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Health Assessment Guide Personal History: Age: 85 Date of Birth: 1917-08-08 Gender: Female Stage of Growth and Development: Late Adulthood Physical: Appearance - wearing clean and appropriate clothing; well groomed. Pleasant, posture erect with no involuntary body movement. Height and weight, shape - 5¡¦2¡¨, 55.3kg, in small frame. Integument - good skin colour, even pigmentation, warm to touch. Decrease skin turgor, no nails clubbing with prompt capillary refill. Skin is intact, no redness and pressure ulcers. Mucous membranes pink and moist. Senses - Vision : wearing reading glasses. Hearing: no hearing impairment. Motor Function - Chronic pain on back and knees r/t osteoporosis. Recent fall; past fracture right hip; able to walk short distance with walker with physio; need staff for transferring because of unsteady gait and balance. Usually stays in chair or bed.
Approximate Word count = 532
Approximate Pages = 2.1
(250 words per page double spaced)
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