1, purpose of evaluation
The evaluation results are only used as an explanation of the existing health status of the elderly, not as a diagnosis of diseases. Provide the main contents and requirements of health management for the elderly, and provide the basis for the admission, referral, discharge, nursing and judgment of the elderly. Qualitative and clear requirements for providing life care services and medical care services for the elderly. The probability of unexpected risks in providing nursing services for the elderly should be based on avoiding risks.
2. Basic requirements
The elderly within the jurisdiction of medical institutions shall receive health assessment services. Evaluation services should be completed by qualified employees. Health assessment should follow the prescribed procedures and norms, and the assessment results must be signed by the evaluator. Technical terms of medical and nursing service industries should be used.
3. Evaluation content
(1) Basic information
It should include personal basic information such as name, resident ID number, gender, date of birth, education level and marital status, as well as social information such as economic source, living conditions and main caregivers.
(2) Health history
It should include current and past medical history, family medical history, history of trauma, history of drug allergy, current treatment and nursing plan, as well as information on health problems that need special attention, such as dietary requirements, nutrition and skin.
(3) Mental state
It should include information on cognition, emotion, will and behavior, as well as information on psychological and behavioral problems that need special attention, such as suicide and wounding, and mental health assessment forms can be used selectively.
(4) Functional activities
It should include information on communication skills such as speech, vision and hearing, as well as information on the completion of daily functional activities such as diet and personal hygiene, and should indicate the use of auxiliary devices such as glasses, hearing AIDS and crutches.
(5) Social function
It should include information such as the degree of participation in social activities and self-feeling, as well as information such as social support and social evaluation, and you can selectively use health assessment to board the form.
(6) For health problems that need special attention, such as bedsore, fall accident, suicide, etc., special assessment should be made.
4. Assessment classification
(1) Admission evaluation
When entering the hospital, the elderly should be evaluated, and the purpose and requirements of the evaluation should be explained to the elderly and their families in advance to obtain the cooperation of the elderly. Evaluation can be carried out in stages and in different periods, and can also be completed by different evaluators. The comprehensive evaluation should be completed within 14 days, and all health information should be confirmed by the appraiser who completed the evaluation, and a health file should be established.
(2) Routine evaluation
This paper mainly reviews and summarizes the main health problems faced by the elderly at present, and should be summarized in stages in the health file after evaluation. The routine evaluation of letters should be done many times a year.
(3) immediate assessment
When the health status of the elderly has changed significantly or the situation is critical, they are resistant to evaluation. In the evaluation, we should first review the past health status, current health problems and severity of the elderly, and explain the treatment measures taken and the next nursing plan. Please consult a doctor, the consultation should be recorded in the health file at the same time. The elderly can apply the principles and methods of health assessment to assess their health status.