Patient Assessment (resident): From 1 Different Sources
Standardized tools to determine patient characteristics and abilities, what assistance they need and how they may be helped to improve or regain abilities. Patient assessment forms are completed using information gathered from medical records, interviews with the patient, other informants (e.g. family members) and direct observation.
See “geriatric assessment”.... assessment
This is a structured, multi-disciplinary process for assessing and improving the health consequences of projects and policies in the non-health sector. It combines a range of qualitative and quantitative evidence in preparing conclusions. Applications of the assessments include appraisal of national policies, local urban planning, and the progress of transport, water and agricultural projects.... health impact assessment
A systematic procedure for determining the nature and extent of problems experienced by a specified population that affect their health, either directly or indirectly. Needs assessment makes use of epidemiological, sociodemographic and qualitative methods to describe health problems and their environmental, social, economic and behavioural determinants. See also “geriatric assessment”.... health needs assessment
A person in contact with the health system seeking attention for a health condition.... patient
The recipient of care in a residential care facility.... resident
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences.... risk assessment
A residence which offers housing and personal care services to a number of residents. Services (such as meals, supervision and transportation) are usually provided by the owner or manager. Usually 24-hour professional health care is not provided on site. See also “assisted living facility”.... adult care home / residential facility
Multidisciplinary team of health professionals that is responsible for comprehensive assessments of the needs of older persons, including their suitability for hospital, home or institutional care.... aged care assessment team
A process that allows a person who has been assessed to dispute the assessment, and which provides for the assessment to be changed.... assessment appeal process
A structured process developed to ensure that assessment is relevant, consistent, fair and valid. The system requires rules of operation, a regular review process and competent assessors.... assessment system
The ongoing process of evaluating the health needs of a community. Usually facilitates prioritization of needs and a strategy to address them.... community health needs assessment
A process which includes a multidimensional assessment of a person with increasing dependency, including medical, physical, cognitive, social and spiritual components. Can also include the use of standardized assessment instruments and an interdisciplinary team to support the process.... comprehensive geriatric assessment (cga)
Any activities by a health professional involving direct interaction, treatment, administration of medications or other therapy or involvement with a patient.... direct patient care
Multidimensional, interdisciplinary, diagnostic process used to quantify an older individual’s medical, psychosocial and functional capabilities and problems, with the intention of arriving at a comprehensive plan for therapy and long-term follow-up.... geriatric assessment
See “aged care assessment team”.... geriatric assessment team
The systematic evaluation of properties, effects and/or impacts of health care technology. It may address the direct, intended consequences of technologies as well as their indirect, unintended consequences.... health care technology assessment (hcta)
The systematic evaluation of the properties, effects or other impacts of health care technology. HTA is intended to inform decision-makers about health technologies and may measure the direct or indirect consequences of a given technology or treatment.... health technology assessment (hta)
An assessment of people with health and social care needs by two or more professionals from different disciplines.... multidisciplinary assessment
See “geriatric assessment”.... needs assessment
See “care plan”.... patient care planning
See ETHICS.... patient choice
See ETHICS.... patient consent
An approach to care that consciously adopts a patient’s perspective. This perspective can be characterized around dimensions such as respect for patients’ values, preferences and expressed needs; coordination and integration of care; information, communication and education; physical comfort, emotional support and alleviation of fear and anxiety; involvement of family and friends; or transition and continuity.... patient-centred care
A technique whereby a patient can deliver an analgesic substance (see ANALGESICS) in amounts related to the extent of the PAIN that he or she is suffering. For example, to combat post-operative pain, some hospitals use devices which allow patients to give themselves small intravenous amounts of opiates when they are needed. Pain is more e?ectively controlled if it is not allowed to reach a high level, a situation which tends to happen when patients receive analgesics only on ward drug rounds or when they ask the nursing sta? for them.... patient-controlled analgesia
A study, generally undertaken by an individual health programme or health planning agency to determine the geographic distribution of the residences of the patients served by one or more health programmes. Such studies help define catchment and medical trade areas and are useful in locating and planning the development of new services.... patient-origin study
At a personal level, the engagement of individuals in decisions about their health and about the diagnosis, treatment and after-care of their illness, injuries and other disorders. At a public level, the engagement of all members of the public in the planning, provision and performance of their health-care services. Traditionally, at both personal and public levels, the patient has generally been regarded as naturally subordinate to the politicians and managers who plan and run the health-care system(s), and to health professionals and medical institutions who provide personal health care. The public and patients are increasingly unwilling to accept this traditional model and are asserting themselves, for example through patient help groups, complaints, litigation and local political action with the aim of securing changes in how health care is organised and a much greater say in their own care.... patient empowerment
QAPI establishes strategies for promoting high quality health care. First, each organization must meet certain required levels of performance when providing specific health care and related services. Second, organizations must conduct performance improvement projects that are outcome-oriented and that achieve demonstrable and sustained improvement in care and services. It is expected that an organization will continuously monitor its own performance on a variety of dimensions of care and services, identify its own areas for potential improvement, carry out individual projects to undertake system interventions to improve care, and monitor the effectiveness of those interventions.... quality assessment and performance improvement programme (qapi)
An instrument which assesses recipient’s care needs. It has a number of classification levels, ranging from high to low care. These classification levels are sometimes used for placement, staffing level and reimbursement purposes.... resident classification instrument
A contribution paid by residents toward the cost of their accommodation and care in a facility.... resident contribution
See “residential care”; “assisted living facility”.... residential aged care facility
Provides accommodation and other care, such as domestic services (laundry, cleaning), help with performing daily tasks (moving around, dressing, personal hygiene, eating) and medical care (various levels of nursing care and therapy services). Residential care is for older people with physical, medical, psychological or social care needs which cannot be met in the community.... residential care
Accommodation and support for people who can no longer live at home.... residential care services
The process whereby a person is assessed for care needs using one form/mechanism so that agencies do not duplicate each other’s assessment.... single assessment process
See “assisted living facility”.... supported residential service
A comprehensive form of policy research that examines the technical, economic and social consequences of technological applications.... technology assessment
the route that a patient takes through the health-care system, from first admission to a hospital or treatment centre to final discharge. This may consist of one or more *spells in particular hospitals and one or more *finished consultant episodes. For example, a patient admitted to a district general hospital, transferred to a tertiary hospital for a specialist procedure, and then transferred back to the district general hospital for recovery would experience one continuous patient pathway but three spells.... continuous patient pathway
n. a patient who is admitted to a bed in a hospital ward and remains there for a period of time for treatment, examination, or observation. Compare out-patient.... in-patient
(NCAS) see Practitioner Performance Advice.... national clinical assessment service
(NPSA) formerly, a special health authority that led and coordinated work to improve all aspects of patient safety in England. The NPSA comprised three divisions: the National Reporting and Learning Service, the National Research Ethics Service, and the National Clinical Assessment Service. It closed in 2012, with its key functions transferred to *NHS England. In 2016 the same functions were transferred from NHS England to the newly formed *NHS Improvement.... national patient safety agency
n. a patient who receives treatment at a hospital, either at a single attendance or at a series of attendances, but is not admitted to a bed in a hospital ward. Large hospitals have *clinics at which out-patients with various complaints can be given specialist treatment. Compare in-patient.... out-patient
(PALS) (in England) a confidential service provided by each NHS trust to support patients, their families, and carers by giving advice and information in response to questions and concerns about local NHS services. See also advocacy.... patient advice and liaison service
see PHQ-9.... patient health questionnaire
(PPACA) see Affordable Care Act 2010.... patient protection and affordable care act
an interviewing technique that combines psychiatric history taking with elements of problem solving in *psychotherapy: after a psychiatric history has been elicited, the interviewer summarizes the patient’s difficulties and offers potential solutions. It is often used in patients who have presented with *deliberate self-harm, and research suggests that it offers the possibility of reducing repetition rates in such patients.... psychosocial assessment
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