Subjective Flashcards
(10 cards)
Order
- Intros + Preference
- Consent
- Consciousness
- Communication
- PC
- HPC
- PMH
- DH
- SH
- SQ
- Goals + Expectations
Consciousness
- Glasgow Coma Scale (GCS)
- Awake and orientated (AAOx3) who they are, where they are and roughly what time it is
Communication
> Hearing (aids?)
Sight (glasses?)
Speech (language, expressive dysphasia - broca’s area)
Cognition (confusion - delirium/dementia)
(receptive dysphasia - wernicke’s area)
*Type of questions asked: open/closed
PC
> What does the patient see as a problem
> Stage of illness
HPC
> When
How
Initial symptoms + Progression
Previous treatment + tests
PMH
SYSTEMS > Neuro (previous strokes etc) > Respiratory (Chronic e.g COPD/Asthma or Acute e.g Pneumonia/Surgery) > Cardio (heart disease/MI/Surgery) > MSK (Arthritis/Osteoporosis/fractures/surgery/soft tissue/ pain) > Endocrine (diabetes + thyroid) \+ Urinary/ kidney disease \+ Cancer history \+ Previous physio (experience + beliefs)
DH
> Parkinsons - dopamine agonists (madopar/sinemet)
CVA - antiplatelet (thrombotic)
- anticoagulants
- cholesterol reducing statins (ischaemic)
- blood pressure meds
- anti-spasmodics (baclofen)
MS - anti-inflammatories (cope with flare-ups)
- anti-spasmodics
TBI - anti-spasmodics
SCI - anti- spasmodics
SH
> Family Support/Dependents > Home > Work > Mobility (PADL's, DADL's) > Hobbies
SQ
> Falls - when - how often - why ? - loss of consciousness? - worried about falling > Fatigue - aggs/eases - sleep/diet/exercise/stress - fatigue scale > Pain - NPRS/VAS - where + type - SIN factor
Goals + Expectations
> Patient based
Short and Long term
SMART