RNSG 1301 Raising the Bar for Success First Semester Johns Hopkins University

RNSG 1301 Raising the Bar for Success First Semester Johns Hopkins University Functional Ability How does a nurse assess a patient’s functional ability? • Objective vs subjective • IMPACT • Functional Independence Measure (FIM) o Minimum data set of 18 self-care items (eating, bathing, grooming, dressing, etc) o Addresses transfers and ability to ambulate and climb stairs o Also communication and social cognition items o Scoring based on 7-point scale • PULSES profile o Assesses physical condition, upper and lower extremity functions, sensory function, bowel & bladder function, & situational factors • Barthel Index o Measure pt’s level of independence in ADLs, continence, toileting, transfers, & ambulation • Patient Evaluation Conference System (PECS) o 15 categories, a comprehensive assessment scale that includes: meds, pain, nutrition, use of assistive devices, psychological status, vocation, & recreation What is the definition of functional ability? • Physical, psychological, cognitive, and social ability to carry on normal activities of life Know the difference a primary functional ability deficit and secondary functional ability deficit. • Primary o Genetic, injury, trauma, or disease in early life  Autism, cerebral palsy, fetal alcohol syndrome, Down, Duchennes’ MD, malnutrition