Professional Documents
Culture Documents
9:15-9:20 am Look for a flat surface then I organized all of my supplies and
prepared the necessary equipment that will be used for the said
assessment as soon as I politley entered the house.
9:20-9:25 am Politely ask the client where you may wash your hands. After
that, remove the essential items from the bag. Arrange
materials so that it would be much easier to grab it from time to
time and it will not possibly injure yourself and the client and
the client’s family memebers.
9:40-10:15 am Then I took the vital signs of the client: I took her blood
pressure (measured in both arms and thighs 3 times with 3-5
minutes interval), Auscultate heart tones and breath sounds,
Observe skin color, moisture, temperature, and capillary refill
time and Note dependent and general edema. I also took the
vitals signs of the family members in order to know if the client
is not the only one with underlying illneses.
10:15-10:20 am Clean all the materials that where used, then remove gloves
and do after care. I then washed my hands.
10:20-10:50 am I gave the client and their family all the necessary nursing
FATHER SATURNINO URIOS UNIVERSITY
San Francisco St. Butuan City 8600, Region XIII
Caraga, Philippines
Nursing Program
education and advise based out of the assessment derived. That
way she will retain the informationI have given her and I will
also educate her family memebers as well so that they too will
keep on eye on the client’s condition but also keep themselves
healthy.
10:50-11:15 am Created an exercise regiment and schedule for her so that she
will continue to do exercise so that she will not gain more
weight and have more fat build up. I also made sure that the
said schedule is at par with her busy schedule so that she will
not comrpomise both her work and her health.
11:15-11:25 am I recorded all the findings and significant information for both
baseline purposes and future reference.
11:25 to 11:30 am I then got the bag from the table, and then fold paper/ plastic
lining and insert paper/ plastic lining in the upper portion of the
bag. Then gathered all my things and placed them bag in my
bag.
11:35-11:40 am I made another appointment with the client and family for next
visit
MATERIALS:
The materials I have used for said community health care nursing visit are the following:
Digital BP Apparatus, weighing scale, Stethoscope, Wristwatch, Clean gloves, Pen, Notebook,
and a bag.
Prepared By:
ALLEAH JAYNE C. ARELLANO
BSN-N21