Live conversation
Professional profile: Physiotherapy
the shoulder has felt stiff since last week especially when reaching overhead pain six out of tenon examination I measure active abduction at one hundred thirty degrees with pain at end rangemobility is improving my assessment is that the symptoms still fit subacromial irritationbuild up exercises gradually and in two weeks review again
Care note
- S Shoulder stiffness since last week, especially when reaching overhead. Pain 6/10.
- O Active abduction 130°, with pain at end range.
- A Mobility is improving. Assessment: symptoms still fit subacromial irritation.
- P Build up exercises gradually. Review in two weeks.
Live conversation
Professional profile: General practice
the ankle was sprained in July while running pain on the outer side three out of ten on stairsslight swelling on the lateral side dorsiflexion fifteen degrees ankle ligament test donemy assessment is a recovering mild lateral ankle sprainload as symptoms allow walk first, then jog follow-up in two weeks
Care note
- S Right ankle sprained in July while running. Lateral pain, stairs 3/10.
- O Slight lateral swelling. Right dorsiflexion 15°. Ankle ligament test performed.
- A Recovering mild lateral ankle sprain.
- P Load as symptoms allow: walk first, then jog. Follow-up in two weeks.
Live conversation
Professional profile: Psychology
first session today the tension around the work presentation is seven out of ten when opening the fileshe wants to be able to keep standing at the moment she freezeswe did the breathing exercise and practised the opening line out loud in two roundsI can see the tension drop once the opening line is out my assessment is that this workspractise at home twice a week and continue in two weeks
Care note
- 1 Reason First session. Tension around the work presentation: 7/10 when opening the file.
- 2 Care request Client wants to be able to keep standing at the moment she freezes.
- 3 Interventions Breathing exercise and the opening line practised out loud twice.
- 4 Observations Tension visibly drops after the opening line. Assessment: approach fits.
- 5 Agreements Practise at home twice a week. Follow-up in two weeks.
Live conversation
Professional profile: Nursing
morning round on the ward abdominal pain six out of ten when turning three out of ten at rest nauseous since this morningtemperature thirty-seven point eight blood pressure taken wound calm, no leakagechanged position together pain medication given as agreedafter the position change less pressure on the wound she is lying more comfortablytemperature again in an hour call the doctor if it rises
Care note
- 1 Report Morning round. Abdominal pain 6/10 when turning, 3/10 at rest. Nauseous since this morning.
- 2 Observations Temperature 37.8 °C, blood pressure taken. Wound calm, no leakage.
- 3 Care provided Position change assisted. Pain medication given as agreed.
- 4 Response Less pressure on the wound after the position change. She is lying more comfortably.
- 5 Agreements Re-check temperature in an hour. Involve the doctor if it rises.