Primarily used for palliative care needs assessment and care planning. It is based on individual patient models that integrate the risks associated. Beck Depression Inventory (or BDI) is a 21-item rating system that measures characteristic attitudes and symptoms of depression. 7 questions that can be administrated by a health care professional or self-administrated by the client themselves. Evidence gathering, statistical data and evaluations are important tools for planning preventative health and wellbeing measures. –, For more information on the full array of screening and assessment instruments available to providers view, Childhood Autism Rating Scale (CARS): 2 years old and older, Autism Research Institute’s Form E-2 Checklist. It includes tools that are proprietary and those that are freely accessible. –, PANSS (annually): The Positive and Negative Syndrome Scale (PANSS™) is based on findings that schizophrenia comprises at least two distinct syndromes: the positive syndrome, consisting of productive symptoms; and the negative syndrome, consisting of deficit features. It measures cognitive functioning, and can be used to monitor change. Glasgow Coma Scale (or GCS) is a neurological scale aims to give a reliable and objective way of recording the conscious state of a person for initial as well as subsequent assessment. The working group have invested over two years in researching and devising this package of validated tools. See Waterlow score. The generic measures cover a broad range of psychiatric or substance use orders while specific measures target a particular disorder. PQRST (provocation/palliation, quantity/quality, region/radiation, timing) is a valuable tool to accurately describe, assess and document a patient’s pain. Liverpool University Neuroleptic Side Effect Rating Scale (or LUNSERS) – Is a self-assessment tool for measuring the side-effects of antipsychotic medications. See RASS. You may be seen by a nurse, social worker, psychologist, specialist pharmacist, psychiatrist, or a combination of these and other professionals. Wells criteria is used for diagnosing deep vein thrombosis risk or diagnosing pulmonary embolism risk. Products Below is a list of the most popular nursing assessments tools used in practice – everything from pain management to ensuring adequate staffing. It is based on the six cardinal vital signs; Respiratory rate, SaO2, Temperature, Blood pressure, Heart rate and AVPU / GCS response. Additional screening might be needed if a child is at high risk for developmental problems because of preterm birth or low birth weight. Stabbing? SAMHSA’s TIP on Trauma-Informed Care in Behavioral Health Services. Cubbin & Jackson is used to predict pressure ulcer risk in a critical unwell patient, usually on intensive care. See Braden score. Alcohol Use Disorders Identification Test (or AUDIT) – A basic screening tool used to pick up the early signs of hazardous and harmful drinking and identify mild dependence and highlight if a need for assisted withdrawal is required. Catheter Assessment is a check to ensure the device is still required, that the device is clean, shows no signs of wear, a fixation device is used and the catheter bag is in-date. Time course – Does the pain follow any pattern? Mini PAS-ADD is an assessment tool for undertaking mental health assessments with people with learning disabilities. The scales and measures listed here are designed to assist clinicians to practice effectively. In addition, all children should be screened specifically for ASD during regular well-child doctor visits at 18 months and 24 months, with additional screening needed if a child is at high risk for ASD (e.g., having a sibling with an ASD) or if symptoms are present: Substance Abuse Mental Health Administration (SAMHSA) Screening Tools, Autism Spectrum & Developmental Disorders, Modified Checklist for Autism in Toddlers, Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Reddit (Opens in new window), Click to share on Tumblr (Opens in new window), Click to share on Pinterest (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to share on Pocket (Opens in new window), Generalized Anxiety Disorder Scale Sample, Center for Epidemiologic Studies Depression Scale, The Providence Center Medical Screening Form, The Providence Center Mental Health Screening Form, “Alcohol Screening and Brief Intervention for Youth: A Practitioner’s Guide”, Substance Use Screening and Assessment Database, shortened version of the PTSD Checklist-Civilian version (PCL-C).