NCM 101:GENERAL SURVEY AND VITALS SIGNS

• 4 GENERAL SURVEY

  1. Physical appearance
  2. Body structure
  3. Mobility
  4. Behavior
• PHYSICAL APPEARNCE (S-L-S-F-O)

  • Sex
  • Level of consciousness
  • Skin color
  • Facial feature
  • Overall
• MOBILITY (G-R)

  • Gait
  • Range of motion
• BEHAVIOR (F-M-S-D-P)

  • Facial expression
  • Mood and affect
  • Speech
  • Dress
  • Personal Hygiene
• BODY STRUCTURE (S-N-S-P-B)

  • Stature
  • Nutrition
  • Symmetry
  • Posture
  • Body build, Contour
• 5 PHYSICAL APPEARNCE

  SEX

  LEVEL OF CONCIOUSNESS

  SKIN COLOR

  FACIAL FEATURE

  OVERALL
• BODY STRUCTURE

  STATURE

  NUTRITION

  SYMMETRY

  POSTURE

  BODY BUILD, CONTOUR
• MOBILITY

  GAIT

  RANGE OF MOTION
• BEHAVIOR

  FACIAL EXPRESSION

  MOOD AND AFFECT

  SPEECH

  DRESS

  PERSONAL HYGIENE
• SEX

  Sexual development is appropraite for gender and age
• LEVEL OF CONCIOUSNESS

  the patient is alert oriented, attends to questions and responds appropriately
• SKIN COLOR

  color tone is even, skin intact, with no obvious lesions
• FACIAL FEATURES

  Facial featres are symmetric with movemet
• OVERALL

  no signs of acute distress present
• STATURE

  the height appears within normal range for age , genetic heritage
• NUTRITION

  the weight appears within normal range for height and body build, body fat distribution is even
• 3 types of nutrItion

  • ECTOMORPH
  • MESOMORPH
  • ENDOMORPH
• SYMMETRY

  body parts look equal bilaterally and proportion to each other
• POSTURE

  the patent stands comfortably erect
• POSITION

  the patient sits comfortably in a chair or in the bed, or examination table , arms relaxed at the sides, head turned to examiner
• BODY BUILD, CONTOUR

  
  

  arm span stretch your arm to sides equal height
• BODY STRUCTURE: 2 TYPES OF BODY BUILD, CONTOUR

  POLYDACTLY

  SYNDACTYLY
• BODY STRUCTURE: body build contour (TYPE OF POLYDACTYLY)

  PREAXIAL

  CENTRAL

  POSTAXIAL
• PREAXIAL- DUWA KA THUMB

  CENTRAL-DUWA KA MIDDLE FINGER

  POSTAXIAL-DUWA KA PINKY
• SYNDACTYLY

  NAG TABID ANG DUWA KA TUDLO
• GAIT

  the base is as wide as the shoulder width; foot placement is accurate; the walk is smooth, even, and well balanced; and associateed movements, such as symmetric arm swing are present
• RANGE OF MOTION

  full mobility of each joint, movement is deliberate, accurate, smooth, and coordinated, no involuntary, unpurposefulmovement
• FACIAL EXPRESSION

  the patient maintains eye contact, expressions are appropriate to the situation
• MOOD AND AFFECT

  the patient is comfortable and cooperative with examiner and interacts pleasantly
• SPEECH

  the patient speak clearly. the stream of talking is fluent with a even pace . word choice is appropriate
• DRESS

  clothing is appropriate to the climate, looks clean fts the body, and is appropriate to age group
• PERSONAL HYGIENE

  the patient apears clean and groomed appropriately for his age, occupation and socioeconomic group
• 4 VITAL SIGNS

  1. TEMPERATURE
  2. PULSE
  3. RESPIRATION
  4. BLOOD PRESSURE
• BODY TEMPEARATURE

  balance etween the heat produced and heat lost by the body
• 2 TYPES OF TEMPERATURE

  1. CORE TEMPERATURE
  2. SURFACE TEMPERATURE
• CORE TEMPEARATUR

  • measured by taking oral, rectal, tympanic
  • temperature of the deep tissue of the body
• SURFACE TEMPERATURE

  • MEASURED BY TAKING AXILLARY AND TEMPORAL TEMPERATURE
  • TEMPERATURE OF THE SKIN, SUBCUTANEOUS TSSUE nd fat
• PROCESS INVOLVED IN HEAT LOSS

  1. RADIATION
  2. CONDUCTION
  3. CONECTION
  4. EVAPORATION
• RADIATION

  the transfer of heat from the surface of one object to the surface of another without contact between two objects
• CONDUCTON

  the transfer of heat from one surface to another. it requires temperature difference between the two surfaces