Expected and Unexpected Emotional Responses

Front

Expected and unexpected values of facial features/appearance

Back

Expected:

Symmetry

Unexpected:

Expressionless

Asymmetry

Involuntary movements

Swelling

Lesions

Front

Expected and unexpected values of emotional state

Back

Expected:

Relaxed

Smiling

Responsive

Unexpected:

Restless

Grimacing

Quiet

Inappropriate emotions

Front

Expected and unexpected values of eye contact

Back

Expected:

Direct

Unexpected:

Avoidance

Squinting

Staring

Front

Expected and unexpected values of level of consciousness

Back

Expected:

Alert & Oriented to person, place, time and situation

Unexpected:

Confusion (acute=delerium, chronic=dementia)

Lethargy

Stupor (reduction in awareness, constant stimulation)

Obtundation (unconscious but responds to pain stimuli)

Comatose (completely unconscious)

Front

Expected and unexpected values of skin

Back

Expected:

Warm

Intact

Even tones

Unexpected:

Cool/hot

Diaphoresis (sweaty)

Clamminess

Tone Variation (pallor, cyanosis, jaundice, erythema)

Front

Expected and unexpected values of speech

Back

Expected:

Fluency

Pace

Articulation normal

Unexpected:

Whispering

Disarticulation

Absence

Abnormal tone/pace

Front

Expected and unexpected values of Mood/Affect

Back

Expected:

Pleasant and Cooperative

Unexpected:

Inappropriate responses

Flat or expressionless

Front

Expected and unexpected values of grooming

Back

Expected:

Clean

Well-kept

Unexpected:

Disheveled

Body odor

Front

Expected and unexpected values of involuntary movements

Back

Expected:

None

Unexpected:

Spasticity (increased muscle tone)

Rigidity (resistance)

Fasciculation (rapid twitch)

Myoclonus (sudden jerking)

Tic (involuntary, repetitive movement)

Tremor (rhythmic movement more than 1 joint)

Front

Expected and unexpected values of dental hygiene (breath)

Back

Expected:

Neutral/pleasant

Unexpected:

Halitosis

Alcohol

Fruity

Fetid (overly offensive)

Fecal (vomitting)