The Northwick Park Care Needs Assessment (NPCNA): a directly costable outcome measure in rehabilitation
The Northwick Park Dependency Score (NPDS) has been shown to be valid, reliable and practical to use. It was designed to be used together with a short set of additional questions to inform care needs in the community and facilitate discharge planning. To develop a conversion formula to translate information derived from the NPDS into a generic assessment of care needs in the community -- the Northwick Park Care Needs Assessment (NPCNA) -- and to evaluate its potential as a directly costable measure of outcome in rehabilitation. An inpatient neurorehabilitation unit for young patients with brain injury. Part 1, DEVELOPMENT: For each task in the NPDS, a set of assumptions was developed to reflect the number of people, the time taken and the frequency of help required. Tasks were collected into a daily timetable and minimum and maximum allocations made for each time slot. From this the weekly care hours can be calculated. A range of care package categories and their approximate costs were identified, and a simple set of criteria developed with experienced community care planners to determine the circumstances under which each category is applied. Part 2, EVALUATION: The assumptions and derived care package were evaluated in a pros...Continue Reading
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Brain Injury & Trauma
brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.