If you suspect a traumatic brain injury (TBI) is possible in your elder patient, after performing a neurologic exam, these are the most relevant questions to ask, says Teresa Mancuso, RN, an ED nurse at Baptist Hospital of South Florida: You must have JavaScript enabled to enjoy a limited number of articles over the next 360 days. A Trauma Nurse provides emergency care to patients with serious injuries or illnesses, the causes of which are often unknown. Sample Interview Questions Ask questions to understand the applicant’s awareness of the prevalence of trauma in the general population, the impact of trauma on patient to respond with short, concise descriptions of the trauma. How will I get other opinions on what should be done for my condition? Traumatic brain injury in the United States: Emergency department visits, hospitalizations and deaths 2002-2006. “We all have problems or challenges that we must … It’s important to give the patient time to respond to your questions and to actually listen to the patient’s response. Ask open-ended questions. Am I behaving or feeling as if the event were actually happening all over again? These include patients older than 60, a Glasgow Coma Scale score of less than 15, individuals on anticoagulation therapy, and patients who have lost consciousness. Look for a facility that first offers a new patient consultation and examination with a medical specialist. In addition, older patients often have medical conditions or medications that predispose them to falls. Just like a physical exam, you should come in ready to have an open and frank discussion with your therapist. These practices impacted the outcome of a 93-year-old man who came to the ED with a forehead laceration and a Glasgow Coma Scale score of 15. Although he denied any pain or dizziness, the patient reported falling. Am I jumpy, and do I get startled easily. Below is an alphabetical list of trauma exposure measures. If the patient has any of the symptoms, ask questions that are similar to the questions asked in HPI; do not repeat things already answered as part of the HPI (also do not document twice in the SOAPE) Can start by saying “We are going to ask a lot of questions about common health problems. REMEMBER, the A&O Scale is: Alert and Oriented to Person, Place, Time, and Event. Atlanta: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2010. What ever you do, try to scrub in. Most hospitals provide patient handbooks, brochures or online information that can assist you too. Faul M, Xy L, Wald MM, et al. If your patient is responsive, you would ask them questions to determine how alert and oriented they are (A&O 1-4). While that may or may not make it easier to open up, your therapist has been trained to know what questions to ask and when to li… There is a value in hearing what events or experiences arise for the patient/client before you ask about particulars. Obtain a detailed medical history. A patient satisfaction survey is a set of questions used to collect feedback from patients to measure their satisfaction with the quality and care of the healthcare service provider. The guideline presents you with 4 critical questions that you need to ask yourself in order to diagnose and treat patients with mild TBI. What kind of living environment is most important to me? Your patient's Glasgow Coma Scale (GSC) score initially might be a 15. 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