General Survey

1. Weight

1.1. Use a standardized balance or electronic standing scale.

1.2. Instruct person to remove his or her shoes and heavy outer clothing before standing on scale.

1.3. Record weight in kilograms and pounds

1.4. Compare to previous weight (baseline)

1.4.1. Show person how his or her weight matches up to recommended range for height

2. Body Mass Index (BMI)

2.1. Body mass index is practical marker of optimal weight for height and an indicator of obesity or protein-calorie malnutrition

2.2. Height

2.3. Use wall-mounted device or measuring pole on scale.

2.4. Align extended headpiece with top of the head.

2.5. Person should be shoeless, standing straight, looking straight ahead, with feet and shoulders on hard surface.

3. OBJECTIVE DATA

4. OBJECTIVE DATA

5. We take an observation of the whole person… why?

5.1. To see clues that describe their general state of health

5.2. For obvious physical characteristics

5.3. Provides an overall impression

5.4. Includes objective parameters that apply to the whole body

6. Physical Apperance

6.1. Age, sex, LOC, skin color, facial features, & overall appearance

6.2. Body structure

6.2.1. Stature, nutritional status, symmetry, posture, & position

6.3. Mobility

6.3.1. Gait, ROM

6.4. Behavior

6.4.1. Facial expression, mood/affect, speech, dress, & personal hygiene

7. Waist Circumference

7.1. Assesses body fat distribution as indicator of health risk.

7.2. Excess abdominal fat

7.2.1. Specific risk factor for disease, even more than BMI.

7.3. Women > 35cm

7.3.1. Indicative of increased risk of heart disease, CAD and diabetes

7.4. Men > 40cm

7.4.1. Indicative of increased risk of heart disease, CAD and diabetes

8. OBJECTIVE DATA