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Musculoskeletal System

Performance Checklist

  Assessed Appropriately by Student?
 

  Yes No Comments
I. Inspection and palpation of the musculoskeletal system      
A. Skeleton and extremities: compare sides for alignment, contour and symmetry, size, deformity      
B. Skin and subcutaneous tissues over muscles and joints for color, number of skinfolds, swelling, masses      
C. Inspect muscles and compare sides for size, symmetry, fasciculations, or spasms      
D. Palpate all bones, joints, and surrounding muscles for muscle tone, warmth, tenderness, swelling, and crepitus      
E. Test each major joint for active and passive range of motion and compare sides      
F. Test major muscle groups for strength and compare sides      
G. Hands and wrists      
H. Elbows      
I. Shoulders      
J. Temporomandibular joint      
K. Cervical spine      
L. Thoracic and lumbar spine      
M. Hips      
N. Legs and knees      
O. Feet and ankles      
1. Inspect feet and ankles during weight bearing and non-weight bearing for contour, alignment with tibias, size, number of toes      

 

 Neurologic System

Performance Checklist

  Assessed Appropriately by Student?
 

  Yes No Comments
I. Inspection, palpation, and neurologic tests      
A. Test cranial nerves I through XII      
1. I (olfactory) Use a scent      
2. II (optic)      
3. III (oculomotor)      
4. IV (trochlear)      
5. V (trigeminal)      
6. VI (abducens)      
7. VII (facial)      
8. VIII (acoustic)      
9. IX (glossopharyngeal)      
10. X (vagus)      
11. XI (spinal accessory)      
12. XII (hypoglossal)      
B. Cerebellar function and proprioception      
1. Evaluate coordination and fine motor skills by rapid rhythmic alternating movements, accuracy of upper and lower extremity movements      
2. Evaluate balance using the Romberg test      
3. Observe the patient’s gait for posture and rhythm and sequence of stride and arm movements      
C. Sensory function      
1. Test primary sensory responses to superficial touch and pain      
2.. Evaluate perception of position sense with movement of the great toes or a finger on each hand      
3. Assess ability to identify familiar object by touch and manipulation      
4. Assess two-point discrimination      
6. Assess ability to identify letter or number “drawn” on palm of hand      
7. Assess ability to identify body area when touched      
D. Superficial and deep tendon reflexes      
1. Test abdominal reflexes      
2. Test the plantar reflex      
3. Test the following deep tendon reflexes: biceps, brachioradialis, triceps, patellar, and Achilles      
4. Test for ankle clonus      

paragraph documentation of finding, patient does not have any abnormalities 

no references needed, no research needed, just two paragraphs, one for musculoskeletal  and another neurological assessment. Include all that mention in checklist. this is just documentation. not a research 

SCIENCE
HEALTH SCIENCE
NURSING
NURS 8020C

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