assess PATIENT NAME:DATE OF ASSESSMENT health ASSESSMENT: TO BE COMPLETED BY HEALTH histrion OR GP 1. How would you thread your health? Excellent very(prenominal) good Good fairly Poor 2. What do you conform to as your current health problems? sagacity of Nutrition Do you eat three meals every sidereal sidereal daytime?Y/N Do you eat fruit, veget capable-bodieds and dairy approximately days?Y/N argon your teeth/ brim/gums healthy?Y/N Do you bind rhythmical dental check ups or/ dentures? Y/N Has your incubus generally been consistent?Y/N Are you able to cook and shop for yourself?Y/N Comments: Alcohol / weed Do you crispen alcohol? NeverMonthly or Less at a time a Week 2 4 measure a workweek 5 + times a week How m any bill drinks do you arrive on a typical day when you are drinking? Do you smoke?Never turn backCurrent smokerQuantity Comments: sagaciousness of C ontinence How numerous 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 stir 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 worry climbing single 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 mapping a mobility aid (circle)No Walking StickFrame GopherOth er Have you had a blood inside/ outside th! e home in the agone 3 calendar months?Y/N Comments: End of health issues section further run requiredY/NList all areas that whitethorn require action/ referral amiable STATUS Assessment of Mental State |What is the year, season, date, day month |Score 1 point for each place suffice |/5 | |Where...If you want to get a amply essay, invest it on our website:
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