General Survey

Question 1

What are all the parts of the general survey?

Answer 1

Focused history questions
Developmental modifications
Observe
Skin assessment: Focused hx
Skin assessment: Inspect & Palpate
(Positioning)

Question 2

Positioning for general survey

Answer 2

Semi-Fowler’s
Fowler’s

Question 3

Focused History questions

Answer 3

o How are you feeling today?
o What brought them to the clinic/hospital
o Are you in any discomfort/pain?
o Any difficulty falling asleep or staying awake
o Medicines taking (include over the counter)
o Alcohol consumption (amount daily)
o Herbal products or natural remedies
o Hospitalizations or surgeries?

Question 4

Developmental Modifications

Answer 4

o Infants/children
o Older adults
 LADLs (Lawton Instrumental Activities of Daily Living)
 SPICES – (Sleep disorders, Problems eating or feeding, Incontinence, Confusion, Evidence of falls, Skin breakdown)

Question 5

Observations

Answer 5

o Apparent age, gender, and race
o Body type and posture
o Vital signs
o Height, weight and BMI
- Adult
-Infant – also measure head circumference
o AAO X 3 – Person, Place & Time
-
o Gait and any abnormal movements
o Speech pattern
o Dress, grooming, and hygiene
-
o Signs of physical or emotional stress
o Mental state and effect
o Facial characteristics + expression

Question 6

Skin Assessment: Focused history questions

Answer 6

 History of RASHES
 ROUGHNESS or unusual texture
 History of ALLERGY
 Areas of skin that CHANGED COLOR.
 LESIONS
 TEMPERATURE

RRACLT

Question 7

Skin assessment: Inspection and palpation

Answer 7

o Inspect skin: color, mucus membranes, tongue, conjunctiva.
o Inspect for edema.
o Identify any skin lesions – describe skin lesions.
-
o Palpate skin for temperature
o Palpitate skin for turgor.
o Palpate the skin for texture.
o Palpate skin for moisture/hydration
-
o Patient teaching
o Home care