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pGALS Recording your findings

How do you record your findings in the case notes?

We suggest the following way. For your screening questions, if the child reports no pain, no difficulty in dressing themselves and no difficulty with walking then you could write this as follows:
[table is displayed showing normal result]

If, however, the child does report pain, for example, in their right knee and difficulty in walking then you could write this as follows:
[table showing abnormal findings is displayed]

To record your examination we suggest the following, entering a cross or a tick depending on your findings. For an abnormal screening examination, for example a swollen knee with limited range of movement, you could record this in the notes as follows:
[table showing how to record swollen knee with limited movement is displayed] 

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