Table 3 Diseases under active treatment, medication, functional status, derived needs (as defined by consensus group), and services utilised. n = 83
Condition | n (% of 83) | Needs | n (% of patients with condition) utilising relevant nursing care according to electronic nursing recordsa |
|---|---|---|---|
Functional limitations | |||
Mobility limitation. TUG >30 s | 28 (34) | Observe and encourage walking | 4 (14) |
Secure patient when walking | 5 (18) | ||
Observe dizziness, unsteadiness and falls | 4 (14) | ||
Observe and treat pain related to walking | 0 | ||
Sarcopenia. Grip strength <30 kg (males) or <20 kg (females) | 61 (75) | Observe signs of declining muscle strength when carrying out ADL tasks | 0 |
Encourage activity and stimulate simple exercising | 1 (1) | ||
Initiate fall prevention | 2 (3) | ||
Need of assistance for nutrition | 32 (39) | Support food intake | 20 (63) |
Assess nutrition and problems with food intake | 12 (38) | ||
Observe gastrointestinal symptoms and weight change | 5 (16) | ||
Serious disability. Barthel ADL-index score < 11 | 36 (43) | Observe changes in ADL-function | 3 (8) |
Encourage self-care and means to improve ADL | 2 (6) | ||
Possibly impaired cognition. TMT-A > 60 s | 69 (83) | Observe changes in cognitive function | 2 (3) |
Identify sensory impairments | 2 (3) | ||
Diseases | |||
Cardiovascular | 58 (70) | Monitor pulse and blood pressure | 5 (9) |
Observe skin and hydration | 5 (9) | ||
Observe and treat oedema, dyspnoea and cough | 3 (5) | ||
Osteoporosis and fractures | 28 (34) | Observe signs of new fractures | 0 |
Identify risk of falling | 3 (11) | ||
Observe changes in pain and joint function | 0 | ||
Osteoarthritis of hip or knee | 15 (18) | Observe and encourage activity | 0 |
Identify needs of assistive aids | 0 | ||
Observe changes in pain | 1 (7) | ||
Stomach and intestinal disease | 21 (25) | Observe nutrition, fluid intake, elimination and gastrointestinal symptoms | 3 (14) |
Support fluid and food intake | 11 (52) | ||
Eye disease | 18 (22) | Observe changes in visual function and eye discomfort | 0 |
Lung disease | 17 (21) | Observe respiration, dyspnoea, cough and mucus | 0 |
Observe skin and cyanosis | 0 | ||
Observe fatigue | 0 | ||
Skin disease and wounds | 12 (15) | Observe changes in skin and wounds | 3 (25) |
Perform skin and wound care according to prescription | 11 (92) | ||
Diabetes | 11 (13) | Monitor blood glucose | 6 (55) |
Observe and support food intake and eating habits | 1 (9) | ||
Observe feet, prevent development of ulcers | 0 | ||
Renal failure | 11 (13) | Observe elimination of urine | 1 (9) |
Monitor pulse and blood pressure | 0 | ||
Observe oedema, dyspnoea and weight | 0 | ||
Observe nausea, fluid intake and nutrition | 0 | ||
Anxiety and depression | 11 (13) | Observe changes in mental condition | 4 (36) |
Observe ADL and nutrition | 0 | ||
Identify need of psychosocial stimulation | 4 (36) | ||
Neurological disease | 10 (12) | Observe increase in neurological symptoms from actual disease | 0 |
Observe changes in ADL and provide support | 0 | ||
Observe bladder and bowel function | 1 (10) | ||
Cancer | 10 (12) | Observe signs of changes in the affected organ | 1 (10) |
Observe any new pain | 1 (10) | ||
Observe nutrition | 0 | ||
Medication use | |||
Cardiovascular drugs | 60 (72) | Monitor pulse and blood pressure | 6 (10) |
Assess orthostatic hypotension | 0 | ||
Observe skin and hydration | 6 (10) | ||
Observe and treat oedema, dyspnoea and cough | 6 (10) | ||
Analgesics | 53 (64) | Observe and treat pain | 7 (13) |
Observe and treat constipation | 2 (4) | ||
Assess fluid intake and need of extra fluid | 1 (2) | ||
Observe nausea and appetite | 3 (6) | ||
Stimulate physical activity | 1 (2) | ||
Observe dizziness, unsteadiness and falls | 2 (4) | ||
Medication for stomach and intestinal disease | 51 (61) | Observe nutrition, fluid intake, elimination and gastrointestinal symptoms | 6 (12) |
Adjust fluid and food intake | 14 (28) | ||
Hypnotics | 36 (43) | Assess sleep at night and daytime | 0 |
Observe activity at daytime | 0 | ||
Observe dizziness, unsteadiness and falls | 0 | ||
Assess long time need for hypnotics | 0 | ||
Medication for respiratory organs | 21 (25) | Observe respiration, dyspnoea, cough and mucus | 0 |
Observe skin and cyanosis | 0 | ||
Observe correct inhalation technique | 1 (4) | ||
Medication for anxiety and depression | 17 (21) | Observe changes in mental condition | 4 (24) |
Observe dizziness, unsteadiness and falls | 0 | ||
Observe fatigue and sleep at daytime | 0 | ||
Observe dry mouth and changes in nutrition | 0 | ||
Antidiabetics | 4 (5) | Monitor blood glucose | 3 (75) |
Observe food intake | 0 | ||