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Which assessments are available?
Which assessments are available?

We have a number of client assessments available, this article lists each of them

Dec Norton avatar
Written by Dec Norton
Updated over a year ago

Assessments can be found in the Assessments tab of a client's profile.

CareLineLive offers two types of assessment:

  • Question & Answer assessments: a series of questions designed to capture relevant information

  • Scored based assessments: a score is calculated based on the answers given for each question, giving an overall indication of risk


Question & Answer assessments

About me

Allows managers and carers to get a real insight into a person. This is very important to ensure that there is a person-centred comprehensive view of the service user so they are not defined by their care and support requirements alone.

Conditions & needs

In this assessment you will be able to list & record details of the conditions the service user lives with.

Communication

This assessment records the communication preferences and needs of service users. The information recorded ensures that communication support is person-centred and appropriate to support the service user.

Continence management

This assessment allows you to take a holistic approach in the care and support of service users with continence issues. You can add key stakeholder information and add referral details, which allows you to keep track of when a referral is made and to whom.

Environmental, health and safety.

Record the details of the healthcare professionals involved in the provision of equipment and their contact details.

When assessing the home environment, you will be able to identify and record hazards and risks. You can then add comments and record how the issues will be managed.

Escorted outings

Gives you an opportunity to determine the type of outings that the service user would like support with. You will collect data on challenges which may impact on the success of an outing, therefore allowing you and the service user to plan accordingly.

Fluids & nutrition

Allows you to assess the following:

  • Dietary needs; including diet, preparation preferences, and allergies & intolerances.

  • Fluid & hydration: fluid intake requirements, use of thickening agents, and dehydration.

Infection Prevention and Control

Helps to safely manage infection, potential infection and risk of cross-infection. You can also document how the risk is being managed in the Infection Risk and Environmental Hygiene sections.

Lone working

Collects information that allows managers to identify any issues that may arise during a visit to a service user. Risks will be identified giving managers the opportunity to manage risks for both service users and carers; e.g., ensuring that a visit requiring 2 carers is resourced appropriately to meet needs of the service user

Medication management

Within the assessment you can add details of the support required by the service user and collect information on medication management.

You can add information regarding safe storage of medication and how it is administered.

Adding medication to the our e-MAR hasn’t changed, this is still located in the medical section on the client profile. You can also add information detailing the ordering, receiving and returning of medication.

Mental health

The mental health assessment covers mental capacity, mental health and well-being, challenging behaviour and behaviour management strategies.

Mobility, moving & handling

Assesses mobility issues the client may be experiencing, as well as any equipment required for safe moving and handling and details of key stakeholders involved.

Personal care

Describe the level of care & support required with regards to activities, washing, toileting, and general care.

Skin integrity

Details of skin integrity, pressure sores and other relevant areas.

Social and emotional well-being

Allows you to focus on the wellbeing of your service users. This information captured helps to determine barriers to social interactions and will flag any social and emotional needs that are not being met.


Scored Assessments

The following assessments will calculate a score, giving an indication of associated risk.

Braden scale

The Braden Scale Assessment is a tool used to assess the risk of developing pressure ulcers. It consists of six elements: sensory perception, moisture, activity, mobility, nutrition, and friction and shear.

Each element is scored between 1 and 4, with a lower score indicating a greater risk of developing pressure ulcers. The total score is used to determine the level of risk, with scores of 15 or above indicating low risk and scores of 9 or below indicating severe risk.

Malnutrition Screening Tool (MST)

This simple three-step tool assesses recent weight and appetite loss and is the most widely used nutritional screening tool in Australian hospitals.

It can be used by staff, family or friends. It asks two questions, gives a score to indicate risk of malnutrition, and recommends steps for follow-up.

Malnutrition Universal Screening Tool (MUST)

MUST is a five step screening tool used to identify adults who:

  • Are at risk of malnutrition

  • Are malnourished

  • Are at risk of becoming obese

  • Are obese

The five steps include BMI score, percentage of unplanned weight loss and score, establishing acute disease effect and score, adding scores from steps 1, 2, and 3 together to obtain overall risk of malnutrition, and using guidelines and/or local policy to develop a care plan.

Waterlow score

The Waterlow Score is a tool used to assess a patient's risk of developing pressure sores. It takes into account 11 elements, including sex, age, BMI, continence, nutrition, skin type, mobility, special risk factors, special risks due to neurological deficit, and major surgery/trauma.

The score is calculated at the end of the assessment to evaluate the risk. More than one score/category can be used, and the higher the score, the greater the risk.


See also

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