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this is the general assessment and vital signs flow your general assessment actually begins when you walk into the room you can see the patient and see if theyre in any distress almost immediately you also pick up a level of alertness immediately so are they making contact with you are they greeting you are they talking appropriately answering questions appropriately this all occurs during your history taking as well what else can you see with a general assessment well posture what is the position of comfort you can detect that look at the general color I can see her legs her arms and her face is it symmetrical for side-to-side I can also do some general development here are the legs of equal length to the muscle mass on each side of the body looks same how about the forearms neck symmetry and head and facial symmetry you can pick up those things besides that you can see a general state of nutrition and hygiene is the patient actually taking care of themselves so all that happens in a