| Physical
Condition |
: |
Encompasses
current medical condition and physical health (consider
nutritional status, tissue integrity muscle bulk and condition
of skin |
|
|
|
| Good |
= |
Stable medical
condition, appears health and well nourished |
| Fair |
= |
Generally stable
medical condition, appears fairly healthy |
| Poor |
= |
Unstable medical
condition, appears healthy |
| Very
bad |
= |
Critical medical
condition, appears acutely ill |
|
|
|
| Mental
Condition |
: |
Encompasses
level of consciousness and orientation |
|
|
|
| Alert |
= |
Oriented x 3, aware
of surroundings |
| Apathetic |
= |
Oriented x 2-3, dull
affect, passive |
| Confused |
= |
Oriented x 1-2,
conversation inappropriate at times |
| Stuporous |
= |
Generally
unresponsive, lethargic |
|
|
|
| Activity |
: |
Degree to
which subject is ambulatory |
|
|
|
| Ambulant |
= |
Able to walk
independently, includes cane/walker |
| Walks
with help |
= |
Unable to walk
without human assistance |
| Chair-bound |
= |
Walks only to chair,
limited to chair by condition and/or physician's orders |
| Bed-bound |
= |
Confined to bed due
to condition and/or physician's orders |
|
|
|
| Mobility |
: |
Degree to
which subject controls and moves extremities |
|
|
|
| Full |
= |
Moves and controls
all extremities at will, independent in moving |
| Slightly
limited |
= |
Able to control and
move extremities, but some degree of limitation, needs
assistance to change position |
| Very
limited |
= |
Unable to change
position without help, offers minimal assistance with moving,
paralysis, contractures |
| Immobile |
= |
No ability to move,
unable to change position |
|
|
|
| Incontinence |
: |
Degree to
which subject has control of bowel/bladder |
|
|
|
| Not |
= |
Total control of
bowel and bladder (exceptions: with diagnostic test), has
Foley catheter and no bowel incontinence |
| Occasionally |
= |
Has had 1 to 2
episodes of urine/faeces incontinence in 24 hours (not related
to laxatives/enemas), has condom catheter, has Foley catheter
but has continent stools |
| Usually
urine |
= |
Has had 3 to 6
episodes of urinary incontinence or diarrhoea stools in past
24 hours |
| Doubly |
= |
Never able to
control bowel and bladder function, has 7 to 10 episodes in 24
hours |
|
|
|
