Title: Documentation of problem based assessment of

Title: Documentation of problem based assessment of the head, ears, and eyes. Purpose of Assignment: Learning the required components of documenting a problem based subjective and objective assessment of a head, ears, and eyes. Identify abnormal findings. Course Competency: Demonstrate physical examination skills of the head, ears, and eyes, nose, mouth, neck, and regional lymphatics. Instructions: Content: Use of three sections: o Subjective o Objective o Actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them. Format: · Standard American English (correct grammar, punctuation, etc.) Resources: Chapter 3: SOAP Notes (subjective and objective only) Sullivan, D. (2018). Guide to clinical documentation. https://ebookcentral.proquest.com/lib/ras/detail.action?docID=5553403 Smith, L. S. (2001, September). Documentation do’s and don’ts. Nursing, 31(9), 30. Retrieved from http://ezproxy.rasmussen.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=107055742&site=eds-live

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