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9 Cards in this Set
- Front
- Back
Neuro |
Alert and orientated Pain Confused |
|
Cardio |
Chest pain Peripheries temp Febrile or afebrile |
|
Vitals |
HR BP Resps O2 Temp |
|
Meds |
Given as charted How did they take them? Refusals? |
|
Resps |
Distress? Saturating on RA? Assistance Coughing or noises |
|
GIT/METABOLIC |
Diet (soft, minced, blend) Where they ate their meals Tolerated? Size? Independent? Setup required? Gastric distress Bowels? |
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Genitourinary |
Continent, uses toilet, pad or IDC Difficulty or discomfort? Pad change time |
|
Skin |
Mobility In bed/walking/able to reposition New concerns, breaks or wounds? Skin check - dry and intact Dx - location and condition |
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Psychosocial |
Visits Carers as in care plan Level of assist for cares Bed height Buzzer Polite an cooperative with staff (attitude) |