Overview regarding consultation and use of new 45 to 49 year old Health Plan (using template)
PART 1 (Nurse or doctor) .. 2 page pdf instructions
In Medical Director - Click on progress notes - type'45hc' to produce checklist from comment field
(see using comment field below)
1. Start with Family history & Social history. Cover:
Family History: (hypertension, heart disease, diabetes, cancers, anxiety or depression)
- Social History: cover any family or work issues (Nb. alcohol & smoking separate entry)
- And enter details below
Details FH:
Details SH:
2. Copy details & now bring up patient details screen (hit Ctrl+D)
3. Paste details into Family history tab (Cut and paste social history part)
4. Whilst in Patient Details:
- Complete Allergies, Smoking & Alcohol Section
- Optional: place code '45hc' in Custom fields section of notes
(will enable database search for persons having had 45-49 health check)
5. Save & Close Patient Details and then update:
- History list (Active and Past)
- Immunisations
- Medications: Update (doctor only)
6. Examination: Click on Weight tab to bring up Measurements screen
- Fill in weight, waist measurement & height (save)
- Perform peakflow in Respiratory tab
- Click on CVS tab and fill in BP (nb. If a cholesterol level is inserted - risk level displays)
Note 1: All the above apart from the 'Medications' section could be performed by your practice nurse prior to you seeing the patient (recommended).
Note 2: Patient could be asked to fill in Survey RACGP prior to appointment with nurse
PART 2 (Doctor or possibly nurse)
1. Open Letter writer and select '45HealthCheck' template
2. Fill in template questions (snapshot of fields)
3. The Final Plan satisfies 'mandatory' requirements
- Taking patient history and updating an existing history
- Examination: BP, weight, BMI
- Interventions:
- Investigations
- Patient self management
- Education & advice
- Treatment
- Referral
4. Also creates a Health Check plan for the patient ( identifying risks & interventions )
- Click here for example of final plan (page 1 - print out and give to patient)
Nb. Patient measurements of Height, Weight, BMI, Peak flow can be copied from page 2 of Health Check plan and inserted into Page 1 printout.
Using Comment field .. How to use comment field example
Copy and paste text below into 'comment field' - shortcut 45hc
45hc Checklist
Family history & Social history. Cover:
Family History: (hypertension, heart disease, diabetes, cancers, anxiety or depression)
Social History: (cover any family or work issues (Nb. alcohol & smoking separate entry)
And enter details below
Details FH:
Details SH:
Good time to ask : Are you happy with life, ever felt depressed, ever considered suicide ?
Complete Allergies, Smoking & Alcohol Sections
Optional: place code '45hc' in Custom fields section of notes (will enable database search for persons having had 45-49 health check)
Save & Close Patient Details and then update:
History list (Active and Past)
Immunisations
Medications: Update (doctor only)
Click on Weight tab to bring up Measurements screen
Fill in weight, waist measurement & height (save)
Perform peakflow in Respiratory tab
Click on CVS tab and fill in BP (nb. If a cholesterol level is inserted - risk level displays)
Additional Considerations: PAP test, mammograms, osteoporosis risk, prostate & colon cancer screening
Open Letter writer and select '45healthCheck' template
