Progress Note

Mrs. KATE ALLENA

Chart ID 11111D1

Age 69 Years

  • 07-23-1957 (66 years)
  • Male
  • +1-212-456-7890
  • ibeothpeter@gmail,com
  • Non-Dual Aged
  • ibeothpeter@gmail,com
  • 11-02-2023
  • 2.55
  • Medical Health Insurance
  • 14XE-YT78-8901

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Assessment

The pre-operative assessment is an opportunity to identify co-morbidities that may lead to patient complications during the anaesthetic,

Step-1

Ask the patient to repeat three unrelated words, such as "ball," "dog." and "window."

Step-2

Ask the patient to draw a simple clock set to 10 minutes after eleven o'clock (11:10). A correct response is drawing a circle with the numbers placed in approximately the correct positions, with the hands pointing to 11 and 2.

Step-3

Ask the patient to recall the three words from Step 1. One point is given for each item that is recalled correctly.

Number of items correctly recalled
Clock Drawing test result
Interpretation of screen for dementia