Chapter Nine General Survey Management

Chapter Nine General Survey Management - Chapter Nine...

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Chapter Nine General Survey Measurement General Survey Whole person First impression look sick? rising slowly? shoulders slumped? and eyes without luster? Palms wet? Physical Appearance Age: appears age? Sex: sexual development appropriate?? Level of consciousness: alert, oriented, answers question appropriately? Skin color: tone even, pigmentation varying with genetic background, skin intact with no obvious lesions? Facial features: symmetric? No signs of acute distress? Body Structure Stature: height within normal range Nutrition: weight appears within normal range Symmetry: body parts look equal Posture: comfortable standing up? Body Build and contour: normal proportions? (arm span = pt’s height=fingertip to fingertip) crown to pubis= pubis to sole Any Obvious deformities? Mobility Gait: base= shoulder width Foot placement: symmetrical, accurate foot placement, smooth Range of motion: joint mobility
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Unformatted text preview: • No involuntary movements Behavior • Facial expression- eye contact, appropriate • Mood and affect- cooperative, pleasant • Speech- clear and understandable • Dress- appropriate for weather • Personal Hygiene- clean, groomed, makeup appropriate Weight – Document in kg and lbs. Remove coats & shoes. Compare. Include BMI and waist circumference. – BMI: < 18.5 underweight – 18.5 – 24.9 normal – 25-29.9 overweight – 30-34.9 class 1 obese – 35-39.9 Class 2 obese – Waist circumference: > 35 inches in women and > 40 inches in men increases – Weight loss? Weight gain? Height • Wall mounted device or measuring pole • Top of head • Shoeless • Standing straight and looking ahead Vital Signs – Temperature: Normal 98.6 – Pulse: Normal adult 60-100 – Respirations: Normal adult 12-20 per minute – Blood Pressure: Normal adult 120/80 or less (110/70, 100/60)...
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  • Fall '13
  • Cannon
  • Nutrition, Body mass index

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