnated NCP 10 mins. Ms. Gringin,
by the student Lovely Mary
nurse to
evaluate the
nsg.
Interventions
9.To measure Goodenough 5 min. Ms. Gavino,
child’s Harris Test Irene
intellectual
capacity that
can be
administered
without special
training
10. For the Group 2 mins Ms. Murio,
student nurse Reflection Maribeth
to persuade
their own
learning insight

11. To present References 2 mins Ms. Murio,


data gathered Maribeth
from different
sources
INTRODUCTION
Assessment
A. Physical

Physiologic Measurements

Temperature: 35.9 C
Pulse: 90beats/min
Respiratory rate:24breaths
Bp: Not applicable
• Head- Upright and still, symmetrical facial feature:firm
hard and round.
• Hair- black color fairly distributed, length at shoulder
level.
• Eyes- symmetrical in shape conjugate eye movement;
Chinese eyes, iris appear flat and the same size and
corneas are clear w/o lesions.
• Nose- mucosa free from lesion, symmetrical in shape. No
nasal discharge and flaring.
• Mouth and throat- Lips w/o lesions, oral mucosa and
gingival are pink and moist tongue w/o lesions,
oropharynx and uvula w/o inflammations, tonsil is pink
w/o hypertrophy.
• Ears- symmetrical, no lesions, drainage or
modules, the top of the ear is line up with
the outer of the eye.
• Neck- symmetrical and skin intact no scars. No
visible pulsations, masses, swelling, venous
distention or thyroid gland or lymph node.
• Chest- chest wall symmetrical in shape, no
masses or scars.
• Lungs-no labored breathing, no nasal flaring, no
abdominal sounds in breathing.
• Heart- the pulse is regulate in rhythm when
palpated, no vascular sounds over the carotid
arteries upon auscultation.
• Abdomen- No
• Back -

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