Professional Documents
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General Survey Edited
General Survey Edited
Observe body build, height , weight in rel. to age, lifestyle, and health Posture and gait, standing ,sitting and walking Overall hygiene and grooming Body and breath odor in rel. to activity level
Normal Findings
Proportionate, varies with lifestyle
Relaxed, erect posture, coordinated movement Clean , neat No body odor / minor body odor relative to work/exercise; no breath odor No distress noted
Tense, slouched, bent posture, uncoordinated movement; tremors Dirty, unkempt Foul body odor; ammonia odor; acetone breath odor; foul breath (halitosis) Bending over because of abdominal pain, wincing, frowning or labored breathing
Assessment
Signs of health or illness (e.g. skin color or breathing) Clients attitude
Normal Findings
Healthy appearance
Affect/ mood; assess Appropriate to the appropriateness of situation the clients responses
Assessment
Quantity of speech (amount and pace), quality (loudness, clarity), organization (coherence of thought, overgeneralization, vagueness) Listen to relevance and organization of thoughts
Normal Findings
Understandable, moderate pace; clear tone; exhibits thought association
Chair scale
Bed scale