康复病历-偏瘫出院-2具体版(国外英文资料).doc

康复病历-偏瘫入院-2详细版 Beijing rehabilitation center is paid for the compensation of medical workers Admission record Name: sex: age: ward: bed number: hospital no. : Career: education: contact: Clinician: therapist: executive therapist: Main: The history of the sick: Previous history: general health: Medical history: Personal history: history of smoking: no history of drinking: no two days Other: Block check Vital signs: temperature ℃ pulse times/min breathing times/min/mmHg blood pressure General condition: development: normal dysplasia nutrition: good medium bad disease Figure: powerlessness type hyperforce gait: normal abnormal Position: automatic position passive position force position Other: Assist to check: kahn First, advanced brain function evaluation State of consciousness: the clarity of lethargy in Glasgow Cognitive function: memory: instantaneous, short-term, long-term Orientation: time location character Attention: the ability to be aware of the ability to transfer when responding Comprehension: Problem solving: Perceptual functions: (1) physical composition disorder: (parietal lobe) The body of the left and right distinguish the body from the recognition of the loss of the finger (2) spatial relations disorder (see the right parietal lobe) The graphic background is the spatial orientation of spatial relation Object constancy distance and depth (3) agnosia Visual agnosia (temporal occipital contact) : the object loses recognition of the color of the image Tactile agnosia (common right hemispheric parietal lobe) : auditory agnosia (common advantage of the posterior temporal lobe)(4) unilateral neglect (often seen on the right side of the brain damage) space ignores the body (5) loss of use (commonly seen in left brain injury, often combined aphasia) Mental apraxia is misused The loss of clothing is structural Language function: aphasia Dysarthria swallowing disorder other Mental state: delay, apathy, inhibition, anxiety, excitement, normal Emotional behavior: