TABLE 2. Comparison of Original and Revised Nursing Assessment Toolsa.
Original Nursing Assessment Tool | Revised Nursing Assessment Tool | ||
---|---|---|---|
I—Demographic Information | () Gender |
|
Gender: __________ |
() Marital status |
|
Marital Status: ____________ | |
II—Data of Hospitalization | () Origin |
|
Origin from: () home () long-stay institution for the elderly () basic health unit () emergency unit () other: ________ |
Reason for hospitalization:____________________________________________ | Reason for hospitalization:______________________________________________________________________________________________________________ | ||
III—Lifestyle | Practice physical activity? () Yes () No | Variable included in the category “physical activity and mobility” | |
Need help for hygiene? () Yes () No | Variable included in the category “hygiene” | ||
Feeding habits (frequency, amount, timing, type of food preference, intolerance): ______________________ | Variable included in the category “nutrition/hydration” | ||
Hydration habits (frequency, amount, timing, type of food preference, intolerance): ______________________ | variable included in the category “nutrition/hydration” | ||
Urinary elimination (frequency, quantity and characteristics): ________________ | variable included in the category “elimination” | ||
Intestinal elimination (frequency, quantity and characteristics): _________ | variable included in the category “elimination” | ||
IV—Psychobiological Needs: Oxygenation | Inspection: Breathing: () nasal oxygen catheter | Inspection: Breathing: () nasal cannula | |
IV—Psychobiological Needs: Circulation | Blood Products: | ||
() Red cells. Volume:______ | |||
() Albumin: ___ U Frequency:___ | |||
() Other: _____________________ | |||
Last Paracentesis: ___/___/_____ | |||
Indication: () Relief () Diagnosis | |||
Volume drained: _____ L | |||
Appearance: __________________ | |||
IV—Psychobiological Needs: Nutrition/hydration | Weigh: ____ kg | Current weight: ____ kg | |
Usual weight: _____ kg | |||
Percentage of weight loss: ____% | |||
Triceps skinfold thickness: ____ cm | |||
Circumference of the middle region of the arm: _____ cm | |||
IV—Psychobiological Needs: Elimination | Water balance in 24 hours: ____ ml | ||
() positive fluid wave | |||
() negative fluid wave | |||
() shifting dullness |
Note. The bold are the changes and/or inclusions made in the nursing assessment tool.
aNot all the changes and/or inclusions made in the nursing assessment tool are shown in this table.