Additional factors that may be considered by the GP to inform an appropriate treatment plan for Bill:
- GP assesses Bill with further physical assessment as appropriate
- GP explores Bill’s perception of current situation
- GP considers reversible causes for deterioration
- GP has established the importance of Bill taking his daily Furosemide medication
- GP advises Bill he will return after discussion with the cardiologist
GP notes
Referred by DN
Not managing at home: no additional support/lives on his own
Deteriation in health: Increased breathlessness/Oedema/struggling
Appropriate for hospital admission: declined by Bill
Immediate plan
- Increase Furosemide: liase with Pharmacy
- Request bloods
- DN review re additional support
- Discuss with cardiologist re further treatment options
Pulse point
Whilst Bill’s GP is happy to liaise with the cardiologist this may vary from area to area. Equally many patients may not be known to a cardiologist and therefore the discussion should take place between the GP and the most appropriate clinician.
For review of cardiac assessment see modules: 3 & 4.
Page last reviewed: 28 Jul 2020
