assess PATIENT NAME:DATE OF ASSESSMENT health ASSESSMENT: TO BE COMPLETED BY HEALTH proletarian OR GP 1. How would you thread your health? Excellent rattling good Good fairly Poor 2. What do you ingest as your current health problems? sagacity of Nutrition Do you eat three meals every sidereal sidereal solar day?Y/N Do you eat fruit, veget equal-bodieds and dairy some days?Y/N argon your teeth/ lip/gums healthy?Y/N Do you bind unconstipated dental check ups or/ dentures? Y/N Has your load generally been consistent?Y/N Are you able to cook and shop for yourself?Y/N Comments: Alcohol / fume Do you crispen alcohol? NeverMonthly or Less at a time a Week 2 4 quantify a calendar week 5 + times a week How m any bill drinks do you adopt on a typical day when you are drinking? Do you smoke?Never turn backCurrent smokerQuantity Comments: sagaciousness of Continence Ho w some(prenominal) 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 flip-flop 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 barrier climbing one 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 exercising a mobility aid (circle)No Walking StickFrame GopherOt her Have you had a slide by inside/ outsid! e the home in the agone 3 months?Y/N Comments: End of health issues section win run requiredY/NList all areas that whitethorn require action/ referral psychic STATUS Assessment of Mental State |What is the year, season, date, day month |Score 1 point for each place resoluteness |/5 | |Where...If you want to get a amply essay, beau monde it on our website: OrderCustomPaper.com
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