functional assessment observation sample forms

A Physical Examination, commonly dubbed a check-up, is a test that is routinely done to check on your overall health status. A Physical Exam may be conducted by a doctor, a nurse, or a physician assistant, and is typically documented using a Physical Form, a Physical Assessment Form, or a Nursing Assessment Forms.

Regardless of age, sex, race, or level of activity, it is important to get a physical exam periodically, especially when you are above 50 years old, in order to determine medical conditions that can be prevented or controlled at an early stage. Physical Exams are typically documented with the aid of Physical FormsNursing Assessment Forms, or Physical Assessment Forms.

Nursing Physical Assessment Form

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  • PDF

Size: 72 KB

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Patient Physical Assessment Form

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  • PDF

Size: 84 KB

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Physical Health Assessment Form

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File Format
  • PDF

Size: 21KB

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Physical Fitness Assessment Form

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  • PDF

Size: 46 KB

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The Advantages of Periodically Getting a Physical Exam

  • Allows your doctor to check for potential diseases so these can be treated early, eliminated, or controlled.
  • Helps to update necessary immunizations.
  • Ensures that you are maintaining a healthy lifestyle with proper exercise and a healthy diet.
  • Monitors your cholesterol count, blood pressure, and blood sugar levels.
  • Identifies tissues or bumps that may be a cause for concern in the future.

Physical Therapy Assessment Form

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  • PDF

Size: 242 KB

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Physical Ability Assessment Form

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  • PDF

Size: 66 KB

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Physical Restraint Assessment Form

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  • PDF

Size: 65 KB

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Physical Assessment Referral Form

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  • PDF

Size: 389 KB

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Physical Assessment Checklist Form

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File Format
  • PDF

Size: 58 KB

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Steps in Performing a Physical Exam

1. Make sure your hands are clean and properly sanitized.
2. Take the patient’s blood pressure.
3. Take the radial pulse by placing your index and middle fingers on the inside of your wrist, below your thumb.
Use a watch with a second hand and count your pulse for 60 seconds. Write down your pulse rate, the date, time, and which side was used to take the pulse.
4. Check the patient’s ears.
5. Conduct a hearing test.
6. Perform an eye exam using the Snellen test.
7. Perform an eye exam by testing their eye reaction with a flashlight.
8. Conduct an exam on eye movement by letting the patient follow the direction of your finger using only his eyes.
9. Check the nose and the throat for any signs of inflammation.
10. Perform a check on the neck and on the lymph nodes by determining if there are any glands on the neck or on the thyroid that are palpable.
11. Ask them to raise their eyebrows, frown, close their eyes tightly, show their teeth, smile, and puff out their cheeks to check on their cranial nerves.
12. With the use of a stethoscope, perform a check-up on the lungs. Let the patient breath in deeply and then breathe out while simultaneously doing 3 spot checks on the back of each lung and 1 on the front of each lung.
13. Still with the use of a stethoscope, check on the heart.
14. For the abdominal exam, listen for an aortic bruit by listening for bowel sounds in all 4 quadrants of the abdomen.
15. Palpate the spleen and the liver.
16. Let the patient bend over and touch his toes to assess the function of his spine.

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