Name | Value |
---|---|
INSTRUMENT | NUDESC |
LAST UPDATE | 2022-04-08 13:42:43 |
ENTRY CHECKSUM | 4010786293 |
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} ]}] } }, |