Alzheimer’s Scenario -A to E Assessment using 6CIT chart📊
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- čas přidán 23. 01. 2023
- Alzheimer's - A-E Assessment of Alzheimer's scenario using the 6CIT chart.
Plot your NEWS chart accurately
Carry out an holistic assessment, Show Empathy, communicate effectively.
Alloted time for Assessment is 20minutes(5minutes to read the scenario, 15minutes for the complete assessment) subject to review by the NMCUK.
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Link to 6 CIT tool: patient.info/doctor/six-item-...
That's a great presentation, trust me channel will grow to surprising numbers this year, trust me. #prophecy
Love your videos. ❤❤
Brilliant 👏 👏
Thanks for this I’ve been waiting for this 🎊
Hope you enjoyed it!
Well presented 🎉
Thank you! Cheers!
Very informative. Thank you very much
So nice of you
Thank you very much informative video, what is the acceptable monitoring frequency if a patient in community is scoring 1-4 news
In Assessment if you are using NEWS chart, the monitoring frequency is still the same policy in the community for Assessment.
Please can you do planning for Alhrziemer
Hi, thanks for asking. We have done a video on it find it using the link. czcams.com/video/NkVupZHpO-s/video.htmlsi=NT7N0JU63NhOOjhH
Hi, what if in the Disability portion the patient is confused and he scored 3, what should I put in the monitoring? Should I put minimum 1hourly since it's single parameter or should I put weekly since the setting is in the Community? Thanks for the response.
For confusion in NEWS CHART,a patient can only be scored if it's a new onset of confusion,so if it's a new onset of confusion and the only place the patient has a score of 3 is in disability the frequency of monitoring should be 1hourly.However if the scenario is for a known dementia patient that's not a new onset so the patient will score 0 for disability.
@@unifiedosce5580 thank you
Plz explain about evidence based
Hi, Unified will work on this
Thank you for this video
Very informative
Please will the chart be provided on the day of exams ?
Yes, it will be provided. Thanks
Please in a situation where by the question state that the patient is having dementia, he lost the wife few years ago and his still talking about the wife and also acting confuse.....can I pick confusion
Hi, yes you can go for confusion and state the 6CIT score if applicable for planning.
@@unifiedosce5580 thanks so much…the 6CIT score was 21 so on the NEWS i can pick confusion
Hi, please can you check the response to Alfa Grace question. Thanks
Hi Is it acceptable if we do vitals first and A to E later like you did in this video ? I heard we have to go according to A to E in new osce.
Thank you!
Hi, yes it is acceptable what is important is to cover all the A-E.
Hi mam,do we need to hand hygiene before and after writing bp hr rr in my personal notes during exam?
Hi, after documenting, please do a quick hand hygiene .
In disability on the News chart, are all patients in Osce Alert or can Alzheimer patients be confused??
Hi, at the moment, your patient is considered Alert, if it is not a new onset of confusion.
Please is this physiological Assessment? Thanks
Hi, It is the regular A-E Assessment with additional 6CIT form
If news score is 0 in this case how often will you monitor
Hi,
For a news score of 0 monitoring frequency is 12 hourly. Refer to the back of your news chart monitoring frequency based on scores are written.
If a patient repetedly say i was a nurse before after 1min she will say again i was a nurse did i told you before again the same..and when i reached acvpu i asked date and time she told me incorrect date but correct time can i write it as confused
Hi, Re-orient the patient, try to have a critical look, ask more questions to establish that the patient is confused. But be mindful of time.
YES - for NEW confusion
NO- for old and chronic confusion
@@emernelsonPlease how do you know a patient with old or new confusion?
What condition would Alzheimer’s patient score for confusion (C) in NEWS chart?
Hi, please have a look on the video, scoring your NEWS chart. Alzheimer's is not likely to be a new onset of confusion.
Thank you very much
Is this for mental health nursing osce or adult nursing osce too?????
Kindly let me know
Adult Nursing
If it is in community what is the monitoring frequency
Hi, at the moment NEWS chart is used for community setting. The frequency of monitoring will be dictated based on your NEWS score for Assessment.
News score is 0 in community then how often we will monitor
Hi, based on the NEWS score monitoring frequency for the observation of vitals will be 12 hourly.
just wondering if they are in the community and have a NEWS of 1, do they still need jobs 4-6 hourly? How is that possible?
Hi Emily, yes if you are using NEWS chart the standard of the monitoring frequency will be applicable. A residential home is still in the community, Nurses and health workers are available to do that.
@@unifiedosce5580 Thank you. what about if the person was just living at home though?
Hii.. could you please explain nsg care plan for Alzheimer's in community setting?
Hi, Unified will work on this
Thank you.I have exam on February 08.Can you please tell before this?
Hi Athira, Unified granted your request. All the best.
I thought wearing gloves and touching patients document at the same time is a red flag? Is Apron and glove really necessary for assessment based on the marking criteria?
At the moment, the use of gloves and apron is not required for assessment..
Hi, could you please make a video for nsg care plan in Alzheimer's community setting? , as I have my reattempt for the planning station of Alzheimer's on February 28
Hi Jessy, check up Unified OSCE for Alzheimer's care plan.
All the best jessy was it at Oxford Brooke’s university because I had same exact senecio and I passed the planning station. What was the score you got for CIP6, 17/28? And what did you get for nutrition score under Braden scale?
@@unifiedosce5580 20:07
@@bisolaomo-izirein6292 ..heloo l also failed in planning.the patient has Alzheimer's, dementia, anxiety and depression. Iam confused what to write.no other cheif complaints.if you don't mind.. somebody help me.
@@lekshmik.r8000 did you get this case Frankie wilson 6cit 17/28
Cc:
1. Increasing memory loss reported by daughter
Confuse sia pero hindi sia new confusion. (Pwede parin ba risk for fall)
2. Crumpled clothes
3. Frequently forget to close the gas in the kitchen (reported by daughter)
4. Weight loss for the last 2 weeks
5. Headache 5/10
----------
Social hx
1. Daughter everyday visit to give daily meds
2. Non smoker and non alcohol drinker
-------
Pmx
Depression
Alzheimers
High cholesterol
Thyroid something
Chronic headache
-----
Meds
Paracet
Citalopram
Levothyroxin
Insulin
I am questioning the use of PPE in Assessment. is it acceptable and hyegienic considering you will be in constant contact with the patient and documeting at the same time?
Hi, during the procedure, it is ok to write with your gloved hand, it is considered a clean procedure. But you can remove and discard your PPE , do hand hygiene at the point that you will interpret your NEWS chart and ask questions on Activities of daily living.
Use of PPE is not compulsory for Assessment based on the marking criteria, ensure you do hand hygiene as required. But if you choose to use PPE, you will not be penalised for that.
@@unifiedosce5580 thanks for the clarification
If news score is 1, there is no need to escalate.
Hi, in OSCE based on the NEWS chart, the only score that will not be escalated is a score of 0.
@@unifiedosce5580 ok. Thank you.
Any score above 1 should be escalated in OSCE
Why do we need to wear gloves and apron?
Hi, based on the marking criteria, PPE is not stated. You have a choice to use it or not. If you use it it is acceptable, if you are not using PPE please do hand hygiene as required.
Hi, I love your video please can I have a private chat with you, on Alzheimer's disease I need your help please
Hi, can you please send a message to Unifiedosce2022@gmail.com, thanks