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Study sets matching "general survey"

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Study sets matching "general survey"

14 terms
General Survey
Components of General Appearance
Height and Weight
Classifications of BMI
Caclulate BMI
LOC, Signs of Distress/Anxiety, Skin color/lesions, dress/gro…
Height: ... -No shoes... -Is stature short/tall? Build? ... -Body symm…
Underweight: <18.5... Normal: <25... Overweight: <30... Obesity I: <35…
(Weight in Lbs x 700... ----------------------------... Height in i…
Components of General Appearance
LOC, Signs of Distress/Anxiety, Skin color/lesions, dress/gro…
Height and Weight
Height: ... -No shoes... -Is stature short/tall? Build? ... -Body symm…
23 terms
General survey
Begining procedure
General survey
Posture, gait, motor skills terms
Appearance, dress, grooming terms
Greet patient... Introduce yourself... Wash hands... PPE... Disrope patient
Posture, gait, motor skills... Appearance, dress, hygiene, groom…
agile, straight posture,
Cachectic/Cachexia, obese, slender, well groomed, well dressed
Begining procedure
Greet patient... Introduce yourself... Wash hands... PPE... Disrope patient
General survey
Posture, gait, motor skills... Appearance, dress, hygiene, groom…
18 terms
General Survey
General Survey
WHAT IS A GENERAL SURVEY?
4 categories of assessment to the Gene…
1. Physical Appearance
-Begins upon entering room​... -See​, Hear​, Smell​... -Will Guide…
- 1st Component of Assessment - Begins at first sight... - Conti…
Physical appearance​​... Body Structure​​... Behaviour​​... Mobility
Stated age versus apparent age​​... Facial features​... LOC... ​Skin p…
General Survey
-Begins upon entering room​... -See​, Hear​, Smell​... -Will Guide…
WHAT IS A GENERAL SURVEY?
- 1st Component of Assessment - Begins at first sight... - Conti…
35 terms
General Survey
For physical abnormalities, do you do…
Mental Status is Assessed directly uti…
WHO definition of health
What encompasses mental status?
YES
Subjective ... Objective
is a state of complete physical, mental and social well-being…
1. Appearance ... 2. Behaviors ... 3. Speech... 4. Thought Patterns ... 5…
For physical abnormalities, do you do…
YES
Mental Status is Assessed directly uti…
Subjective ... Objective
8 terms
General survey
chief complaint
symptom analysis
Review of systems
apparent state of health
in patient's own words, what their problem is
typically associated with something acute... OLDCART
general- fever? chells night sweats?
well nourised and hydrated?... body structure, mobility behavior
chief complaint
in patient's own words, what their problem is
symptom analysis
typically associated with something acute... OLDCART
13 terms
General Survey
Skin Color
Age
Consciousness
Mobility
Ethnicity/ skin intact, no lesion, even tone
Younger/older or at stated age
Alert oriented x4 (place,time&date,situation,who) , able to a…
Gait, assistive devices, ROM joints walk balanced
Skin Color
Ethnicity/ skin intact, no lesion, even tone
Age
Younger/older or at stated age
24 terms
General Survey
General survey
Gestalt
Physical appearance, body structure, m…
Arm span
Study of the whole person
An overall impression
4 areas of the health history
Equals height
General survey
Study of the whole person
Gestalt
An overall impression
9 terms
general survey
HIPE
Assess patients physical appearance
Assess patients body structure
assess the patients mobility
hand hygiene, identify patient, Privacy, explain
lOC, distress, SOA, pain, anxiety, General appearance, hygien…
height & weight r/t age, genetic heritage, and standard range…
posture, gait, ROM, involuntary movements
HIPE
hand hygiene, identify patient, Privacy, explain
Assess patients physical appearance
lOC, distress, SOA, pain, anxiety, General appearance, hygien…
11 terms
GENERAL SURVEY
Endocrine Deficiencies of Growth Hormo…
Body Symmetry, Level of Wellness, Obvi…
Asymmetry
Evenly distributed fat
This can manifest in younger-than-chronological-age appearance.
What to observe in General Appearance?
It is seen when a paired body part does not look the same on…
Normal finding of Body Fat
Endocrine Deficiencies of Growth Hormo…
This can manifest in younger-than-chronological-age appearance.
Body Symmetry, Level of Wellness, Obvi…
What to observe in General Appearance?
42 terms
General Survey
pt
PPE
MMSE
BP
patient
personal protection equipment
mini mental status exam
blood pressure
pt
patient
PPE
personal protection equipment
9 terms
General Survey
Physical appearance
Body structure
Mobility
Behavior
Age: person appears his or her stated age... Sex: sexual develop…
Stature: height appears within normal range for age, genetic…
Gait: normally, base is as wide as shoulder width ... Foot place…
Facial expression: person maintains eye contact (unless a cul…
Physical appearance
Age: person appears his or her stated age... Sex: sexual develop…
Body structure
Stature: height appears within normal range for age, genetic…
General Survey
General survey
Assessment technique
Palpation
Percussion
Physical appearance... Mental status (orientation, alertness)... Mo…
Head to toe... Compare sides
Using touch to determine characteristics of the body (Positio…
Strike through a body part to elicit a sound or action... Direct…
General survey
Physical appearance... Mental status (orientation, alertness)... Mo…
Assessment technique
Head to toe... Compare sides
General Survey
Overweight BMI
Obese BMI
Morbidly obese BMI
Risks of obesity
25+, 2/3 of Americans
30+, 1/3 of Americans
40+, 5% of Americans
DM... heart disease... stroke... hypertension... osteoarthritis... cancer
Overweight BMI
25+, 2/3 of Americans
Obese BMI
30+, 1/3 of Americans
14 terms
General Survey
1.
2.
3.
4.
introduce self and provide privacy:... - close door... - drape... - wa…
orientation and LOC:... - awake and alert ... - responds to questions
skin color:... - evenly pigmented... - some nevi... - well-hydrated
facial expression:... - appropriate to situation... - eye contact
1.
introduce self and provide privacy:... - close door... - drape... - wa…
2.
orientation and LOC:... - awake and alert ... - responds to questions
68 terms
General Survey
4 components of general Survey
Age
Sex
Level of Consciousness
1. Physical Appearance ... 2.Body Structure ... 3.Mobility ... 4. Beha…
appears as the age stated
-Sexual development is appropriate for age ... -If patient is tr…
-Alert and oriented to person, place, time and situation. ... -A…
4 components of general Survey
1. Physical Appearance ... 2.Body Structure ... 3.Mobility ... 4. Beha…
Age
appears as the age stated
16 terms
General Survey
BMI
Blood Pressure
Blood Pressure Cuff Size
Auscultatory Gap
Calculation based on height and weight:... Underweight < 18.5 ... N…
Avoid smoking / drinking caffeinated beverages 30 minutes pri…
With 40 percent upper arm circumference... Length 80 percent upp…
Silent interval that maybe present between systolic and diast…
BMI
Calculation based on height and weight:... Underweight < 18.5 ... N…
Blood Pressure
Avoid smoking / drinking caffeinated beverages 30 minutes pri…
GENERAL SURVEY
genral survey
appearance
body type & posture
speech
begins at inital contact... deviations lead to focused assessments
speech & behavior appropriate for developmental stage... signs o…
shake hand to determine muscle strength... gait & abnormalities
vocabulary, tone, pace, patten, sentence structure, language…
genral survey
begins at inital contact... deviations lead to focused assessments
appearance
speech & behavior appropriate for developmental stage... signs o…
12 terms
General Survey
H
I
P
E
Hand hygiene and PPE if needed
Identify yourself and the pt
Provide privacy
Explain what you'll be doing and ask if it's okay
H
Hand hygiene and PPE if needed
I
Identify yourself and the pt
5 terms
General Survey
Objective data
Subjective data
Wash hands
Alcohol based hand rub
Can be measured by the nurse. Example: fever, wound, etc.
What the patient perceives. The patient tells you they feel c…
Before and after contact with each patient... After being contam…
Found to be very effective. ... Kills bacteria and viruses faste…
Objective data
Can be measured by the nurse. Example: fever, wound, etc.
Subjective data
What the patient perceives. The patient tells you they feel c…
35 terms
General Survey
BMI
6 Vital Signs
Normal Temp. for Oral Method; Who is i…
Temp. for Fever?
weight (kg)/height(meters) squared
Temperature, Pulse Rate, Resp. Rate, Oxygen Sat, Blood Pressu…
97.7F to 99.5 or 36.5 to 37.5C ; used with adults and older c…
100.4F or 38C
BMI
weight (kg)/height(meters) squared
6 Vital Signs
Temperature, Pulse Rate, Resp. Rate, Oxygen Sat, Blood Pressu…
12 terms
General Survey
Apparent State of Health Classifications
Alert
Lethargic
Obtunded
Acutely ill... Chronically Ill... Frail, feeble... Energetic, Vigorous…
Eyes open, responds fully
Drowsy appearance but responds to questions/opens eyes
Opens eyes, responds slowly and somewhat confused, less inter…
Apparent State of Health Classifications
Acutely ill... Chronically Ill... Frail, feeble... Energetic, Vigorous…
Alert
Eyes open, responds fully
15 terms
General Survey
Affect and Mood
BMI
Body Type
Body Movement
Affect is a person's feelings as he or she appears to others.…
...
trim and muscular, obese, or excessively thin. --general phys…
Observe whether movements are purposeful, noting any tremors…
Affect and Mood
Affect is a person's feelings as he or she appears to others.…
BMI
...
15 terms
General Survey
Affect and mood
BMI
Body Type
Body Movement
...
a formula for determining obesity it is calculated by dividin…
The general physical appearence of an individual human body.…
motion of all or part of the body especially at a joint or jo…
Affect and mood
...
BMI
a formula for determining obesity it is calculated by dividin…
17 terms
General Survey
What is in the general survey?
BMI Calculation
BMI levels
Average oral temperature
First encounter... General appearance... Vital Signs (Temp, PR, RR,…
(weight (lbs) X 700/height (inches))/height (inches)... or... weigh…
Underweight <18.5... Normal 18.5-24.9... Overweight 25.0-29.9... Obesi…
37 C or 98.6 F
What is in the general survey?
First encounter... General appearance... Vital Signs (Temp, PR, RR,…
BMI Calculation
(weight (lbs) X 700/height (inches))/height (inches)... or... weigh…
15 terms
General Survey
Affect and mood
BMI (body mass index)
Body type
Body movement
Affect is how a person appears to others. Patients express mo…
a formula for determining obesity. It is calculated by dividi…
Observe if the patient appears trim and muscular, obese, or e…
Observe whether movements are purposeful, noting any tremors…
Affect and mood
Affect is how a person appears to others. Patients express mo…
BMI (body mass index)
a formula for determining obesity. It is calculated by dividi…
23 terms
general survey
general survey
what is included in general survey
physical appearance
body structure
concise description of patient,organized, thorough, appropria…
physical appearance, body structure, mobility, and behavior
age, sex, level of consciousness, skin color, facial features
stature (related to age and genetic heritage), nutrition (BMI…
general survey
concise description of patient,organized, thorough, appropria…
what is included in general survey
physical appearance, body structure, mobility, and behavior
14 terms
General Survey
Components of General Appearance
Height and Weight
Classifications of BMI
Caclulate BMI
1. Apparent state of health 2. State of consciousness 3. Ease…
Height: ... -No shoes... -Is stature short/tall? Build? ... -Body symm…
Underweight: <18.5... Normal: <25... Overweight: <30... Obesity I: <35…
(Weight in Lbs x 700... ----------------------------... Height in i…
Components of General Appearance
1. Apparent state of health 2. State of consciousness 3. Ease…
Height and Weight
Height: ... -No shoes... -Is stature short/tall? Build? ... -Body symm…
5 terms
General Survey
Level of Consciousness
Signs of distress, facial expression,…
Skin texture, color, temperature, mois…
Body build, extremities
...
...
...
...
Level of Consciousness
...
Signs of distress, facial expression,…
...
32 terms
General Survey
Stadiometer
Scale
Opthalmoscope
Otoscope
Needed for physical examination, used to measure height, atta…
Needed for physical examination, used to measure weight
Needed for physical examination, used for eyes and other neur…
Needed for physical examination, used for seeing into the ear…
Stadiometer
Needed for physical examination, used to measure height, atta…
Scale
Needed for physical examination, used to measure weight
8 terms
General Survey
Physical Appearance
Body structure
Mobility
Behavior
age... genderLOC... skin color... facial features
stature... nutrition... symmetry... posture... position (emphysema - trip…
gait... ROM
facial expression... mood/affect... speech... dress... hygiene
Physical Appearance
age... genderLOC... skin color... facial features
Body structure
stature... nutrition... symmetry... posture... position (emphysema - trip…
9 terms
General Survey
Apparent Age
Gender
Level of Consciousness (LOC)
General State of Health
The Patient appears to be his stated age.
Sexual Development is appropriate for gender.
The patient is alert and orientated to situation and responds…
The patient appears to look healthy.
Apparent Age
The Patient appears to be his stated age.
Gender
Sexual Development is appropriate for gender.
18 terms
General survey
General survey
General survey is..
Physical appearance
Body structure
overall impression
objective data
Age, sex, LOC, skin color, facial features
height, nutrition, symmetry, posture & position, build
General survey
overall impression
General survey is..
objective data
10 terms
General Survey
General Appearance
Physical Appearance
LOC
Posture and Gait
-State of Health... -Physical Appearance
-Frail or fit and robust... -Looks their age... -Looks happy or unh…
-Awake, alert, responsive... -Orientation to person, place, time…
-restless or quiet... -changes position often... -movements-fast or…
General Appearance
-State of Health... -Physical Appearance
Physical Appearance
-Frail or fit and robust... -Looks their age... -Looks happy or unh…
8 terms
General survey
Facial expression
Body position
Level of consciousness
Skin color
Patient provides eye contact, has appropriate facial expressi…
Patient is in a 45 degree angle and relaxed. She turns head t…
Patient is alert and responds appropriately
Skin color corresponds to her ethnic background and is even t…
Facial expression
Patient provides eye contact, has appropriate facial expressi…
Body position
Patient is in a 45 degree angle and relaxed. She turns head t…
26 terms
General Survey
4 Components of General Survey
Physical Appearance
Age
Sex
1. Physical Appearance... 2. Body Structure ... 3. Mobility... 4. Beha…
Age ... Sex ... Level of Consciousness... Skin Color ... Facial Features…
Appears Stated Age
-sexual development is appropriate for age... -if patient is tra…
4 Components of General Survey
1. Physical Appearance... 2. Body Structure ... 3. Mobility... 4. Beha…
Physical Appearance
Age ... Sex ... Level of Consciousness... Skin Color ... Facial Features…
32 terms
General Survey
Parts of the general survey
What to observe?
Describe body language
Layers of skin
Skin, hair, nails, mental status, nutrition
-Handshake... -Posture, gait... -ADL's, motor activitiy... -Use sense…
Tense... Depressed... Seductive... Angry
-Epidermis... -Dermis... -SubQ
Parts of the general survey
Skin, hair, nails, mental status, nutrition
What to observe?
-Handshake... -Posture, gait... -ADL's, motor activitiy... -Use sense…
12 terms
General Survey
Chief complaint (CC)
History of Present Illness (HPI)
Past Medical History (PMH)
Family History (FH)
"What can i help you with today?"
"Can you describe your symptoms?"
"What other disease states do you have?"
"What type of medical conditions run in your family?"
Chief complaint (CC)
"What can i help you with today?"
History of Present Illness (HPI)
"Can you describe your symptoms?"
18 terms
General Survey
Moment you see patient
taking vital signs, height, weight, ca…
baseline
the patient's condition changes
When does general survey start?
general survey includes
accurate vital signs establish a...?
Vital signs are done whenever
Moment you see patient
When does general survey start?
taking vital signs, height, weight, ca…
general survey includes
38 terms
General Survey
General survey; Assessment
Physical appearance
Progression
Primary exam technique
Begins on 1st contact with patient... Organized... Starts with gene…
Age... Gender... Skin color... LOC... facial features... Hair and nails... Body…
Cephocaudal
Inspection
General survey; Assessment
Begins on 1st contact with patient... Organized... Starts with gene…
Physical appearance
Age... Gender... Skin color... LOC... facial features... Hair and nails... Body…
19 terms
general survey
Vital signs
Stated age vs. apparent age
Apparent state of health
Signs of distress
Pain, temperature, pulse, respirations, blood pressure
stated age congruent with apparent age
appears healthy
no visible signs of distress
Vital signs
Pain, temperature, pulse, respirations, blood pressure
Stated age vs. apparent age
stated age congruent with apparent age
11 terms
General Survey
Apparent State of Health
Level of Consciousness
Cardiac or respiratory distress
Pain
Is the patient acutely or chronically ill, frail, or fit and…
Is the patient awake, alert, and responsive to you and others…
Is there clutching of the chest, pallor, diaphoresis, or labo…
Is there wincing, sweating, protectiveness of a painful area,…
Apparent State of Health
Is the patient acutely or chronically ill, frail, or fit and…
Level of Consciousness
Is the patient awake, alert, and responsive to you and others…
31 terms
General Survey
General Survey
Four Parts to the General Survey
Age
Level Of Consciousness
begins with the first contact with the patient ... - needs to be…
Physical Appearance ... Body Structure ... Mobility... Behavior... Measur…
Normal: appears to be stated age... Abnormal:older than stated age
Normal: person is alert and oriented to person, place, time a…
General Survey
begins with the first contact with the patient ... - needs to be…
Four Parts to the General Survey
Physical Appearance ... Body Structure ... Mobility... Behavior... Measur…
45 terms
General Survey
telangiectasia
plaque
bulla
macule
red, thread-like line
superficial, elevated firm spot, diameter greater than 1 cm
elevated serous fluid-filled area with a diameter greater tha…
flat spot with a diameter less than 1 cm
telangiectasia
red, thread-like line
plaque
superficial, elevated firm spot, diameter greater than 1 cm
10 terms
General Survey
MMSE
LOC
A & O x 3
OD... OS... OU
mini mental status exam
level of consciousness
alert and oriented to person place & time
right eye... left eye... both eyes
MMSE
mini mental status exam
LOC
level of consciousness
11 terms
The General Survey
The General Survey
Apparent State of Health & Level On Co…
Signs of Distress
Skin Color and Obvious Lesions
-Apparent State of Health... -Level of Consciousness... -Signs of D…
-Is the patient acutely or chronically ill, frail, fit, robus…
-Cardiac or Respiratory Distress (Clutching of the chest, pal…
Pallor, cyanosis, jaundice, rashes, bruises
The General Survey
-Apparent State of Health... -Level of Consciousness... -Signs of D…
Apparent State of Health & Level On Co…
-Is the patient acutely or chronically ill, frail, fit, robus…
18 terms
The General Survey
pallor
general survey
ruber
skin lesion
paleness
sense about overall health from initial look
very red skin
freckle, mole
pallor
paleness
general survey
sense about overall health from initial look
23 terms
general survey
What are the first characteristics we…
Cardiac or respiratory distress sign o…
Pain or difficulty moving sign of dist…
Anxiety or depression signs of distress
face height and weight, then we notice how they are sitting,…
Clutching the chest, pallor, diaphoresis, labored breathing,…
Wincing, sweating, protectiveness, grimacing, antalgia,... favor…
Anxious facial expression, fidgety, cold & moist palms, inexp…
What are the first characteristics we…
face height and weight, then we notice how they are sitting,…
Cardiac or respiratory distress sign o…
Clutching the chest, pallor, diaphoresis, labored breathing,…
9 terms
General Survey
Wash your hands.
Introduce yourself.
Explain what you are about to do.
Observe the patient's general state of…
...
...
...
height,
Wash your hands.
...
Introduce yourself.
...
8 terms
General survey
Weight loss promotion
alcohol intake promotion
aerobic exercise
sodium intake
10% above weight
1 oz ethanol men, 1/2 oz for women
30 to 45 minutes daily
100 milimoles per day
Weight loss promotion
10% above weight
alcohol intake promotion
1 oz ethanol men, 1/2 oz for women
22 terms
General Survey
MMSE
Tmax
LOC
A & O x 3
Mini mental status exam
maximum temp the patient reported
level of consciousness
alert and oriented to person place and time
MMSE
Mini mental status exam
Tmax
maximum temp the patient reported
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