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Person—dependency in activities of daily living (toileting), code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termDependency in activities of daily living—toileting
METeOR identifier:Help on this term270411
Registration status:Help on this termHealth, Standard 01/03/2005
Definition:Help on this term

An indicator of a person's need for assistance with toileting, as represented by a code.

Context:Help on this termDependency reflects the person's need, rather than the actual service provision which addresses that need. This is essential information in the community environment, where the relationship between a person's functional status and care allocated is not direct. The involvement of 'informal' carers, the possibility of resource allocation being driven by availability rather than need, and the vulnerability of system to inequity, all require a 'standard' view of the person. It is against this background that resource allocation and carer burden can then be monitored. It is important to distinguish between this view of dependency and that of the institutional system, where a dependency 'measure' may be used to predict or dictate staffing needs or to allocate funding.
Data Element Concept:Person—dependency in activities of daily living

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
2Requires observation or rare physical assistance
3Cannot perform the activity without some assistance
4Full assistance required (totally dependent)

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

Services may elect to adopt the measures as defined in this metadata item or adopt one of the following tools now available, such as the Bryan, Barthel, Katz, Functional Independence Measure, Resource Utilisation Groups, etc.

Each agency should seek to adopt a dependency classification, which can be mapped to other classifications and produce equivalent scores.

Collection methods:Help on this termCommencement of care episode (there may be several visits in which assessment data is gathered).
Comments:Help on this term

There are a significant number of dependency instruments in use in the community and institutional care. The Community Nursing Minimum Data Set Australia recommends the adoption of a dependency tool from a limited range of options as outlined in the Guide for Use.

The Person - Dependency in activities of daily living metadata items consist of a number of standard elements, which can be used to map to and/or score from the majority of dependency instruments.

Source and reference attributes

Reference documents:Help on this termACCNS 1997. Community nursing minimum data set Australian version 2.0: data dictionary and guidelines. Melbourne: ACCNS.

Relational attributes

Related metadata references:Help on this term

Supersedes Dependency in activities of daily living, version 2, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (22.7 KB)

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