Person—peripheral neuropathy status, code N
Identifying and definitional attributes
|Metadata item type:||Data Element|
|Short name:||Peripheral neuropathy - status|
|Synonymous names:||Peripheral neuropathy - status|
|Data Element Concept:||Person—peripheral neuropathy indicator|
Value domain attributes
|Maximum character length:||1|
Data element attributes
Collection and usage attributes
|Guide for use:||Record whether or not peripheral neuropathy is present determined by clinical judgement following assessment using pinprick and vibration (using perhaps a Biosthesiometer) or Monofilament.|
Examine for neuropathy by testing reflexes and sensation preferably using tuning fork (standard vibration fork 128 hz), pinprick, 10g monofilament and/or biothesiometer.
The preferred assessment methods are monofilament and biosthesiometer. These two non-invasive tests provide more objective and repeatable results than testing sensation with pinprick or a tuning fork, which are very difficult to standardise.
1 The 'Touch-Test' Sensory Evaluation (Semmens-Weinstein Monofilaments) application guidelines:
To assure the validity of the sensory test findings:
2 Testing vibration sensation with a biothesiometer - application guidelines:
The reading is low in young normal individuals (i.e. they are very sensitive to vibration). In older individuals, the biothesiometer reading becomes progressively higher. From experience, it is known that the risk of developing a neuropathic ulcer is much higher if a person has a biothesiometer reading greater than 30-40 volts.
Source and reference attributes
|Submitting organisation:||National diabetes data working group|
|Origin:||National Diabetes Outcomes Quality Review Initiative (NDOQRIN) data dictionary|
|Related metadata references:|
Supersedes Peripheral neuropathy - status, version 1, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (22.2 KB) No registration status
|Implementation in Data Set Specifications:|
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