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Person—dependency in activities of daily living (extra surveillance), 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—extra surveillance
METeOR identifier:Help on this term270419
Registration status:Help on this termHealth, Standard 01/03/2005
Definition:Help on this termAn indicator of a person's need for additional individual attention and/or planned intervention in carrying out activities of daily living, 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
ValueMeaning
1No additional attention required
2Less than 30 minutes individual attention per day
3More than 30 and more than or equal to 90 minutes individual attention per day
4Requires at least two hours intervention per week on an episodic basis
5More than 90 minutes but less than almost constant individual attention
6Requires almost constant individual attention
7Cannot be left alone at all

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

Extra surveillance refers to behaviour, which requires individual attention and/or planned intervention. Some examples are:

  • aggressiveness
  • wandering
  • impaired memory or attention
  • disinhibition and other cognitive impairment.

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 are 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 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

Submitting organisation:Help on this termAustralian Council of Community Nursing Services
Reference documents:Help on this termACCNS 1997. Community nursing minimum data set Australia 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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