| ENTRY SPECIFICATION |
{"name": "NUDESC",
{"id": "q8530", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "1. DISORIENTATION. Verbal or behavioral manifestation of not being oriented to
time or place or misperceiving persons in the environment.",
"intro": "This is an observational screening tool. Please use your best judgment as to what
the patient is demonstrating. Each item contains 3 descriptors to choose
from.<br />",
"choices":[
{"id": "c5035", "text": "0. Absent. No signs of item present. Patient is orientated to time place and
person.", "quickKey": 0},
"restartDays": 2,
{"id": "c5036", "text": "1. Mild to moderate. Barely expressed and noticeable through to being
present/undeniable. Pt still can provide some orientating information to time,
place and/or person.", "quickKey": 1},
{"id": "c5037", "text": "2. Moderate to severe. Pt not orientated to time/place; i.e., not able to tell
you the date, month, day, year, season, floor, name of hospital, city, state,
country.", "quickKey": 2}
]},
{"id": "q8531", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "2. INAPPROPRIATE BEHAVIOR. Behavior inappropriate to place and/or for the person;
e.g., pulling at tubes or dressings, attempting to get out of bed when it is
"printTitle": "Nursing Delirium Screening Scale - (NUDESC)",
contraindicated, and the like.",
"intro": "This is an observational screening tool. Please use your best judgment as to what
the patient is demonstrating. Each item contains 3 descriptors to choose
from.<br />",
"choices":[
{"id": "c5038", "text": "0. Absent. No signs of item present.", "quickKey": 0},
{"id": "c5039", "text": "1. Mild to moderate. Hyperactivity is barely noticeable or appears as simple
restlessness, to undeniable, subject moves frequently.", "quickKey": 1},
{"id": "c5040", "text": "2. Moderate to severe. Hyperactivity is severe; patient is constantly moving,
"content":[
overreacts to stimuli, requires surveillance and/or restraint.", "quickKey": 2}
]},
{"id": "q8532", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "3. INAPPROPRIATE COMMUNICATION. Behavior inappropriate to place and/or for the
person; e.g., incoherence, non-communicativeness, nonsensical or unintelligible
speech.",
"intro": "This is an observational screening tool. Please use your best judgment as to what
the patient is demonstrating. Each item contains 3 descriptors to choose
from.<br />",
{"id": "i2433", "type": "IntroText",
"choices":[
{"id": "c5041", "text": "0. Absent. No sign of items present. Patient's speech is coherent and
goal-directed.", "quickKey": 0},
{"id": "c5042", "text": "1. Mild to moderate. Patient's speech is slightly difficult to follow; responses
to questions are slightly off target, to disorganized speech being clearly
present.", "quickKey": 1},
{"id": "c5043", "text": "2. Mod to severe. Conversation impossible due to disorganized thinking or speech
(e.g., irrelevant, incoherent speech, or tangential, circumstantial, or faulty
reasoning).", "quickKey": 2}
]},
"text": "This is an observational screening tool. Please use your best judgment as to what
{"id": "q8533", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "4. ILLUSIONS/HALLUCINATIONS. Seeing or hearing things that are not there;
distortions of visual objects.",
"intro": "This is an observational screening tool. Please use your best judgment as to what
the patient is demonstrating. Each item contains 3 descriptors to choose
from.<br />",
"choices":[
{"id": "c5044", "text": "0. Absent. No sign of items present.", "quickKey": 0},
{"id": "c5045", "text": "1. Mild to moderate. Misperceptions or illusions related to sleep, fleeting
the patient is demonstrating. Each item contains 3 descriptors to choose
hallucinations.", "quickKey": 1},
{"id": "c5046", "text": "2. Moderate to severe. Frequent or intense illusions or hallucinations that
disrupts care, function or is associated with inappropriate behavior.", "quickKey": 2}
]},
{"id": "q8534", "type": "ChoiceQuestion", "required": true, "inline": false,
"text": "5. PSYCHOMOTOR RETARDATION. Delayed responsiveness; few or no spontaneous
actions/words; e.g., when the patient is prodded, reaction is deferred and/or
the patient is unarousable.",
"choices":[
from.<br />"
{"id": "c5047", "text": "0. Absent. No sign of items present.", "quickKey": 0},
{"id": "c5048", "text": "1. Mild to moderate. Hypoactivity is barely noticeable, expressed as slightly
slowing of movement, to moderate slowing of movements.", "quickKey": 1},
{"id": "c5049", "text": "2. Moderate to severe. Hypoactivity is severe; patient does not move or speak
without prodding or is catatonic.", "quickKey": 2}
]}]
}
},
|
