What is the title of this resource?
The King's University
www.qureshiuniversity.com
Assessment of patient.
Assessment of patient with specific complaint.
What are the types of assessment of a patient?
How to Take a Medical History
History Taking
Medical history
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| Physical Examination Quick Reference Guide | |
| Testing for Human Blood | |
| Diagnosis and treatment by a physician is process of investigation. |
Emergency health assessment on the spot.
Assessment in medical emergency situation.
Analysis of complaints, incidents, issues, and problems.
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What should be your first question in case a patient is referred to you? Questions that must be answered. Where is the patient now? How old is the patient? What is the gender of the patient? Who is reporting this emergency? What seems to be the complaint? What seems to be the problem? Glasgow Coma scale analysis. First, analyze Glasgow Coma scale, then analyze vital signs including consciousness. When was the patient normal? Can the patient open both eyes spontaneously? Can the patient talk or make noise relevant to age? Can the patient walk or move extremities relevant to age? If yes, Glasgow Coma scale is 15. Glasgow Coma scale of 15 means the patient is not in a coma. The patient can have less serious medical issues. Go ahead with vital signs, including consciousness. How do you proceed if a person is in a coma? Find the cause of the coma. Treat the underlying cause. Identify the causes of the coma and fix the underlying causes. Here are further guidelines. http://www.qureshiuniversity.com/coma.html Glasgow Coma scale of 15 means the patient is not in a coma. The patient can have less serious medical issues. Take a look at this. https://qureshiuniversity.com/medicalemergency.html#Q1 What seems to be the issue or issues? When did it start? How did it start? Where did it start? How much time has elapsed from the start of the emergency until now? What is the location? Where is it? For example, is the stress or pain in the head, in the chest, in the abdomen, or in any other location? What makes it worse? What reduces it? What will happen if you continue having this? What will happen if you do not have this? What have you done so far for this? What do you think causes it? What do I think caused it? What needs to be done to verify what caused it? Has patient taken any medication or substance before this issue? Has any specific thing happened that led to this issue? Is this troubling your everyday activity? How is this troubling your everyday activity? Does one individual or many individuals have medical emergencies at this location? How many individuals have medical emergencies at this location? Is it a medical emergency? ___________________________ In what type of setting does this patient need treatment? ___________________________ Do any recent causes lead to this problem; for example, trauma, missed medication, inadequate survival needs, stress, or other issue? ___________________________ What are further details? ___________________________ Does any past medical history lead to this problem? ___________________________ Is there any recent history within past few minutes or hours of any of the following: 1.Unconsciousness at a public location. 2.Sudden unconsciousness at home. 3.Trauma. 4.Survival needs issues. 5.Seizures. 6.Burns. 7.Drowning. ___________________________ What problems, complaints, incidents, and issues need on-the-spot diagnosis and treatment? If there is even one recent history of the above, on the spot diagnosis and treatment is required. How do you know if this is a medical emergency or medical nonemergency? Unconsciousness at a public location, sudden unconsciousness at home, trauma, survival needs issues, seizures, burns, drowning, pregnancy emergencies need on-the-spot evaluation and treatment. In the medical emergency room, treatment if patient has any of these: http://www.qureshiuniversity.com/medicalemergency.html Is the victim's condition life or limb threatening? ___________________________ Could the victim's condition worsen and become life or limb-threatening on the way to the hospital? ___________________________ Could moving the victim cause further injury? ___________________________ Would distance or traffic conditions cause a delay in getting the victim to the hospital? ___________________________ What have been his activities for the last 10 years? ___________________________ Does the individual use or abuse any of these substances? Alcohol. Drugs. Tobacco. ___________________________ Is the individual on any medication? ___________________________ Is it a medical emergency? ___________________________ Does this need on-the-spot diagnosis and treatment? ___________________________ What is the most likely diagnosis? ___________________________ What do you think causes it? ___________________________ Why do you think this happened? ___________________________ What is the diagnosis? ___________________________ In what setting/location does this medical condition need treatment? Treatment required on the spot. Treatment required in the medical emergency room. Treatment required in the intensive care unit. Treatment required in the ward. Treatment required in the operating room. Treatment required at home. Treatment required Internet health care. Treatment required in OPD consultation. ___________________________ What treatment do you recommend for this patient? ___________________________ What are other treatment options for this patient? No other treatment option. Other treatment options are enumerated. ___________________________ What will happen if you do not diagnose and treat a medical emergency properly? It can lead to death. It can lead to disability. It can lead to other harms. It can lead to medical malpractice. It can lead to legal malpractice. All accused suspects listed are charged. http://www.qureshiuniversity.com/emergencymedicalservices.html http://www.qureshiuniversity.com/medicalemergencyworld.html |
Medical history
Non-Emergency
| Assessment of a patient by a physician. |
| Annual health assessment. |
| Administrative Issues |
| Assessment in medical emergency situation. |
| Assessment in medical nonemergency situation. |
| Category |
| Examples of patient profile. |
| Human medical conditions |
| International classification of diseases or medical conditions with ICD10 numbers. |
| Types |
| Vital Signs |
| Planned medical procedures |
| Past medical procedures audit |
| Physician guide to physician or physicians |
| Symptoms specific to category of medical issues. |
| Internet guidelines for patient. |
| Interview with a physician |
Assessment of a patient by a physician.
| There is no single, correct way to take a history; with time you will develop your own style; however, one effective and commonly used sequence comprises: |
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Where is the patient now?
__________________________________________ What seems to be the issue or issues? __________________________________________ The answer to this question can be from patient or others. What are the sources of these facts? __________________________________________ Patient Legal guardian Parent Relative Community resident Healthcare provider Administrator or police If other, specify Has anyone already created a profile of the patient? __________________________________________ Where is the profile of the patient? __________________________________________ Is it a medical or nonmedical issue? __________________________________________ What are medical and nonmedical issues? Human healthcare complaint, issue, problem, concern is a medical issue. Utility fault (water, electricity, or gas) and similar concerns are nonmedical issues. http://www.qureshiuniversity.com/emergencyworld.html Who has established these guidelines? Doctor Asif Qureshi Introduce yourself if you do not know the patient. Here is an example. Hello, I am Doctor Asif Qureshi. I have a few questions about your health. How are you feeling now? Cam you describe issues you have now? What best describes your health issues or any other issues now? What is the day, date, time, and location these questions are answered by the patient? Nurse can ask like this. I have few questions from Doctor Asif Qureshi. Can you describe issues you have now? If the patient cannot answer, who can answer questions on behalf of him or her? Get the chief complaint. What is bothering you right now? __________________________________________ How can I help you? __________________________________________ What are you feeling right now? __________________________________________ What other issues do you have now? __________________________________________ Once the category of medical condition is identified through medical history, further questions are needed relevant to the category of medical condition. |
Patient profile
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What should I know about you? Questions relevant to the patient. Where is the patient now? __________________________________________ What is the name and date of birth of the patient? __________________________________________ How old is the patient? __________________________________________ What seems to be the problem? __________________________________________ What type of patient assessment does this individual need? __________________________________________ Get the chief complaint. "What is bothering you right now? how can we help you?" Clarify if needed. "What are you feeling right now?" Survey for other problems. "What else?" Focus on the most important problem first. - - Explore the main problem in more detail. This can be summarized by the mnemonic O.P.Q.R.S.T.: - - Onset: "how long has it been going on?" Palliation/Provocation: "what makes it better or worse?" Quality: "what does it feel like?" Region/Radiation: "where is the pain? does the pain travel anywhere? Symptoms/Severity: "what other feelings or sensations do you get? how bad is the headache?" Timing: maintain the narrative thread. "What happened first? ...then what?..." Find out the context of the medical problem. "Is the pain continuous, repeating, or sporadic?" Patient Health Profile |
Family History
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Has any family member suffered from a similar problem? __________________________________________ Do you know of any illnesses that run in your family? __________________________________________ Has any member of your family died before the age of 60? __________________________________________ |
Social history (medicine)
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What jobs have you done since starting work?
__________________________________________ What did these jobs involve? __________________________________________ How do you spend your time when you are not at work? __________________________________________ Where do you live? What is your house like? __________________________________________ Are you able to do all the activities that you need to be able to do? __________________________________________ Who lives with you at home? __________________________________________ Have you had children? Any worries or illness with them? __________________________________________ How many sexual partners have you had? Male? Female? __________________________________________ Have you ever smoked? Ever been a heavy drinker? __________________________________________ |
Ideas, concerns, and expectations
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What have you thought might be causing your symptoms? __________________________________________ Is there anything in particular that concerns you? __________________________________________ What have you been told about your illness? __________________________________________ What do you expect to happen while you are in hospital? __________________________________________ Do you expect any difficulties in coping when you go home? __________________________________________ Do you have any questions you would like me to pass on to the medical or nursing staff? __________________________________________ |
Past medical history
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Have you had any similar episodes in the past? __________________________________________ What investigations have you had in the past? X-rays? Scans? __________________________________________ What were the results of your previous tests? __________________________________________ Have you had any other medical problems or conditions? __________________________________________ Have you had any serious illness in the past? __________________________________________ Have you been in hospital before? __________________________________________ Have you had any operations? __________________________________________ Have you ever had a blood transfusion? __________________________________________ __________________________________________ What injuries or accidents have you had in the past? __________________________________________ When and where have you travelled abroad? __________________________________________ Have you ever had any of the following conditions: asthma/chronic obstructive pulmonary disease (COPD)/angina/heart attack/stroke/diabetes/epilepsy/rheumatic fever/blood clot in the leg or lung/tuberculosis (TB)/jaundice/high blood pressure/high blood cholesterol? __________________________________________ |
HISTORY TAKING: DRUGS AND ALLERGIES
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What medications do you actually take?
__________________________________________ What ‘over-the-counter’ drugs or herbal remedies do you use? __________________________________________ Do you take low-dose aspirin? Vitamin pills? __________________________________________ Do you take the oral contraceptive pill? HRT (hormone replacement therapy)? __________________________________________ Have your medications changed at all recently? __________________________________________ How often do you forget to take your tablets? __________________________________________ Have any medicines ever upset you? If so, how? __________________________________________ What exactly happens when you take that medication? __________________________________________ Are you allergic to anything? – Hay fever? Asthma? Eczema? __________________________________________ |
Review of Systems: Screen for symptoms in each body system that have not already been discussed.
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Review of Systems: Screen for symptoms in each body system that have not already been discussed. •Skin: any skin problems? rash? itch? sores? moles? •Eyes: eye problems? vision loss? itchy eyes? blurry vision? double vision? •Ears, nose, mouth, sinuses, and throat: any trouble with your hearing, ears, mouth, sinuses, or throat? •Lungs: any lung or breathing problems? coughs? chest pain? •Heart: heart problems? racing heart? skipping beats? •Digestive: stomach problems? stomach pain? nausea? vomiting? diarrhea? constipation? bloating? blood in stool? •Genitourinary: trouble with urinating? unusual color or smell? sexual problems? •Hematologic: easy bruising or bleeding? •Endocrine: feeling too cold or too hot compared to others? excessive thirst, hunger, or urination? •Musculoskeletal: problem with your joints or muscles, such as pain, swelling, weakness? •Neurological: weakness, numbness, or tingling in arms or legs? problem with walking or balance? memory problems? headaches? seizures? •Psychiatric: anxiety? depression? suicidal or homicidal urges? repetitive thoughts or acts? Summary of history Complete your history by reviewing what the patient has told you. Repeat back the important points so that the patient can correct you if there are any misunderstandings or errors. You should also address what the patient thinks is wrong with them and what they are expecting/hoping for from the consultation. A good acronym for this is ICE – Ideas, Concerns and Epectations. What type of issue can a person have? Medical Emergency (survival issues, medicolegal issues, critical issues, post-medical emergency, medical emergencies that need ER consultation) Medical nonemergency. Nonmedical emergency. Non medical issue that is not an emergency. What best describes the issue? __________________________________________ Medical emergency Medical nonemergency Medicolegal case Nonmedical issue Nonmedical issues means patient has an issue; at the same time, a professional other than a physician has to bring solutions or remedies. Is this a medical emergency or medical nonemergency? __________________________________________ How do you know if this is a medical emergency or medical nonemergency? Unconsciousness at a public location, sudden unconsciousness at home, trauma, survival needs issues, seizures, burns, drowning, pregnancy emergencies need on-the-spot evaluation and treatment. In the medical emergency room, treatment if patient has any of these: http://www.qureshiuniversity.com/medicalemergencyworld.html Diagnosis What is the diagnosis? __________________________________________ Category
Individual Treatment Plans What is the best location to further treat this medical condition? __________________________________________ On the spot Emergency medical room Intensive care unit Hospital ward Home healthcare What is the treatment plan? __________________________________________ http://www.qureshiuniversity.org/prescription.html | ||
| Comprehensive patient assessment. | ||
| A comprehensive patient assessment takes many weeks in many sessions. | ||
Questions that should be answered about procedures relevant to human health care.
Planned medical procedures
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What is the name of the medical procedure that needs to be done? Why is there need for this medical procedure? How will this medical procedure improve the life of the individual? What is the diagnosis of the individual? Who among physician diagnosed the individual? How did the physician reach this diagnosis? Past medical procedures audit What is the name of medical procedure that was done? Why was there need for this medical procedure? How did this medical procedure improve the life of the individual? What was the diagnosis of the individual? Procedures relevant to human health care. What are other terms for procedures relevant to human health care? Procedure classes for ICD-10-PCS Medical procedures & medical tests A-Z list What seems to be the issue? __________________________________________ What symptom category is this? __________________________________________ What more questions are required to be answered relevant to this issue? __________________________________________ This depends on the symptom category. Symptoms specific to category of medical issues.
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International classification of human diseases.
International classification of diseases or medical conditions with ICD10 numbers.
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What is displayed at this resource? International classification of diseases or medical conditions with ICD10 numbers. What is the latest version of the international classification of human diseases. ICD 10 Stands for International Classification of Diseases version 10. How has international classification of diseases or medical conditions been categorized?
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General Assessment
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Height Weight Build (thin, obese, emaciated, etc.) Temperature Radial Pulse Respirations Blood Pressure (sitting, standing, and lying if related to current illness or over age 50) Posture Speech (descriptive terms include: fast, slurred, thick, articulate, speaks no English, absence of speech) Emotion (descriptive terms include slightly nervous, comatose, calm, etc.) Stated Aged Versus Apparent Age (documentation would read “appears chronological age†or “stated age 40, looks 50â€) |
Types
What is a Medical History?
What is a Medical History Form?
What are the types of assessment of a patient?
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How many types of human health care assessment are there? There are 18 types of human health care nonemergency assessment and 15 types of human health care, emergency assessment in various human healthcare settings. What is an assessment of a patient? Patient assessment is the term used to describe the process of identification of the condition, needs, abilities, and genuine preferences of a patient. Who should ideally do an assessment of a patient? The physician should ideally do an assessment of the patient. Questions relevant to the patient. Where is the patient now? What is the name and date of birth of the patient? What seems to be the problem? What type of patient assessment does this individual need? What are the types of assessment of a patient?
What should a physician be aware of in the state and outside the state? In addition to an individualized assessment of patients, a physician should serve in public health emergencies and public health nonemergencies. Do not lie during an individualized assessment. If you lied during an individualized assessment or someone else persuaded you to lie, correct immediately with the truth and apology, and face other consequences. Do not hide the truth. Who needs health care assessment? Normal human beings need health care assessment to maintain good health. Any individual with any specific healthcare complaint. What are various types of assessment? What are the types of patient assessment? Individual person assessments relevant to health care. Natural or manmade calamity/disaster assessment due to floods or similar harms in the state or outside the state. What should be available relevant to an individual person for assessment? Biodata should be available relevant to an individual person. After biodata of an individual person is available, assessment becomes quicker. If biodata is not available, at least an identity card should be available. | |
| Assessment in medical emergency situation. | |
| Assessment in medical nonemergency situation. | |
| Assessment of a patient in various healthcare settings. | |
Checklist of symptoms
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General Fatigue Anorexia Weight change Itch Rashes Low mood Fevers/night sweats Heat/cold intolerance Change in appearance Cardiorespiratory Chest pain Breathlessness Orthopnoea Paroxysmal nocturnal dyspnoea Palpitation Cough Sputum Wheeze Haemoptysis Gastrointestinal Swallowing difficulty Nausea and vomiting Haematemesis Heartburn Indigestion Abdominal pain Change in bowel habit Change in colour/consistency of motions Genitourinary Dysuria Frequency/nocturia Change in colour/smell of urine Prostatic symptoms Urethral/vaginal discharge Incontinence Menstrual difficulties Postmenstrual bleeding Sexual difficulties Central nervous system Headaches Fits/faints/funny turns Weakness Sensory symptoms Changes in taste/smell Hearing disturbance Visual disturbance Speech disturbance Dizziness Locomotor Pain Stiffness Immobility Swelling Loss of joint function |
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What is wrong with existing physicians around the world? Existing physicians around the world are not able to do proper health care assessment in various human healthcare settings. Existing physicians are not able to reach correct diagnoses and treatment in various human healthcare settings. What is a patient? A person who requires medical care. What type of individual requires medical care? A normal individual requires medical care. A harmed individual requires medical care. A person who has any medical condition requires medical care. If a highly experienced physician guides others, including other physicians, it is normal that the physician also needs medical care for himself or herself at least for stress. For example, internationally renowned Doctor Asif Qureshi guides all medical specialties, including 611 professions, and occasionally feels stressed. Stress is the diagnosis. If stress is ignored, this can cause an acute stress reaction. What are the types of assessment of a patient? There are at least seven types of assessment of as an individual in a human healthcare setting. A physician or a counselor must be able to answer this question. What type of patient assessment does this individual need? |
Abilities assessment (physical, mental).
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How should you answer these questions? Answer to the best of your ability and knowledge. What should you write if a question is not applicable to you? This is not applicable to me at this point. Question 1 What is your Email address? Question 2 What is the name of the individual who needs doctor consultation? Question 3 What is the date of birth of the individual who needs doctor consultation? Question 4 Address What is your mailing address? Question 5 What was your mailing address from birth until now? Question 6 Where is the patient now? Question 7 Where do you live now? How long have you lived at this address? Question 8 How long do you plan to live at this address? Question 9 What is your contact information including current mailing address, telephone, e-mail, and any other details, and person to contact in case of emergency? Question 10 What is the gender of the patient? What best describes the patient?: Question 11 In general, how is your physical and mental health? Question 12 What is your telephone number? Question 13 Have you been in the hospital in the last month? Yes No Question 14 Do you have health problems that you need help with right away? Yes No Question 15 Do you have any appointments scheduled with doctors or other specialists? Yes No Question 16 Screening for survival needs Do you have enough of these resources from the state? Food Clothing Housing Health care Transportation Security Education Consumer goods Communication Do you need any of these resources to be enhanced? Question 17 What are the issues? Question 18 Do you need extra help to access services, such as a wheelchair ramp, a computer screen reader or large print materials? Yes No Question 19 What is the number on your medical card? A medical card number is usually a nine digit number. Question 20 What state or entity has issued this medical card? Question 21 What is troubling you? Question 22 How old is the patient? Question 23 What languages can you understand? Question 24 What are the sources of medical history? Question 25 Where are you located now? Question 26 Is your complete medical history ready? Do you have a physician referral? Yes No Don't know Question 27 Who is writing answers to these questions? The patient. Someone else on behalf of patient. If someone else is answering these questions on behalf of the patient, how are you related to the patient? Sister Cousin Brother Mother Father Case manager Relative Primary care physician Nurse If other, specify. Question 28 Have you gone through the Internet human healthcare guidelines? Take a look at this http://www.qureshiuniversity.com/internethealthcareservices.html, public health guidelines, http://www.qureshiuniversity.com/publichealthworld.html patient education guidelines http://www.qureshiuniversity.com/patienteducation.html at mentioned resource? Question 29 Do you think your issue or issues have not been answered at this resource and need individualized doctor consultation? Question 30 What type of doctor consultation is required? Ambulatory human health care Adolescent girls’ consultation Community health center evaluation Critical care consultation (anesthesiology) Coroner investigations Cardiology consultation Dermatology consultation Disability consultation Dental consultation Emergency medicine consultation Endocrinology consultation Forensic medicine consultation Gastroenterology consultation Geriatrics consultation Hematology consultation Internet healthcare consultation Medical negligence consultation Nephrology consultation Neurology consultation Oncology consultation Ophthalmology consultation Orthopedics consultation Otorhinolaryngology consultation Obstetrics & Gynecology consultation Primary care physician consultation Pediatrics consultation Psychiatry consultation Pulmonary medicine consultation Physical medicine & Rehabilitation consultation Public health guidelines Radiology & nuclear medicine consultation Surgical consultation Women's health consultation Question 31 Impairment Rating and Disability Determination Health status How would you describe your health status relevant to your age? 100% mentally fit. 100% physically fit. Question 32 Do you have any problems with activities mentioned below relevant to your age? Walking Seeing Hearing Speaking Breathing Learning Working Caring for oneself (eating, dressing, toileting, etc.) Performing manual tasks Getting started after sleep Sitting Sleeping |
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Encourage everyone to have an annual health assessment from a competent medical doctor able to answer relevant questions via e-mail, telephone, fax, postal mail, or face-to-face and able to reach a correct diagnosis and treatment in various health care settings. Why do you need an annual health assessment? Most medical emergencies can be prevented with a proper annual health assessment and treatment by a competent medical doctor. Most medical disabilities can be prevented or cured with an annual health assessment by a competent medical doctor. Most medical conditions can be diagnosed and cured with a proper annual health assessment by a competent medical doctor. The quality of health can be enhanced with a proper annual health assessment and treatment by a competent medical doctor. Every state must assign 200 patients to a competent medical doctor able to answer relevant questions and reach a correct diagnosis and treatment for primary health care that includes an annual health assessment. Every medical doctor must update the state department of health with relevant findings. The state department of health must maintain medical records of patients. A medical doctor can prolong the life of a person at least up to 90 years with a good quality of life. A medical doctor cannot sustain a person beyond 90-95 years of life. |
| Questions for professional regulators in the state. |
| Questions for health care providers or medical doctors. |
| Questions for residents or patients. |
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Do you know what is a medicolegal case? ------------------------------------ What is a medicolegal case? ------------------------------------ What are examples of medicolegal cases? ------------------------------------ |
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What is needs assessment? Human rights have to be the main focus of needs assessment. Needs assessment can be at an individual level and/or a community level. A needs assessment is a systematic process for determining and addressing needs, or "gaps" between current conditions and desired conditions. Needs assessment has to be done in all human healthcare settings. How do you proceed with a needs assessment? Gather data to define needs. Identify concerns. Identify and analyze the causes. List consequences if the cause is not removed. Enter a rating (low, medium, high) of the difficulty of correcting the problem. Decide on priorities. Identify possible solutions and/or remedies. Prepare a plan. In what situations are needs assessments required?
Yes. What is the difference between needs assessment and survival needs assessment? Needs assessment is a big entity. Within needs assessment is survival needs assessment. Take a look at this. http://www.qureshiuniversity.com/survivalneeds.html These are the questions to be answered in survival needs assessment. Take a look at this. http://www.qureshiuniversity.com/needsassessment.html These are the questions to be answered in detailed needs assessment. No competent primary care physicians exist in the community. This is a need of an individual. This may not be an emergency; however, need of an individual is a need. What do I feel needs to be included in needs assessment? Needs assessment has to be done under the supervision of a physician. A care coordinator, physician assistant, counselor, or nurse can do a needs assessment under supervision of a physician. What aspects of a needs assessment are important to its success? Relevant questions and truthful answers. What steps are involved in conducting a needs assessment? Questions to be asked in needs assessment. What questions should be asked in needs assessment? What are your needs? -------------------------------------- What is the name of individual whose needs assessment has to be done? -------------------------------------- What is the date of birth of the individual whose needs assessment is to be done? -------------------------------------- What is the profile of the individual? -------------------------------------- Your profile. Your social support network. Your health care provider’s profile. Activities of everyday living assessment. Your survival needs details. How does a profile look? Here are further guidelines. Are these survival needs or nonsurvival needs? -------------------------------------- Do you think these are emergency or nonemergency needs? -------------------------------------- What department in the state has a duty to resolve these issues? -------------------------------------- What needs to be done immediately? -------------------------------------- What can be done later? -------------------------------------- |
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Profile from birth until now If your profile is available, you do not need to answer these questions. If your profile is not maintained with me, you need to answer these questions. If you have difficulty elaborating your profile, you can be helped with sample examples. |
| Annual health assessment of a child |
| Female |
------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ Ask questions relevant to stress, intentional enforced harms from others, Or human rights violations from others. Questions relevant to stress. ------------------------------------ ------------------------------------ Questions relevant to intentional enforced harms from others. ------------------------------------ Questions relevant to human rights violations from others. ------------------------------------ Date:________________________________ Referred by:_________________________ _____________________ Telephone:___________________________ Primary Care Physician Name, Address and Phone:__________________ Referring Physician, if different from above:_______________________ Emergency Contact Name:______________ Relationship:________________________ Phone:_______________________________ Your Height:_________________________ Your Weight:_________________________ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ Screening for survival needs ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ ------------------------------------ |
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How do you know a person is harmful or a gang member?
________________________ He or she has disregard for human rights of others. He or she has harmed others and is likely going to harm others. He or she has prejudice toward good charactered, well-behaved individuals. A harmful individual will not have proper answers to questions relevant to good character, good behavior, or human rights. What type of individual goes to jail or has involuntary admission to a psychiatric facility? ________________________ Is there an oppressor/harmful individual in the community? ________________________ How has/is this individual harming others? ________________________ How is this individual likely to continue to harm others? ________________________ Is he or she acting alone or is a gang member? ________________________ Who are among the other gang members? ________________________ |
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What is primary health care? A health care resource advertises capabilities of screening hypertension and diabetes. That is not primary health care. That is quackery. Such activities are planned on April 20, 2012, at Near North Center, Chicago, Illinois. Heartland Alliance Chicago, Illinois, also is involved in similar quackery. Asian Human Services has declared an annual health fair on April 25, 2012, in Chicago, Illinois, to screen specific medical conditions. Can so many residents be screened for so many medical conditions in one day by a few medical doctors? No, they cannot. How many residents should be assigned to a medical doctor for primary health care? One handred patients per medical doctor. What should a health care resource be able to provide in primary health care? From time to time, you will be asked to issue a Healthcare screening certificate. http://www.qureshiuniversity.com/healthcarescreeningcertificate.html Needs Assessment
Nonemergency needs assessment. Problem or complaint-oriented assessment Here are further guidelines.
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The reference resource for human health care.
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What is included in the reference resource for medical doctors? What is included in the reference resource for health care? Here are further guidelines. http://www.qureshiuniversity.com/healthcareworld.html |
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Comprehensive patient assessment (nonemergency) What are the types of comprehensive patient assessment (nonemergency)? Age 1-12 years, comprehensive Health assessment of a child. Age 12–18 years, comprehensive health assessment of adolescent girl (teen). Age 12–18 years, comprehensive health assessment of adolescent boy. Age 65 years or older, comprehensive geriatric assessment. Comprehensive health assessment usually takes three sessions of 30 minutes on various days. If medical history is transmitted via email, fax, or postal mail, the duration can be less. What are the types of follow-up patient assessment? 60-second progress assessment in an emergency room. 60-second progress assessment in a hospital ward. 60-second progress assessment in OPD. 60-second progress assessment by email, telephone, fax, or postal mail. One-page discharge summary from hospital. What are the types of emergency patient assessment? Newborn assessment in 5 minutes. Patient 60-second assessment in stress. Patient 60-second assessment in crisis. Critical care progress assessment of patient in 60 seconds. Comprehensive patient assessment (emergency). Comprehensive patient assessment (ICU). Age 1-12 years, comprehensive health assessment of a child. Age 1-12 years, comprehensive health assessment of a child. What is the mailing address of individual/individuals’ source/sources of this medical history? ------------------------------------- How is this individual related to the child? ------------------------------------- Where does this child (with name, date of birth mentioned) live at this point? ------------------------------------- How long has the child lived at this location? ------------------------------------- Who is the caregiver for the child at this location? ------------------------------------- What is the profile of the caregiver at this location? ------------------------------------- What best describes the caregiver for this individual? Mother Father Foster mother Foster father Legal guardian Other (specify) ------------------------------------- Feeding History Who feeds the child every day? ------------------------------------- Has the caregiver taken parenting classes? ------------------------------------- What food does the child get every day? ------------------------------------- How many times is the child fed every day? ------------------------------------- How long does the child’s feeding last? ------------------------------------- Developmental History Do you know the birth weight of this child? ------------------------------------- What was the birth weight of this child? ------------------------------------- What is the weight record of the child every six months after birth? ------------------------------------- What is the record of the yearly length of the child? ------------------------------------- |
What are recommendations to other medical colleges?
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Various medical colleges start with anatomy, physiology, biochemistry, pediatrics, ear nose & throat, forensic medicine, ophthalmology, preventive and social medicine and end with medicine, surgery, obstetrics and gynecology. They must start directly with a medical condition. Each medical condition should be enumerated in at least 40 questions and answers with relevant anatomy, physiology, biochemistry, microbiology, pathology, pharmacology, and preventive concepts. What human anatomy should one know relevant to this medical condition? What human physiology should one know relevant to this medical condition? What human biochemistry should one know relevant to this medical condition? What human microbiology should one know relevant to this medical condition? If one needs these questions and answers, Qureshi University is willing to provide them. Healthcare Education What will happen if you do not follow these guidelines? Your students will have problems in the real world. Doctors educated at your resource will not be able to answer relevant questions in the real world. Sooner or later, your students will complain that they were educated with substandard curriculum. The focus of your resource should be preparing students to solve real-world issues, problems, and complaints relevant to human health in the real world. These recommendations are for all regions of the world. What should you know about various recognitions or accreditation? If you declare that you have completed you education from a recognized resource with certification, board certifications, licensure, professional memberships, and real-world education but you are not able to answer relevant questions, your education is of no use. Set up a resource on the Internet in question-and-answer format in the English language that displays questions and answers that you know. This will be one proof of your competence. If you procure your education from another resource, declare that you have done so. Here are further guidelines. http://www.qureshiuniversity.com/healthcareworld.html Grants and perks required to enhance these programs. |
Medical Emergency
Patient assessment
| Emergency Diagnosis and Treatment | ||||||||
What are the types of patient assessment?
What is a medical emergency? If a human being has any problem, symptom, complaint, or situation listed below, it is a medical emergency. http://www.qureshiuniversity.com/medicalemergency.html What best describes the problem, symptom, complaint, or situation in the list? _________________________ What type of assessment does this patient need? _________________________ What will happen if this medical condition is left without treatment? _________________________ The individual can die. The individual can have a disability. The individual can have severe pain. The individual can have irreparable harm. Does this situation need a doctor? _________________________ What should be displayed on an emergency medical record? Details of the patient. Details of the diagnosing and treating medical doctor. Details of the patient. What should be your first question in case a patient is referred to you? Patient 60-second assessment by call center/Internet/telemedicine. Where is the patient now? _________________________ How old is the patient? _________________________ What is the gender of the patient? _________________________ Who is reporting this emergency? _________________________ What are the sources of medical history? _________________________ Patient. Family. Patient not responding to medical history questions. Community member. Police officer. Referral from medical doctor. Other. How much time has elapsed from the start of the emergency until now? _________________________ Does one individual or many individuals have medical emergencies at this location? _________________________ How many individuals have medical emergencies at this location? _________________________
If it is a multiple causality incident, the guidelines are different. |
Vital Signs
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Check vital signs, mobility, and survival needs.
Consciousness of a human being has to be included in vital signs. Vital Signs Consciousness, pulse, blood pressure, respiratory rate, temperature. Consciousness is extremely essential in reaching a correct diagnosis and treatment. What are the vital signs on the date and time of diagnosis and treatment?
How do you categorize the condition of the patient? _________________________ Undetermined Good Fair Serious Critical Is this an emergency? _________________________ What is the category of this emergency? _________________________ Is this a medical emergency? _________________________ In what type of setting does this patient need treatment? _________________________ Here are various examples.
Who has the duty to manage this emergency? _________________________ What best describes this human emergency? _________________________
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| Patient assessment | ||||||||||||||||||||||||||||||||||||||||||||||
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Patient 60-second on-the-spot diagnosis and treatment. What problems, complaints, incidents, and issues need on-the-spot diagnosis and treatment?
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| Are you the person reporting a medical emergency for yourself? | ||||||||||||||||||||||||||||||||||||||||||||||
| Emergency | ||||||||||||||||||||||||||||||||||||||||||||||
| How do you do a quick assessment, diagnosis, and treatment of an unconscious patient? | ||||||||||||||||||||||||||||||||||||||||||||||
| Are all vital signs normal? Can the person move relevant to age? Has the person been provided with survival resources? Does the person or caregiver complaint of anything? Are these justified complaints? |
Medical emergencies.
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What are examples of emergency relevant to an individual?
What are various symptoms, signs, statements, questions, issues, and histories that should raise suspicion of a medical emergency? There are at least 143 such symptoms, signs, statements, questions, issues, histories, and scenarios. |
| Agitated Patient (Acute stress reaction.) |
| Attempted suicide. |
| Attempted homicide. |
| Abuse. |
| Abdominal Pain.(Stomach pain) |
| Altered sensorium. |
| Any sudden or severe pain. |
| Animal bites (may require rabies or tetanus shot). |
| Armed Robbery. |
| Allergic reactions. |
| Breathing difficulties. |
| Behavior that is dangerous to self or others and cannot be managed. |
| Bleeding from any orifice or any part of human body that will not stop. |
| Bleeding which does not stop after applying pressure. |
| Being beaten by someone. |
| Burns. |
| Bites. |
| Bloody Sputum |
| Broken bones. |
| Behavior-related emergencies. |
| Change in mental status (such as unusual behavior, confusion, and difficulty arousing). |
| Changes in vision. |
| Chest pain. |
| Choking. |
| Cough with fever. |
| Coughing up or vomiting blood. |
| Confusion or changes in mental status |
| Cuts and abrasions. |
| Chest or upper abdominal pain or pressure lasting two minutes or more. |
| Difficulty breathing. |
| Difficulty speaking. |
| Disoriented. |
| Difficulty getting up. |
| Difficulty in passing urine. |
| Difficulty in passing feces. |
| Domestic Violence |
| Drowning or near drowning |
| Dental emergencies. |
| Emergency diagnosis and treatment in neonatal period. |
| Emergency diagnosis and treatment after neonatal period. |
| Earaches and ear infections. |
| Electrical injury shock. |
| Emergency Food |
| Environmental factors (hostile environment). |
| Fainting. |
| Fever. |
| Foreign bodies in nose or ears. |
| Fainting or loss of consciousness. |
| Fainting, sudden dizziness, weakness, seizure. |
| Feeling of committing suicide or murder. |
| Fever with breathlessness. |
| Functional impairment (not taking care of self. inability to gain relevant skills and knowledge relevant to age). |
| Human Rights Violations |
| Head or spine injury. |
| Head injury. |
| Human Pregnancy Emergencies |
| Hypothermia - frostbite. |
| Head pain that lasts longer than five minutes. |
| Intentional enforced harms. |
| Involuntary admission to a psychiatric facility |
| Loss of consciousness. |
| Loss of consciousness not related to a seizure |
| Loosening of social inhibitions. |
| Likely to be harmful to self or others. |
| Low abdominal pain. |
| Medicine overdose. |
| Major burns. |
| Medicolegal cases |
| Nosebleeds. |
| No pulse |
| Pain. |
| Palpitations. |
| Poisoning. |
| Poisoning including overdoses of medication. |
| Persistent or severe vomiting. |
| Persistent unexplained fever even with Tylenol use. |
| Puncture wounds. |
| Personality disorders (harmful to others). Panic attacks. |
| Psychosis(delusions, hallucinations, catatonia, thought disorder, loss of contact with reality). |
| Rape. |
| Pregnancy-related emergencies. |
| Possible serious bone fractures. |
| Rashes. |
| Survival Needs |
| Starvation |
| Suicidal feelings. |
| Surgical Emergencies |
| Significant trauma (to the head, stomach, chest) |
| Syncope. |
| Seizures. |
| Seizure lasting over five minutes or continuous seizures |
| Severe asthmatic attack when prescribed medications do not work |
| Severe injuries as a result of accidents such as broken bones |
| Severe reactions to a medication with difficulty breathing or itching. |
| Severe reactions to insect bites or other previously unknown allergic reactions |
| Sore throat & fever |
| Sunburn. |
| Severe neck or back injury. |
| Sexual intercourse due to conspiracy. |
| Severe or persistent vomiting. |
| Severe or persistent vomiting or diarrhea. |
| Severe headache. |
| Severe burns. |
| Severe pain in any part of the body that does not subside. |
| Serious drug reactions with psychiatric or non-psychiatric medications. |
| Syncope or unconsciousness. |
| Sudden or severe pain. |
| Sudden loss of vision. |
| Suicidal or homicidal feelings. |
| Sudden asthma attack that does not stop. |
| Sudden numbness or not being able to move an arm, leg, or one side of the body. |
| Sever headache with fever or vomiting. |
| Sudden injury or trauma due to a motor vehicle crash, burns, smoke inhalation, near drowning, wound, etc. |
| Substance abuse. |
| Sudden severe pain anywhere in the body. |
| Sudden dizziness, weakness, or change in vision. |
| Swallowing a poisonous substance. |
| Shock symptoms, e.g., confusion, disorientation, cool/clammy, pale skin. |
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Severe or persistent vomiting or diarrhea. |
| Stroke or suspected stroke (paralysis, numbness, confusion) |
| Trauma with unconsciousness. |
| Trauma with cuts, sprains, or abrasions. |
| Trauma with open fracture. |
| Trauma with pain on mobility. |
| Trauma with swelling. |
| Unable to detect breathing |
| Unconsciousness. |
| Unconsciousness with diabetes. |
| Unconsciousness at a public location. |
| Sudden unconsciousness at home. |
| Unable to move |
| Uncontrolled bleeding |
| Upper abdominal pain. |
| Uncontrolled bleeding. |
| Unusual abdominal pain. |
| Unusual or persistent abdominal pain. |
| Unexplained stupor, drowsiness or disorientation. |
| Violence |
| Violence or other rapid changes in behavior. |
| Vomiting |
| Vomiting or coughing blood. |
| Vomiting and diarrhea. |
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What will happen if you do not diagnose and treat a medical emergency properly? It can lead to death. It can lead to disability. It can lead to other harms. It can lead to medical malpractice. It can lead to legal malpractice. |
Annual health assessment.
Yearly health assessment
Annual health assessment
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What are the details of the problems or complaints you had in past one year?
_________________________ What are the details of the problems or complaints you think you will face in the years ahead? _________________________ Do you have enough survival needs? _________________________ What are details of your survival needs for next year? _________________________ When was your last annual health assessment done? _________________________ Who did your last annual health assessment? _________________________ What were the findings? _________________________ What were the recommendations? _________________________ Did the recommendations help? _________________________ Was it an annual health assessment or evaluation of a new problem? _________________________ When did you last see a medical doctor? _________________________ Did you see a medical doctor for an annual health assessment or a new problem? _________________________ What seemed to be the problem? _________________________ What was the diagnosis and treatment? _________________________ What is the name and contact information of the medical doctor who gave you this diagnosis and treatment? _________________________ How are you feeling today? _________________________ Do you have any problems today? _________________________ What seems to be the problem? _________________________ _________________________ _________________________ _________________________ _________________________ Did you know that 90% of doctor visits are for stress related symptoms? _________________________ What do you know about stress? _________________________ What are the sources of medical history? _________________________ Patient. Family. Patient not responding to medical history questions. Community member. Police officer. Referral from medical doctor. Other. Where is the patient now? _________________________ Where do you live now? _________________________ What is your telephone number? _________________________ What is your e-mail address or fax number? _________________________ Who has your medical record? _________________________ Can I get a copy of your medical record? _________________________ If you do not have a medical record and need to be my patient, a new medical record needs to be created. This will take a few weeks. You need to forward details about yourself. This will be followed by various specific questions. What best describes your problem? _________________________ What is the reason for consultation? _________________________
There are many more. One copy of your yearly health assessment goes to the state department of health. One copy of your yearly health assessment remains with your primary care physician. |
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Referred by:_________________________ How long have you known the patient? ______________________________________ What are the details of the primary health care physician of a resident/patient? Primary Care Physician Name, Address and Phone:__________________ _______________________ _______________________ _______________________ _______________________ Here are helpful guidelines to describe your primary physician. I do not have a primary health care physician. My primary health care physician is not able to answer relevant questions via e-mail, fax, phone, postal mail, or face-to-face. There are no competent primary care physicians in the area I am living. I need a primary health care physician able to reach a correct diagnosis and treat me in various health care settings, and able to answer relevant questions via e-mail, fax, postal mail, and face-to-face. |
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Emergency Contact Name:______________ Phone: _______________________ Email Address: _______________________ Relationship:________________________ |
What is included in a yearly health assessment?
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What are findings about other medical doctors and health care providers? Most of the medical doctors claiming to be highly specialized health care providers up to March 30, 2013 did not provide this type of yearly health assessment. All medical doctors and health care providers are required to provide this type of quality yearly health assessment. They should not call themselves specialists without at least quality yearly health assessment. What type of health care screening is usually done but is not helpful and sometimes is harmful due to wrong results/false positives? Cancer screening, PPD test, Elisa tests, etc. Is this type of health care screening useful? No. Write down any symptoms you're having, including any that may seem unrelated to the reason for which you scheduled the consultation. Note when your symptoms bother you most — for example, if your symptoms tend to get worse at certain times of the day, during certain seasons, or when you're exposed to cold air, pollen or other triggers. _________________________ _________________________ _________________________ Write down key personal information, including any major stresses or recent life changes. _________________________ _________________________ Make a list of all medications, vitamins and supplements that you're taking.Take a family member or friend along, if possible. Sometimes it can be difficult to recall all the information provided to you during an appointment. Someone who accompanies you may remember something that you missed or forgot. _________________________ Write down questions to ask your doctor. _________________________ | |||||||||
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Annual Physical Exam: The Basics Date of Examination:_________________________ Physician Name:_________________________ Physician Address:_________________________ | |||||||||
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(For women only) Are you pregnant or breast feeding? _____________________ Date of your last menstrual period: ______________________ How many children do you have? ______________________ How were they delivered? ______________________ Human Vital Signs 1. Consciousness:_________________________ 2. Pulse rate:_________________________ 3. Blood pressure:_________________________ 4. Respiration rate:_________________________ 5. Body temperature:_________________________ 6. Emotion:_________________________ Vital Signs. These are some vital signs checked by your doctor: Blood pressure: less than 120 over 80 is a normal blood pressure. Doctors define high blood pressure (hypertension) as 140 over 90 or higher. Heart rate: Values between 60 and 100 are considered normal. Many healthy people have heart rates slower than 60, however. Respiration rate: Around 16 is normal. Breathing more than 20 times per minute can suggest heart or lung problems. Temperature: 98.6 degrees Fahrenheit is the average, but healthy people can have resting temperatures slightly higher or lower. Vision & Hearing Screening Height:_________________________ Weight:_________________________ Waist, hip circumferences:_________________________ BMI:_________________________
< 20 BMI Low body weight 20 to 25 BMI Healthy weight for most people >25 to 27 BMI Weight may lead to health problems 27 to 29 BMI Overweight. Associated with increase in morbidity and mortality. > 30 BMI Obese Ears/Nose:_________________________ Oral Cavity:_________________________ Endocrine:_________________________ Lymph Nodes:_________________________ Lungs:_________________________ Heart:_________________________ Breasts:_________________________ Abdomen:_________________________ Genitals:_________________________ Female Physical Exam:_________________________ Male Physical Exam:_________________________ Extremities / Musculoskeletal:_________________________ Habitus:_________________________ Skin:_________________________ Psychiatric:_________________________ Neurologic:_________________________ Laboratory Tests Complete blood count Chemistry panel Urinalysis (UA) Prescription Here are further guidelines. |
| Administrative Issues |
| Common Medical Emergencies |
| Dispatching for an emergency |
| Emergency Diagnosis and Treatment |
| Emergency Diagnosis Code |
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Emergency medical record Emergency Department record |
| Emergency medical responder |
| Emergency medical record |
| Emergency Medicine |
| Health Care |
| List of medical emergencies |
| Medico legal cases |
| Patient assessment |
| Surgical Emergencies |
| Symptoms & Signs A-Z List |
| State Offices and Agencies of Emergency Management |
| What are various symptoms, signs, statements, questions, issues, and histories that should raise suspicion of a medical emergency? |
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How are most patients categorized in American triage locations up to February 12, 2012?
Immediately life threatening Urgent, but not immediately life threatening Less urgent How should patients be categorized around the world, including in America, in case of a medical emergency? Undetermined, Good, Fair, Serious, Critical. Fair, serious, or critical will always get a medical diagnosis that needs emergency treatment. This can be only done by an emergency medical doctor able to reach the correct diagnosis and provide treatment. Is there a difference between emergency and non-emergency medical diagnosis? Yes, there is. What is the difference between non-emergency and emergency medical diagnosis? This example will make you understand. Diabetes is a non-emergency medical diagnosis. Diabetes with hyperosmolar coma or diabetic ketoacidosis is an emergency medical diagnosis. What is the role of www.qureshiuniversity.com/medicalemergencyworld.html in a medical emergency? Guide the following: Doctor in a medical emergency. Emergency responder in a medical emergency. Emergency call center in a medical emergency. Watcher, relative, or acquaintance of the victim in a medical emergency. Victim himself or herself in a medical emergency. Guide the state department of health worldwide. |
| When Is It Really an Emergency? |
| What types of patients get admitted to emergency room (ER), operating Room (OR), intensive care unit (ICU), and hospital wards and need Internet health care or outpatient (OPD) health care? |
A medical emergency with an individual victim.
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Critical and noncritical medical emergency How do you differentiate between critical and noncritical medical emergency? How does a doctor conclude a situation is not a medical emergency? All these functions should be normal relevant to age.
What best describes this medical emergency situation? Individual survival needs — food, clothing, housing, health care, transportation, communications, etc. – are not available from the state. The patient is not able to talk normally. The patient is not able to move his or her extremities normally. The patient is not able to walk normally. The patient’s vital signs, like consciousness (able to hear, see, talk), pulse, blood pressure, respiratory rate, and temperature relevant to age are not normal. The patient is agitated or sleepy. The patient is having acute functional loss or abbreation. The patient is in acute pain. The patient has a history of new problems/complaints with recent harms relevant to symptoms. The patient is a danger to him/herself or others. The patient is a female of child-bearing age who needs medical termination of pregnancy. The patient has pregnancy-related complications. This is a woman’s sexual exploitation situation. This is an individual does not know the whereabouts of family members. This is a situation involving a child who does not have a caregiver. This is a situation with symptoms, signs, statements, questions, issues, or history that has been elaborated in the list of symptoms, signs, statements, questions, issues, or history of medical emergencies. (If the answer to any one of questions is yes, this is a medical emergency.) What recommendations do you have relevant to individualized issues presented? How should you conduct an assessment of patient? Questions relevant to the patient. Where is the patient now? --------------------------- What is the name and date of birth of the patient? --------------------------- What are the vital signs on the date and time of diagnosis and treatment? Date: Location: Time: Consciousness: Pulse: Blood pressure: Respiratory rate: Temperature: How do you categorize the condition of the patient? --------------------------- Undetermined Good Fair Serious Critical What are further plans relevant to the individual? --------------------------- Treatment at home. Treatment in a hospital. Treatment in a critical care unit. Medication details. Who is the treating doctor? --------------------------- When did the treating doctor last see the patient? --------------------------- What is the treatment? --------------------------- Here are further guidelines. What are examples of emergency relevant to an individual? What are various symptoms, signs, statements, questions, issues, and histories that should raise suspicion of a medical emergency? There are at least 143 such symptoms, signs, statements, questions, issues, histories, and scenarios. | |
| Agitated Patient (Acute stress reaction.) | |
| Attempted suicide. | |
| Attempted homicide. | |
| Abuse. | |
| Abdominal Pain.(Stomach pain) | |
| Altered sensorium. | |
| Any sudden or severe pain. | |
| Animal bites (may require rabies or tetanus shot). | |
| Armed Robbery. | |
| Allergic reactions. | |
| Breathing difficulties. | |
| Behavior that is dangerous to self or others and cannot be managed. | |
| Bleeding from any orifice or any part of human body that will not stop. | |
| Bleeding which does not stop after applying pressure. | |
| Being beaten by someone. | |
| Burns. | |
| Bites. | |
| Bloody Sputum | |
| Broken bones. | |
| Behavior-related emergencies. | |
| Change in mental status (such as unusual behavior, confusion, and difficulty arousing). | |
| Changes in vision. | |
| Chest pain. | |
| Choking. | |
| Cough with fever. | |
| Coughing up or vomiting blood. | |
| Confusion or changes in mental status | |
| Cuts and abrasions. | |
| Chest or upper abdominal pain or pressure lasting two minutes or more. | |
| Difficulty breathing. | |
| Difficulty speaking. | |
| Disoriented. | |
| Difficulty getting up. | |
| Difficulty in passing urine. | |
| Difficulty in passing feces. | |
| Domestic Violence | |
| Drowning or near drowning | |
| Dental emergencies. | |
| Emergency diagnosis and treatment in neonatal period. | |
| Emergency diagnosis and treatment after neonatal period. | |
| Earaches and ear infections. | |
| Electrical injury shock. | |
| Emergency Food | |
| Environmental factors (hostile environment). | |
| Fainting. | |
| Fever. | |
| Foreign bodies in nose or ears. | |
| Fainting or loss of consciousness. | |
| Fainting, sudden dizziness, weakness, seizure. | |
| Feeling of committing suicide or murder. | |
| Fever with breathlessness. | |
| Functional impairment (not taking care of self. inability to gain relevant skills and knowledge relevant to age). | |
| Human Rights Violations | |
| Head or spine injury. | |
| Head injury. | |
| Human Pregnancy Emergencies | |
| Hypothermia - frostbite. | |
| Head pain that lasts longer than five minutes. | |
| Intentional enforced harms. | |
| Involuntary admission to a psychiatric facility | |
| Loss of consciousness. | |
| Loss of consciousness not related to a seizure | |
| Loosening of social inhibitions. | |
| Likely to be harmful to self or others. | |
| Low abdominal pain. | |
| Medicine overdose. | |
| Major burns. | |
| Medicolegal cases | |
| Nosebleeds. | |
| No pulse | |
| Pain. | |
| Palpitations. | |
| Poisoning. | |
| Poisoning including overdoses of medication. | |
| Persistent or severe vomiting. | |
| Persistent unexplained fever even with Tylenol use. | |
| Puncture wounds. | |
| Personality disorders (harmful to others). Panic attacks. | |
| Psychosis(delusions, hallucinations, catatonia, thought disorder, loss of contact with reality). | |
| Rape. | |
| Pregnancy-related emergencies. | |
| Possible serious bone fractures. | |
| Rashes. | |
| Survival Needs | |
| Starvation | |
| Suicidal feelings. | |
| Significant trauma (to the head, stomach, chest) | |
| Syncope. | |
| Seizures. | |
| Seizure lasting over five minutes or continuous seizures | |
| Severe asthmatic attack when prescribed medications do not work | |
| Severe injuries as a result of accidents such as broken bones | |
| Severe reactions to a medication with difficulty breathing or itching. | |
| Severe reactions to insect bites or other previously unknown allergic reactions | |
| Sore throat & fever | |
| Sunburn. | |
| Severe neck or back injury. | |
| Sexual intercourse due to conspiracy. | |
| Severe or persistent vomiting. | |
| Severe or persistent vomiting or diarrhea. | |
| Severe headache. | |
| Severe burns. | |
| Severe pain in any part of the body that does not subside. | |
| Serious drug reactions with psychiatric or non-psychiatric medications. | |
| Syncope or unconsciousness. | |
| Sudden or severe pain. | |
| Sudden loss of vision. | |
| Suicidal or homicidal feelings. | |
| Sudden asthma attack that does not stop. | |
| Sudden numbness or not being able to move an arm, leg, or one side of the body. | |
| Sever headache with fever or vomiting. | |
| Sudden injury or trauma due to a motor vehicle crash, burns, smoke inhalation, near drowning, wound, etc. | |
| Substance abuse. | |
| Sudden severe pain anywhere in the body. | |
| Sudden dizziness, weakness, or change in vision. | |
| Swallowing a poisonous substance. | |
| Shock symptoms, e.g., confusion, disorientation, cool/clammy, pale skin. | |
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Severe or persistent vomiting or diarrhea. | |
| Stroke or suspected stroke (paralysis, numbness, confusion) | |
| Trauma with unconsciousness. | |
| Trauma with cuts, sprains, or abrasions. | |
| Trauma with open fracture. | |
| Trauma with pain on mobility. | |
| Trauma with swelling. | |
| Unable to detect breathing | |
| Unconsciousness. | |
| Unconsciousness with diabetes. | |
| Unconsciousness at a public location. | |
| Sudden unconsciousness at home. | |
| Unable to move | |
| Uncontrolled bleeding | |
| Upper abdominal pain. | |
| Uncontrolled bleeding. | |
| Unusual abdominal pain. | |
| Unusual or persistent abdominal pain. | |
| Unexplained stupor, drowsiness or disorientation. | |
| Violence | |
| Violence or other rapid changes in behavior. | |
| Vomiting | |
| Vomiting or coughing blood. | |
| Vomiting and diarrhea. |
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If this is not a medical emergency, it can be a medical disability or prolonged intentional enforced harms.
Is there any medical disability, non-emergency problem or prolonged intentional enforced harms? If yes, a follow-up is required via e-mail, call, postal mail, or a doctor’s appointment. |
Abilities assessment (professional).
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www.qureshiuniversity.com http://www.qureshiuniversity.com/publichealthworld.html I am Asif Qureshi. I am the founder of Qureshi University and the Global Democratic party. About the Founder http://www.qureshiuniversity.com/biodata.html Al Hajj Harb bo zerab Zile le Illahi Maqdoom Mohmed Asif Syed Qureshi, doctorate in philosophy. http://www.qureshiuniversity.com/kashmirhr.html How should you forward your profile? Here is a sample profile. http://www.qureshiuniversity.com/samplebiodata.html If your profile is available, then we can speak on the telephone or have a face-to-face meeting. Fitness for duty Questions of lawful fitness or safety for specific profession. Gen __________ to be new ______ Governor The formal announcement in this regard is likely to be made in a week’s time. I need to make sure you are fit for this job. Questions you need to answer. What profession do you identify with? What is your job description? What do you think is your duty or role in this job? What is your department affiliation relevant to essential departments in the state? How would you rate your English language ability on a scale of 1-10 with 10 being the best? Have you written any book or books in the English language useful to school, college, or university education? How many books have you authored in English language up to now? What is good human character? What is good human behavior? How do you define state economy? How do you define a state budget? What are the essential ingredients of an economy? What aren't essential ingredients of the economy? What is the Essential Commodities Act? What is the Essential Services Maintenance Act? What are the basic human rights? How do you think you can help me/people? What are the five categories of law in the state? What are the elements of effective case management? How do you define justice? How do you evaluate quality of the judicial system in the state? Do you know about state planning and development? What do you know about state planning and development? Where is it displayed? Do you understand english language? What standard and reference of the English language do you follow? Where is this standard and reference of the English language displayed? What is your political affiliation? What is economy? What is budget? What are the rights of a civilized human being? Who is a civilized human being? Where did you go to high school?v Where did you go to college? What subjects did you study? How old are you? What is your mailing address? Questions relevant to assets. What are your assets? What are the locations of his assets? Did you have these assets in 1980? What were your assets in 1980? What are your assets in 2014? How did you accumulate your assets after 1980? What are the assets of his relatives and friends? Where are they located? Questions relevant to legal competence. What are the five categories of law in the state? What are the essential departments in every state? What legal skills should a lawyer have? How many criminal offenses are there? What are various criminal offenses? These are basic essential questions. There are many more. What can be reasons a person is not fit for specific work/duty/profession? Illiterate. Personality disorder (liar, etc). Harmful to self or others. Lack of knowledge of specific profession. Insufficient knowledge of specific profession. Criminal traits. Disability; after reasonable adjustment an individual cannot fulfill expected standard of service/profession. Lack of desire for public service. Recommendations you will get. This individual is fit for this job. This individual is not fit for this job. E-mail, call, fax, or forward postal mail if you have any questions. This is Asif Qureshi founder Qureshi University and Global Democratic party at your service 24 hours a day, seven days a week. Al Hajj Harb bo zerab Zile le Illahi Maqdoom Mohmed Asif Syed Qureshi, doctorate in philosophy. Here are further guidelines. Here are further guidelines. |
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How often should there be follow-up? Where should the patient come for follow-up? |
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Who will answer your questions and concerns?
Doctor Asif Qureshi. How does this doctor consultation work? If you have any questions or concerns, forward them to Doctor Asif Qureshi. You will get answers to your questions and concerns within 24 hours. If workload is increased, answers may be delayed. You will be updated ahead of time of increase in work load. |
| Ambulatory human health care |
| Community health center |
| Critical care |
| Coroner investigations |
| Emergency room health care |
| Emergency call center |
| Education of new medical students |
| Education of existing medical doctors |
| Functional Capacity Evaluation & Disability |
| Hospital ward |
| Home health care |
| Internet human health care services |
| Labor, delivery, and recovery rooms |
| Medicolegal cases |
| Medical Emergency |
| On-the-spot diagnosis and treatment |
| Operating rooms |
| Public health |
| Patient education |
| Rehabilitation Services |
| Research |
| State health care administrative issues |
| Space Medicine |
| Here are further guidelines. |
| Child |
| Adolescent girl |
| Adolescent boy |
| Woman |
| Man |
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What do you have to do before a patient or individual from the public seeks individualized doctor consultation?
Has this issue been explained at the public health level? Take a look at this. http://www.qureshiuniversity.com/publichealthworld.html Has this issue been explained in patient education? Take a look at this. http://www.qureshiuniversity.com/patienteducation.html If yes, you need to go through these facts. If no, you need to seek individualized doctor consultation. A doctor should first try to resolve health issues at the public health level or patient education. If the public health level or patient education does not resolve your issues, individualized doctor consultation is required. What should you expect from a doctor during individualized consultation?
You need to complete the options listed. You need to answer relevant questions. Depending on the situation, more questions can be asked. | |||||||
| How healthy are you? | |||||||
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How can various emergencies be prevented in the state and outside the state?
Enhance various essential departments in the state. Take all nonemergency complaints and issues seriously. Resolve nonemergency complaints and issues immediately before they become an emergency. If you ignore nonemergency complaints and issues, this can become an emergency. | |||||||
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This is relevant to comprehensive patient assessment. A doctor should know all of these types of consultations. A doctor cannot declare that he/she is able to diagnose and treat only psychiatric medical conditions. |
| Physical Examination |
| Medical Record |
Anesthesiologist
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Assessment for anesthesia (nonemergency). Assessment for anesthesia (emergency). How do you do an assessment for anesthesia (nonemergency and emergency)? http://www.qureshiuniversity.com/anesthesiologist.html |
FEMALES ONLY
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When was your first menstrual period? When was your most recent menstrual period? What was the longest time between menstrual periods in the last year? |
| Medical Record |
Interview with a physician
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Are you a physician? What type of physician are you? Can you guide a physician? What type of physician or physicians can you guide? How many types of physicians can you guide? How many other professions can you guide in addition to physicians, for example teachers, lawyers, engineers? What resources on Internet do you utilize for continuing education being a physician? What resources have you authored that are displayed on Internet being guide to specific physician or physicians? What type of physician or physicians can you guide? 1. Physician primary care 2. Physician intensive care unit 3. Physician medical emergency room 4. Physician medical emergency responder 5. Physician surgeon medical emergency 6. Physician surgeon elective surgery 7. Physician anesthetist medical emergency 8. Physician guide to physician or physicians 9. Physician hospitalist (takes care of patients in hospital) 10. Physician forensic psychiatry 11. Physician forensic pathology 12. Physician guide to other physicians through Internet Answer should be at least one of the physicians on the list. If a physician can guide all of above listed, it is proof of extraordinary intellectual abilities. |
Human medical conditions
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What should a medical doctor know about a medical condition? What is it? What causes it? What are the risk factors? What's normal? How is it diagnosed? What are the types of this medical condition? What are the symptoms? What are the signs? What are the clinical findings? What are the lab or investigation findings? What are the workable treatment options? What is the best setting or location to treat this medical condition? What do you think can help? When is counseling required? When is medication required? How long should medication last? What type of medication is available? When is surgical intervention indicated? How could this be prevented? |
Examples of patient profile.
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Why patient profile needs to be created? From birth until now, medical history is essential for correct diagnosis and treatment. Community-based patient profile. Detainees’ patient profile. How should a community-based patient profile and detainee patient profile look? Community-based patient profile should look like this. How should you elaborate your profile? What should I know about you? New Patient Consultation http://www.qureshiuniversity.com/medicalhistory.html Medical emergency http://www.qureshiuniversity.com/medicalemergency.html First Name: --------- Last Name: Favourite Name(Nickname):---------
Detainee patient profile should look like this.
Physical Examination Quick Reference Guide
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Diagnosis and treatment by a physician is process of investigation.
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Questions doctor on duty needs to answer. Is it a medical emergency? ___________________________ What is the diagnosis? ___________________________ How did you reach this diagnosis? ___________________________ In what setting/location does this medical condition need treatment? Treatment required on the spot. Treatment required in the medical emergency room. Treatment required in the intensive care unit. Treatment required in the ward. Treatment required in the operating room. Treatment required at home. Treatment required Internet health care. Treatment required in OPD consultation. ___________________________ What treatment do you recommend for this patient? ___________________________ What are other treatment options for this patient? No other treatment option. Other treatment options are enumerated. ___________________________ Prescription |
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What should a medical emergency physician know about any medical condition?
What is it? What causes it? What are the risk factors? What's normal? How is it diagnosed? What are the complications? What are the symptoms? What are the signs? What are the clinical findings? What are the lab or investigation findings? What are the workable treatment options? How could this be prevented? Here are further guidelines. |