While Level of Consciousness (LOC) describes how awake the patient is, mental status describes how oriented to their surroundings a patient is. DTR. X3 means “oriented to person, place, and time” – knows the date/day. A&O is shorthand for alert and oriented. This card features the Glasgow Coma Scale for adults and pediatrics. She denies any suicidal or homicidal ideation. Learning Objectives and Lecture Outline. GCS of 15. Emergency Psychiatric Services. Charting as alert but not answering all questions appropriately. 3 was oriented to person, place and time; 2 was oriented to person and place; 1 as only to person. This scale takes into account verbal, motor, and eye responses to stimuli in determining the overall score. Glascow Coma Scale. alert and oriented x 3: Clinical shorthand for the findings in a physical examination of the patient by a healthcare worker, referring to a patient who is responsive to his or her environment (alert), and knows who he or she is, where he or she is, and the approximate time. Married forever. The patient is status post arthrodesis of the left ankle and has newly diagnosed diabetes and hypertension.. PAST MEDICAL HISTORY: Pre-op blood glucose was noted to be greater than 200. If the patient is not alert and oriented, use another way to describe This card features the Glasgow Coma Scale for adults and pediatrics. Deep Tendon Reflex. Lucy Grey, Part 3 Documentation Assignments 1. Cardiac: Clear on S1 and S2. Cranial Nerves. She was oriented x4 2. Maker, momma, mover, magician with rope. Oriented x1, x2, x3 or x4 is a way of expressing the extent of her awareness. FNF. P: Pain. This is frequently abbreviated AAOx3 which also serves as a mnemonic. Extra Ocular Movements. Alert & Oriented, Times 4 … X1 means “oriented to self or person” – patient knows own name, significant others. CN. oriented x 3 means that they know who they are (and who u r), wear they are, and about what time of day it was. Her mood is calm and her affect is flat. She is alert and oriented x4. DETAILS OF PRESENT ILLNESS: This is a 44 year old Hipic male who I was kindly asked to admit by Dr. Max Hirsch. Gait was not assessed. Alert and oriented. Alert and Oriented x4. "Level of Consciousness (LOC) AVPU scale: V" Responsiveness to Verbal stimuli either spoken or shouted. O2 Sat 97% and patient on 2 liters of oxygen Patient was alert and oriented x4 Patient presented with a fall risk assessment which show patient presented with Orthostatic Hypotension patient’s blood pressure Current pertinent assessment data using head to toe approach, pertinent diagnostics, vital signs ETT. U: Unresponsive. "Level of Consciousness (LOC) AVPU scale: P" Responsiveness to Painful stimuli. Document your initial focused assessment of Lucy Grey. Her speech was normal. Speech was within normal limits for rate, articulation, verbosity, and coherence. Document Lucy Grey’s functional assessment, using one of the standardized tools such as a fall-risk assessment model or the Geriatric Depression Scale. The patient responds to painful stimuli with a purposeful or nonpurposeful movement. Commonly used in the field and ER's, Ox3 means oriented to person, place and time. Sometimes referred to as alert and oriented (AO or A&O) or awake, alert, and oriented (AAO), orientation is usually followed by the multiplication symbol (x) and a number, such as AOx3 or AAOx4. Technically part of the neurological exam, the mental status exam has both objective and subjective components. NEUROLOGIC: The patient is alert and oriented x4. Verywellhealth.com Orientation Levels Sometimes referred to as alert and oriented (AO or A&O) or awake, alert, and oriented (AAO), orientation is usually followed by the multiplication symbol (x) and a number, such as AOx3 or AAOx4. Pinch tricep. EOM. Hearing appears unimpaired. EPS. Orientation is usually grossly described in terms of person, place, time, and sometimes situation. A&Ox3 (a/k/a Awake, Alert and Oriented or AAOx3) refers to the patient being alert and oriented to person, place and time: respectively, does the person know who they are (their name); where they are (in their apartment, in a hospital, in the particular city); and approximate time (hour, part of … Sometimes referred to as alert and oriented (AO or A&O) or awake, alert, and oriented (AAO), orientation is usually followed by the multiplication symbol (x) and a number, such as AOx3 or AAOx4. The patient was alert and oriented x4, cooperating fully with the exam. Seeking opinion on how to chart a particular situation. A common practice is to substitute full documentation of the mental status exam with brief phrases such as "alert and oriented" or "alert and oriented to person, place, and time"—abbreviated as "A&O×3." You can change it up a bit. V: Verbal. Orientation - Determine if the person is "awake, alert, and oriented, times three (to person, place, and time)." If the patient was unconcious, it's silly to talk about orientation; and if the patient was awake, it would be nice to know a bit more about the mental status. The mental status examination (MSE) is based on your observations of the client. A patient that is awake, watching TV, and able to state their name, location, and the time accurately is considered awake, alert and oriented X 3 (AAO X 3). The patient is alert and oriented to person, place, time and event. Neuro: Alert and oriented x4, Pupils dilated and face expression is symmetry. 6- 4 ACRONYMS USED DURING PATIENT ASSESSMENT MOI – stands for mechanism of injury AVPU – used to classify the patient’s mental status: • A = awake, alert, and oriented • V = alert to voice, but not oriented • P = alert to painful stimuli only • U = unresponsive to voice or painful stimuli CUPS – used as an additional tool to prioritize the patient for transport: "Alert and Oriented" is a medical phrase that describes the mental status of a patient who, despite being in serious shock from trauma or disease, maintains clarity of mind and focus of thought. Orientation is a term that encompasses a person's awareness of herself, those around her, her location and the date and time.
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