||Feeds self or need little food
||Needs some help in preparing food tray; may need encouragement.
||Cannot feed self, but can chew and swallow.
||Cannot feed self and may have difficulty swallowing.
||Almost entirely self-sufficient
||Needs some help in bathing, oral hygiene, hair combing, and so forth.
||Unable to do much for self.
||Up and to bathroom alone, or almost alone.
||Needs some help in getting up to bathroom or using urinal.
||In bed, needs bedpan or urinal placed; may be able to partially turn or lift self.
||Needs some help with adjusting position or bed (e.g. tubes, IVs).
||Cannot turn without help, get drink, adjust position of extremities, and so forth.
||Good — in for diagnostic procedure, simple treatment, or surgical procedure (D&C, biopsy, minor fracture).
||Mild symptoms — more than one mild illness, mild debility, mild emotional reaction, mild incontinence (normore than once per shift).
||Acute symptoms — severe emotional reaction to illness or surgery, more than one acute illness, medical or surgical problem, severe or frequent incontinence.
||Critically ill — may have severe emotional reaction.
||Simple – supervised ambulation, dangle, simple dressing, test procedure preparation not requiring medication, reinforcement of surgical dressing, vital signs once per shift.
||Any Category 1 treatment more than once per shift, Foley catheter care, I&O; bladder irrigations, sitz bath, compresses, test procedures requiring medications or follow-ups, simple enema for evacuation, vital signs every 4 hours.
||Any treatment more than twice per shift, medicated !Vs, complicated dressings, sterile procedures, care of tracheostomy, Harris flush,suctioning, tube feeding, vital signs more than every 4 hours.
||Any elaborate or delicate procedure requiring two nurses, vital signs more often than every 2 hours.
||Simple, routine, not needing pre-evaluation or post evaluation; medication no more than once per shift.
||Diabetic, cardiac, hypotensive,hypertensive, diuretic, anticoagulant medications, prn medications, more than on per shift, medications needing pre-evaluation or post evaluation.
||High amount of Category 2 medications, control of refractory diabetes (need to e be monitored more than every 4 hours).
||Extensive Category 3 medications; IVs with frequent close observation and regulation.
|Routine follow-up teaching; patients with no unusual or adverse emotional reactions.
||Initial teaching of care of ostomies, new diabetics; tubes that will be in place for periods of time; conditions requiring major change in eating, living or excretory practices; patients apprehensive patients; with mild adverse reactions to their illness (e.g. depression, overly demanding).
||More intensive Category 2 items; teaching of apprehensive or mildly resistive patients; care of moderately upset or apprehensive patients; confused or disoriented patients.
||Teaching of resistive patients, care and support of patients with severe emotional reaction.