A thorough assessment involves both subjective and objective data collection. Here are the steps:
1. Patient Interview: Gather subjective data by asking the patient about their symptoms, pain levels, and any changes they have noticed. 2. Physical Examination: Conduct a head-to-toe examination, noting any abnormalities such as swelling, redness, or unusual sounds. 3. Vital Signs Monitoring: Regularly check and record vital signs, including temperature, blood pressure, pulse, and respiratory rate. 4. Laboratory and Diagnostic Tests: Review lab results and diagnostic imaging for any signs of complications. 5. Review of Systems: Perform a systematic review of all body systems to identify any areas of concern.
