ASSESSING EYES
Assessor : Lista Guspani
Patient : Ria Masela
Report :
Left and right
eyes simetris, sclera white, conjunctiva normal, cornea brown, both eyeballs
move together in one direction. Normal visual, no tenderness on both eyeballs.
No oedema, snellen 20/20 OD and 20/20 OS. Able to read newspaper at distance of
12 inch.
ASSESSING EARS
Assessor : Lista Guspani
Patient : Ria Masela
Report :
Left and right
ears simetris, color matching with other members part of the body, whisper test
response positive bilaterally, voice perceived from 15 feet. Pinna smooth with
no tenderness over mastoid. Ear canals clear with no drainage, np bulging
noted.
BATHING REPORT
Assessor : Lista Guspani
Patient : Ria
Masela
Report :
07.30 WIB.
Complete bath given. Patient cooperate and able to assist. Skin on both legs
dry flaking, complains have a painful in shoulder . Bath oil added to bath
water. Bathing with warm water and her
own soap. After bath, emollient lotion
applied in her legs and eucalyptus oil applied in her shoulder. States painful
is less now.
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