-Is the patient able to give a history?
-Is there evidence of longer term poor hygiene, e.g. dry sca1y,skin with ground in dirt?
-Are clothds poorly maintained and are ther appropriate for the weather conditions.
-Is there staining from urine or faeces on the clothes.
-Is the house tidy and warm?
-Is there evidence of poor compliance with medication,e.g. half-used bottles of the same medication?