1. THE GENERAL SURVEY Follows the health history This is subjective not objective Study of the whole person

2. THE GENERAL SURVEY The GENERAL SURVEY is split up into 4 different components: 1. Physical appearance 2. Body structure 3. Mobility 4. Behaviour

3. 1. Physical Appearance Age Age Sex Sex Level of Consciousness Level of Consciousness Skin Colour Skin Colour Facial Features Facial Features

4. 2. Body Structure Stature Stature Nutrition Nutrition Symmetry Symmetry Posture Posture Position Position Body build, Contour Body build, Contour

5. 3. Mobility Gait Gait Range of Motion Range of Motion

6. 4. Behaviour Facial expression Facial expression Mood and affect Mood and affect Speech Speech Dress Dress Personal Hygiene Personal Hygiene

7. Developmental Considerations Infants/children  Physical appearance, body structure, mobility: note same but with consideration to age and development.  Behaviour: note response to stimuli according to developmental age  Parental bonding Aging Adult  physical appearance: 8 th to 9 th decade contour is sharper and facial features more angular and a change to body proportions.  Posture:general flexion by 8 th to 9 th decade.  Gait: wider base due to poor balance, arms out, smaller steps.

8. VITAL SIGNS Respirations Respirations Pulse – rate, rhythm, volume, site, Pulse – rate, rhythm, volume, site, Temperature – measurement routes Temperature – measurement routes Blood pressure – Korotkoff sounds Blood pressure – Korotkoff sounds

9. Vital signs Pain Pain 5th vital sign 5th vital sign Measurement tools (p 266) Measurement tools (p 266)