P3 - Advanced CVR Assessment Flashcards
(46 cards)
what is the subjective assessment made up of?
- PC - presenting condition/ diagnosis
- HPC - history of present condition
- PMH - past medical history
- DH - drug history
- SH - social history
- MDT handover
- results from investigations/ imaging
Goals and expectation of the patient
What should you ask if the patient has a chronic condition?
How past treatment has worked or not worked.
Why is it important to assess how past treatment has worked in chronic conditions?
To guide future treatment plans and identify any ineffective interventions.
What emotional or psychological aspects should you assess in a patient?
Mood of the patient – Are they in happy spirits, engaged, showing low mood, or feeling sorry for themselves?
What should you assess regarding the patient’s mood?
f they are happy, engaged, have a low mood, or appear to feel sorry for themselves.
Why is the patient’s mood important in a subjective assessment?
It can influence their engagement with treatment and overall well-being.
What kind of information should you gather from the MDT team?
Details about behaviour patterns, ongoing investigation concerns, or additional insights.
What should you ask the MDT team regarding the patient’s investigation or behaviour?
Are there ongoing investigation concerns? What behaviour patterns have been observed?
Why is it essential to consider the biopsychosocial model in an assessment?
To ensure the patient’s physical, psychological, and social factors are considered in their care plan.
What is the biopsychosocial model?
An approach that considers biological, psychological, and social factors in a patient’s care.
What other services should you consider referring the patient to under the biopsychosocial model?
Mental health support, psychological help, or physical support services.
What types of external support might be needed when using the biopsychosocial model?
Referrals to mental health support, psychological help, or physical support services.
When should mental health support be considered in a subjective assessment?
When the patient is showing signs of low mood, anxiety, or other psychological distress
How can psychological support benefit a patient with a chronic condition?
It can help them cope with the emotional burden of long-term illness and improve treatment engagement.
When should physical support services be considered?
If the patient has physical limitations that impact their daily life or treatment adherence.
What does an objective assessment begin with?
General observations of the patient, such as their position, breathlessness, anxiety, and posture.
What should you observe about a patient’s position in bed/chair?
Are they slumped, leaning to one side, or sitting upright?
Why is a slumped position problematic for a patient?
A slumped position can impair breathing and lead to poor posture, affecting overall health.
What position should you aim to leave a patient in?
In a comfortable, upright, and supported position to aid breathing and circulation.
What is the first thing to assess regarding the patient’s airway?
Is the airway patent/clear? Listen for secretions, raspy voice, or stridor/wheeze.
How can you tell if a patient’s airway is clear?
If they can speak clearly, have no raspy voice, and no secretions or abnormal sounds.
What additional checks should be made regarding the airway?
Is it their own airway, or do they have a false airway in place? Are the mucous membranes dry?
What is important to assess regarding the patient’s breathing?
Oxygen amount (FiO2), oxygen delivery (dry or humidified), respiratory rate (RR), oxygen saturation (SpO2), and work of breathing (WOB).
What is the benefit of using humidified oxygen over dry oxygen?
Humidified oxygen helps prevent dryness in the airways, reducing discomfort and mucus buildup.
