General condition
The term general condition (abbreviation: AZ ) describes the general physical, mental and emotional state of a patient and the effect on his everyday life . The assessment of the general condition takes place during the admission interview and is part of the medical examination as well as the care history . Areas of observation for assessment are appearance, cognitive abilities , communication and mobility as well as activity. On the basis of the individual criteria, the ability for self-sufficiency can be determined. The result of the evaluation is divided into good, slightly reduced, reduced and greatly reduced (instead of "poor" ) AZ.
Since it is a largely subjective assessment, it must always be viewed in connection with age and the current situation. Acute complaints are more likely to affect general well-being than restrictions that have existed for a long time, as the person affected has usually developed appropriate coping strategies .
Observation areas
Appearance
Part of the appearance
- the physical condition (constitution), which results from the nutritional status , the condition and the texture and color of the skin
- the degree of implementation of personal hygiene
- the type and appropriateness of clothing in terms of condition, cleanliness, season
Cognitive abilities
Awareness and orientation, mood, thinking and participation
communication
Communication skills; Speech, hearing and eyesight
mobility
Ability to move and walk
WHO scale of activity
According to the evaluation table of the WHO scale (also Karnofsky index , Zubrod score or ECOG) there are five levels of activity:
- Grade 0: The patient is able to carry out all normal activities without restrictions
- Grade 1: The patient is limited in physically demanding activities, but mobile and able to do light work
- Grade 2: patient is mobile and can provide for themselves, but do any work that more than 50% of waking hours constitute
- Grade 3: The patient is only able to take care of himself to a limited extent; he spends more than 50% of the waking hours lying down or sitting
- Grade 4: The patient is completely disabled, cannot take care of himself and is fixed in place or bedridden
literature
- DA Karnofsky, JH Burchenal: The Clinical Evaluation of Chemotherapeutic Agents in Cancer. In: MacLeod CM (Ed.): Evaluation of Chemotherapeutic Agents. Columbia Univ. Press 1949: 196.
See also
Individual evidence
- ^ MM Oken et al .: Toxicity and response criteria of the Eastern Cooperative Oncology Group. American Journal of Clinical Oncology Vol. 5 (6) 1982, pp. 649-55