Examples
NEUROLOGICAL ASSESSMENT
Remember the old cartoons when someone gets
an idea in their brain and a light bulb would go
off above their head? Think of that, but picture a
LAMP above the patients head
L - LOC (level of consciousness)person,place,time
A - Assess fontanelle (infants under 1 years old
- flat? depressed? bulging?)
M - Movement (hand grasp/pull AND -
pedal dorsiflexion/extension)
P - PERL
Remember the old cartoons when someone gets
an idea in their brain and a light bulb would go
off above their head? Think of that, but picture a
LAMP above the patients head
L - LOC (level of consciousness)person,place,time
A - Assess fontanelle (infants under 1 years old
- flat? depressed? bulging?)
M - Movement (hand grasp/pull AND -
pedal dorsiflexion/extension)
P - PERL
SKIN ASSESSMENT
T - Temperature of skin
I - Integrity of skin
M - moisture of skin
E - Edema of skin
Color - Color of skin
* Remember you only have to choose (2)
vulnerable skin areas to assess. They are:
1) heels
2) sacral/coccyx
3) occiput
4) trochanter
5) skin folds
6) peri anal
7) designated area
USING THE ABOVE EXAMPLES YOUR GRID WOULD LOOK SOMETHING LIKE THIS:
Please note that you check off the area of care on the LEFT side when you do it, and then check off the area of
care to the RIGHT side when you chart it. That way you won't forget anything!
NEURO
DONE? CHARTED?
___ L – LOC ___
___ A- Assess fontanelle ___
___ M – Movement
Hand grasps ___
Pedal flexion/extension ___
___ P – PERL ___
SKIN
Skin surface assigned OR chosen: 1) ________ 2) ________
DONE? CHARTED?
___ T – Temperature ___
___ I – Integrity ___
___ M – Moisture ___
___ E – Edema ___
___ Color ___
OTHER AREAS OF CARE ASSIGNED/INTERVENTIONS FROM NURSING CARE PLAN:
Please note that you check off the area of care on the LEFT side when you do it, and then check off the area of
care to the RIGHT side when you chart it. That way you won't forget anything!
NEURO
DONE? CHARTED?
___ L – LOC ___
___ A- Assess fontanelle ___
___ M – Movement
Hand grasps ___
Pedal flexion/extension ___
___ P – PERL ___
SKIN
Skin surface assigned OR chosen: 1) ________ 2) ________
DONE? CHARTED?
___ T – Temperature ___
___ I – Integrity ___
___ M – Moisture ___
___ E – Edema ___
___ Color ___
OTHER AREAS OF CARE ASSIGNED/INTERVENTIONS FROM NURSING CARE PLAN:
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ALL MNEMONICS/PICS ARE NOW ON A FLASH CARD FORMAT. MANY THANKS TO
STEPHEN BERENDSON FOR PUTTING THE FILES INTO THIS FORMAT !!
*On my video I made mention of accessing the documents: NURSING CARE
PLANS, SAMPLE CHARTING, MNEMONICS, AND MNEMONIC PICTURES on this
website. Due to the way that this server runs their website there is no way to offer
the documents in that format on this website. So, when you order the video, I will
E-Mail you the above mentioned documents in a zipped format. This applies to
the downloaded and ground delivery version of the video. To view what some of
these documents would look like see the samples below:
STEPHEN BERENDSON FOR PUTTING THE FILES INTO THIS FORMAT !!
*On my video I made mention of accessing the documents: NURSING CARE
PLANS, SAMPLE CHARTING, MNEMONICS, AND MNEMONIC PICTURES on this
website. Due to the way that this server runs their website there is no way to offer
the documents in that format on this website. So, when you order the video, I will
E-Mail you the above mentioned documents in a zipped format. This applies to
the downloaded and ground delivery version of the video. To view what some of
these documents would look like see the samples below:
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