Nursing assessment & care

Remote nursing assessment, observations, care planning, education, safeguarding, deterioration/escalation and handover. Professional permissions remain tied to verified scope.

ASSESS

Nursing assessment

Reason for nursing contact / presenting concernRelevant history / recent eventsCurrent symptoms / concernsAllergies / adverse reactionsCurrent medicines / medication reconciliationMobility / transfers / activities of daily livingNutrition / hydration concernsBowel / bladder concernsSkin / pressure-area concernsSleep / restPsychological / social / carer contextCommunication / cognition / accessibility needs

Pain assessment

Patient-reported pain scoreSiteCharacter / pattern

Aggravating / relieving factors and nursing observations