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Table 1 Description of clinical assessment protocols[13]

From: A comparison of home care quality indicator rates in two Canadian provinces

CAP Description
Activities of daily living/rehabilitation potential Identify clients with the potential for improved independence in activities of daily living or self-care
Instrumental activities of daily living (IADLs) Identify clients who could improve on IADLs (e.g., meal preparation, managing finances or medications)
Health promotion To promote healthy behaviours such as increased physical activity and smoking cessation
Institutional risk Identify individuals with a high risk of institutionalization and suggests ways to help them stay in the community
Communication disorders Recognize communication issues and provide strategies to aide in effective communication between clients and others
Visual function Evaluate clients with new or existing vision impairments
Alcohol use and hazardous drinking Identify alcohol use that may be excessive or at a level that might put client at risk of negative outcomes
Cognition Determine whether cognitive problems are present, either acute or long-standing
Behaviour Identify persons with behavioral symptoms such as wandering, being verbally or physically abusive
Depression and anxiety Assist in identifying persons who exhibit signs/symptoms of anxiety or depression and put forward potential treatment options
Elder abuse Identify clients who are living in abusive or neglectful conditions or who are risk of being in this situation
Social function Assist with maintaining or restoring meaningful social connections
Cardio-respiratory Identify problems of the cardiovascular or respiratory systems that require intervention by a medical professional
Dehydration Alert the professional to clients experiencing dehydration or clients who are at risk of this outcome
Falls Identify recent fall occurrences and if the client is at risk of falling in the future
Nutrition Detection of malnutrition and clients who may be at risk for poor nutrition
Oral health Detect oral health problems that may be leading to outcomes such as pain, difficulty with eating/talking, poor nutrition or a lack of enjoyment of food
Pain Identify clients with pain that may result in impairments in everyday function
Pressure ulcers Assist in identifying clients who have pressure ulcers or skin breakdown or who are at risk of this outcome
Skin and foot conditions Identify persons who have skin conditions or issues related to the health of their feet (e.g., corns, bunions, fungi) or who are at risk of developing them
Adherence Identify whether issues of non-adherence to suggested treatments/therapies is present
Brittle supports Identify families who may be having difficulty continuing in their caregiving role
Medication management Compile a list of all medications (both prescription and over-the-counter) being taken and asses if the client is at risk of inappropriate drug therapy
Palliative care Evaluate whether a palliative approach to care is warranted
Preventative health care measures: immunization and screening Identify clients who have not received preventative strategies such as blood pressure check, vaccinations
Psychotropic drugs Identify individuals taking psychotropic drugs and who might benefit a review of their medications by a physician
Reduction of formal services Evaluate the formal services being delivered currently and determine if the current formal services are beneficial or could be modified
Environmental assessment Identify conditions in the home that may be hazardous and compromise client safety
Bowel management Evaluate problems in bowel functioning as well as gastrointestinal issues
Urinary incontinence and indwelling catheter To identify when incontinence is present or a catheter is being used and address the underlying causes of incontinence