Mobilization
Personal hygiene
Degree of personal cleanliness
integer
Personal appearance
integer
Skin
integer
Hypersensitivity care products
boolean
Get Dressed With Help
boolean
Patient's ability to dress self
integer
Clothing
integer
Eating / Drinking
Nutritional status
integer
Height
float
Weight
integer
Diet
text
Food intake
integer
Eating disorder
boolean
Diet
boolean
Feeding tube
boolean
Excretion
Ability to use toilet
boolean
Defecation
boolean
Encopresis
integer
Menstruation
integer
Enuresis
integer
Respiration
Respiration
boolean
Smoker
boolean
Cigarettes per day
integer
Alcohol
boolean
Substance abuse
boolean
Occupation
Daily structure
integer
Child and adolescent psychiatry department
date
School
boolean
Group therapy
integer
Communication
Language
integer
Ability to read
boolean
Ability to write
boolean
Gestures
integer
Learning ability
integer
Introversion
integer
Mental Processes
integer
Perception
integer
Contact
integer
Ability to take criticism
integer
Physiologic tolerance
integer
Social Distance
integer
Relegion / Belief
Insight into illness
boolean
Mood
integer
Beliefs
integer
Anxiety
integer
Mood swings
integer
Sexuality
Security
Orientation
integer
Pressure ulcer
boolean
Pain
boolean
See reverse side for more info if yes
boolean
Risk of falling
Risk of falling
boolean
Orientation
integer
Excretion
integer
History of falls
integer
Mobility
integer
Visual impairment
integer
Medication
integer