8/14/2019 Forgetfulness and Confusion
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forgetfulness and confusion
1-Onset When did it start?2-Progression3-Things that are diffi
cult to remember4-Daily activities
*bathing Do you need any help bathing?
*feeding Do you need any help feeding yourself?*toileting Do you
need any help going to the toilet?*dressing Do you need any help
getting dressed?*transferring Do you need any help transferring
from your bed to the chair?5-Shopping Do you need any help doing
Shopping ?6-Cooking Do you need any help preparing food
?7-Housework cleaning your house/doing laundry ?8-Paying the
bills9-Gait problems
10-Urinary incontinence Do you feel you have very little time to
make it to thebathroom
once you feel the urge to urinate?
11-Feeling Tell me about yourself and your future
goals.12-Difficulty sleeping Do you have any problems falling
asleep/stayingasleep/waking up?13-Headaches Do you get
headaches?14-Lightheadedness or feeling faint did you feel
lightheaded ?15-Passing out Did you pass out?16-Falls17-Head
trauma18-Did you see a doctor for that fall?19-Any shaking or
seizures
20-Visual changes Do you notice any change in your vision
?21-Weakness/numbness/paresthesias Do you notice any numbness
or
weakness ?22-Speech difficulties23-Heart problems24-Chest
pain
*shortness of breath Do you get short of breath?*abdominal
pain
*nausea/vomiting Do you feel nauseated?Did you
vomit?*diarrhea/constipationDo you have diarrhea?Are you
constipated?25-Support systems (family, friends)Does anyone support
you?
Exam Component Maneuver Eye exam Inspected pupils, fundus Neck
exam Carotid auscultation CV exam Auscultation, orthostatic vital
signs
Pulmonary exam Auscultation Abdominal exam Palpation Neurologic
exam Mini-mental status exam, cranial nerves, motor exam, DTRs,
gait, Romberg sign, sensory examClosure:
*Mrs. Black, the symptoms you are having can be due to a number
of disorders thatcan affect the brain, many of which are
treatable*We need to run some tests in order to pinpoint the cause
of your problem
