MND assessments

mnd Objective assessment

seek medical help if the following apply

HIV
nocturnal pain/ drop attacks/
speaking/ swallowing problem
dizziness
cancer/ inflammatory arthritis
TB
weight loss/ fevers
double vision
severe pain
spinal cord compression
significant vertebral tenderness
neck trauma/ surgery
preceding trauma or neck surgery

Please confirm that you have checked that none of the above apply proceed proceed check

Health check Before you begin, have you experienced any of the following? If yes, seek doctor as soon as possible. 1: Night sweats? 2: Recent fever? 3: Change in bladder/bowel habits, more specifically urine retention/faecal incontinence? 4: Unexplained weight loss? 5: Cough more than 3 weeks duration +\- blood in sputum? 6: Pain down both legs? 7: Poor controlled leg movement? 8: Loss of feeling down both legs or around buttocks or inner surface of thighs?

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Objective Diagnosis:

please make a note of your diagnosis number and name that appears here before clicking the 'next' button

Did the burn happen less than 3 hours ago?

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Is the wound healed?

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Is the size of the burn more than 10% ?
*if yes then seek medical advice if possible

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Is it a face burn?
*seek medical advice if yes

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Is it a deep burn?
*seek medical advice if yes

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Has it happened less than 2 years ago?

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Is it on the upper limb?

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Is it on the shoulder?

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Is there full range of movement of the joint?

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Is it scar restricting?

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Objective analysis

Is it in the red zone of the shoulder?

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Objective analysis

Is it on the elbow?

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Is there full range of movement at the joint?

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Is it scar restricting?

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Is it on the red zone of the elbow?

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Is it on the wrist?

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Is there full range of movement at the joint?

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Is it scar restricting?

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Is it in the red zone of the wrist?

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Is it on the hand/fingers?

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Is there full range of movement at the joints?

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Is it scar restricting?

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Is it in the red zone of the hand/wrist?

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Is it on the neck?

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Is there full range of movement?

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Is it scar restricting?

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Is it in the red zone of the neck?

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Is it on the face?

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Is it limiting any neck/facial movement?

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Is it on the trunk?

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Is there full movement at the trunk?

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Is it scar restricting?

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Is it on the lower limb?

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Is it on the hips/pelvis?

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Is the there full range of hip movement?

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Is it scar restricting?

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Is it in the red zone of the hip/pelvis?

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Is it on the knee?

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Is there full range of movement at the knee?

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Is it scar restricting?

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Is it in the red zone of the knee?

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Is it on the ankle?

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Is there full range of movement at the ankle?

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Is it scar restricting?

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Is it in the red zone of the ankle?

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Is it on the foot/toes?

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Is there full movement at the toes/foot??

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Is it scar restricting?

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Objective notes

Things to observe:

Here, we outline the objective results of your assessment, the progress towards functional goals and any treatments performed. Include details of any interventions, as well as frequency, duration and equipment used. The therapist should indicate changes in the patient's status, as well as communication with colleagues, family or carers.

Try to avoid:

Giving no detail
Summary detail such as: "ROM exercises given"

essentially, note:

range of movement (split into passive and active)
muscle strength
neurological assessment
gait
function

Using notes:

Simply type a note and press "Enter" key. You can edit existing notes or delete a note. To delete all your notes, use "Clear". However, as this will remove all notes on this page it is advised to copy and paste them into a document and store them elsewhere before clearing them here.

mnd Objective Assessment notes

my Objective notes

(after listening to my patient's account and from observing all signs and clues given)

My observations are...

symbol analysis Save | Clear

(use info button below for guidance)

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