Related Experiment Video
Updated: Apr 21, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
[Identification of care needs of patients with and without the use of a classification instrument]
Marcia Galan Perroca1, Marli de Carvalho Jericó1, Josi Vaz de Lima Paschoal2
1Department of Specialized Nursing, Faculty of Medicine of Sao Jose do Rio Preto, Sao Jose do Rio Preto, SP, Brazil.
Objective:
To analyze the agreement and disagreement between the assessments by applying or not a patient classification instrument, and to investigate the association between the agreement and personal and professional characteristics of the evaluators.
Method:
This is a descriptive exploratory study. 105 patients were hospitalized in a teaching hospital in the state of Sao Paulo, using the kappa statistic (weighted) and the Bootstrap method.
Results:
The agreement between the assessments were: k(w) 0.87 (instrument x internal evaluator), k(w) 0.78 (instrument x external evaluator) and k(w) 0.76 (between evaluators) and the influence of some personal and professional characteristics. The assessments conducted through the use of an instrument contemplated a greater number of areas of care in relation to when the instrument was not applied.
Conclusion:
The use of this instrument is recommended in order to more effectively identify care needs of patients.
Related Concept Videos
Classification of Illness
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
Heart Failure IV: Classification and Diagnostic Evaluation
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...

