Patient Handover and Instructions Ashley Porter is a 55 year old patient who lives in a small town of 4000 where there is one Multi Purpose Service (MPS) as the hospital, Dr Grey is the on-call GP. Ashely is married with 2 teen aged children. Ashley is usually well but does take Metoprolol for hypertension and has Type 2 diabetes taking Metformin, and is a little overweight. Over the past week Ashley has noticed increasing upper body aches and pains and lethargy. This morning Ashley presented to the ED looking pale with breathlessness, increased lethargy and some pain in his/her shoulders. Ashley had been wood carting the day before and wonders if this has led to his/her soreness and fatigue. Your RN (facilitator) has accepted Ashley to the ED bay and attended to basic admission paperwork. Your RN informs you that Ashley has been feeling unwell for a few days but is alert, orientated and stable. Your RN would like you to assess the patient and then return and deliver an ISBAR handover. I S B A R
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