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When doing a general survey of a patient during a head-to-toe assessment, what does that entail? (Two Things)
Appearance = Hygiene, Body Posture, Emotional State
Assess Orientation = LOC X 3 (Person, Place, Time)
How would you document appearance for a patient who is “normal”?
Hygiene = Clean
Body Posture = Relaxed
Emotional State (Mood & Affect) = Cooperative
How would you document “hygiene” for a “normal” person?
Clean
How would you document “body posture” for a “normal” person?
Relaxed
How would you document “emotional state” for a “normal” person?
Cooperative