Residential Care Home
Objectives
Resources
Residential Care
History of presenting complaint
Medical History
Medication History
Social History
Residential Care Assessment
Residential Care Assessment
Physical Assessment
Cognitive Assessment
MMSE
CDT
Interpretation of Results
mild
moderate
not
Investigations
FBC
cholesterol
glucose
electrolytes
LFT's
TFT's
ECG
CXR
Brain MRI
Cardiac Enzymes
echo
Echocardiogram
Cardiac enzymes
Brain MRI
Chest xray
ECG
Thyroid function tests
Liver function tests
Electrolytes
Blood glucose
Serum cholesterol
FBC
Medication Review
Functional Assessment
Advanced Care Planning
Family Meeting
Family Meeting
Care Plan
respite
Multidisciplinary Care
Social Worker
Carer
Nurse
Allied Health
Volunteer Driver
Case Progression
Physical Assessment
Investigations
FBC
Cholesterol
blood glucose
electrolytes
TFT
ECG
CXR
Blood gases
Medication Review
perindopril
clopidogrel
gliclizide
insulin
GTN spray
simvastatin
frusemide
bisoprolol
spironolactone
Palliative Care
WHO Definition of Palliative Care
Breaking bad news: initiation
option 1
option 2
option 3
option 4
Breaking bad news: delivery
directness
honesty
condescending
get to the point
too many questions
After breaking bad news
option 1
option 2
option 3
Communication Guidelines
Breaking bad news - delivery
Advance care plan
time with husband
reading
enjoy outdoors
see pets
pain and debilitation
husband cope
DNR
Spiritual beliefs
Will
Mr Doherty’s Care Requirements
Support of Mr Doherty
Answer
Physical Assessment
Mrs Doherty's Condition
Answer
End-Of-Life Care
Family Support
talk to him
contact anyone
send chaplain
answer qu
leave alone
Bereavement
On-going Support
ask chaplain
info funeral
call friends
encourage breaks
environment
Case Conclusion
State of health
Based on your physical assessment of Mrs Doherty and the test results above, what are your conclusions regarding her current state of health?
Click on the responses you feel are relevant to obtain feedback.
Mrs Doherty has signs of sub-optimally controlled CCF which warrants intervention
Mrs Doherty has multiple risk factors for falls
Mrs Doherty’s postural hypotension is likely to be causing her malaise and unsteadiness