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Nursing Manual
Examination procedure
Either before or after completing the Examination
Procedure, observe the person unobtrusively, at rest (e.g. in waiting room).
The chair to be used in this examination should be a hard, firm one without
arms.
- Ask the person to remove shoes and socks.
- Ask the person whether there is anything in his/her mouth (i.e. gum, candy,
etc.) and if there is, to remove it.
- Ask the person about the current condition of his/her teeth. ask person
if he/she wears dentures. Do teeth or dentures bother person now?
- Ask the person whether he/she notices any movements in mouth, face hands
or feet. If yes, ask to describe and to what extent they currently bother
him/her or interfere with his/her activities.
- Have the person sit in chair with hands on knees, legs slightly apart,
and feet flat on floor. (Look at entire body for movements while in this
position.)
- Ask the person to sit with hands hanging unsupported. If male, between
legs, if female and wearing a dress, hanging over knees. (Observe hands and
other body areas.)
- Ask the person to open their mouth. (Observe tongue at rest within mouth.)
Do this twice.
- Ask the person to tap thumb with each finger as rapidly as possible for
10-15 seconds; separately with right hand, then with left hand. (Observe
facial and leg movements.)
- Flex and extend the person's left and right arms (one at a time). (Note
and rigidity.)
- Ask the person to stand up. (Observe in profile. Observe all body areas
again, hips included.)
- Ask the person to extend both arms outstretched in front with palms down.
(Observe trunk, legs, and mouth.)
- Have the person walk a few paces, turn, and walk back to chair. (Observe
hands and gait.) Do this twice.
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