Our Lady of the Pillar College-Cauayan

Cauayan City, Isabela

College of Nursing
HEALTH and Midwifery
ASSESSMENT

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

*** 2 Priority NCP