Table 1 Final items of the nurse care assessment for in-hospital spinal cord injury rehabilitation.
From: Development of the nurse care assessment for in-hospital spinal cord injury rehabilitation
Item number | Item name | Options | Points |
---|---|---|---|
1 | Respiratory support (BI-PAP, C-PAP, inhalation medicine, cough assist) | 1 | 1 |
2 | Teaching and guiding (Bladder, bowel, medicine, Activity of daily living, transfer) | 1 | 1 |
3 | Extensive psychological support | 1 | 2 |
4 | Registration of food and liquid intake | 1 | 1 |
5 | Observation of infection, blood pressure or pulse | 1 | 2 |
6 | Complication involving Fragmin or anti-embolic stockings | 1 | 1 |
7 | Complication involving Diabetes | 1 | 1 |
8 | Complication involving I.V. treatment | 1 | 1 |
9 | Complication involving severe pain affecting daily living | 1 | 2 |
10 | Complication involving severe spasticity affecting daily living | 1 | 2 |
11 | Isolation | 1 | 3 |
12 | Transfer (small transfer, using lift, lying support in bath) | 3 | 1, 2, 3 |
13 | Eating support (preparing eating, assistance when eating, tube feeding) | 2 | 1, 2 |
14 | Urinary tract complication (catheterization or other support, incontinent bladder > one time weekly) | 2 | 1, 2 |
15 | Bowel complications (klyx, stoma or using >30 min daily emptying bowel, incontinence or TAI) | 2 | 1, 2 |
16 | Support for activity of daily living (little to moderate support or help to almost everything) | 2 | 1, 3 |
17 | Wound care (level 1–2 or 3–4) | 2 | 1, 2 |