-
2012/8/16
1
/
(Ballew & Mink
1996:282)
()
-
2012/8/16
2
//
()
()
(
)
/
()
//
/
(/)
()
(/)
-
Minimum Data Set (MDS) Residential Assessment Protocols (RAPs)
1. ()(demographic information) 2. (Customary routine) 3. (Cognitive patterns) 4. /(Communication/ Hearing patterns) 5. (Vision patterns) 6. /(Mood/Behavior) 7. (Psychosocial well-being) 8. (Physical functioning and structural problems)
9. 14(Continence in last 14 days)
10. (Disease diagnoses) 11. (Health conditions) 12. /(Oral/Nutritional status) 13. /(Oral/Dental status) 14. (Skin conditions) 15. (Activity pursuit patterns) 16. (Medications) 17. (Special treatments and procedures)
18. (Discharge potential and overall status)
1.(Delirium) 2. /(Cognitive Loss/Dementia) 3. (Visual Function) 4. (Communication) 5. /(ADL Function/Rehabilitation)
6. (Urinary Incontinence and Indwelling Catheter)
7. (Psychosocial Well-Being) 8. (Mood State) 9. (Behavior Symptoms) 10. (Activities) 11. (Falls) 12. (Nutritional Status) 13. (Feeding Tubes) 14. /(Dehydration/Fluid maintenance)
15. (Dental Care) 16. (Pressure Ulcers) 17. (Psychotropic Drug Use) 18. (Physical Restrains)
1. 2. 3. 4.
5.
6.
7. 8. 9. 10. 11. 12. 13.
14.
15.
16.
17()
18.physical restraints
(Glasgow Coma Scale)
(ADL)-
(karnofskyscale)
(IADL)
(Mini Nutritional Assessment)
CDR
(Mini-Mental State Examination,MMSE)
(The Short Portable Mental Status Questionnaire,SPMSQ)
GDS
/
-
2012/8/16
3
()
-
-
(,2012)
()
-11
()
-
-
-?VS.ADL
(,2012)
() ADL-10
(.....)
(1~2) (3~4)(5)
:
1.
2.
3.
4.
5.
(,2012)
()
BIADL-8
.
IADL.
:
1.
2.
3. (,2012)
()
(SPMSQ)
1210
(,2012)
-
2012/8/16
4
V.S
///
.
(,2012)
-?
V.S.(,2012)
(Key- Person)
V.S?
~
/
(,2012)
(,2012)
1.
2.
3.
4.
(LETTERS TO SAM: A GRANDFATHERS LESSONS ON LOVE, LOSS, AND THE GIFTS OF LIFE, DANIEL GOTTLIEB,2007)
()
-
2012/8/16
5
(Alert)
(Lethargic)
(Obtunded)
(Stuporous) (Semicomatose)
(Comatose)
(ADL)(Barthel Index)I
1.
10
50
()
2.50
3.
1050
4.50
()
5.
1050
(Barthel Index) II
6.
1050
()
7.
1050
()()
8.
151050
5050()50
9.
1050
10.
151050
(Karnofsky scale)
(90~100)
(70~80)
(50~60)
50%(30~40)
(10~20)
(IADL) Lawton I
3210
3210
3210
43210
(IADL) Lawton II
210
43210
3210
210
-
2012/8/16
6
(MINI NUTRITIONAL ASSESSMENT)
1.0 1 2
14>=12 =23
MNA 30(+)
(MNA24) (17~23.5) MNA17
16
7.()? 0 1
8.? 0 1
9.? 0 1
10. 0 1 1 2 2 3
11.() 0 0 1 0.5 2 1 3
12. ? 0 1
13.()(1 240c.c.) 0 3 0.5 3~5 15
14.? 0 1 2
15.0 1 2
16.0 0.5 1 2
17.MAC() 0 MAC21 0.5 21MAC23 1 MAC>=23
18.C.C.() 0 C.C31 1 C.C>=31
(CDR)
CDR 0
CDR 0.5
CDR 1
CDR 2
CDR 3
:0 0.5 1 2 3 4 5
Mini-Mental State Examination(MMSE)
()
1111111111
1 1
1
()
193 10077186 179 172 165
()
1 1
1
MMSE
()
1 1 1()()1
1
()
1 1 1 ()
1
MMSE
30
24~30 9~12()
(15)15
50~69 17/16 21/20 25/24
70 15/14 20/19 24/23
-
2012/8/16
7
~(Short Portable Mental Status Questionnaire; SPMSQ )
X
1.?
2.? 3.?
4-1.?(4-14-2)
4-2.?
5.?
6.?
7.? 8.? 9.?
10.2033
0~2 3~45~7 8~10
Brink19821983
GDS
1 1
1 1
1
1
1
1
1 1
1 1 1
1 1 1
1 11
1 10
59
OBSERVES
Sickness
Environment
Variations
Relationship
Eating area
Safety
Behavior
Outside
()()
( ) ( )
( ) ( )
-
2012/8/16
8
APGAR (Smilkstein,1978
resolve
0
1
2
71046
03
affection
growth
partnership
Adaptation
(OARS, Social Resource Scale)1.
2.?
3.? (1)? (2) (3)
? 1-3 (4), 2 1
4.? 3-4
5.()?() 2 1
6.()?
7.?
8.?
9.,?
10.() , ?
11.()?()? ()
12. .
