Adepoju Iyinoluwa

13 AREAS OF ASSESSMENT

1. Patient’s Profile.
Mr. M is a 41 years old, male, Single, a Lawyer and a Roman Catholic, He ruptured his TA
(the first time). Treatment consisted of full leg plaster followed by outpatient physiotherapy.
A while ago he was walking on level ground when it re-ruptured. Previous diagnosis had
been Achilles Tendinopathy.
2. Psychological
Information about pt. family wasn’t given. According to Erik Erikson's Stages of
Psychosocial Development he is under the Generativity vs. Stagnation stage, He is a lawyer
working in city and travels in by underground. He is single and lives alone in a first floor
condominium.
3. Mental and Emotional Status
The patient is conscious, he revealed what an extremely difficult time he was having
adapting to this long period of inactivity.

4. Environmental Status
Mr. M aware of his environment, conversant, oriented to self and others around. He is aware
of the time, date, and place.
5. Sensory Status
There is no known visual deficit like color blindness. Mr. M height wasn’t indicated, no eye
defect stated and clearly hears and understand words spoken.
6. Motor Status.
Pt. has limited ROM and uses crutches.
7. Nutritional Status
Not given.

8. Elimination
No data was given.
9. Fluids and Electrolytes.
No data was given.
10. Circulatory Status.
Pt. vitals wasn’t given
11. Respiratory Status.
No records of DOB.
12. Temperature.
No record
13. Integumentary.
Data wasn’t given but due to plastered leg skin integrity might occur
14. Comfort and Rest.
No provided information but pt will obviously have difficulty in sleeping due to discomfort.