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| == Discussion == | | == Discussion == |
| === where to get the data=== | | === where to get the data=== |
| Different places use any of the following as sources for ADLs; are any of these inappropriate?
| | This information can be obtained from a variety of sources '''in the first 24 hours''' depending on the timing and details documented.For example: |
| | | *OT/PT assessment |
| * physio discharge notes
| | *Activity flow sheets if used |
| ** are inappropriate etc. Yes, the instruction that data should be during the first 24hrs may already say that, but maybe not for patients discharged after less than a day
| | * Nursing data base |
| | | *nurses note |
| * Grace gets what they can off ER sheet, then use ward records; This may not be "within first 24 hrs of admission" - is it good enough?
| | *risk assessment for falls form if used |
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| * Vic: go through ER, then as close as possible on Ward, OT/PT does good job usually within 24hr ('''most''' patients are assessed). Lots of nursing home placements are why this is done - does OT/PT use the same criteria as us? If not, this likely is not appropriate.
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| ** The OT/PT notes include functional status prior to admission and a current functional status at the time of the assessment. These notes are very detailed. We have also been seeing more and more detailed home care reports on the patient's charts regarding functional status and services that are in place prior to admission.[[User:TAngell|TAngell]] 09:53, 20 November 2008 (CST) | |
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| * StB: ER assessment for falls assessment / risk sheet / prevention program; sometimes filled by ward nurses, then you have physio and OT and home care, latter usually for elderly patients only. - as above, are those who fill out other ADLs using the same criteria as us? | |
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| * HSC Med Wards: Fall 2009-New tool introduced on some wards is Patient handling/transfer/falls assessment sheet. Should be completed at ward admission. Sometimes there is a physio assessment in ER but it is not always complete. When all else fails check with patient's nurse or unit assistant.--[[User:FLindell|FLindell]] 13:11, 7 January 2010 (CST) | |
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| === which of several values to use === | | === which of several values to use === |