NB: Also consider John’s sitting position.
Category: Advancing Modules
Can you identify the problem?
Environment and function
Important environment/functional factors in John’s assessment. Select the crosses for more information.
Investigations
Which of the following would be appropriate as part of John’s initial assessment?
See view text alternative for explanations.
Symptoms
Q. Which of the following would be appropriate to assess as part of John’s initial assessment? Select yes or no for each statement.
Assessment
Q. Which of the following would you complete as part of John’s initial assessment? Select Yes or No for each statement.
Undertake assessment of urinary/faecal continence
Now you must consider the following 4 factors:
- Assessment
- Symptoms
- Investigations
- Environment and function
Case 3: John Spout
Mr John Spout is a 70 year old man. He was a school teacher, married with two daughters.
He was admitted with a right hemiparesis, unsteadiness and dysphasia. He is right handed.
Past medical history of hypertension, smoker and mild cognitive impairment.
He has been in hospital for 2 weeks and is now mobile with the use of a walking frame. He continues to have some mild right sided weakness, his speech is improving and he is noted to have urinary incontinence.
His wife has stated she could not cope with her husband at home if he remains incontinent.
Edith’s progress, 16 week review
16 weeks later.
Edith is not at home. She’s back in her role of volunteer at the CHSS shop.
‘ Successfully rehabilitated. Confidence and Continence Restored’!!!
Edith’s progress notes, 12 week review
