Assess the Individual in a Health and Social Care Setting



Assess the Individual in a Health and Social Care Setting

Systematic and sensitive assessment requires to prevent the waste of valuable

resources, and could have a positive impact on the whole of the health and social

care system for older people. These people using services are entitled to care

and support that is safe and takes their needs.

Assessment tools in my workplace are:

  1. Waterlow score gives an estimated risk for the development of a pressure sore in a given patient.
The following areas are assessed for each patient and assigned a point value.
  - build/weight for height
  - skin type/visual risk areas
  - sex and age
  - malnutrition Screening Tool
  - continence
  - mobility
Additional points in special risk categories are assigned to selected patients.
  - tissue malnutrition
  - neurological deficit
  - major surgery or trauma
Potential scores range from 1 to 64.A total Waterlow score ≥10 indicates risk for
pressure ulcer. A high risk score is ≥15. A very high risk exists at scores ≥20.

    2.   Barthel scale   index is an ordinal scaleused to measure performance in
activities of daily living. Each performance item is rated on this scale with a given
number of points assigned to each level or ranking. A higher number is
associated with a greater likelihood of being able to live at home with a degree
of independence.
The ten variables addressed in the Barthel scale are:

  - presence or absence of fecal incontinence
  - presence or absence of urinary incontinence
  - help needed with grooming
  - help needed with toilet use
  - help needed with feeding
  - help needed with transfers (e.g. from chair to bed)
  - help needed with walking
  - help needed with dressing
  - help needed with climbing stairs
  - and help needed with bathing


3. Person-centered risk assessment :

Risk assessment is a key feature in every care setting.Carrying...