Learning objectives
- Recognize the main characteristics and functions of the evaluation scales used in the Nursing process;
- Describe the areas and limits of applicability of the assessment scales used in the Nursing process
- Conduct a nursing assessment using evaluation scales that are congruent and relevant to the care case histories
Course unit content
Characteristics and functions of measurement and evaluation scales. Analysis of the main evaluation scales used in nursing related to the assessment of the state of consciousness (Glasgow scale in adults and young children), the state of sedation (Ramsey scale), the cognitive state (MMSE), the functional state ( Barthel Index and IADL), dyspnoea and asthenia (BORG and FSS), risk of falling (Conley and Tinetti), nutritional status (Nutrition Score and Mini Nutritional Assessment), constipation assessment (constipation scale). Sleep Assessment (Pittsburg Sleep Quality Index and Sleep Diary). Pain assessment (visual analog scale, continuous chromatic analog scale, verbal number scale, verbal scale, PAINAD, NOPPAIN, facial expression scale, PIPP, OPS, CHEOPS, Mc Guill Pain Questionnaire, Pain Relief Scale). Assessment of the risk of onset of pressure injuries (Braden) and their classification and monitoring (NPUAP, Push Tool); evaluation of vascular lesions (Texas scale). Assessment of the need for continuity of care (Care complexity index, Blaylock Risk Assessment Screening, Lubben social network scale).
Bibliography
- Artioli Giovanna, “Nursing evaluation of the assisted person - integrated approach”, Poletto editor
Teaching methods
Lectures with active involvement of students, work in small groups and sharing in the plenary
Assessment methods and criteria
Analysis of a case by identifying the appropriate assessment scales for the assessment and monitoring of care needs
