Our Lady of the Pillar College-Cauayan

Cauayan City, Isabela

College of Nursing
HEALTH and Midwifery
ASSESSMENT LEC

ACTIVITY 3

GENERAL INSTRUCTIONS:
1. Find for a patient individually and perform a physical assessment of their General appearance and Vital Signs. Follow the ff. age groups given below:
A. Group 1- Toddler/ Pre- school
B. Group 2- Adolescence
C. Group 3- Young Adults/ Middle Adults
D. Group 4- Elderly

2. Include the following attachments in your output:

A. Complete Clinical Health History
B. 3 priority Nursing Care Plans
C. Photodocumentations with captions
 PHYSICAL ASSESSMENT

Name of Patient: ____________________________________ Age: ___________ Gender: ________ Birthday: _________________

Address: _________________________________ Occupation: ____________________ Status: _________ Civil Status: _______________
Chief Complaints: _____________________________________________________________________________________________________________

Assessment PA Technique Used Actual Findings Analysis/ Interpretation

GENERAL APPEARANCE
 Skin appearance

 Dress and Grooming

 Hygiene

 Posture

 Body build

 Level of Consciousness

 Level of Comfort

 Facial Expression
  Speech

VITAL SIGNS
 Body Temperature

 Pulse Rate

 Respiratory Rate

 Blood Pressure