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Briefing — read this before starting. The transcript will appear here once the consultation begins.
Doctor Notes
Patient Information
Name: Grace Adeyemi
Age: 44 years
Gender: Female
Reason for Appointment
Telephone call from Grace Adeyemi, registered nurse at Willowbrook Care Home, about Arthur Pemberton, 88 — "gone downhill over the weekend". You are the duty GP.
Medical History
Past Medical History
Arthur Pemberton, 88: advanced Alzheimer's dementia (non-verbal, bedbound 8 months), previous stroke, AF, frailty score 8. Two admissions last winter.
Drug History
Apixaban, bisoprolol, paracetamol PRN. No anticipatory medicines currently prescribed. Swallowing: safe for small amounts (SALT review 3 months ago).
ReSPECT form (on record)
ReSPECT form (updated 4 months ago, with son): DNACPR; preferred place of care — the home; "transfer to hospital only if comfort cannot be maintained". Son Michael is next of kin.