The Keller Index of Nausea (KIN) - FOD Volksgezondheid ...

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Lijst met tabellen Tabel 1: Zoekfilter nausea/ vomiting......................................................................... 25 Tabel 2: Zoekfilter evaluatie decubitusrisico............................................................. 78 Tabel 3: Zoekfilter symptoommanagement sedatie ................................................ 109 Tabel 4: Zoekfilter symptoommanagement pijn...................................................... 156 Tabel 5: Zoekfilter evaluatie mondstatus ................................................................ 324 Tabel 6: Zoekfilter vermoeidheid ............................................................................ 355 Tabel 7: Zoekfilter activiteiten van het dagelijkse leven.......................................... 418 Tabel 8: Zoekfilter vallen ........................................................................................ 418 Tabel 9: Zoekfilter depressie .................................................................................. 419 Tabel 10: Zoekfilter cognitieve stoornissen ............................................................ 552 Tabel 11: Zoekfilter neurologische zorg.................................................................. 772 Tabel 12: Zoekfilter desoriëntatie ........................................................................... 813 7
Dankwoord Dit project werd mogelijk gemaakt door de Federale Overheidsdienst <strong>Volksgezondheid</strong>, Veiligheid van de voedselketen en Leefmilieu. Ook wensen wij de leden van de begeleidingscommissie te bedanken voor hun aanwijzingen en kritische vragen. Vervolgens danken wij Mevr. H. Spittaels voor haar bijdrage in het bestuderen van de onderzoeksartikels. Haar statistische kennis liet toe de verschillende validiteit- en betrouwbaarheidtesten te interpreteren. Tevens dank aan alle experten die deelgenomen hebben aan dit project. Speciale dank gaat uit naar de Gentse Ziekenhuizen, namelijk het UZ Gent, AZ Jan Palfijn, AZ Maria Middelares, AZ Sint Lucas en AZ Sint Vincentius - Deinze. Zij maakten het mogelijk om de gebruiksvriendelijkheid van verschillende meetinstrumenten te evalueren in de praktijk. Oprechte dank aan de MVGcoördinatoren en de deelnemende verpleegkundigen voor de operationalisering van deze bevraging. 8
Page 1: OPZETTEN VAN EEN DATABANK MET GEVAL
Page 4 and 5: Wat is BEST? BEST staat voor BElgia
Page 6 and 7: Zoekstrategie symptoommanagement se
Page 8 and 9: NEUROLOGISCHE ZORG.................
Page 12 and 13: Projectinhoud Inleiding Objectieve
Page 14 and 15: Methodologie Het opstellen van de d
Page 16 and 17: Gebruik van de website Aan het opst
Page 18 and 19: Figuur 1: Overzicht validiteit en b
Page 20 and 21: voorspelling wordt gemaakt op grond
Page 22: Figuur 2: Overzicht sensitiviteit -
Page 25 and 26: NAUSEA - VOMITING 22
Page 27 and 28: Inleiding nausea/braken Deze rubrie
Page 29 and 30: The Index of Nausea, Vomiting, and
Page 31 and 32: Gebruiksvriendelijkheid De gebruiks
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Page 35 and 36: Author (year) M. Fu, V. Rhodes, & B
Page 37 and 38: Author (year) Q. Zhou, B. O’Brien
Page 39 and 40: The Index of Nausea, Vomiting, and
Page 41 and 42: Vertaling: The Index of Nausea, Vom
Page 43 and 44: The Keller Index of Nausea (KIN) V.
Page 45 and 46: Opmerkingen De bekomen correlaties
Page 47 and 48: Results reliability Results validit
Page 49 and 50: The Nausea Profile (NP) E. Muth, R.
Page 51 and 52: Referenties Muth, E. R., Stern, R.
Page 55 and 56: Reprinted with permission from Dr.
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• de aandacht te vestigen op miss
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Author (year) L.L. Dupuis, A. Taddi
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The Pediatric Nausea Assessment Too
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Have you ever thrown up (use family
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Betrouwbaarheid Niet gespecifieerd.
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Results reliability Results validit
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Validiteit Validiteit van de VAS we
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Author (year) Boogaerts, J. G., Van
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DECUBITUSRISICO 75
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Inleiding evaluatie decubitusrisico
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De Bradenschaal Bergstrom, N., Brad
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Gebruiksvriendelijkheid De gebruiks
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Author (year) T. Defloor, & M. Gryp
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Author (year) Pancorbo-Hidalgo, P.
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Author (year) Gould, D., Goldstone,
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Braden Scale Bron: Bergstrom, N., B
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Vertaling Bradenschaal Bron: Defloo
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Reprinted with permission from Dr.
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In latere publicaties stelt de aute
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Norton, D. (1996). Calculating the
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Vertaling Nortonschaal Bron: Defloo
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SEDATIE 106
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Inleiding symptoommanagement sedati
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Bewustzijnsscores zijn interessant
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Betrouwbaarheid De betrouwbaarheid
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Vertaling Motor Activity Assessment
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selecteren. De Ramsay Scale omvat
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Author (year) Mondello, E., Panasit
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Author (year) Ely, E. W., Truman, B
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Author (year) Sessler, C. N., Gosne
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Ramsey Scale Bron: Ramsay, M., Save
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The Richmond Agitation - Sedation S
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kunnen volgens 86,2% van de verplee
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Vertaling Richmond Agitation-Sedati
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Betrouwbaarheid De interrater relia
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Author (year) Rassin, M., Sruyah, R
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Author (year) Riker, R. R., Picard,
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Author (year) Sessler, C. N., Gosne
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Sedation-Agitation Scale (SAS) Bron
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Dit helpt om bij gesedeerde patiën
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PIJN 152
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Inleiding symptoommanagement pijn H
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OR assessment self assessment (ps
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Beschrijving De BPI is oorspronkeli
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verpleegkundige praktijk. De omvang
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Author (year) Tan, G., Jensen, M. P
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Brief Pain Inventory (Short Form) B
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gevalideerd bij ouderen met een cog
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Wong & Baker, 1988). Vergelijking v
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Wong, D. L. & Baker, C. M. (1988).
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Reprinted with permission from the
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Reprinted with permission from the
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• Een eerste deel omvat een teken
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Validatie Nederlandstalige versie D
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Author (year) Gagliese, L., Weizbli
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Author (year) Grafton, K. V., Foste
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Author (year) Melzack, R. (1975) Se
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Author (year) Wright, K. D., Asmund
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Author (year) Kaasalainen, S. & Cro
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McGill Pain Questionnaire Bron: Mel
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Short form McGill Pain Questionnair
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Numeric Rating Scale (NRS) Verschei
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Om de construct validity van de VAS
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Mawdsley, R. H., Moran, K. A., & Co
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Vertaling Numerieke beoordelingscha
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Laatstgenoemde combinatie is een on
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properties and usability of selecte
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Author (year) Jensen, M. P., Chen,
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Author (year) Wong, D. L. & Baker,
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Author (year) Ware, L. J., Epps, C.
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Author (year) Jensen, M. P., Engel,
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Author (year) Kaasalainen, S. & Cro
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Author (year) Pautex, S., Michon, A
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Author (year) Herr, K. A., Spratt,
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Author (year) Taylor, L. J. & Herr,
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Author (year) Benaim, C., Froger, J
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Author (year) Pautex, S., Herrmann,
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Verbal Rating Scale Bron: Herr, K.
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Visual Analogue Scale (VAS) Versche
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Om de construct validity van de VAS
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Gagliese, L. & Katz, J. (2003). Age
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Author (year) Pautex, S., Michon, A
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Author (year) Freeman, K., Smyth, C
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Author (year) Pautex, S., Herrmann,
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Author (year) Bijur, P. E., Silver,
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Author (year) Herr, K. A., Spratt,
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Author (year) Van Dijk, M., Koot, H
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Author (year) Triano, J. J., McGreg
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Author (year) Gagliese, L. & Katz,
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Author (year) Stinson, J. N., Kavan
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Author (year) Benaim, C., Froger, J
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Author (year) Kim, E. J. & Buschman
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Horizontal VAS Bron: Huskisson, E.
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Vertaling Horizontale VAS Instructi
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320
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Overzicht meetinstrumenten evaluati
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OR Zoekstrategie evaluatie mondstat
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Er werd gepreciseerd wat men met be
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Author (year) Kayser-Jones J., Bird
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Kayser-Jones Brief Oral Health Stat
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Graad Omschrijving Graad 0 Geen sym
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De tabel bevat dus 8 items: lippen,
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Author (year) CHALMERS JM., KING PL
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Oral Health Assessment Tool (OHAT)
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Voor elke soort aantasting in elk m
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Author (year) McGuire DB, Peterson
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The 20 items Oral Mucositis Index (
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Hoe hoger de totale score, hoe erge
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350
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Overzicht meetinstrumenten vermoeid
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Inleiding vermoeidheid Deze rubriek
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Brief Fatigue Inventory (BFI) Mendo
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Vindplaats van het instrument: http
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Beschrijving: Het gaat om een korte
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Author (year) Krupp LB., LaRocca NG
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Fatigue Severity Scale The Fatigue
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Deze schaal levert 2 scores op: een
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372
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Het gaat om een vragenlijst van 13
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Hagell P., Höglund A., Reimer J.,
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die is ondervonden op de dag voor d
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Author (year) Smets E.M.A., Garssen
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Multidimensional Fatigue Inventory
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Het is mogelijk om de meer objectie
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390
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Betrouwbaarheid: De Cronbach’s al
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Author (year) Piper B., Lindsey A.,
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Revised Piper Fatigue Scale (R-PFS)
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te hebben alsook het affectieve asp
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402
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404
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Betrouwbaarheid: De Cronbach’s al
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Author (year) Lee KA, Hicks G, Nino
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VISUAL ANALOGUE SCALE FOR FATIGUE (
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FUNCTIONEEL - MENTAAL - PSYCHOSOCIA
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to Predict Which Elderly Inpatients
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Inleiding bij het onderwerp “func
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Tabel 7: Zoekfilter voor het deel F
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Autonomie gérontologique et groupe
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Author (year) Neirynck I,, Closon M
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Berg Balance Scale Berg, K. el al (
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Variant Chou et al (Chou et al.2006
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Author (year) Berg, K. O., Wood-Dau
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Author (year) shigeru usuda, kazufu
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Author (year) Liston, R. A. and Bro
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Functional Independence Measure (FI
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Opmerkingen Voor het afnemen van de
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Result reliability (E) Interrater r
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Result reliability (S) Test retest
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Result reliability (IC) Internal co
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Author (year) Van Marwijk, H. W., W
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Author (year) Agrell, B. and Dehlin
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Identification of senior at risk (I
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McCusker, J., Bellavance, F., Cardi
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Result reliability (S) Stability Th
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afhankelijkheid. De totale score ko
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Author (year) Cromwell, D. A., Eaga
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Katz index of Independance in Activ
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Katz S, Vignos PJ, Moskowitz RW, et
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Result reliability (IC) Internal Co
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Beschrijving De PEDI meet de functi
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3,5 - 4,5 punten: laag risico 5-6 p
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Result reliability Result validity
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Vertaling: Ziekenhuisscore ter eval
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St. Thomas's Risk Assessment Tool I
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Milisen, K., Staelens, N., Schwendi
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Bij een herziening van de schaal we
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Author (year) Hebert et al. 1988 Ag
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Mini Motor Test (MMT) Camus, A., Mo
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Camus, A., Mourey, F., d'Athis, P.,
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Betrouwbaarheid De interne consiste
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Author (year) Mahoney & Barthel (19
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Bristol Activities of Daily Living
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Author (year) Bucks, R. S., Ashwort
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Bristol Activities of Daily Living
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11. MOBILITY 12. ORIENTATION - TIME
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Vertaling: Bristol Activities of Da
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10. OPSTAAN EN GAAN ZITTEN 11. MOBI
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Timed “Up & Go” (TUG) Podsiadlo
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Referenties Andersson, A. G., Kamwe
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Author (year) Podsiadlo D., Richard
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Author (year) Rockwood K., Awalt E.
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Test de tinetti (TT) ou Performance
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Validiteit De criteriumvaliditeit v
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TINETTI TEST (TT) OU PERFORMANCE-OR
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Tinetti, M. E. TINETTI TEST (TT) OF
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TINETTI TEST (TT) OF PERFORMANCE-OR
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Tinetti test (TT) of Performance-Or
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Performance-Oriented Mobility Asses
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GAIT Instructions: Participant stan
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Move a hard, armless chair against
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prefers (e.g. going down on knees,
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2. Path: (estimate in relation to t
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2. Evaluatie van het evenwicht tijd
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COGNITIEF FUNCTIONEREN 546
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Activities in Patients With Dementi
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Test for the Early Detection of Dem
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Zoekstrategie voor het item ‘cogn
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Validiteit De diagnostische sensiti
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De volledige beoordeling neemt onge
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Author (year) Heinik, J., & al. (20
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Rotterdam -Cambridge Cognitive Exam
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564
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Orientation /8 Memory (recall and r
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evattingsvermogen oplettendheid. D
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Author (year) Trzepacz PT & al. (20
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Author Setting Sample (year) (n) Ha
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Author (year) Hart RP, Best AM, Ses
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Functional Cognitive Assessment Sca
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Assessment Scale When Administered
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3. -Please call this number (writte
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we suppose that the patient has com
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SOCIOGRAFIC INFORMATION Patient nam
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Vertaling: Functional Cognitive Ass
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3. Op de tafel liggen zomer- en win
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c) Een patiënt zoekt niets (toilet
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Benodigd materiaal We hebben de vol
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2 Normaal tijdverloop stap voor sta
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- De GPCOG-informant: een informati
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GENERAL PRACTITIONER ASSESSMENT OF
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General Practitioner Assessment of
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Vertaling: General Practitioner Ass
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GPcog van Brodaty Psychiatrische fe
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Les cinq mots (5W) Dubois, B., Touc
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Dubois, B., Touchon, J., Portet, F.
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Museum Limonade Sprinkhaan Zeef Vra
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Betrouwbaarheid De interne consiste
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Author (year) Breitbart W. & al. (1
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Author (year) Lawlor PG & al. (2000
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Author (year) Smith, M. J., Breitba
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Mental Alternation Test (MAT) Jones
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Author (year) Salib, E. and McCarth
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Middlesex Elderly Assessment of Men
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Author (year) Cartoni A. & Lincoln
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Mini Mental State Exam - Mini Menta
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De MMSE is een ‘gold standard’
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Result reliability (E) Inter-rater
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Als de personen, ondanks een correc
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Author (year) Borson, S., Scanlan,
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Author (year) "The Mini-Cog As a Sc
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Mini-COG Borson S, Scanlan J, Brush
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Vertaling: Mini-COG Borson S, Scanl
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Modified Informant Questionnaire on
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In zijn ‘overzicht’ vermeldde J
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Author (year) MODIFIED INFORMANT QU
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Author (year) Jorm, A. F. (2004) MO
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Modified Informant Questionnaire on
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10. Remembering where to find thing
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Informant Questionnaire on Cognitiv
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Vertaling: Informant Questionnaire
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Hoe is mevrouw/meneer, vergeleken m
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Verkorte Informant Vragenlijst over
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Modified Mini Mental State Examinat
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Meetinstrument te vinden bij Teng E
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De totale maximumscore die voor de
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minute hand; hands must be centred
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can remember. Make a check mark ( )
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Vertaling: Montreal Cognitive Asses
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Seriële 7’s: Afname: De onderzoe
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gehad (gerekend vanaf leeftijd 6 ja
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Neurobehavioral Cognitive Status Ex
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Opmerkingen De cognistat is een com
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- affectief - competentieverlies -
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Author (year) "Validation of a New
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Patient-reported Outcomes in Cognit
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702
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704
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June 2005 PROCOG - Informant Versio
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708
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710
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712
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Repeatable Battery for the Assessme
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Hobart, M. P., Goldberg, R., Bartko
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Betrouwbaarheid De stabiliteit van
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Author (year) Katzman,R.; Brown,T.;
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Six-Item Cognitive Impairment test
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Vertaling: Six-Item Cognitive Impai
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Six-Item Screener Callahan, C. M.,
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Author (year) SIX-ITEM SCREENER CAL
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Six-Item Screener Callahan, C. M.,
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Test for the Early Detection of Dem
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Diagnosis of Dementia With Differen
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Result reliability (E) Inter rater
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Vertaling: Test for the Early Detec
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The Clock Drawing Test Sunderland,
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Seigerschmidt et al. bestudeerden d
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3. De patiënt krijgt een derde ins
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Agrell B. and Dehlin O. 1998. "The
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Result reliability (E) Inter rater
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andere vraag te stellen en vraagt h
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Author (year) Solomon, P. R., & al.
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Vertaling: Seven Minute Screen (7MS
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Test van de tijdoriëntatie Maand (
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Voorbeeldfiche: 764
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TEST OVER VLOEIEND TAALGEBRUIK Schr
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NEUROLOGISCHE ZORG 768
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Introductie neurologische zorg Deze
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OR questionnaires scales assessm
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De auteurs stellen voor om deze sco
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778
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780
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782
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- reageert niet = 0 punten - opent
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Voor elk criterium wordt er een beo
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o Het kind lokaliseert normaal de p
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Referenties : Born JD, Albert A, Ha
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hiërarchische items die de verschi
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Author (year) GIACINO JT, KALMAR K,
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National Institute Health Stroke Sc
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Referenties: Brott T, Adams HP, Oli
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DESORIENTATION 806
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Overzicht meetinstrumenten m.b.t. h
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Mini Mental State Exam - Mini Menta
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Introduction de l’item « désori
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Abbreviated Mental Test (AMT) Hodki
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Author (year) Ni, Chonchubhair A.,
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Abbreviated Mental Test (AMT) Hodki
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Clinical Assessment of Confusion A
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Author (year) Hadley Vermeersch PE,
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Cognitive test for delirium (CTD) H
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Remarque Pour le domaine de l’ori
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834
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Directions for scoring Score for ea
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5. « Maintenant je vais vous montr
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840
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Confusion Assessment Method (CAM) I
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Convivialité Le temps nécessaire
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Author (year) Lemiengre J. Nelis T.
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CONFUSION ASSESSMENT METHOD (CAM) I
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Title - Author (year) Schuurmans MJ
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Confusion Assessment method (CAM) I
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Directions of use Complete CAM take
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□ Oui □ Non □ Incertain □ N
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suivante : En général, comment é
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Fiabilité Les différentes études
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864
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866
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a) The attention Screening Examinat
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Le score maximal total est de 8. Le
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Traduction: The confusion Rating Sc
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Tous les items sont définis dans l
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Les scores attribués pour les item
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Author (year) McCusker J, Cole MG,
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Delirium Index (DI) McCusker J, Col
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Traduction : Delirium Index (DI) Mc
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Delirium-O-Meter (DOM) de Jonghe JF
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Author (year) de Jonghe JF, Kalisva
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Delirium-O-Meter (DOM) de Jonghe JF
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Traduction : Delirium-O-Meter (DOM)
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12. Inquiétude / crainte Se sent
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Lorsque un item ne peut être éval
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Author (year) Schuurmans MJ, Shortr
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Delirium Observation Screening Scal
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13 items DOS scale OBSERVATION The
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Traduction: Delirium Observation Sc
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DOS- Version à 13 items OBSERVATIO
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Delirium Rating Scale (DRS) Trzepac
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La valeur diagnostique du test est
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Author (year) Rosen et al. (1994) R
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Title - Author (year) Trzepacz PT.
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Title - Author (year) Trzepacz P.T.
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Delirium Rating Scale (DRS) Trzepac
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Item 8: sleep wake cycle disturbanc
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Traduction: Delirium Rating Scale (
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Item 7 : trouble physique 0. aucun
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Delirium Rating Scale-Revised-98 (D
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Localisation de l’instrument de m
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Results reliability Results valdidi
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934
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936
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Traduction: Delirium Rating Scale-R
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10. Attention Les patients présent
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Feuille de score DRS-R-98 Nom du pa
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Delirium Severity Scale (DSS) Betti
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Author (year) Bettin, K. & al. (199
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Delirium Severity Scale (DSS) Betti
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Traduction: Delirium Severity Scale
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Delirium Symptom Interview (DSI) Al
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Casarett, D. J. and Inouye, S. K. 3
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6a. At what time of day did this co
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(0) Never (1) Rarely (2) Sometimes
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14g. Things seemed as if they were
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much of the time? (0) Never (1) Rar
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(0) No (1) Mild (2) Moderate (3) Se
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Traduction: Delirium Symptom Interv
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(1) oui si OUI, allez à la questio
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13a. Des gens font des choses qu'il
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14o. Est ce quelque chose de nouvea
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(0) non (1) Légèrement (2) modér
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29d. augmentation de la vitesse de
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The Memorial Delirium Assessment Sc
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Références Breitbart, W., Rosenfe
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990
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Traduction: The Memorial Delirium A
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□ 3 troubles sévères (déviatio
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Le test exclut la mesure des troubl
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Author (year) Folstein M.F., Folste
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Mini Mental State Examination (MMSE
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Language Naming: Show the patient a
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Praxies constructives / 1 Directive
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Modified Mini Mental State Examinat
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Localisation de l’instrument de m
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The Modified Mini-Mental State (3MS
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Traduction: Modified Mini Mental St
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1016
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A chaque item est attribué un scor
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Author (year) Gaudreau JD, Gagnon P
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The Nursing Delirium Screening Scal
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Date (mois, jour) Désorientation C
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En préciser la raison: a = sommeil
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entre les différents évaluateurs
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Results reliability Results valdidi
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Traduction: Pediatric Anesthesia Em
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Fiabilité 3-4 : présence d’une
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Author (year) Pfeiffer E. (1975) Ma
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Short Portable Mental Status Questi
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The Short Test of Mental Status (ST
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Author (year) Kokmen E, Smith GE, P
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The Short Test of Mental Status (ST
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Traduction: The Short Test of Menta
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The Strain of care for Delirium Ind
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THE STRAIN OF CARE FOR DELIRIUM IND
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The Strain of care for Delirium Ind
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Traduction: The Strain of care for
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The Neelon/Champagne Confusion Scal
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Convivialité Facile d’utilisatio
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Result reliability (IC): Internal c
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Result reliability (IC): Internal c
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fluctuates. Uses visual cues to ori
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Easy to use and rapid (10 minutes),
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TRAITEMENT - ORIENTATION : (Orienta
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Directives pour l’utilisation Fac
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1072
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