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BACK (lNJURlES AND PAlN)

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PHYSICAL INFORMATION

Vital signs
Indicators of inflammation, bruising, fracture or deformity of
back, spine, hips, or pelvis
Discomfort assessment (location, nature, severity, etc.
Does it change with activities)
Movement of, and sensation in, lower extremities
Range of movements of hips and knees, as opposed to
normal baseline

MEDICAL HISTORY

Patient’s age and sex
Any history of back surgery, spinal cord damage,
urinary tract infections, pneumonia and other
respiratory infections, cardiac ailment, or
diabetes
Attempted symptom management to date
All current diagnoses
History of any recent falls, injuries, or recent back
surgical procedures
Grade of mobility (ambulatory, bed-bound or chair-bound,
etc. )
All current medications, including any recent
changes

BACK INJURY/DISCOMFORT EVALUATION
Listen for words from the elderly patient such as
discomfort, hurting, or aching rather than use the
specific word pain. Not everyone uses the word ‘pain’ to describe discomfort.
Look: Crucial info is attained easily
from observing the patient’s routine of movement.
. Observe level of mobility
. Observe patient for significant changes
. Observe gait and standing up/sitting balance
. Observe lower extremity joint function
. Observe ability to use ambulatory assistive
equipment (cane, walker, etc. ) and modify as
indicated
. Observe activity tolerance
. Observe for significant alterations in activity
Present employees with a clear, written procedure that
describes what to do when a patient falls.

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