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EVALUATION OF CONCUSSION SIGNS OR SYMPTOMS FOLLOWING COMPLETION OF STAGE 2 GRADUATED RETURN TO PLAY PROTOCOL FOLLOWING A CONCUSSION I have completed STAGE 2 of the Return to Play Protocol Following

How to fill out evaluation of concussion signs

How to fill out the evaluation of concussion signs:

1. Start by gathering the necessary materials for the evaluation, such as a concussion signs checklist, a pen or pencil, and any relevant medical history or documentation.
2. Begin the evaluation by recording the patient's personal information, including their full name, date of birth, and contact information.
3. Next, assess the patient's current symptoms by asking them questions about their physical and cognitive health. Record their answers accurately on the evaluation form.
4. Use the checklist provided to evaluate specific signs of a concussion, such as headache, nausea, dizziness, confusion, sensitivity to light or noise, and changes in vision or balance. Note the presence and severity of each symptom.
5. Proceed to evaluate the patient's cognitive function by asking them to perform tasks such as repeating a series of numbers, recalling past events, or performing simple calculations. Document any difficulties or abnormalities observed.
6. It is essential to conduct a thorough physical examination as part of the evaluation. Assess the patient's vital signs, including blood pressure, heart rate, and temperature. Check for any visible signs of injury, such as bruising or swelling.
7. Inquire about the circumstances surrounding the potential concussion, such as the cause of the injury, the time it occurred, and any witnesses present. This information can provide valuable context for the evaluation.
8. Evaluate the patient's medical history to identify any pre-existing conditions or previous concussions that may impact their current symptoms. Document any relevant information and note any risk factors for future complications.
9. Once all the necessary information has been collected and recorded, review the evaluation form for completeness and accuracy. Make any necessary corrections before finalizing the document.
10. Finally, ensure that the evaluation of concussion signs is shared with the appropriate healthcare professionals involved in the patient's care. This information will help guide their treatment and management plan.

Who needs evaluation of concussion signs?

1. Athletes: Concussions are commonly associated with sports-related injuries, so athletes of all ages and skill levels should undergo an evaluation of concussion signs to ensure their safety and well-being.
2. Individuals involved in accidents: Anyone who has experienced a head injury due to a fall, motor vehicle accident, or any other type of accident should be evaluated for potential concussion signs. Prompt assessment can determine the appropriate course of action and prevent further complications.
3. Military personnel: Due to the increased risk of head injuries in combat and training, military personnel should undergo evaluation for concussion signs to identify and manage any potential brain injuries.
4. Children and adolescents: Young individuals who participate in sports, recreational activities, or are involved in any accidents are at a heightened risk of concussions. Conducting evaluations of concussion signs is crucial for their health and proper recovery.
5. Older adults: While less common, concussions can occur in older adults due to falls or accidents. It is important to evaluate concussion signs in this population as well, as they may experience different symptoms or require unique care.

In summary, properly filling out the evaluation of concussion signs involves collecting accurate information, conducting thorough examinations, and documenting any symptoms or abnormalities. This assessment is essential for athletes, individuals involved in accidents, military personnel, children and adolescents, as well as older adults.

For pdfFiller’s FAQs

What is evaluation of concussion signs?

The evaluation of concussion signs involves assessing an individual for symptoms indicative of a concussion, such as headache, dizziness, confusion, and memory problems.

Who is required to file evaluation of concussion signs?

Healthcare professionals, coaches, or trainers who suspect a concussion in an individual are required to file an evaluation of concussion signs.

How to fill out evaluation of concussion signs?

To fill out an evaluation of concussion signs, healthcare professionals should document all relevant information about the individual's symptoms, history of head injuries, and physical exam findings.

What is the purpose of evaluation of concussion signs?

The purpose of evaluation of concussion signs is to properly diagnose and manage concussions in order to prevent further injury and promote recovery.

What information must be reported on evaluation of concussion signs?

The evaluation of concussion signs should include details on the individual's symptoms, mechanism of injury, physical exam findings, and any recommendations for treatment or further evaluation.

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