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Our Care
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Our Care
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Bespoke Assesment
Mobility
Mobility options
Independent
Weight bears with assistance / aid
Cannot consistently weight bear but can assist
Completely immobile
Attempts to mobilise but unsafe if alone
Breathing
Breathing Options
Normal breathing
Breathlessness that responds to management (inhalers)
Breathlessness that doesn't respond to management and limits activities or requires oxygen
Nutrition
Nutrition Options
Able to take adequate food / drink by mouth
Supervision / prompting / feeding / special diet / supplementary feeding
Needs feeding to ensure adequate intake or artificially fed (e.g. via PEG)
Dysphagia / nutritional status 'at risk' / weightless / problems with feeding device
No nutritional / fluid intake or feeding (e.g. PEG)
Skin Integrity
Skin Integrity Options
No risk of pressure damage
Risk of skin breakdown - once daily intervention OR Grade 1 ulcer / wound responding to daily treatment
Risk of skin breakdown - several daily intervention OR Grade 2 ulcer / wound responding to daily treatment
Grade 2 ulcer / wound not responding to daily treatment OR Grade 3 ulcer / wound OR specialist dressing responding to treatment
Grade 3 ulcer / wound requiring daily monitoring OR Grade 4 ulcer / wound OR multiple wounds not responding to treatment
Communication
Communication Options
Communicates clearly, verbally or non-verbally
Communicates needs assistance
Communicates difficult to understand / interpret
Unable to reliable communicate needs
Completely unable to communicate needs
Altered states of consciousness (ASC)
Altered states of consciousness (ASC) Options
No evidence of ASC
Managed ASC
Occasional ASC requiring supervision
Frequent episode of ASC requiring supervision OR occasionally requiring skilled supervision
Continual ASC meaning high risk of harm
Hearing
Hearing Options
Full hearing - no aids
Full hearing with aids
Poor hearing without aids OR deaf with limited ability without assistance
Completely deaf and poses high risk of isolation
Eyesight
Eyesight Options
Full eyesight
Full eyesight with glasses or blind but requires some assistance
Poor without glasses or blind with limited ability without assistance
Completely blind and poses high risk to safety / isolation
Sleep
Sleep Options
Regular pattern
Occasional disturbed sleep
Consistently disturbed sleep
Sedative required to sleep
Sedative required and gets up in night posing high risk
Medication and Symptom control
Medication and Symptom controlOptions
Symptoms managed effectively
Supervision / admin / prompting with meds
Requires administration of meds
Symptoms not controlled
Psychological
Psychological
Psychological / emotional needs not having impact on well-being
Mood responding to reassurance and prompts needed to motivate
Mood not readily responding to reassurance or prompts to motivate
Mood having severe impact on well-being and withdrawn from many activities
Mood totally impacting on well-being and withdrawn from all activities
Continence
Continence Options
Continent of urine faeces
Continence care / incontinence managed
Continence care requires monitoring by staff
Continence care problematic requiring interventions beyond routine care
Cognition
Cognition Options
No impairment / confusion / disorientation
Impairment or occasional difficulty with memory
Impairment with limited ability
Impairment with no awareness of risks
Behaviour
Behaviour Options
No challenging behaviour
Some challenging behaviour
Predictable pattern of behaviour
Behaviour poses risk
Behaviour poses major risk
Dressing
Dressing Options
Dresses independently
Dresses with some assistance and prompting
Dresses with limited ability without assistance
Completely unable to dress without assistance
Bathing
Bathing Options
Bathes independently
Bathes with some assistance and prompting
Bathes with limited ability without assistance
Completely unable to bathe without assistance
Oral Hygiene
Oral Hygiene Options
Maintains oral hygiene independently
Maintains oral hygiene with some assistance and prompting
Maintains oral hygiene with limited ability without assistance
Completely unable to maintain oral hygiene without assistance
Footcare
Footcare Options
Maintains healthy feet independently
Maintains healthy feet with some assistance and prompting
Maintains healthy feet with limited ability without assistance
Completely unable to maintain healthy feet without assistance
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