Patient Assessments

Question 1

Why are Patient Assessments Important?

Patient Assessments

Answer 1

• assess the patients curent clinical state
• gain amedical history
• build a trusting patient-carer relationship

Question 2

How can information for an assessment be obtained?

Patient Assessments

Answer 2

• chart and medical history
• subjectively via the patient and their relatives
• converstaions with other proffessionals
• investigation: pulmonary function test, MRI/CT, sputum cukture, X-ray an blood tests.

Question 3

During an assessment what information is important to obtain?

Patient Assessments

Answer 3

• medications
• underlying health conditions
• the patients goals

Question 4

what steps make up a patient assessment?

Patient Assessments

Answer 4

1. history
2. function
3. environmental and social support

Question 5

what makes up the history section of a patient assessment?

Patient Assessments

Answer 5

• obtaining a full medical history from the chart/ handover/ patient/ family
  subjective:
• dysponoea
• chest pain/ angina
• haemoptysis
• exercise tolerance
• previous. cradiac conditioning

Objective:
- observation
- palpatation/ auscultation
- HR & BP

Question 6

what makes up the function section of a patient assessment?

Patient Assessments

Answer 6

• mobility status
• fall history
• activities of daily living (ADL)

Question 7

what makes up the environmental and social support section of the patient assessment?

Patient Assessments

Answer 7

• who they live with
• how often they are home alone
• assisstive devices used
• aditional support

Question 8

When would HR and respitory rate be calculated for a full minute?

Patient Assessments

Answer 8

• when it is really low
• abnormalities

Question 9

what is the clinical risk and response to a NEW score of 0-4?

Patient Assessments (NEWS Score)

Answer 9

• low risk
• ward-based response
• alert a nurse

Question 10

what is the clinical risk and response for a red score/ score of 3 in any individual parameter in a NEWS Score?

Patient Assessments (NEWS Score)

Answer 10

• low-medium risk
• urgent ward-based response
• locate nurse and head nurse

Question 11

what is the clinical risk and response for a patient with a NEWS score of 5-6?

Patient Assessments (NEWS Score)

Answer 11

• medium
• key threshold for urgent response
• alert nurse and head nurse
• call doctor

Question 12

what is the clinical risk and response to a NEWS score of 7 or more?

Patient Assessments (NEWS Score)

Answer 12

• high risk
• urgent or emergancy support
• either alert doctor and staff or hit the red button

Question 13

What are the 5 steps to a subjective assessment via interview?

Patient Assessments (subjective interview)

Answer 13

1. dysponea
2. cough
3. wheeze
4. sputum
5. chest pain

Question 14

What makes up the Dyspnoea stage of a subjective assessment?

Patient Assessments (subjective interview)

Answer 14

• ask if the feel breathless
• ask what they do during their day
• do they avoid doing things that make them uncomfortable?
• are they breathless lying down but fine upright?

Question 15

what does it suggest when a patient is breathless lying down, it comes on slowly and goes slowly, but fine sat upright?

Patient Assessments

Answer 15

PND

Question 16

What makes up the cough stage of the subjective assessment?

Patient Assessments (subjective interview)

Answer 16

• is the cough effective and clearing the sputum/blockage?
• is the cough chronic
• what triggers it
• how long has it gone on for and what part of the day do they cough/more
• ask about urinary incontinence
• ask them to cough- is it dry?

Question 17

What makes up the sputum satge of the patient assessment?

Patient Assessments (subjective interview)

Answer 17

• how thick is it?
• what colour is it?
• doe sit smell?
• is there any blood?
• how much a day?
• is it normal for them?

Question 18

what makes up the wheeze stage of the patient assessment?

Patient Assessments (subjective interview)

Answer 18

• is it monophonic or polyphonic?
• does it worsen at different parts of the day?
• what triggers it?
• how often does it impact you?
• how do you relieve it?

Question 19

what is a monophonic wheeze?

Patient Assessments

Answer 19

where only one nore can be heard at one time, suggesting a blockage in only one area (foreign objects or mass)

Question 20

what is a polyphonic wheeze?

Patient Assessments

Answer 20

lots of little notes heard at one time

Question 21

what makes up the chest pain stage of the patient assessment?

Patient Assessments (subjective interview)

Answer 21

• is it worse on movement?
• what is the type of pain- stabbing, dull
• where is the location of the pain?