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Today, clinical assessment of the elderly poses many challenges for care providers, particularly nurses. The population is aging, and this poses a number of constraints for the care environments that welcome this growing clientele of elderly people suffering from chronic illnesses and major cognitive loss. The assessment of these people's physical and mental health, and all the clinical decisions arising from it, must be based on evidence in a context where aging is heterogeneous. Recognizing the normal effects of aging and its physical and mental manifestations during clinical examination is a challenge in itself. Even more so when these manifestations are atypical.
The nursing assistant has an important role to play in assessment. She is therefore very concerned by this reality and directly involved.
Adapt the history and clinical examination to take into account any difficulties in communicating or mobilizing.
Adapt practice to the current context of care and effectively determine the severity of a condition with a person who does not present the usual symptoms of common clinical manifestations.
Adapt the clinical examination to the time available, selecting what is most relevant to the overall clinical assessment.
This training course is based on Philippe Voyer's teachings, with his latest books as the main references. The concepts are supported by evidence-based data.
In today's healthcare environment, time is often of the essence. A brief physical and mental examination is essential if we are to identify health problems quickly and maintain a safe follow-up for the person.
The clinical examination must be complete, precise and rigorous. Results must be recorded accurately and rigorously.
In the first part of the clinical examination, i.e. the anamnesis or health history relating to a dominant symptom, the PQRSTU is used to gather the minimum subjective data.
When to use the PQRSTU? When the customer presents a new symptom, or when you need to complete a full or partial clinical examination.
Its usefulness: you won't forget any of the minimum data you need to collect. Your notes will be more precise and will follow a method that will facilitate quality clinical follow-up. The subjective data collected will guide the rest of your clinical examination.
At the end of this training course, the participant will be able to use the PQRSTU as an effective shortcut for gathering reliable and essential information at this stage of the clinical examination. They will also learn to avoid questions that may bias results, by avoiding suggesting answers to the patient.
This course is designed for nurses and nursing assistants.
You have 1 year's access to your online training.
Accredited 3-hour certificate.
Clotilde Palaku says:
Thank you very much Ms. GUILLEMETTE, this training was really interesting.
Clotilde Palaku says:
Thanks for everything.
Theoret says:
It was impossible for me and my colleagues to print the power point in advance. I had to finish the entire training course to be able to print the documents, otherwise the site wouldn't let us print them.
Training: a nice update, a nice refresh of the PQRSTU.
I really appreciated the training for the older person, normality versus abnormality. the atypical signs of the older person.
this will help me a lot
Mireille Guillemette says:
Hello, thank you very much for notifying me of this situation. I'm sorry for the inconvenience. The problem has been resolved. Often, when you use a secure network (such as in the CISSS), it is impossible to download or print a document from outside the network. In this case, I can send you the training document by e-mail.
Delanoe says:
Very interesting and it's always good to get back up to date. It's helped me a lot and thanks again Mireille.
Linda.Fortin says:
Very good training, very instructive
Nathalie Poulin says:
just wow great energy!!!
Nathalie Poulin says:
i loved the dynamic training!!!
Roxana Ciolacu says:
Excellent training ...... the only downside is that the training is better done on the computer because on phone or tablet it's very difficult, many mistakes. But in the end we're talking about the course, which for me was an excellent help.
Mireille Guillemette says:
Hello, this problem is often due to the fact that your web browser is not up to date. If you're using Safari, Firefox or Explorer: update your browser OR download GOOGLE CHROME free of charge.
I'm glad you've completed and enjoyed your training.
Louise Larouche says:
The training content was clear and well-directed. It will be very useful in my day-to-day work with customers. Thank you very much.
Emmanuel Saladin says:
I am very satisfied with the training, I learned a lot, I feel better equipped to take care of my residents thanks to the pedagogical perfection of the trainer, Mrs. Mireille G.
Marie-Claude Roy says:
Thank you, the content was very informative and it's always good to have a "refresh".
Cynthia Bilodeau says:
Thank you very much for this training!
Lucille Lubin says:
Thank you the content was very informative I am satisfied with the training
Martine Tremblay says:
Very nice training. Thank you very much.
Nadia Tahiri says:
Very interesting training content. Captured my full attention.
Very nice feedback on this care tool.