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For the assessment reading log, are there any tips you have about the sorts of articles we should be looking for in journals, and do the articles need to be discussing the subject of person centred care?

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check his abdomen

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Look at his mental capacity

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george is uncomfortabke and chest infections can be painful, as can constipation. we should definitely do a pain assesment to see how bad hes feeling

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turning chart his laying in bed unable to move

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Because hasn't eaten or drunk for a while

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Ask him if he would like  to be made more comfortable

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Mobility assessment because he hasn’t gotten up all morning

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Ews/news, AVPU , bowel and must

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WATER LOW SCORE

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i would look at the previous fluid intake chart to have a look at George's fluid intake over a period of time. as it may contribute towards his constipation

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i would look at the previous fluid intake chart to have a look at George's fluid intake over a period of time. as it may contribute towards his constipation

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Bristol tool chart to check his bowel movement. how frequent he has had a movement and the type. this may help determine whether or not constipation is causing him not to eat

A comprehensive assessment as hes newly admitted to my care

Palpitation to check his stomach content

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News & then Must

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Give him oxygen as this could help with is breathing

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I would use the waterlow score as George has not got up and with his age he could be more at risk of a bed sore 

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I would use the waterlow score as George has not got up and with his age he could be more at risk of a bed sore 

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Checking his consciousness is very important

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We should be mindful of the face george has not got up. if he stays in bed for a prolonged time he could get a pressure sore. we should monitor this closely

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pain chart as looks like in pain waterlow as constipated  must as haven't eaten properly news for vital signs as breathing heavily  K2015926

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pain chart as looks like in pain waterlow as constipated  must as haven't eaten properly news for vital signs as breathing heavily  K2015926

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Not drinking or eating check his food and fluids chart

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I would perhaps use the EWS/NEWS because George is a frail and vulnerable old man. Therefore with this tool we can come up with preventative strats for any upcoming issues with the Multidisciplinary Team after diagnosis/change in health. Bristol Stool Chart would also be useful as his wife he is constipated.  Lastly, the Falls Risk Assessment looks useful as some people may be inarticulate in describing their pain verbally so the chart displays an easier way of deciphering pain which links to disease or physical problems in George.

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would George be ok with bed rails in place ?

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Bristol Stool Chart so we can determine the severity of his constipation

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Bristol Stool Chart so we can determine the severity of his constipation

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I would use the MUST chart as his wife said his not eating or drinking much 

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I would use the MUST chart as his wife said his not eating or drinking much 

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Georges wife believes his stool is constipated, but she is not a professional, so we should make our own aassesments to see how bad it is. likely it is because he hasnt eaten or drunks anything.

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use MUST asessment to check body statistics, use bristol stool to check constipation,use waterlow scale to check laying in bed and risk of pressure ulcer,use pain assessment tool to check discomfort

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use MUST asessment to check body statistics, use bristol stool to check constipation,use waterlow scale to check laying in bed and risk of pressure ulcer,use pain assessment tool to check discomfort

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First the waterlow to for pressure ulcer prevention and treatment as he hasn’t gotten up all morning and is elderly, he is also uncomfortableNEWS assessment due to his rapid breathingA MUST assessment for malnutrition due to him not having eaten or drunken and he can be at risk for malnutritionThe Bristol stool chart as he is constipated Also a pain assessment tool as he is uncomfortable

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Bristol stool assessment because he is constipated

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constipation

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I would use the MUST tool due to George not eating and drinking. I would use the Waterlow scale for pressure ulcer risk due to laying in bed a lot. The MEWS scale due to breathing very rapidly, age and perhaps lack of energy and pain.The Bristol stool due to constipation. Also a HAD in relation to staying in bed.  

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I would use the MUST tool due to George not eating and drinking. I would use the Waterlow scale for pressure ulcer risk due to laying in bed a lot. The MEWS scale due to breathing very rapidly, age and perhaps lack of energy and pain.The Bristol stool due to constipation. Also a HAD in relation to staying in bed.  

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George hasn't moved in the bed and has been in one place so as a nurse we would need to reposition him not only for comfort but also to lower his risk of developing pressure ulcers

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i would use a pain assessment tool as he is feeling pain and so i could find out why its happening and where

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Encourage  him to  have something  to eat or drink  because  he hasn't  eat all morning

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Also a falls risk assessment since he’s 82 years of age and hasn’t gotten up in a while

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George has not got up all morning and als not eaten or drunk anything. these can all be signs of depression and if he is feeling unwell that could also contribute towards depression

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MUST assessment tool kit because  it mentions in the case study that George has not eaten or drank anything for a while

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I would like to say EwS  George

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EWS/NEWS tool as this will assess is respiration rate, as he is breathing rapidly and into consideration other factors such as chest infection and discomfort.

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EWS/NEWS tool as this will assess is respiration rate, as he is breathing rapidly and into consideration other factors such as chest infection and discomfort.

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Waterlow - pressure ulcer prevention & treatment because he has been in bed all day & is elderly
NEWS - rapid breathing
MUST - malnutrition- not eating or drinking
Bristol Stool chart - constipated
Pain assessment- in pain & uncomfortable

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EWS/NEWS Assessment as  George is breathing rapidly, Bristol stool chart as patient has constipation .   

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EWS/NEWS Assessment as  George is breathing rapidly, Bristol stool chart as patient has constipation .   

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MUST assessment to find out his risk of malnutrition as he not eaten anything.

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Must assessment because he isn’t eating or drinking

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Fluid balance assessment and Bristol stool assessment- George isn’t drinking or eating, this can be contributing to constipation and lack of water can cause dehydration which can cause confusions and infection in the elderly

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I would use EWS to monitor George's breathing and to see if there is any other issues that flag up. MUST as George has not eaten anything or a while, we would need to determine weight loss, if any. Finally, I would use the bowel chart as his wife reports he is constipated.

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EWS/News and Bristol stool chart due to him being constipated

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I will use the Bristol Tool to assess the bit about his constipation to know how serious or otherwise it is using the scale 1-7.
I will then use the NEWS Tool to observe his risk of deterioration as he is uncomfortable, not eating, breathing rapidly, not moving and not eating or drinking.

ELSIE

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I would use the falls risk assessment as his old and more inclined to fall. 

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I would use the falls risk assessment as his old and more inclined to fall. 

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Pain assessment tool- he's feeling uncomfortable so to see any signs of pain or discomfort

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Since he is constipated, he might give out hardened stool, a Bristol stool chart is needed for this. Also, a falls risk assessment is needed to know his pain.
A MUST  seeing as he hasn’t eaten and drunk in a while. EWS assessment to check his bodily reactions.

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Bristol stool chart since he’s been constipated so it might help to know why this is the case if you can identify what comes out when it does

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Waterlow Score as he is not eating and drinking well. He might be at risk of developing pressure sore as he is in bed for long time.

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he has constipation

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I would ask George to confirm pain level then I would use EWS because it is tool that would provide me with evidence to see if there is an infection.

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ECG to monitor the chest area

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Must Tool . Because  George's age and  nutritional circumstances.  His look

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MUST because he has not eaten or drunk anything for a long time 

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MUST because he has not eaten or drunk anything for a long time 

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NEWS because he has been breathing rapidly
Bristol stool chart as he has been constipated this may be why he feels uncomfortable too

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First the waterlow to for pressure ulcer prevention and treatment as he hasn’t gotten up all morning and is elderly, he is also uncomfortableNEWS assessment due to his rapid breathingA MUST assessment for malnutrition due to him not having eaten or drunken and he can be at risk for malnutritionThe Bristol stool chart as he is constipated Also a pain assessment tool as he is uncomfortable

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George health seems deteriorating fast, he’s constipated and might need  to be assessed with the Bristol stool chat to see. Not sure how long George he’s been in bed. Abs will need the water low for pressure sore etc

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george is breathing  very rapidly, which is one of the signs on ews so i think we should check to see if he has any other problems that couldd cause cardiac arrest

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Reason for using these are to identify if George is underweight as wife says hes not eating for a couple of days. Also to check his stool as he is constipated. Also the fact that he is just not responding to eating and drinking

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check the abdomen for any swelling

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I will have to use the waterlow scoring , to determine if he’s in pain and if his skin is still intact or has got a sore. Check his vital signs so Use NEWS scoring if he’s at risk of having MI. AVPU as well if he’s responding well to me. GCS to  determine his consciousness level. Bristol chart to check when last he had his bowels opened and what type

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I will have to use the waterlow scoring , to determine if he’s in pain and if his skin is still intact or has got a sore. Check his vital signs so Use NEWS scoring if he’s at risk of having MI. AVPU as well if he’s responding well to me. GCS to  determine his consciousness level. Bristol chart to check when last he had his bowels opened and what type

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MUST Tool- because he has not eaten or drunk anything for a long time.
NEWS- he is breathing rapidly
bristol stool chart- he has been constipated.
pain assessment tool- he looks uncomfortable.

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EWS, MUST, Water low Score since George's health is deteriorating. The water low score as he is bed bound, not mobile  and has a high risk of developing pressure sore. MUST to identify the risk of malnutrition.

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The Bristol tool chart- wife suggested about constipation

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I would use the must tool as George has not eaten or drank anything in a while. I would also use the Bristol stool chart as it seems that he is constipated. Finally I would use the ews/news tool as he has chest pains and would either eliminate or suggest if he has a risk of heart issues. 

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I would use the must tool as George has not eaten or drank anything in a while. I would also use the Bristol stool chart as it seems that he is constipated. Finally I would use the ews/news tool as he has chest pains and would either eliminate or suggest if he has a risk of heart issues. 

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I would check his BMI first, as he hasn't eaten or drank for a while I'd use MUST. Ask for his level of pain, Then use the Waterlow because he has been in bed a while. Following up with ABCDE to monitor his chest infection, and then the Bristol stool chart for his contipation problems. keeping a smile on his face to cheer him up too :)

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I would check his BMI first, as he hasn't eaten or drank for a while I'd use MUST. Ask for his level of pain, Then use the Waterlow because he has been in bed a while. Following up with ABCDE to monitor his chest infection, and then the Bristol stool chart for his contipation problems. keeping a smile on his face to cheer him up too :)

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Isabel

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Bristol Stool Chart as his wife says he has been constipated, so is he having issues with his stools?

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Bristol Stool Chart as his wife says he has been constipated, so is he having issues with his stools?

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GCS - To determine his level of consciousness and to determine if he is alert or unresponsive.
EWS - To determine if he is heading towards a cardiac arrest to either try and manage that before it happens or to rule it out.
Waterflow - As he is not getting up is he at risk of developing a pressure sore.
Pain assessment - Is he in pain is that why he has not got up, he looks uncomfortable

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I would choose MUST as George has not eaten for a while so need to determine hoe much weight he has had, if any. Bowel chart, as his wife has reported that he is constipated and 

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I would choose MUST as George has not eaten for a while so need to determine hoe much weight he has had, if any. Bowel chart, as his wife has reported that he is constipated and 

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Bristol Stool -  For his constipation
Must - Due to him not eating
Waterlow - as he hasnt moved from bed

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EWS because he has difficulty breathing, Bristol stool assessment because he has constipation, pain assessment because he looks uncomfortable, and depression assessment because he hasn't gotten up from bed since the morning

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Bowel movement chart,  must, hourly rounds
We would need to keep checking on him, ask him if he is in pain and find out when he last ate

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MUST and the waterlow score because the patient has malnutrition and he is also constipated that means the patients is not eating and drinking enough.

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NEWS, GCS due to his symptoms, and to keep an eye on his observations, VIPS- cannula, as he will be receiving IVF IVABX, turning chart, as he has just been laying in bed. MUST, Food chart, fluid balance-to keep an eye on his intake n outtake. Stool chart, as he is constipated

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I would use BMI to see if his a healthy weight or under weight 

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I would use BMI to see if his a healthy weight or under weight 

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risk of falls- as george has not got out bed all day and may be not be mobile.
waterlow- as george has been in bed all day he is at risk of pressure sores.
news chart as george is finding it hard to breath,
Pain assesment as george is in discomfort,
Must  as george is not eating or drinking

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EWS/NEWS and MUST due to George’s age and the symptoms he’s showing.

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EWS/NEWS - to check on his heart pain, Bristol stool chart - because he is constipated, AVPU - to check if he is pain, Waterlow - as he has been in bed all day check for red skin (pressure ulcer could develop) . depression chart - as he has been in a low mood.

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EWS/NEWS - to check on his heart pain, Bristol stool chart - because he is constipated, AVPU - to check if he is pain, Waterlow - as he has been in bed all day check for red skin (pressure ulcer could develop) . depression chart - as he has been in a low mood.

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MUST,  EWS/NEWS, AVPU. bristol stool chart- to find out how severe his constipation is. swallow assessment- to see whether he is able to drink or eat anything

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ABCDE (has difficulty breathing), MUST (he hasn't being eating), EWA/NEWS (changes on his parameter he's deteriorating), WATERLOW (he looked uncomfortable ), BSC (as he's constipated).

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I have chosen the Bristol Stool because it mentions in the case study that George has been constipated for a while.

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Firstly,I would use MUST assessment To check for malnutrition since patient has not eaten or drunk anything for a long while.Secondly, Bristol stool chart to Assess stool since wife says the patient is constipated. Thirdly, falls risk assessment because patient looks uncomfortable and Waterloo score because patient has been laying in bed all morning.

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Firstly,I would use MUST assessment To check for malnutrition since patient has not eaten or drunk anything for a long while.Secondly, Bristol stool chart to Assess stool since wife says the patient is constipated. Thirdly, falls risk assessment because patient looks uncomfortable and Waterloo score because patient has been laying in bed all morning.

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First I would use the AVPU Assessment to see if he becomes responsive, I would use this one because it may or may not lead to a stroke and to the level of pain he may be in, and then I would use the EWS/NEWS, I would use this tool after to assess his level of deterioration. And hopefully we would be able to keep him responsible and conscious to then use the Bristol stool chart, because he’s been feeling constipated

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I have chosen
Bristol stool chart because of their wife mentioning about his constipation

EWS/NEWS - this is to assess George wellness in terms of breathing

GCS - that is recording of George's conscious state at arrival

MUST - to ask about his nutrition due to how patient is looking

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news- to check his chest injection and any other undeline condition, must- as george has not eaton- waterlow score, GCS- to see his condition now and if it gets worse 

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news- to check his chest injection and any other undeline condition, must- as george has not eaton- waterlow score, GCS- to see his condition now and if it gets worse 

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Mental capacity assessement- to see if he is capable of making decisions,
pain scale- as george looks in discomfort this maybe due to pain

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I would use the MUST assessment tool to assess George so that I can have  a systematic value of what stage George is at in his life. This would enable me to put an action plan together with a nurse, hta, doctor, wife and any associated specialists so that he can have a holistic and personal centred care.

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EWS, MUST, WATERLOW, BRISTOL STOOL CHART, TURNING CHART, FOOD AND FLUID CHART. I would use these tools as George is breathing rapidly, at risk of malnutrition, risk of bedsores as unable to walk and is constipated. So that we are able to monitor him and intervene. 

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EWS, MUST, WATERLOW, BRISTOL STOOL CHART, TURNING CHART, FOOD AND FLUID CHART. I would use these tools as George is breathing rapidly, at risk of malnutrition, risk of bedsores as unable to walk and is constipated. So that we are able to monitor him and intervene. 

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Bristol stool chart - he is constipated
Ews assessment
Wateeloo score

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Waterlow assessment - George isn’t moving very much, which puts him at higher risk of pressure ulcers

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EWS and Bristol Stool Chart

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I would asses my patients observations because he's just been admitted to my care.

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Waterlow score test to identify the risk of developing a pressure sore as he is probably not active so support cushions can be provided to help alleviate the pressure

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Waterlow score test to identify the risk of developing a pressure sore as he is probably not active so support cushions can be provided to help alleviate the pressure

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MUST - as George has not eaten or drunk. EWS/NEWS - as he is breathing rapidly and has a chest infection. Bristol Stool chart - George is constipated. Waterlow - He has been laying in bed, not getting out. Fall risk assessment - as he looks uncomfortable which means he could be in pain