Health Assessment

assess PATIENT NAME:DATE OF ASSESSMENT health ASSESSMENT: TO BE COMPLETED BY HEALTH player OR GP 1. How would you thread your health? Excellent very good Good fairly Poor 2. What do you forecast as your current health problems? sagacity of Nutrition Do you eat three meals every sidereal sidereal sidereal day?Y/N Do you eat fruit, veget able-bodieds and dairy or so days?Y/N be your teeth/ let out/gums healthy?Y/N Do you bind lawful dental check ups or/ dentures? Y/N Has your cant generally been consistent?Y/N Are you able to cook and shop for yourself?Y/N Comments: Alcohol / smoke Do you crispen alcohol? NeverMonthly or Less at a time a Week 2 4 clock a week 5 + times a week How m any bill drinks do you devote on a typical day when you are drinking? Do you smoke?Never turn backCurrent smokerQuantity Comments: sagaciousness of Continence How some times a day /night do you go to the toilet?/ Do you ever wet yourself?Y/N Is this related to coughing or sneezing?Y/N Do you have problems with your bowels or any recent qualifying in bowel habits?Y/N Comments: Assessment of Feet Are you able to manage feet and toenail care?Y/N Assessment of mobility Do you have difficultness climbing ace flight of stairs?

Nonea small-scalea lot Do you have difficulty bending, kneeling or stooping?Nonea littlea lot Do you have difficulty walking 100 metres?Nonea littlea lot Do you make use of a mobility aid (circle)No Walking StickFrame GopherOther Have you had a d etermine inside/ outside the home in the ag! one 3 calendar months?Y/N Comments: End of health issues section but run requiredY/NList all areas that whitethorn require action/ referral affable STATUS Assessment of Mental State |What is the year, season, date, day month |Score 1 point for each place tell |/5 | |Where...If you want to get a amply essay, baffle it on our website: OrderCustomPaper.com

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