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

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Overzicht meetinstrumenten nausea/ vomiting Keller Index of Nausea Keller, V. E. & Keck, J. F. (2006). An instrument for observational assessment of nausea in young children. Pediatr.Nurs, 32, 420-426. Pediatric Nausea Assessment Tool Dupuis, L. L., Taddio, A., Kerr, E. N., Kelly, A., & MacKeigan, L. (2006). Development and validation of the pediatric nausea assessment tool for use in children receiving antineoplastic agents. Pharmacotherapy, 26, 1221-1231. Numeric Rating Scales Doran, D. M., Harrison, M. B., Laschinger, H. S., Hirdes, J. P., Rukholm, E., Sidani, S. et al. (2006). Nursing-sensitive outcomes data collection in acute care and long-term-care settings. Nurs Res., 55, S75-S81. Index of Nausea, Vomiting, and Retching Rhodes, V. A. & McDaniel, R. W. (1999). The Index of Nausea, Vomiting, and Retching: a new format of the lndex of Nausea and Vomiting. Oncol.Nurs Forum, 26, 889-894. Visual Analogue Scale Boogaerts, J. G., Vanacker, E., Seidel, L., Albert, A., & Bardiau, F. M. (2000). Assessment of postoperative nausea using a visual analogue scale. Acta Anaesthesiol.Scand, 44, 470-474. Verbal Category Scale Borjeson, S., Hursti, T. J., Peterson, C., Fredikson, M., Furst, C. J., Avall- Lundqvist, E. et al. (1997). Similarities and differences in assessing nausea on a verbal category scale and a visual analogue scale. Cancer Nurs, 20, 260- 266. Nausea Profile Muth, E. R., Stern, R. M., Thayer, J. F., & Koch, K. L. (1996). Assessment of the multiple dimensions of nausea: the Nausea Profile (NP). J.Psychosom.Res., 40, 511-520. 23
Inleiding nausea/braken Deze rubriek handelt over symptoommanagement van nausea en braken. Dergelijke problemen kunnen de gezondheidsbeleving van de patiënt gedurende zijn/haar verblijf in het ziekenhuis in belangrijke mate verstoren. Vandaar het belang van symptoomcontrole in het streven naar een effectieve verpleegkundige praktijkvoering. Zoals bepaald in MVG observeert of bevraagt de zorgverlener op regelmatige basis de nauseaklachten en/of het braken bij de patiënt met een meetinstrument. Op basis van deze scores voert de zorgverlener een zorgplan of staand order uit. Het aantal beschikbare meetinstrumenten gericht op het objectiveren van dit gezondheidsprobleem is beperkt. Bovendien is de betrouwbaarheid en validiteit ervan dikwijls laag. Wat volgt is een overzicht van de beschikbare meetinstrumenten binnen dit domein. 24
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 10 and 11: Lijst met tabellen Tabel 1: Zoekfil
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
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Page 29 and 30: The Index of Nausea, Vomiting, and
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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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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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Results reliability Results validit
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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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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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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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verpleegkundige praktijk. De omvang
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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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• 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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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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Laatstgenoemde combinatie is een on
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properties and usability of selecte
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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) 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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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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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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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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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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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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Vertaling: Seven Minute Screen (7MS
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Test van de tijdoriëntatie Maand (
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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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De auteurs stellen voor om deze sco
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o Het kind lokaliseert normaal de p
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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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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
Page 829 and 830:
Remarque Pour le domaine de l’ori
Page 831 and 832:
Page 833 and 834:
Page 835 and 836:
Page 837 and 838:
834
Page 839 and 840:
Directions for scoring Score for ea
Page 841 and 842:
5. « Maintenant je vais vous montr
Page 843 and 844:
840
Page 845 and 846:
Confusion Assessment Method (CAM) I
Page 847 and 848:
Convivialité Le temps nécessaire
Page 849 and 850:
Author (year) Lemiengre J. Nelis T.
Page 851 and 852:
CONFUSION ASSESSMENT METHOD (CAM) I
Page 853 and 854:
Title - Author (year) Schuurmans MJ
Page 855 and 856:
Confusion Assessment method (CAM) I
Page 857 and 858:
Directions of use Complete CAM take
Page 859 and 860:
□ Oui □ Non □ Incertain □ N
Page 861 and 862:
suivante : En général, comment é
Page 863 and 864:
Fiabilité Les différentes études
Page 865 and 866:
Page 867 and 868:
864
Page 869 and 870:
866
Page 871 and 872:
a) The attention Screening Examinat
Page 873 and 874:
Le score maximal total est de 8. Le
Page 875 and 876:
Page 877 and 878:
Traduction: The confusion Rating Sc
Page 879 and 880:
Tous les items sont définis dans l
Page 881 and 882:
Page 883 and 884:
Les scores attribués pour les item
Page 885 and 886:
Author (year) McCusker J, Cole MG,
Page 887 and 888:
Delirium Index (DI) McCusker J, Col
Page 889 and 890:
Traduction : Delirium Index (DI) Mc
Page 891 and 892:
Delirium-O-Meter (DOM) de Jonghe JF
Page 893 and 894:
Author (year) de Jonghe JF, Kalisva
Page 895 and 896:
Delirium-O-Meter (DOM) de Jonghe JF
Page 897 and 898:
Traduction : Delirium-O-Meter (DOM)
Page 899 and 900:
12. Inquiétude / crainte Se sent
Page 901 and 902:
Lorsque un item ne peut être éval
Page 903 and 904:
Author (year) Schuurmans MJ, Shortr
Page 905 and 906:
Delirium Observation Screening Scal
Page 907 and 908:
13 items DOS scale OBSERVATION The
Page 909 and 910:
Traduction: Delirium Observation Sc
Page 911 and 912:
DOS- Version à 13 items OBSERVATIO
Page 913 and 914:
Delirium Rating Scale (DRS) Trzepac
Page 915 and 916:
La valeur diagnostique du test est
Page 917 and 918:
Author (year) Rosen et al. (1994) R
Page 919 and 920:
Title - Author (year) Trzepacz PT.
Page 921 and 922:
Title - Author (year) Trzepacz P.T.
Page 923 and 924:
Delirium Rating Scale (DRS) Trzepac
Page 925 and 926:
Item 8: sleep wake cycle disturbanc
Page 927 and 928:
Traduction: Delirium Rating Scale (
Page 929 and 930:
Item 7 : trouble physique 0. aucun
Page 931 and 932:
Delirium Rating Scale-Revised-98 (D
Page 933 and 934:
Localisation de l’instrument de m
Page 935 and 936:
Results reliability Results valdidi
Page 937 and 938:
934
Page 939 and 940:
936
Page 941 and 942:
Traduction: Delirium Rating Scale-R
Page 943 and 944:
10. Attention Les patients présent
Page 945 and 946:
Feuille de score DRS-R-98 Nom du pa
Page 947 and 948:
Delirium Severity Scale (DSS) Betti
Page 949 and 950:
Author (year) Bettin, K. & al. (199
Page 951 and 952:
Delirium Severity Scale (DSS) Betti
Page 953 and 954:
Traduction: Delirium Severity Scale
Page 955 and 956:
Delirium Symptom Interview (DSI) Al
Page 957 and 958:
Casarett, D. J. and Inouye, S. K. 3
Page 959 and 960:
Page 961 and 962:
6a. At what time of day did this co
Page 963 and 964:
(0) Never (1) Rarely (2) Sometimes
Page 965 and 966:
14g. Things seemed as if they were
Page 967 and 968:
much of the time? (0) Never (1) Rar
Page 969 and 970:
(0) No (1) Mild (2) Moderate (3) Se
Page 971 and 972:
Traduction: Delirium Symptom Interv
Page 973 and 974:
(1) oui si OUI, allez à la questio
Page 975 and 976:
13a. Des gens font des choses qu'il
Page 977 and 978:
14o. Est ce quelque chose de nouvea
Page 979 and 980:
(0) non (1) Légèrement (2) modér
Page 981 and 982:
29d. augmentation de la vitesse de
Page 983 and 984:
The Memorial Delirium Assessment Sc
Page 985 and 986:
Références Breitbart, W., Rosenfe
Page 987 and 988:
Page 989 and 990:
Page 991 and 992:
Page 993 and 994:
990
Page 995 and 996:
Traduction: The Memorial Delirium A
Page 997 and 998:
□ 3 troubles sévères (déviatio
Page 999 and 1000:
Le test exclut la mesure des troubl
Page 1001 and 1002:
Author (year) Folstein M.F., Folste
Page 1003 and 1004:
Mini Mental State Examination (MMSE
Page 1005 and 1006:
Language Naming: Show the patient a
Page 1007 and 1008:
Praxies constructives / 1 Directive
Page 1009 and 1010:
Modified Mini Mental State Examinat
Page 1011 and 1012:
Localisation de l’instrument de m
Page 1013 and 1014:
Page 1015 and 1016:
The Modified Mini-Mental State (3MS
Page 1017 and 1018:
Traduction: Modified Mini Mental St
Page 1019 and 1020:
1016
Page 1021 and 1022:
A chaque item est attribué un scor
Page 1023 and 1024:
Author (year) Gaudreau JD, Gagnon P
Page 1025 and 1026:
The Nursing Delirium Screening Scal
Page 1027 and 1028:
Date (mois, jour) Désorientation C
Page 1029 and 1030:
En préciser la raison: a = sommeil
Page 1031 and 1032:
entre les différents évaluateurs
Page 1033 and 1034:
Results reliability Results valdidi
Page 1035 and 1036:
Traduction: Pediatric Anesthesia Em
Page 1037 and 1038:
Fiabilité 3-4 : présence d’une
Page 1039 and 1040:
Author (year) Pfeiffer E. (1975) Ma
Page 1041 and 1042:
Short Portable Mental Status Questi
Page 1043 and 1044:
The Short Test of Mental Status (ST
Page 1045 and 1046:
Author (year) Kokmen E, Smith GE, P
Page 1047 and 1048:
The Short Test of Mental Status (ST
Page 1049 and 1050:
Traduction: The Short Test of Menta
Page 1051 and 1052:
The Strain of care for Delirium Ind
Page 1053 and 1054:
THE STRAIN OF CARE FOR DELIRIUM IND
Page 1055 and 1056:
The Strain of care for Delirium Ind
Page 1057 and 1058:
Traduction: The Strain of care for
Page 1059 and 1060:
The Neelon/Champagne Confusion Scal
Page 1061 and 1062:
Convivialité Facile d’utilisatio
Page 1063 and 1064:
Result reliability (IC): Internal c
Page 1065 and 1066:
Result reliability (IC): Internal c
Page 1067 and 1068:
fluctuates. Uses visual cues to ori
Page 1069 and 1070:
Easy to use and rapid (10 minutes),
Page 1071 and 1072:
TRAITEMENT - ORIENTATION : (Orienta
Page 1073 and 1074:
Directives pour l’utilisation Fac
Page 1075:
1072
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