| Flap 1 |
Flap 2 |
| Level of consciousness | AAOx3 (person, place, time) |
| Speech & facial expressions | garbled, slurred, stuttering, hesitance; facial symmetry, dropping, smile/frown |
| comfort level | appear comfortable, distressed, in pain (0-10) |
| behavior | anxious, disinterested, angry, good spirits, preoccupied, cooperative (describe specific signs: tapping foot, not paying attention, smiling) |
| dress & hygiene | clean, intact, size/age/weather/temp appropriate, body/breath odor (sweetness? alcohol? smoke? BO?) |
| body structure | gait, body build (SML frame), symmetry, posture, position (tripod pos.=resp. distress), nutrition, mobilty (ROM) |
| skin & color | color, moisture, temp, texture, mobility/turgor, lesions, nails, hair |
| physical & sexual development | age appropriate? |
