JP7449858B2 - 複数のケア環境にわたる継続したケアの提供 - Google Patents
複数のケア環境にわたる継続したケアの提供 Download PDFInfo
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Description
本願は、2017年11月16日出願の米国仮特許出願第62/587,337号及び2018年7月3日出願の米国仮特許出願第62/693,810号の利益を請求する。これら出願の全体的な内容は参照により本明細書に援用する。
a)患者の識別名
b)トランザクションの日付
c)施設の識別名
d)トランザクションの場所
e)栄養情報
f)実施された介入
g)リスク評価
h)目視皮膚評価
i)ケアプラン
j)医師のメモ(診断、指示、処方箋、検査の要請、手順、処置等)
k)検査、手順又は処置の結果
l)事象
m)生命徴候
n)体重
o)ラボラトリーでの結果
a)患者の識別名
b)トランザクションの日付/時刻(日付及び時刻、タイムゾーン又はグリニッジ標準時)
c)トランザクションの種類(入所前、入所時、転所時、退所時、等)
d)「転所先」の場所
e)「転所元」の場所
f)施設/ユニットの識別名
g)リスク評価
h)目視皮膚評価
i)身体の場所の写真
Claims (31)
- 第一のケア環境から第二のケア環境に転所する間、褥瘡性潰瘍(PU)を発症するリス
クを有する患者に対して継続したケアを提供するシステムであって、該システムは、
a)表皮下水分(SEM)測定を行うために設けられたSEMスキャン装置と、
b)前記第一のケア環境から受ける転所記録、前記第一のケア環境において前記患者が受けるレベル-Kの現在のPU介入を含む転所記録と、
c)前記SEMスキャン装置と電気的に結合し、前記SEM測定を受けるために設けられた処理装置と、
d)前記処理装置と電気的に結合し、前記処理装置において実行される場合に下記のステップ:
i)前記第二のケア環境における患者の身体の場所の複数の表皮下水分(SEM)測定を受けるステップ、
ii)前記2つの複数のSEM測定の間の差によりデルタ値を算出するステップ、
iii)前記デルタ値が閾値を超えるか否かを決定するステップ、
iv)前記デルタ値が前記閾値を超えない場合に、前記現在のPU介入の施与を表示するステップ、および
v)前記デルタ値が前記閾値を超える場合に、レベル-Nの新規PU介入を表示するステップであって、前記NがKより大きい値を有するステップ
を実行する保存された指示を含む、持続性コンピュータ可読媒体
とを含む、前記システム。 - 前記転所記録が、前記第一のケア環境における異なる時に実行された患者の複数のSEM測定の一部から算出されるデルタ値をさらに含む、請求項1に記載のシステム。
- 前記転所記録が、前記患者のリスク評価、前記患者の少なくとも1つの身体の場所の目視皮膚評価、および少なくとも1つの身体の場所の画像からなる群から選択される少なくとも1つの評価から得られる結果をさらに含む、請求項1または2に記載のシステム。
- 前記転所記録が、前記第一のケア環境における患者の少なくとも1つの身体の場所の第一のSEMスキャンを実行することにより得られる結果をさらに含む、前記第一のSEMスキャンが、前記身体の場所におけるSEM値の複数の測定と、前記複数のSEM値からの第一のデルタ値の算出を含み、かつ前記転所記録がデータベースに保存される、請求項1~3のいずれか一項に記載のシステム。
- 前記転所記録が、患者の識別名と、前記第一のSEMスキャンを実行したときの第一の日付および時刻とをさらに含む、請求項3に記載のシステム。
- 前記持続性コンピュータ可読媒体が、前記処理装置において実行される場合において、前記デルタ値が前記閾値を超えない場合に、レベル-Kに対応する予め決定された頻度で複数のSEM測定を行うことを継続するステップ、および前記デルタ値が前記閾値を超える場合に、レベル-Nに対応する予め決定された頻度で複数のSEM測定を受けるステップを実行する指示をさらに含む、請求項4に記載のシステム。
- 前記デルタ値の算出が、前記複数のSEM測定から選択される最大のSEM値と最小のSEM値との差を算出することを含む、請求項1~6のいずれか一項に記載のシステム。
- 前記持続性コンピュータ可読媒体が、前記処理装置において実行される場合において、
a)前記第二のケア環境における前記患者の身体の場所における第二の複数のSEM測定を受けるステップ、および
b)第二のデルタ値を算出するステップ
を実行する指示をさらに含む、請求項6に記載のシステム。 - 前記持続性コンピュータ可読媒体が、前記処理装置において実行される場合において、
a)前記患者の識別名と、前記第二のデルタ値と、前記第二のSEMスキャンを実行したときの第二の日付および時刻とを含む第二のデータ記録を作成するステップ、および
b)前記第二のデータ記録を前記データベース報告するステップ
を実行する指示をさらに含む、請求項8に記載のシステム。 - 前記第二のデルタ値の算出が、前記第二の複数のSEM測定から選択される最大SEMと最小SEM値との差を算出することを含む、請求項8に記載のシステム。
- 前記持続性コンピュータ可読媒体が、前記処理装置において実行される場合において、
前記転所記録および前記第二のデータ記録において、前記患者の少なくとも1つの身体の場所の前記デルタ値および前記第二のデルタ値を前記データベースに問い合わせて、それぞれ検索したデルタ値を形式化するステップ
を実行する指示をさらに含む、請求項8に記載のシステム。 - 前記持続性コンピュータ可読媒体が、前記処理装置において実行される場合において、
a)日付および時刻の順で、検索したデルタ値を形式化するステップ、および
b)前記形式化したデルタ値を表示するステップ
を実行する指示をさらに含む、請求項11に記載のシステム。 - 前記持続性コンピュータ可読媒体が、前記処理装置において実行される場合において、
a)前記患者の識別名と、データ要素と、前記データ要素と関連する日付/時刻を含むさらなるデータ記録を作成するステップであって、前記データ要素が、栄養情報、実施した介入、リスク評価、目視皮膚評価、ケアプラン、医師のメモ、事象、生命徴候、体重およびラボラトリーでの1つ以上を含むステップ、および
b)前記さらなるデータ記録を、前記データベースに報告するステップ
を実行する指示をさらに含む、請求項9に記載のシステム。 - 前記形式化したデルタ値が、曲線の形で表示される、請求項12に記載のシステム。
- 前記持続性コンピュータ可読媒体が、前記処理装置において実行される場合において、前記検索したデルタ値を分析して、傾き、加速度、曲線形状およびそれに関連する特性、ならびに選択された閾値の時間に対する切片の1つ以上を決定するステップを実行する指示をさらに含む、請求項11に記載のシステム。
- 前記加速度が、曲線の傾きの変化率によって決定される、請求項15に記載のシステム。
- 前記持続性コンピュータ可読媒体が、前記処理装置において実行される場合において、
a)前記第二のケア環境における前記の患者の少なくとも1つの身体の場所の第三のSEMスキャンを実行して、第三の複数のSEM測定値を得るステップ、および
b)第三のデルタ値を算出するステップ
を実行する指示をさらに含む、請求項8に記載のシステム。 - 前記持続性コンピュータ可読媒体が、前記処理装置において実行される場合において、
a)前記患者の識別名、前記三のデルタ値、および前記第三のSEMスキャンを実行したときの第三の日付および時刻を含む第三のデータ記録を作成するステップ、および
b)前記第三のデータ記録を前記データベースに報告するステップ
を実行する指示をさらに含む、請求項17に記載のシステム。 - 前記第三のデルタ値の算出が、前記第三の複数のSEM測定から選択される最大SEMと最小SEM値との差を算出することを含む、請求項17に記載のシステム。
- 前記持続性コンピュータ可読媒体が、前記処理装置において実行される場合において、前記データベースに問い合わせて、複数のケア環境および種々のケアのエピソードにわたって特定の患者に関して経時的に観察したデルタ値を検索するステップを実行する指示をさらに含む、請求項17に記載のシステム。
- レベル-0のPU介入が、良好な栄養の提供、標準マットレスの提供、24時間毎の体位変換およびそれらの組み合わせからなる群から選択される、請求項1~20のいずれか一項に記載のシステム。
- レベル-1のPU介入が、前記患者へのヒールブーツの提供である、請求項1~20のいずれか一項に記載のシステム。
- レベル-2のPU介入が、前記患者の指示面の変更である、請求項1~20のいずれか一項に記載のシステム。
- レベル-3のPU介入が、前記患者の踵の後方または側面へのドレッシング材の付与である、請求項1~20のいずれか一項に記載のシステム。
- レベル-4のPU介入が、前記患者のシートカバーの低摩擦シートカバーへの変更である、請求項1~20のいずれか一項に記載のシステム。
- レベル-5のPU介入が、前記患者の下腿に対する低摩擦パッドのマットレス面の提供である、請求項1~20のいずれか一項に記載のシステム。
- レベル-6のPU介入が、現在提供されているよりも短い間隔での前記患者の体位変換である、請求項1~20のいずれか一項に記載のシステム。
- レベル-7のPU介入が、前記患者の踵への保護用クリームの塗布である、請求項1~20のいずれか一項に記載のシステム。
- レベル-8のPU介入が、前記患者の踵への神経筋刺激の付与である、請求項1~20のいずれか一項に記載のシステム。
- レベル-9のPU介入が、前記患者の踵への外用クリームの塗布による灌流の促進である、請求項1~20のいずれか一項に記載のシステム。
- レベル-10のPU介入が、患者の下腿に対するシリコーンパッドの提供である、請求項1~20のいずれか一項に記載のシステム。
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