Before you go to assess John, what are you initial thoughts on the handover you have received? by Sean Freeman https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar Post your thoughts below en-us 2022-06-26 17:31:16 UTC 2022-08-17 11:38:27 UTC hello@padlet.com https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2237986420 diabetes - poorly controlled look at diet as on a soft diet due to poor dental work and hard to swallow - salt assessment needed urgently
also a mental health assessment due to wife recently passing]]> 2022-07-06 09:28:58 UTC https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2237986420 May need referral to diabetic nurse, swallow assessment/SALT input, May need therapy referral as he recently suffer a loss, may need social input. Need to check if he is on any anti-hypertensive medications. https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2238023407 2022-07-06 10:45:57 UTC https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2238023407 John need to be observed accurately due to his condition https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2238278093 2022-07-06 17:49:48 UTC https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2238278093 John need to assess due to his condition https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2241878920 2022-07-12 13:46:56 UTC https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2241878920 John need to be assessed, observed and referral for struggling with swallowing so that they can investigate it. https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2243454415 2022-07-14 14:11:24 UTC https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2243454415 Medical history of diabetes& hypertension that needs reviewing. Regular observations and assessment required. Interventions by other members of MDT eg dietician and social. https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2245670821 2022-07-18 23:41:01 UTC https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2245670821 john needs a doctor and nutrition review. he need a medicine for hypertension and need help to control his diabetes https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2246141636 2022-07-19 11:53:14 UTC https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2246141636 hypertension, heart failure, John needs referral and urgent medical diagnosis https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2246778826 2022-07-20 08:07:16 UTC https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2246778826 befriend John to open up to me and overcome what ever misgivings he has about Health professionals which will now allow me to carry out initial assessment A-E, engage relevant professionals and then make necessary referrals. we cannot do anything without john's participation since he has capacity. https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2247555820 2022-07-21 11:51:27 UTC https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2247555820 John has to be referred to the MDT team due to several factors, first, we need a psychological evaluation of his state of mind, diabetes, cardiac and SALT to investigate his swallowing difficulties. https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2254080973 2022-08-03 10:58:46 UTC https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2254080973 There is a lot going on with John that needs to be assessed/referral. https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2263055190 Diabetes
Heart Failure/Hypertension
Nutrition - SALT
Investigation into swallowing - Endoscopy team
Full A-E assessment
He has capacity however could be depressed due to passing of wife.
Sensitive soft approach.
any other family/home support ]]> 2022-08-17 07:31:50 UTC https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2263055190 poorly controlled diabetes https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2263127087 2022-08-17 09:22:41 UTC https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2263127087 overall the hand over is okay but only worry is that the patient isn't willing to communicate, perhaps was disappoint on how his wife was taken care of before passing, https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2263175749 2022-08-17 10:53:14 UTC https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2263175749 I can see that John has Heart failure which is associated with other comorbidities and will need referrals to different MDTs https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2263199107 2022-08-17 11:38:27 UTC https://padlet.com/UniversityofBolton/xf7t54j2p5hr3mar/wish/2263199107