Visual observation in nursing is conducted through a systematic approach. Nurses are trained to use a holistic view, which includes observing the entire patient and their surroundings. This process often begins with a general survey, where the nurse takes note of the patient’s overall appearance, mood, and level of distress. Following the general survey, the nurse may focus on specific areas such as the skin, respiratory rate, and any visible wounds or lesions. The environment is also assessed for safety risks or factors that could affect the patient's health.