Why Eleanor is on the list
- Record review
- Review recommended
- Unplanned hospital episodes
- 1 in the past year
- Most recent 17 Aug 2026
- Care planning
- No advance care plan
- Not on the palliative care register in this record source
1 indicator present in the record
Unplanned hospital attendance on 17 Aug 2026: Productive cough, wheeze and breathlessness with low oxygen saturation
Shaped after SPICT general indicator (service use) REC_ADMISSION_RECENT
Recorded 17 Aug 2026
Screening
No screening has been run for this patient.
Record review
The record supports a prompt clinical review for a goals-of-care conversation.
Prompt human review is supported for a sensitive goals-of-care discussion once immediate respiratory assessment and stabilisation permit. The record shows progressive productive cough, wheeze, declining exertional tolerance, breathlessness while dressing, poor appetite, limited relief from salbutamol, and subsequent acute medical unit attendance for low oxygen saturation and an oxygen requirement. A potentially reversible acute respiratory illness remains plausible, and the snapshot does not document a progressive diagnosis, prior care planning, usual residence, full functional baseline, capacity, or patient/family wishes; the discussion should therefore explore priorities and treatment preferences without implying a outlook.
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What the record shows
Progressive respiratory symptom burden and functional impact
Symptoms progressed from reduced exercise tolerance with cough and wheeze to frequent yellow sputum, breathlessness while dressing, poor appetite, and only brief relief from salbutamol, supporting timely review of priorities alongside active treatment.
1 source in the record
- Eligible
GP encounters document evolution from cough, wheeze and reduced exercise tolerance to breathlessness dressing, poor appetite and limited bronchodilator relief.
Acute hospital attendance with hypoxaemia
Arrival at an acute medical unit with low oxygen saturation and an oxygen requirement indicates clinically important deterioration and a need for clinician-led review of treatment goals when the patient is stable enough.
1 source in the record
- Eligible17 Aug 2026
Hospital attendance records acuity 2 arrival to the acute medical unit under the respiratory medical team for productive cough, wheeze, breathlessness and low oxygen saturation.
Advanced age with incomplete baseline information
The snapshot records age 87 at index, but age alone is not a reason for a goals-of-care conversation; it increases the importance of an individualised review because residence, usual function, support, diagnoses and wishes are not documented.
1 source in the record
- Eligible
Demographics record birth date 1938-12-04 and age 87 at index, while the resource set does not state residence or a complete usual functional baseline.
What they and their family want
- Telephone is recorded as an administrative contact preference, but suitability for this sensitive discussion should be confirmed rather than assumed.
- The patient's goals, values, understanding of the current illness, preferred place of care, and treatment preferences are unknown.
- Decision-making capacity and communication or accessibility needs at the current attendance are unknown.
- Whether the patient wants family, a carer, or another trusted person involved is unknown.
- Family or carer identities, availability, wishes and legal authority are unknown.
- The existence of planning documents outside the eligible snapshot is unknown.
1 source in the record
- Eligible
Repeated GP observations record telephone as an administrative contact preference; the snapshot does not document wishes, family involvement, capacity, accessibility needs or legal care-planning records.
Care at present
Unknown; no usual residence or current discharge destination is documented in the provided snapshot.
Usual function and mobility are unknown. Recent notes describe reduced exercise tolerance and later breathlessness while dressing, which is current functional impact rather than a complete baseline.
- As of the 2026-08-17 attendance, the patient had arrived at an acute medical unit under a respiratory medical team.
- GP and diagnostics authored the preceding symptom reviews and blood reports.
- Usual residence, mobility, activities of daily living, frailty and cognition are not documented.
- Long-term diagnoses, medication list, home oxygen or community-service involvement are not documented.
- Family, informal carer and formal care support are not documented.
- The clinical course after arrival, treatment, response and disposition are not included.
1 source in the record
- Eligible17 Aug 2026
Attendance data identify the acute medical unit and respiratory medical team; GP notes describe reduced exercise tolerance and breathlessness dressing, but the snapshot gives no usual residence or complete baseline.
Clinical decision support only. A named clinician decides. Generated 12 Sept 2026, committed for the demonstration; wording adjusted to Cairn's language rules where the review used terms Cairn avoids.