Total Patient Assessment & Documentation Exercise

Order type: AssignmentSubject: Medicine and HealthAcademic level: UndergraduateStyle: Harvard

In ambulance and other areas of health care there is a saying “if it is not written down, it hasn’t been done”. This is very relevant to patient assessment. While most Western ambulance services now use detailed electronic patient report forms which prompt paramedics to acknowledge holistic patient concerns and relevant body system assessments, several services still rely on the paramedic to design and report on findings unprompted.The aim of this final assignment is to demonstrate a holistic range of assessment practices (which we have covered in this topic) that you may be called upon to use and report on, within the pre-hospital setting.EXERCISE:1. Find a person to volunteer to be a patient for you (friend, family member etc).2. Please complete and report on a holistic assessment of this person3. You may assume that your patient has presented with a “Conscious Collapse”. The rest of the information presented can be a blend of your own creative licences & actual findings from your chosen patient4. Please report on all findings, both positive and negative as a way of evidencing that the assessment has been completed/considered5. Your completed document should resemble an extremely comprehensive/ extensive case card6. You are required to report on any assessment which would be available to a paramedic. Please create your own findings where you do not have access to the required equipment (eg. ECG, BP, BGL)7. You are not required to treat your patient8. Dot point / concise reporting is suitable for this assessment9. You are not required to explain your assessments.# Please do not attempt to complete this on an actual SAAS case card as you will not have enough space for the information expected to satisfy this assignment requirements.There is an approximate 2 page word limit for this assignment and no references are required.# please note ISBAR is not a recommended documentation tool. It may be useful to first identify a provisional diagnosis Something that is fitting with the conscious collapse, which will be the same presenting complaint for everyone eg. Orthostatic Hypotension.2 Next you have creative license to create a fitting history surrounding the collapse.3. Methodically and very thoroughly assess your patient – you may consider adding findings which are consistent with your provisional diagnosis (eg. variance in lying/standing BP in case of orthostatic hypotension), while including negative findings making other red flags less likely (eg. nil facial droop & CVA).4. You may wish to review all of the recorded presentations to ensure all these assessment principles are covered off where relevant.
=============