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Determining the need for care of the patient

The state of health of many citizens does not allow themselves to take care of themselves. In this case, you can not do without the help of a nurse. But, before using the services of a specialist, it is important to determine the degree of need for extraneous care.

There are three degrees of need for help:

1st: The patient needs help with hygienic procedures, while moving and eating. At least once a day a person will need care of the nurse. By the time it takes approximately 1.5 hours.
The second degree of need for outside care is to help with movement, hygienic procedures, while eating and doing housework. The services of the nurse in this case will have to be used three times a day, the total amount of time spent is at least 3 hours.
The third degree provides assistance for the patient during the day, at least 5 hours.

Definition on the scale of vital activity

An important role in choosing a nurse is the evaluation of the degree of human activity in everyday life. For this purpose, special questionnaires have been developed. Among them, one can identify the most common – the scale of life Barthel. The maximum score of 100 points means that the questioned person is able to independently service himself and does not need outside care.

In this questionnaire, the following points are raised: the patient’s ability to perform hygiene procedures on his own, take food and medicine, move on an even surface and climb the stairs, exercise control over physiological processes, go to the toilet, dress.

The result of passing such a test can be as follows:

– 0 points – complete dependence in extraneous care;

– 5 points – partial dependence on the nurse;

– 10 points – there is no need for outside help.

To monitor the intellectual and motor abilities of the patient resort to the school FIM. The questionnaire consists of 18 items, each of which is estimated at a maximum of 7 points (complete independence).

шкала Бартела

The patient’s motor functions are evaluated according to the following indicators:

– physical state;

– the ability to monitor physiological dispatches;

– independent movement or use of additional mechanisms ;

– use of the toilet.

Evaluation of intellectual activity affects such issues as:

– perception of speech, both oral and written;

– activity in the social environment;

– free communication;

– free communication with strangers and family members;

– the possibility of decision-making, assessment of the state memory.

When the patient passes the required testing, it will be determined which measures should be taken when caring for the patient.

Author Info

Владимир Чуй

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