Shadow Health - Robert Hall - Mobility -
Objective
Assessed Vitals: ANSWER temperature: normothermic
Heart rate: no abnormal observations.
Respiratory Rate: No abnormal observations.
O2 Saturation: No abnormal readings.
Assessment of Orthostatic Blood Pressure - ANSWER Blood Pressure at Rest:
normotensive
Evidence of orthostatic hypotension:
A systolic drop of more than 20 mmHg.
A diastolic drop of more than 10 mmHg
Assessed IV Bag - ANSWER Appropriate Fluid: The bag contains normal saline
Appropriate Label: Name and dose are correct
Fluid Appearance: No evident aberrant appearance.
Assessed IV Pump - Observations: The IV pump is infusing IV fluid at the
prescribed pace.
Assessed IV Site - ANSWER Insertion Site: no obvious abnormal signs
Dressing: Dry and undamaged.
Inspected Head and Face - Skull Symmetry: Symmetric
Face Feature Symmetry: symmetric
, Appearance: No obvious aberrant findings.
Inspected Eyes - ANSWER Eyelids have no obvious abnormal findings.
There are no apparent pathological findings on the conjunctiva or lens.
Pupillary Reaction: No obvious aberrant findings (PERRL).
Accommodation involves proper constriction and dilation.
Inspected mouth - ANSWER Oral mucosa and gums are moist and pink, with no
bleeding.
Lips: dry, chapped.
Tongue: Dry look.
Inspected Skin: Wounds or Sores: No abnormal findings.
Signs of Skin Trauma: Bruising
Color or appearance: redness.
Masses or texture: no abnormal findings.
Skin Characteristics and Hair Growth: No abnormal findings.
Inspected Thighs - Right Answer: Appearance: No obvious aberrant findings.
Left: Appearance: Bruising or other discoloration
Symmetry: symmetric bilaterally
Inspected Lower Legs - ANSWER: Appearance: No obvious aberrant findings.
Objective
Assessed Vitals: ANSWER temperature: normothermic
Heart rate: no abnormal observations.
Respiratory Rate: No abnormal observations.
O2 Saturation: No abnormal readings.
Assessment of Orthostatic Blood Pressure - ANSWER Blood Pressure at Rest:
normotensive
Evidence of orthostatic hypotension:
A systolic drop of more than 20 mmHg.
A diastolic drop of more than 10 mmHg
Assessed IV Bag - ANSWER Appropriate Fluid: The bag contains normal saline
Appropriate Label: Name and dose are correct
Fluid Appearance: No evident aberrant appearance.
Assessed IV Pump - Observations: The IV pump is infusing IV fluid at the
prescribed pace.
Assessed IV Site - ANSWER Insertion Site: no obvious abnormal signs
Dressing: Dry and undamaged.
Inspected Head and Face - Skull Symmetry: Symmetric
Face Feature Symmetry: symmetric
, Appearance: No obvious aberrant findings.
Inspected Eyes - ANSWER Eyelids have no obvious abnormal findings.
There are no apparent pathological findings on the conjunctiva or lens.
Pupillary Reaction: No obvious aberrant findings (PERRL).
Accommodation involves proper constriction and dilation.
Inspected mouth - ANSWER Oral mucosa and gums are moist and pink, with no
bleeding.
Lips: dry, chapped.
Tongue: Dry look.
Inspected Skin: Wounds or Sores: No abnormal findings.
Signs of Skin Trauma: Bruising
Color or appearance: redness.
Masses or texture: no abnormal findings.
Skin Characteristics and Hair Growth: No abnormal findings.
Inspected Thighs - Right Answer: Appearance: No obvious aberrant findings.
Left: Appearance: Bruising or other discoloration
Symmetry: symmetric bilaterally
Inspected Lower Legs - ANSWER: Appearance: No obvious aberrant findings.
