Pressure Ulcer Prevention Questions

Questions

Back to Pressure Ulcer Prevention

ID	Package	Topic	Question	Answer	Status
1	Top	Pressure Ulcer	should be an assessment item, not a target of an assessment	yes	Closed
2	Top	Pressure Ulcer	Do we need size?	No requests for size	Closed
3	Top	Assessment	needs a performer. What attributes? Role, credentials, name?		Closed
4	Top	Assessment	needs an attestor. What attributes? Role, credentials, name?		Closed
5	Top	Assessment Item	Might items be completed by different people?	Yes; see Observation Metadata package	Closed
6	Top	Relevant lab	remove	yes	Closed
7	Top	Risk Factor	remove	yes	Closed
8	Top	Clinical Judgement	attach to assessment; not an item		Closed
9	Skin Inspection	Skin Inspection	need description	drafted; for review in session	Closed
10	Skin Inspection	Skin Inspection	does not need site	true	Closed
11	Skin Inspection	Temperature	measured, or subjective?	surface, subjective	Closed
12	Skin Inspection	Terms	A Temperature value is tagged 'normal' in metadata; does it need that tag in the interface term?		Closed
13	Skin Inspection	Color	How stable are the values?	We assume stable; assess in ballot	Closed
14	Medical Condition	Medical Condition	how many questions are there--one, with a hierarchy of answers, or several?	One	Closed
15	Medical Condition	Medical Condition	Are these values from the chart?	Information Source now modeled as Observation Metadata	Closed
16	Medical Condition	Medical Condition	What is the 'patient-reported active indicator'? Confirmation by the patient that the charted condition is current?	was intended as a link to assessment; out of scope. Delete	Closed
17	Medical Condition	History of mental illness	Aren't these all histories? Is this different?	'hx' removed	Closed
18	Medical Condition	Diabetes	what information is needed?	presence	Closed
19	Medical Condition	Terms	missing vascular diseases - NC	added general term	Closed
20	Instrument	FDA age group	remove	yes	Closed
21	Instrument	age	We'll associate this with the patient, not the instrument		Closed
22	Instrument	age	Two age properties: should be one		Closed
23	Instrument	braden scale	use constraints on the class for age		Closed
24	Instrument	braden scale	data type: coded ordinal?		Closed
25	Adherence	Adherence	Is the plan discrete, or can you adhere to part of it?	We need adherence to parts 2/23	Closed
26	Adherence	Adherence	Is this to be evaluated for each actor, or is one adherence value, with the most important actor, sufficient?	Actors seem to muddy the water: remove. If a family member is the source of information, that's recorded in Observation Metadata. 2/23	Closed
27	Adherence	Terms	Does 'provider' mean 'provider who is not a nurse or home caregiver? What's an SO? Does 'family/caregiver/so' mean any non-provider, or anyone in the home?	Moot, per above direction.	Closed
28	Adherence	Terms	These are not specific enough. Where there are specific terms, there are overlap problems with more general terms. 2/23	drafted	Closed
29	Device	Device	how many questions are there--one, with a hierarchy of answers, or several?	one	Closed
30	Device	Body Structure	should cardinality be 1:*	drafted	closed
31	Device	Body Structure	This should be a class, not an object		Closed
32	Device	Terms	Does Drain Device need classification	left unspecified	closed
33	Device	Terms	Change "Peg" to something more general -- G-tube or J-tube	included all 3	closed
34	Nutrition	Weight	Make weight a quantity		Closed
35	Nutrition	Terms	Hydration Status not clear	We need 'hydrated' and 'not'; or perhaps mild & severe dehydration	closed
36	Nutrition	Terms	Hydration Factor not clear	Propose removal	closed
37	Nutrition	Terms	"Excessive Boniness" seems unusual	removed	closed
38	Nutrition	Weight	Why do we need a subjective weight estimation?	left in pending feedback	closed
39	Nutrition Management	BMI	BMI is not that useful although I agree it should be collected. What is more useful is weight trend - history of loss/gain in past 30, 90 and 180 days. - NC	added trend value class	Closed
40	Medication	Medication	We have the medication name: that should be classified; then classifications won't be necessary further down	Agreed 2/23	closed
41	Medication	Impact	Impact would then be just the impact, not the causative agent	True, though a med may have multiple impacts	Closed
42	Medication	Impact	Is impact observed or inferred? If we see a sedative on the list, do we also indicate that we observe AMSP, or is that assumed?	Record the med. The class and impact risk can be inferred from rules; no observation is necessary	Closed
43	Medication	Terms	Make sure we have the latest list. Also run by HL7 Pharmacy group	Solicit in ballot	Closed
44	Intervention Event	Indicator	What is this?	Delete	Closed
45	Intervention Event	Actor	Does the actor need a name, credential, etc, or just a role?	Try modeling on Observation Metadata pattern	Closed
46	Intervention Event	Consult	What it the purpose of the Consult? Is this another type of actor, or a reference to advice?	A type of intervention; move to intervention hierarchy	Closed
47	Intervention Event	Terms	What it the purpose of the Consult hierarchy? Is there one question or two?	Remodeled as separate act	Closed
48	Intervention Event	Interaction	It seems an event may have more than one interaction; if so, the 1:1 cardinality won't work here. Perhaps Type and Status belong on the Intervention, while the interaction and actor belong on the Event.	Remodeled	Closed
49	Intervention Event	Terms	Is there a 'cancelled' status?	Need to harmonize states with Event types; see state chart	Closed
50	Education	Education	Might this need fuller information, e.g., narrative?	not unless requested	closed
51	Education	Terms	How volatile is Method?	These values are examples, not a recommendation for a standard. Use stereotype.	Closed
52	Pressure Redistribution	Terms	Should Angle be a quantity?	Yes	Closed
53	Pressure Redistribution	Terms	Should Frequency be a quantity?	Yes	Closed
54	Pressure Redistribution	Device	Are these devices to avoid?	yes	Closed
55	Pressure Redistribution	Avoid	Most of this package is a taxonomy of intervention types; this is a record of a patient-specific property, which will need to be retained across multiple instances of the repositioning intervention. Should it be associated with the patient?	Yes	Closed
56	Pressure Redistribution	Terms	What is the intervention for 'Surface' -- 'changed support surface'?	yes	Closed
57	Pressure Redistribution	Turning	I'd expect Turning to be a specialization of Positioning, lateral positioning to be another specialization, and not a property of the parent.	incorrect: see new model	Closed
58	Pressure Redistribution	Terms	Clarify Position: presumably, 'right' means "on the patient's right side," not "rotated 90 degrees to the right."	ok	Closed
79	Pressure Redistribution	Model	Add HOB		Closed
80	Pressure Redistribution	Model	"position" is site-specific: add 'body structure of concern' to the model	ok	Closed
59	Support Surface	Product	This would be more useful if we also had the age of the device	Added	Closed
60	Support Surface	Bed	Is this relevant?	No	Closed
61	Support Surface	Force	Do we measure magnitude, or coefficient of friction? How?	No	Closed
62	Support Surface	Force	Is the surface subjected to a force, or does the surface exert a force on the patient?	Moot	Closed
63	Support Surface	Force	Specializations: how does this hierarchy help? Ditto for children of Surface.	Moot; deleted	Closed
64	Skin Protection	Barrier	The barrier is not a type of intervention; it's used in an intervention	renamed	Closed
65	Skin Protection	HOB	Seems like this should be a quantity (degrees) rather than Boolean. If the Positioning class needs a "positions to avoid" view, does this need a "HOB for other clinical reasons" view?	remodeled	Closed
66	Skin Protection	Aid, alignment	Is this a record of a specific transfer (not really part of a plan) or an indication that this transfer aid is to be used in future transfers?	yes	Closed
67	Skin Protection	Dryness prevention	include barrier substance, e.g. vaseline?	No; that would be a barrier	Closed
68	Moisture Management	Draining wound	should be 'wound drainage management'?	yes	Closed
69	Moisture Management	Weeping Edema	A problem, not an interventions	Renamed	Closed
70	Moisture Management	barrier	should be "use of . . ."	OK	Closed
71	Moisture Management	MLUP	need more detail in term definition	remodeled	Closed
72	Moisture Management	Containment	under Urine Containment Device Type it lists colostomy. That should be urostomy. Colostomy would be under Fecal Containment. -NC	Moved	Closed
73	Moisture Management	Draining wound type	these look like devices, not wound types	true	Closed
74	Nutrition Management	Intake	Type is both enumerated and subclassed: redundant	removed classes	Closed
75	Nutrition Management	Intake, test, weight	These look like observations rather than interventions. Should they be goals? If so, should they include cc's or calories?	both	Closed
76	Nutrition Management	meal assistance	Unclear. Assistance to be provided? Are more details needed (kind of assistance)?	boolean	Closed
77	Nutrition Management	Supplements	Under Nutrition Management it is talking about supplements. It is unclear whether this is referring to a medical nutrition supplement such as Ensure or a supplement such as vitamin C, which is often given for wound healing. Under Nutrition Intake Type it lists supplement again but here I was sure we were talking about the Ensures and such until I looked at the enumeration box which contains both protein drinks and vitamins. I don't think protein drink is the right word for an Ensure and I think it is very confusing to mix both of these types of supplements under the same word. One is medical nutritional supplements ( choices can be high protein, high calorie, glucose control, meal replacement, etc.) and the other is vitamin and minerals (choices are multi vitamin, vit C, zinc, vit A, vit E, etc. )- NC	Remodeled generally as something consumed	Closed
78	Nutrition Management	Frequencey	Under Nutrition Intake Frequency - seems like it is missing the oral route - need to add regular meals or something for the people eating regularly. -NC	added	Closed
79	Skin Protection	equipment	Is the distinction between automated and manual significant?		Open
80	Moisture Management	Holistic kind	Are these surface types appropriate for moisture management?		Open
81	Nutrition Management	all	How do we draw a boundary between pressure ulcer management and this complex domain?		Open
82	Medication use	all	How do we capture effect? Is potential effect necessary, if any actual effect will be captured elsewhere?		Open
83	Medication use	all	need approach for classifying therapeutic effect (or all effects)		Open
84	Medication use / condition	all	Surgery was mentioned as a risk factor, neither drug nor condition. Do we need to add it?		Open