Breathing scale
The breath scale ( according Bienstein ) is in 2000 by the German nursing scientist Christel Bienstein created assessment scale for the collection, assessment and documentation of the breathing situation of a patient .
When taking the nursing history , the nurse discusses the individual observation criteria with the patient . A number of points is assigned to each criterion. The total number of points (0 to 45) determines the risk of pneumonia . As soon as the patient's condition changes, the nurse uses this scale to reassess his or her breathing situation. There is no scientific reception or evaluation , although the scale is also part of nursing training.
The following are recorded with 0 to three points:
- Compliance
- present lung disease
- already gone through lung disease
- Defensive weakness
- manipulative orotracheal measures such as intubation
- Smoking , including passive smoking
- Pain
- Difficulty swallowing
- Limitations of mobility
- occupation dangerous to the lungs, e.g. B. can lead to pneumonia
- Intubation anesthesia
- Impaired consciousness
- Breathing depth
- Respiratory rate
- respiratory suppressants such as opiates
Patients with less than seven points are classified as “not at risk”, with seven to fifteen points as “at risk” and above that as “highly endangered”.
See also
literature
- Annette Lauber, Petra Schmalstieg: Understanding & Maintaining 4, Prevention and Rehabilitation. Georg Thieme Verlag, 2007, ISBN 9783131286123 , p. 227. ( PDF, 266 kB )
- Pschyrembel Dictionary Care . Walter de Gruyter, 2003, ISBN 3-11-016948-7 , p. 57 .
Individual evidence
- ↑ Brigitta Balz, Nicole Spiegler: The breathing scale according to Bienstein. A suitable instrument for nursing staff to assess the risk of nosocomial pneumonia? online: ( PDF, 24kB ( Memento of the original from June 17, 2012 in the Internet Archive ) Info: The archive link has been inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this note. )
