The home care nurse is using OASIS information to evaluate outcome measurements for client care. Which data should the nurse use for this evaluation?
1. Client's Braden Skin Assessment score is 12.
2. Client has a stage 2 pressure ulcer on the sacrum.
3. Client admission paperwork completed within 24 hours.
4. Client self-administers insulin and changes foot wound dressing independently.
Answer: 4
Explanation: 4. Outcome measures include end-result outcomes that reflect the client's status as a result of care. The client being able to self-administer insulin and change a foot wound dressing independently is data for this type of evaluation. Process measures evaluate the performance of the home care agency with respect to specific evidence-based processes of care, such as timeliness of admission, and pressure ulcer assessment. The client's Braden Skin Assessment score and completion of paperwork within 24 hours of admission would be information for a process evaluation. Potentially avoidable events measures address negative outcomes such as pressure ulcer development. The client's stage 2 pressure ulcer on the sacrum would be this type of evaluation.
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