Health Facility Environment
Item
1.1 Is the room too warm/too cold?
boolean
C0018710 (UMLS CUI [1])
Sleep disturbances
Item
1.2 Do you have problems falling asleep/ sleeping through the night?
boolean
C0037317 (UMLS CUI [1])
using techniques / aids to help sleep
Item
1.3 Do you need anything in particular to fall asleep?
boolean
C3693302 (UMLS CUI [1])
Ability to roll over in bed
Item
2.1 Do you want to turn over to the other side?
boolean
C0578373 (UMLS CUI [1])
Are you able to sit on the edge of a bed
Item
2.2 Do you want to sit on the edge of the bed/ in the armchair?
boolean
C2963338 (UMLS CUI [1])
Ability to walk
Item
2.3 Can you walk on your own?
boolean
C0559964 (UMLS CUI [1])
wheelchair
Item
2.4 Do you need a wheelchair/ Zimmer frame?
boolean
C0043143 (UMLS CUI [1])
feel dizzy
Item
2.5 Do you feel dizzy?
boolean
C0849959 (UMLS CUI [1])
Washing
Item
3.1 Would you like me to help you wash yourself?
boolean
C0441648 (UMLS CUI [1])
Personal care
Item
3.2 What can you do on your own and where do you need help?
text
C4264706 (UMLS CUI [1])
Checking bath water temperature
Item
3.3 Do you prefer warm water or cold water?
text
C2585428 (UMLS CUI [1])
shower
Item
3.4 Would you like to have a shower?
boolean
C4050468 (UMLS CUI [1])
Cleanse the body
Item
3.5 Would you like to freshen yourself up?
boolean
C0509476 (UMLS CUI [1])
Dressing self-care
Item
3.6 Shall I help you to get dressed/undressed?
boolean
C0518459 (UMLS CUI [1])
towel
Item
3.7 Do you need a nightdress/ towel/ flannel?
text
C0336616 (UMLS CUI [1])
Feeling hungry; Feel Thirsty
Item
4.1 Are you hungry/ thirsty?
boolean
C0849960 (UMLS CUI [1])
C4054977 (UMLS CUI [2])
vegetarian; vegan
Item
4.2 Are you a vegetarian/ vegan?
text
C0042441 (UMLS CUI [1])
C2987738 (UMLS CUI [2])
hypersensitivity food
Item
4.3 Do you have any food allergies?
text
C0020517 (UMLS CUI [1,1])
C0016452 (UMLS CUI [1,2])
Need Help in Caring for Self Eating
Item
4.4 Do you need help when eating?
boolean
C3827269 (UMLS CUI [1,1])
C0013470 (UMLS CUI [1,2])
Eating finding
Item
4.5 Would you like to eat something else?
text
C0558129 (UMLS CUI [1])
Urination; bowel movement
Item
5.1 Do you have to pass water/ have a bowel movement?
text
C0042034 (UMLS CUI [1])
C0011135 (UMLS CUI [2])
Time of last bowel movement
Item
5.2 When was the last time you had a bowel movement?
text
C1997753 (UMLS CUI [1])
constipation; Diarrhea; flatulence
Item
5.3 Do you have constipation/diarrhoea/flatulence?
text
C0009806 (UMLS CUI [1])
C0011991 (UMLS CUI [2])
C0016204 (UMLS CUI [3])
accompany to toilet
Item
5.4 Would you like to be accompanied when you go to the toilet?
boolean
C2584596 (UMLS CUI [1])
menstruation
Item
5.5 Do you have your menstruation?
boolean
C0025344 (UMLS CUI [1])
liner
Item
5.6 Do you need a liner?
boolean
C0086771 (UMLS CUI [1])
Does greet
Item
6.1 Hello/Goodbye
text
C0566229 (UMLS CUI [1])
General well-being finding
Item
6.2 How are you?
text
C1286942 (UMLS CUI [1])
wear glasses; denture; hearing aid
Item
6.3 Do you wear glasses/have a denture/a hearing aid?
text
C3174960 (UMLS CUI [1])
C0011394 (UMLS CUI [2])
C0018768 (UMLS CUI [3])
Language
Item
6.4 What languages do you speak?
text
C0023008 (UMLS CUI [1])
Patient Visit
Item
6.5 The doctor will be starting his rounds soon.
text
C1512346 (UMLS CUI [1])
pain; feel worry; Question; scared
Item
7.1 Do you have any pain/ worries/ questions/ are you scared?
text
C0030193 (UMLS CUI [1])
C3641758 (UMLS CUI [2])
C1522634 (UMLS CUI [3])
C3174343 (UMLS CUI [4])
leave the room
Item
7.2 Should I leave the room?
boolean
Care given by nurses
Item
7.3 Should a nurse look after you?
boolean
C0028682 (UMLS CUI [1])
needs
Item
7.4 Do you need anything?
text
C0027552 (UMLS CUI [1])
pray
Item
8.1 Would you like to pray?
boolean
C1821918 (UMLS CUI [1])
Speaking
Item
8.2 Would you like to speak to someone?
boolean
C0234856 (UMLS CUI [1])
Holy Communion
Item
8.3 Would you like to receive Holy Communion?
boolean
C2136197 (UMLS CUI [1])
Examinations
Item
9.1 An examination will be carried out.
text
C0582103 (UMLS CUI [1])
change bandage
Item
9.2 I would like to change your bandage
text
C0392747 (UMLS CUI [1,1])
C0004726 (UMLS CUI [1,2])
patient accompany Telephone Number
Item
10.1 Who is accompanying you, what is their telephone number?
text
C1545432 (UMLS CUI [1,1])
C1515258 (UMLS CUI [1,2])
person to give or receive information
Item
10.2 Who is entitled to give/ receive information?
text
C0811064 (UMLS CUI [1])
telephone call
Item
10.3 Would you like me to call someone?
text
C0302186 (UMLS CUI [1])
Card Telephone
Item
10.4 Do you need a phone card for a hospital phone?
boolean
C3275277 (UMLS CUI [1,1])
C0039457 (UMLS CUI [1,2])
Discussed with doctor
Item
10.5 Would you like to speak to the doctor/ counsellor?
boolean
C1273967 (UMLS CUI [1])
Menu selection
Item
10.6 Have you filled in the menu selection sheet?
boolean
C3853190 (UMLS CUI [1])
Frequency of Pain Question
Item
10.7 We will ask you about your pain on a regular basis
text
C0518090 (UMLS CUI [1])