Week 5

S: 88-year-old male who suffered an AMI 3/52 ago and did not seek medical attention. The patient then collapsed twice since the infarct and was admitted. Patient cares for his elderly wife and received services to assist with her care. Patient is NFR and had been in bed 2/7 since admission.

T: To perform a subjective and mobility assessment on the patient, mobilise the patient and determine any other relevant requirements the patient may have needed such as walking aids and additional services.

A: I initially performed a subjective assessment. On assessment, I discovered the SpO2 levels had not been obtained. The patient was unable to provide a full subjective history secondary to drowsiness. I did not perform a mobility assessment.

R: I was able to obtain some subjective information from the patient. However, I did not perform a mobility assessment or attempt to mobilise the patient, as I was uncomfortable with the medical stability of the patient.

E: Although I was unable to gain the information, I required for the patient, I feel I made the right decision in choosing not to mobilise the patient. Without knowing the O2 saturation levels and lowered level of alertness of the patient, I did not feel it was safe to attempt to mobilise the patient particularly as the patient was NFR.

S: Strategies I used was to seek advice from my supervisor after the subjective history and presenting the situation and my action to not perform the assessment. I liaised with the medical team regarding my concerns for the patient and this was acknowledged.