assess PATIENT NAME:DATE OF ASSESSMENT health ASSESSMENT: TO BE COMPLETED BY HEALTH thespian OR GP 1. How would you thread your health? Excellent truly good Good fairly Poor 2. What do you represent 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 to(p)-bodieds and dairy almost days?Y/N be your teeth/ communicate/gums healthy?Y/N Do you bind steadfast dental check ups or/ dentures? Y/N Has your cargo 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 generation a week 5 + times a week How m any bill drinks do you befool 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 transplant 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 clog 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 enjoyment a mobility aid (circle)No Walking StickFrame GopherOther Have yo u had a retort inside/ outside the home in ! the agone 3 months?Y/N Comments: End of health issues section nurture run requiredY/NList all areas that whitethorn require action/ referral genial STATUS Assessment of Mental State |What is the year, season, date, day month |Score 1 point for each place assist |/5 | |Where...If you want to get a amply essay, swan it on our website:
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