@Thelnebriati from the original Facebook thread
Personal Details
-Full Name
-Date of Birth
-Address
-GP (Name, address, phone number)
-Next of Kin (Name, relationship, phone number)
-Height and Weight
Medical History
-Anything diagnosed by a hospital/GP/medical practitioner
-Anything currently under investigation
-Anything you take medication for
-Anything you were about to go and ask your GP about/concerns
-Any significant medical events/hospital admissions
-Anything mental health related
Operations/Surgery
-What you had done, and if known rough date/which hospital
-Any problems you had during surgery or anaesthetic
Medications
-Anything prescribed by a GP/hospital. Name, dose and how often you take it
-Anything “over the counter” like pain killers/vitamins/herbal remedies
-Any recreational drug use, you won’t be judged or reported it just helps to look after you
-Anything recently stopped/changed
-I smoke/vape X per day/an ex-smoker of X years
-I drink X units per week
Allergies
-Medication name and what happens if you take it
-Any non drug allergies or food allergies and what happens and what your rescue plan is
Consultants / Specialists
-Name, Specialty, Hospital, Secretaries contact number if known, when last seen if know
Care Needs
-I usually live alone/with partner/family/in a care home etc
My Job is X
-I am independent walking/use a stick/wheelchair
-I wear glasses/use a hearing aid/dentures
-I need help to wash/dress/eat/communicate/use the toilet
-Any mental health considerations
-I have a carer for X
Dietary Needs
-Special medical diets
-Allergies and the effect/do you carry an epi pen
Intolerances (not just a preference for a particular variety of bread)
Special diets for swallowing problems
My Normal Values
-My Peak flow is X
-My Last Blood pressure was X
-Anything relevant to your conditions
What you need to know about me
-Any specific care plans for you conditions
-Any recent significant test results/investigations awaited