Chapt 9: General Survey and Measurement Flashcards
How do we assess LOC?
- The person is alert and oriented to person, place, time, and situation.
- Attends to and responds appropriately to your questions.
How do we assess skin?
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.
How do we assess gait?
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.
How to you assess ROM?
Note full mobility for each joint and that movement is deliberate, accurate, smooth, and coordinated.
How do we assess facial expression?
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.)