Chapt 9: General Survey and Measurement Flashcards

1
Q

How do we assess LOC?

A
  • The person is alert and oriented to person, place, time, and situation.
  • Attends to and responds appropriately to your questions.
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2
Q

How do we assess skin?

A

Color tone is even, pigmentation varying with genetic background; skin is intact
with no obvious lesions. Make note of tattoos and piercings and stage of healing.

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3
Q

How do we assess gait?

A

Feet approximately shoulder width apart; foot placement is accurate; walk is smooth and
even, and person can maintain balance without assistance. Associated movements such as
symmetric arm swing are present.

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4
Q

How to you assess ROM?

A

Note full mobility for each joint and that movement is deliberate, accurate, smooth, and coordinated.

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5
Q

How do we assess facial expression?

A

The person maintains eye contact (if culturally appropriate); expressions are appropriate to the situation (e.g., thoughtful, serious, or smiling). (Note expressions both while the face is at rest and while the person is talking.)

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