住院患者护理评估表

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1、·NursingassessmentformofinpatientMedicalcategoryBednumberNameAgeyearsoldAdmissionnumberDiagnosisPartoneThefirstassessment1、Theassessmentoftheriskforbedsores:Nortonscale:pointsorBradenscale:points□Nobedsore□Existingbedsores:thepartofthebedsoresandstagingNursingmeasures：□airbed□p

2、reventivedecompressionpaste□sanyrene□turnoverQhOthermeasures2、Theassessmentoftheriskforfallingdownorfallingout of bed:Thefallingdownscale：pointsNursingmeasures：□strengthenhealtheducation□signwarning□threestepsofGettingup□usethetoilet□Thecorrectuseofbedbar□medicationguide□keepli

3、ghting□strictbedrestOthermeasures3、Theassessmentoftheriskforcatheter：□no□existing：into□catheteroflowrisk□catheterofmiddlerisk□catheterofhighriskCatheterscale：pointsNursingmeasures：□strengthenhealtheducation□signwarning□putthepipeid□proper restraint Othermeasures4、Painassessment

4、：painscore：pointsNursingmeasures：□mentalnursing□relievepainbyphysicalmethod□relievepainbypainkillerOthermeasures5、Nutritionassessment：TheScreeningassessmentofriskfornutrition：pointsNursingmeasures：□enteralnutrition□parenteral nutritionOthermeasures6、Theassessmentofself-helpabil

5、ity:ADLscale:pointsThenursesignature：//ParttwoInterimevaluation1、TheassessmentoftheriskforbedsoresDateNorton/BradenscalethepartofthebedsoresandstagingNursingmeasuresSign-atureDateNorton/BradenscalethepartofthebedsoresandstagingNursingmeasuresSign-atureNursingmeasures：①airbed;②p

6、reventivedecompressionpaste;③sanyrene;④turnoverQ1-2h;⑤othermeasures.1、Theassessmentoftheriskforfallingdownorfallingoutofbed：DateThefallingdownscaleNursingmeasuresSignatureDateThefallingdownscaleNursingmeasuresSignatureNursingmeasures:①strengthenhealtheducation;②signwarning;③thr

7、eestepsofgettingup;④usethetoilet;⑤thecorrectuseofbedbar;⑥medicationguide;⑦keeplighting;⑧strictbedrest;⑨othermeasures.2、Theassessmentoftheriskforcatheter：DateCatheterscaleNursingmeasuresSignatureDateCatheterscaleNursingmeasuresSignatureNursingmeasures：①strengthenhealtheducation;

8、②signwarning;③putthepipeid;④proper restraint;⑤othermea