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subjective assesment - Coggle Diagram
subjective assesment
HPC
what
stage
better
worse
no change
duration
onset
cause
interventions
previous admissions
investigtions
PMH
medical notes
patterns?
cardiac
respiratory
cognitive
physical
DH
why?
implication on conditions/function
pain relief
timings
eg PD meds
new medications
delivery/management
dossete box
family promps
SH
who from
pt
other (family/NOK etc)
why?
establishes baseline
beliefs and expectations
plan an appropriate objective
issues prior to admission
what do we need to know
mobility
functional status
cognition
carers/family support?
previous support
community
reablement
home environment
who lives there
house/bungalow
stairs?
equipment
red flags
age of onset
< 20 years
.> 55 years
unexplained weight loss
pain
constant, unremitting
unremitting night pain
thoracic pain
history
cancer
HIV
TB
neuro
saddle anaesthesia
progressive neuro deficit
upper limb motor disturbance
gait disturbance
violent trauma
bladder and bowel disfunction
bilateral symptoms
structural deformity
fever/night sweats
serious pathology
fracture
nof
pubic rami
PE
stroke/haemorrhage
cauda equina
muscle rupture
yellow flags
psychosocial barrers