The Purple Book

LD care home score

Breathing

this relates to breathing only

no concerns

Breathing faster

Noises with breathing (wheezing, gurgles etc)

Breathing interfering with talking

Blue around lips

Any coughing?

Skin

this relates to the look and feel of the skin and mouth

no concerns

Cold hands or feet

Sweating

An area of redness or heat

Shivering

Dry mouth

Alertness, behaviour

only related to general behaviour

no concerns

Sleeping more than usual

Drowsy or not as awake looking

Not responding as much to instructions or questions

More agitated, anxious than usual or mood change

More withdrawn than usual

Odd movements, twitches

Altered speech

Appears confused

Eating and drinking

no concerns

Eating less than usual

Drinking less than usual

Excessive drinking/eating

Swallowing problems

Vomiting more than once

Toileting

any change in habit?

no concerns

Diarrhoea, loose motions

More constipated, less bowel actions

Reduced urine

Smelly or discoloured urine

Increased frequency/amount of urination

Mobility

any change in movements?

No concerns

Less mobile on legs

Using arms less than usual

Coordination doesn't look right

One sided loss of use - face, arm or leg

Less able to assist with transfers

Needing support to transfers

Pain, discomfort

obvious pain or sense of discomfort somewhere?

no concerns

More pain, discomfort generally

Pain, discomfort in one or more limb(s)

Pain, discomfort in chest, abdomen

Pain in head, neck, face

Other pain?

Appears to be in pain/discomfort or sensitive when touched

Seizures

has there been any seizures today?

none

some seizures, but resolved without medication

some seizures, but needed medication

more seizures than usual, needing Medical help

Presumed 1st seizure

General

have we missed something?

no concerns

Non specific concern

Family or other has concerns

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Vital signs when relevant:

systolic Blood Pressure

diastolic Blood Pressure

Heart Rate

Oxygen saturation

Peak Flow Rate (PEFR)

Temperature