Professional Documents
Culture Documents
Appeara
nce and
Mental
Status
*posture
and gait
ACTUAL FINDINGS
NORMAL FINDINGS
No distress noted
in Healthy appearance
ANALYSIS
Abnormal
Muscle
mass
decreases
progressively
within age and
bones become
more fragile.
Normal
By: Kozier
Normal
By: Kozier
By: Kozier
Understandable,
pace;
exhibits
association
By: Kozier
Abnormal
Pale and weak
in appearance
is an indication
of illness
moderate Abnormal
thought
Many
elders
have
some
impairment in
hearing, vision
and speech.
Clients
attitude
A
stress
of
being
in
unfamiliar
situations can
cause
confusion
in
elders.
Normal Findings
Interpretati
on/Analysis
Temperature
36.5
36.5c-37.4c
Normal
PR
63 bpm
60-100bpm
Normal
RR
20 cpm
16-20cpm
Normal
BP
140/90mmHg
120/80mmHg
Abnormal
A
BP
of
140/90 is an
indication of
Hypertension
or
High
Blood
pressure
BODY
PART
ACTUAL FINDINGS
NORMAL FINDINGS
ANALYSIS
SKIN
Abnormal
The skin is dry
and
flaky
because
sebaceous and
sweat
glands
are less active.
By: Kozier
HAIR
NAIL
Abnormal
In
elderly
people, Hair is
slightly
thinning
and
white
hair
starts
to
appear.
Finger
nails
not Smooth texture, dark-skinned Abnormal
trimmed and dirty. clients may have brown or
The
hair
Slow return of refill black
pigmentation
in
grows
more
on fingers
longitudinal streaks; Intact
slowly
and
epidermis; Prompt return of
thickens
in
pink or usual color (generally
elder people.
less than 4 sec.).
By: Kozier
SKULL
AND
FACE
EYE
Eyebrows
were .
Equally
distributed Abnormal
STRUCTU
RES AND
VISUAL
ACUITY
EARS
AND
HEARING
NOSE
AND
SINUSES
eyebrows
and
eyelashes;
Skin
intact;
conjunctiva
appears
transparent;
capillaries
sometimes
evident, shiny, smooth and
pink or red; sclera appears
white.
Nose appeared to
be symmetric and
straight.
No
discharges.
No
flaring noted. Color
of the nose is same
as that of the skin.
No
lesions
and
redness noted. Both
nares were patent
and no obstruction
was seen
Visual
acuity
decreases
as
the lens of the
eye ages and
becomes more
opaque
and
loses elasticity.
By: Kozier
By: Kozier
By: Kozier
Normal
MOUTH
AND
OROPHA
RYNX
THORAX
AND
LUNGS
ABDOME
N
Abnormal
Dryness of lips
is
associated
with
dehydration. In
elderly people,
tooth
loss
occur and may
show signs of
staining,
erosion,
chipping.
The
thorax
is
symmetric
and
moves easily without
impairment
upon
respiration.
No
tenderness noted. No
masses, deformities
or
abnormal
movements
noted
upon
palpation.
Respiratory
expansion is equal
on both sides. No
rales,
rhonchi,
or
friction rubs noted
By: Kozier
By: Kozier