Design and pilot results of a single blind randomized controlled trial of systematic demand-led home visits by nurses to frail elderly persons in primary care [ISRCTN05358495]

Table 5 Case example of assessment by a nurse with the RAI-HC: triggered health risks

Client Assessed Problem	Observed	Action undertaken earlier?	Relevant action now?	Immediate action?	Action later?
1. ADL / Revalidation potential	X		X
2. IADL / more formal care
3. Health promotion
4. Risk intramural admission
5. Communication impairment
6. Visual impairment
7. Alcohol abuse
8. Cognition
9. Behavior
10. Depression and Anxiety
11. Abuse
12. Social functioning
13. Heart and lungs	X		X
14. Dehydration	X			X
15. Falls
16. Nutrition
17. Dental health
18. Pain
19. Bedsores	X	X
20. Skin and food problems	X		X
21. Compliance
22. Vulnerable support system					X
23. Medication management
24. Palliative care
25. Preventive health	X				X
26. Psychofarmaca use	X	X
27. Reduced service package
28. Environment
29. Feces incontinence
30. Urinal incontinence catheter	X

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