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

  1. BI-PAP BI-level positive airway pressure, C-PAP continuous positive airway pressure, Fragmin An anticoagulant medication, I.V. intravenous treatment, TAI transanal irrigation, a procedure used to manage bowel emptying, Small transfers refers to minor movements such as repositioning a patient in bed, moving from a bed to a chair, or short-distance transfers that require minimal assistance.