Nursing Physical Assessment Sheet

INTEGUMENTARY - SKIN❑ Color normal for race  ❑ pale  ❑ cyanotic❑ Jaundice  ❑ erythema  ________________________Texture ❑ Dry  ❑ diaphoretic  Temp ❑ Warm  ❑ hot  ❑ cool   ❑ cold Turgor  ❑ Elastic ❑ ↓ elasticity ❑ Tenting❑ Edema: _________________________________________Pitting ❑ 1+   ❑ 2+   ❑ 3+❑ Vascularity: ____________________________________❑ Skin clean, no odor  ❑ Odor  ❑ Dirty❑ Thick  ❑ Moderate ❑ ThinLesions: __________________________________________________________________________________________________________________________________________________________________________________________________________________HAIRColor: ____________________ ❑ Normal distrubution❑ Abnormal distribution _________________________❑ Full  ❑ Thinning  ❑ Alopecia __________________❑ Dry  ❑ Oily  ❑Dandruff/foreign matter❑ Lesions: ________________________________________________________________________________________________________________________________________________________NAILS❑ Color normal ❑ Other __________________________❑ Thick  ❑ Thin  ❑ Angle 160° ❑ Clubbing❑ Concave  ❑ Convex  ❑Beau’s lines❑ Paronychia  ❑ Splinter hemorrhages❑ Brittle  ❑ CRT ❑ > 3 sec _______________Other ________________________________________________HEADFacial expression  ❑ Pleasant/smiling  ❑ Tearful❑ Blank stare/mask-like  ❑ Sleepy  ❑ Startled❑  Head symmetrical ❑ Asymmetrical❑ Round  ❑Ptosis ❑ Other ________________________EYE❑ Sclera white  ❑ jaundiced❑ Bulbar conjuct. clear  ❑ Pink ❑ Vascularity❑ Palpebral conjunct pink  ❑ Red ❑ Jaundiced