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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Model to categorize patient needs at discharge[1]

Model to categorize patient needs at discharge[1]

Patient profiles are divided into four broad domains:

Domain I: Medical/surgical issues

Domain II: Mental status/emotions/coping

Domain III: Physical functioning

Domain IV: Living environment - physical, social, financial

Patient-specific elements within each domain, characterized by intensity (high-medium-low), are then determined to create a profile that can be matched to the capabilities of alternative sites of care.

Domain I. Medical/surgical issues
1. Clinical instability. The probability that the patient will need rapid intervention for an Unstable Clinical Condition (UCC).
2. Complexity of care. The probability that the patient will need a Complex diagnostic or therapeutic Procedure (CP).
3. The intensity of Nursing services (RN).
4. The intensity of Physician services (MD).
Domain II. Mental status/emotions/coping
5. The extent of Cognitive Impairment or Depression (CID).
Domain III. Physical functioning
6. The presence of a Window of Opportunity for Rehabilitation during which rehabilitation services are most effective and outcomes are optimal at a time when the patient has the physical capacity to participate (WOR).
Domain IV. Living environment - physical, social, financial
7. Limitations on care options due to Medical Insurance Coverage (MIC).
8. Limitations on life-sustaining treatments/Advanced Directive (AD).
Reference:
  1. Siebens, H. Applying the Domain Management Model in Treating Patients with Chronic Disease. Jt Comm J Qual Improv 2001; 27:302.
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