{"text":"CH! Number: 0809555328 Patient Name; AGNES CLELLAND Page 3 of 5 \ne \" Does the patient smoke? No . _ _ o \n... :.Refer to smoking cessation clinic? \u201cReferral made to Simoking Cessation Services? No \nDoes the patient use \u2018recreational drugs? No \n\u2018How often does patient have 6 or more drinks on one occasnon? \", Never \ni No \n-FAST Tool completed? \u00b0 . \ndmlssmn Documentatlon completed by \nName' Gillian Thomson Desngnatlon Reg|stered Nurse \nL \n= \" ' . . : N a. \n- . - \nNursmg Admission Assessment \ns T TR BV A s b O SRR S Y SR A ST G S L e U RO N e \nE reathmg and Circulation \ns v e \ncumptoms or history of resplratory problems7 \nmoeic at rest? - \u00a9ONA Dvspnoe!c on mlmmal:,e.xertlon?, \nL fmoeic on maximum exertion? ' . NA Normally receives oxy\ufb01en therapy? \n4:\u201c_\u2018 ;.f\ufb01w \n. :Symptoms? NA Known card:ac or curculatory problems\u201d . .. Yes \ni\u2018tImm'ediate}'\\ction\u2018Taken: - : - \" hypertension \no . L : : IHD \ne o o ~ Asthma minimal exertion \n) \u2018 o L \u00a9 Obese BMI 45 \nn 3 \ni \n\u2018\\\\ \nWhat language does the patnent Enghsh \u2019 \n. speak \n\u2018Does the patient have: o Speech difficulties: \nLearning difficulties (e.g. Down's syndrome): \nT'NA . Glasses'? i Yes \nALefts i, 0 wNA \nReglstered BImd\" \nnrmal \\ns:on? \n?JstheSIS\u2019-\u2019 \n\"Nor_mal? ' \nHearing Aid? \nSRATRGERTR ,irm:?:m\";;f ;f\u2019s SET 5 SN S G \n\ufb01\u2018.\\\ufb01:mt\u2018glh& tagm.\u2019;f %% & R RS \n_ Orientated? i \n,Aggr:esstve \"\/ Abusive o \u2018 \u2018 o i} P \n! E \n\u2018Nutrition screemng should be repeated in \n7 days on the following date: i 20\/03\/2013 \nMUST Score . \n\u201cNutrition screening required? .. \nlimination _ N \n. \"-Contmenf (Biaoder) T Yes ) (fonti;;ent {Bowel): \nIncontinent (Bladder): . - \u2018NA Incontinent (Bowel): NA \n. \u2018,:b Long term urinary c\u00e9\ufb01?&er insitu? NA . \u2018 \nCo,ntinenc\u00e9 assessment commenced?\u2019 NA . Specify any containment products inuse: -~ \n5o T - TTNA Constipated? NA Diarrhoea \/ loose - - NA \nstools? .- 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