Assessment writing

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Are there any links to provide help with writing (not using a form) an initial assessment? I've seen many checklist forms for completing an assessment, but what about links for students who are required to write an assessment without the use of a checklist form. Specifically I'm looking for proper descriptive terms used by nurses in describing appearance, grooming, thought processes, speech, pulse characteristics, heart sounds, venous patterns, hair distribution/color, etc.

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Specializes in NICU/L&D, Hospice.

Send me a PM with your email address and I will send you what I have. I can't figure out how to link it on here (word document).

Woogy

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Specializes in Gerontological, cardiac, med-surg, peds.

Lots of great resources here:

https://allnurses.com/forums/f205/health-assessment-resources-techniques-forms-145091.html

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