NURSING HOME History & Physical - The SIX P's

By: David Henry, M.D., Pam Patton, CFNP, & E.J. Mayeaux, Jr., M.D.
Louisiana State University Medical Center Shreveport, Louisiana

PERSON- age, occupation, fun activities, where were they before N.H., place of birth, children, may need to ask family or social service
PROBLEMS- diagnosis(old & new)
PERFORMANCE- MMSE scores, ADL's (feeding, bathing, dressing, tansferring, walking, assistance)
PRESSURES- fears, worries
PHYSICAL- heart, lung, abd, ext., skin, breast (q month)
PLAN- routine lab, change or D\C meds, NO prn restraints (Ativan is OK), fall assessments (probable on call duty)
Admit lab: cbc, sma, tsh, ua, drug levels, pre-albumin(<18 ="poor" nutrition)