Question

The wife of a 78 year old patient is calls at 2 pm and says the patient has fallen and is having a hard time getting up. She wants to know if she can bring him into the clinic to be seen that day. She does not drive but thinks her son can help bring him in. How should you handle the situation? What questions should you ask? How should you document this in the chart? Use your critical thinking skills when answering.

Answer 1

Reassure the patient and the caller .

Ask for basic details to analyse the circumstance which includes

1) Condition of the patient

2) Consciousness and responsiveness of the patient

3) Active Limb Movements

4) Blood Loss

Say yes the patient has to be brought in as soon as possible without any disturbance as it may lead to unintented complications of pre existing conditions if any ...including fractures, open wounds, traumatic injury etc

Also... preferably bring with them any previous reports or hospital records.

*The assessment part I have attached photo*
Snbyadua HasedinntN Taa Name -Gnde us Deeagatin *280 1slr Au brdy chast ily - Pasnd Hdlal Hestey Dwalin s 4ars O Sudin on)gadual aset Mehnioniy ast Mabid iay Hayo Woss (78,Badil At aritin duldes larde Pblms, ed dioal tPT tualaat to Paines Paoqrerio

(f107 h 90 Sea- Etaomi Hsy Emplymanto at Werk plau ndhn Prionant Paund Hady Sudiny Aledol Lab 7 Stan 1e&,8T HRI

Pain ssesma Seaubb sedde Puh No Poin Datin ain Aut chaie) Paim Pain slay, stig 7 Pain Paobln he neut meur Der, dullbralised potl n bane ப 0 - Vaale ifaut ridiy A Faau dae Theliny

* Depihog Pain Sapafticiad thayeradiy and adididy rs Lotalisd Paim * laotantpavedic nd Epiad Dibijesdnir Aarssmend O Ohslicatin CBaith elated) trind applian vs lek for y POP cast, bnache, spith paint dega Charrnpeua ahnenalties

6tad anudl On Examinathin Pepalin Tadas A adez-H Giade 2-tonplainsPam Wnce 1 baade 4-11 Jutd allar e tud the > San- Helknd Aat Trngh, dy, had i hdi balegord

4)ha sa ngde pttry Edna bas to p Peping sound tSpae ait LANNSNO Indieate th mildnile ity inyliry 2) d d dana aithrei A thihng Snd Meter Examintn Apu Jent RoM Assess elk PR and AROM inevams

2) Whin Nheu Pain 0tato 3) Aay taik ranals End fal Mas Stmyh Aisorsed y sing budy MRC Husile it X exll Aosused by wiyin pe lingth iasusemand 7au dgth- Ss to mdid inb S Uorblias t mdial melleglus Xephi-steam to medial malltolus Balonli una ble to do 1- With humae sppet Using as sialin duis 3 Nudo Suptann Idegadat aids 2 ->

Fsnetiomal Evaluatis Has upper lins, APL-achantis thek heck ual kiy md Fn Lausts Lomb stai dinbing Exandiatinn Aaneat Senseny Examinati an Supa ficial carnti Pain, tagpatue Fanh Phis suae ) Dep Ststion Paopainptin 3) Jaumalms

Creades y R pladrs Aboent 3.ee $C 1 Diminished Wetimad C < 2 3 Bridk 4Erageabd Test