See attached document.
Patient Information
76-y/o-Male, BMI 28, Jewish Orthodox religion
Dx: Lewy body dementia
Hx: Parkinson's disease, osteoarthritis (knees, hips, hands), and seborrheic keratosis.
ALL PAPPERS MUST BE WRITTEN ON APA STYLE, LATEST EDITION, AND SHOULD
HAVE:
COVER PAGE:
• Paper title (Head-to-Toe Assessment- centered and in bold)
• Author’s name (Student’s name)
• Author’s affiliation (school or institution:)
• Course name and number
• Instructor’s name ( only the name, do not use “professor” or
titles)
• Assignment due date (not the day the student completed the task)
• Note the following:
1. All the pages should have a page number (top right: 1, 2, 3, and so forth- starting with
the cover page).
2. Running head is no longer required (this was a requirement in APA style edition 6th
but not with the 7th edition)
3. Times New Roman is the preferred font, 12-point.
4. Set up your paper to double-spacing and 1inch margins.
Second page and so forth:
PATIENT INFORMATION
Left side: Enter the information of the patient as given by your professor. Maintain APA style for
spacing and font type. Including:
• Patient’s demographics
• Chief Complaint
• Patient history
• Main Diagnosis
PRECAUTIONS:
Make sure to include in writing the precautions used (e.g., contact, droplet, airborne, or reverse
isolation). This will depend on the case (main diagnosis and history).
SYSTEMATIC PHYSICAL EXAMINATION:
Documentation of the pretend head-to-toe assessment should follow this sequence. Make sure to
pay attention to the information provided by your professor (i.e., If your patient has hypertensive
retinopathy, you should include all the expected findings).
• General Survey
• Vital Signs
• Head, Eys, Ears, Throat, and Nose (HEENT)
• Neck
• Lymph Nodes
• Thorax and Lungs
• Cardiovascular
• Breasts
• Abdomen
• Genitalia
• Rectal
• Extremities
• Peripheral Vascular
• Musculoskeletal
• Skin
• Neurologic
• Psychiatry
DIAGNOSTIC TESTS
As applicable, according to the main diagnosis of the patient.
Include patient’s recommendations (e.g., fasting time before the test, administration of
contrast, refrain for sexual encounter, and so forth) and expected results.
• Laboratory
• ECG
• 2D Echocardiogram
• Imaging
• Other:
REFERENCES:
Should be cited along the paper