Health Assessment -- Older Adult
SBAR TEMPLATE
The SBAR (Situation-Background-Assessment-Recommendation) technique provides a framework for communication between members of the health care team. Although this technique was original developed to target a patient-centered condition, the NNLC will implement this technique to communicate and address critical issues to support immediate attention and action by the committee. This SBAR tool was developed by Kaiser Permanente.
Situation:
The patient is a 75-year-old Navaho woman who lives with her family on the reservation. She has not ever been hospitalized, has not had any major or minor surgery, and does get annual check-ups and immunizations. She presents today with complaints of joint pains in her hands that are keeping her from working on the handicrafts that she makes to supplement her income.
B
Physical Exam
Nutritional / Metabolic: The patient does not take any supplements and reports that she does not consume much meat, other than lamb during the season and chicken all year long. Her salt consumption is low and she does not eat many packages snacks. She drinks about six...
individual health history and examination of a 61-year-old American male Vietnam veteran, "Mr. John Veteran" using the SBAR approach. Mr. Veteran is married, with two adult children and three grandsons, aged 4, 7 and 12 years by his older daughter who is a registered nurse in an intensive care unit; his younger daughter is a senior in college majoring in business administration (she received a full scholarship to a
Health Assessment Perform a health history on an older adult. John is 74 years old. He runs his own business with his wife Pam. They have three children i.e. Susan, Debbie and Henry. In the last thirty years, John has been dealing with major health issues to include: colitis, having his gallbladder removed and two separate liver transplants. When John was in his 40s, he was sent to the hospital with an
Health Examination Situation- , this is Mary from the Lake Placid Emergency Room. I am calling about your patient, Mrs. Z, who came in this afternoon complaining of minor vertigo, weakness, and blurry vision, as well as an injured hip. Mrs. Z is 78 years old, 5' 10" and weighed in at 161 pounds. She is a retired teacher who has lived alone since the death of her husband 2 years ago. Mrs.
patient's general health been? - The Patient, Mr. Jones has generally been good but with frequent cases of heart complications. The situation has been deteriorating over time. Any colds in past years that required absences from work?-None Most important things you do to keep healthy? -- regular jogging exercise and being a vegetarian Accidents (home, work, driving)?-Twice when the patient experienced a heart attack In past, has it been easy to find ways
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