Baseline Assessment
Intro
After verifying the exclusion criteria are matched, two new buttons will appear in the patient’s record:
• DEVICES MANAGEMENT which opens the Devices tab. This tab allows the user to view, insert and modify the information about the devices associated to a patient.
• ID MANAGEMENT which opens the ID Management tab appears. This tab allows the user to view, insert and modify the IDs that are assigned to a patient in the context of the synergies with other projects, e.g. HOLOBalance and (only for the PoP) Smart4Health (see ).
To conduct the Baseline Assessment, click on SHOW to re-open the Assessment created for checking the exclusion criteria and fill the Medical History tab.
Medical History
General Info
Follow the steps below to fill the General Info:
- Click on EDIT
- Click on Diabetes, select a value from the menu
- Click on Balance Disorders select the values from the menu
- According to the patient’s medical history, tick at least two comorbidities that are documented and will be monitored .
- If you have completed the form correctly click on SAVE to save the data, otherwise click on CANCEL to discard them
Note: if you tick “History of substances abuse” or “History of brain injury”, the dashboard will generate an alert for you to consider excluding the patient..
Patient’s profile selection
During the Baseline Assessment, a profiling functionality is available for the users to confirm which comorbidities will be monitored. There is an orange button in the lower right corner which opens a form, where the proposed profile of the patient is shown: select/unselect the comorbidities to be monitored, then click on ACCEPT. Consequently, the specific assessment tabs will be activated according to the selection.
Please read the Patient profiling page for more details about the profile-specific assessments.
Note: without the profile selection, some tabs may not be activated.
Life Habits
To fill the Life Habits click on EDIT.
The Life Habits tab allows the user to insert and modify data on life Habits to be collected from the patient:
• Salt intake. Click on Salt intake and choose a value from the menu • Falls over the last 12 months. Type the value. • Drinking. The alcohol intake in units/day is saved here. Click on Drinking and type the value. • Smoker status. Click on Smoker status and choose a value from the menu • Packs of cigarettes per month. If the patient is or has been a smoker, click on the label and type a value.
If you have completed the form correctly click on SAVE to save the data, otherwise click on CANCEL to discard them.
Note: if the number of falls is =>1, the Balance Disorders tab will be activated.
Physical Examinations
To fill the tab, click on EDIT.
The Physical Examinations tab allows the user to insert and view the following data to be collected during the Baseline Assessment:
• Height. Click on the label and type a value in cm. • Weight. Click on the label and type a value in kg. • Waist circumference. Click on the label and type a value in cm. • Hip circumference. Click on the label and type a value in cm. • Body Mass Index. Click on the label and type a value in kg/m2 • Heart rate. Click on the label and type a value in beat/min. • Blood Pressure Misurations. The pressure measurements are reported here, including systolic and diastolic blood pressure, both supine and standing. First, select the arm on which the pressure was taken from the menu then click on the labels and type the values in mmHg.
If you have completed the form correctly click on SAVE to save the data, otherwise click on CANCEL to discard them.
Note: if you forget to fill this tab thoroughly, the mobile app will not work properly. Specifically, a patient will not be able to use the weight scale and the diet menu.
Medications
The Medications tab is shown below. The data concerning the medications are recorded here, including the daily dose and intake frequency.
Follow the steps below to insert a medication record:
- Click on the +MEDICATION button to open the Register medication tab.
- Click on Medication. Type the medication name. If the medication is psychoactive, tick Psychoactive Medicine
- Click on Substance. Select the name of the active substance form the menu, or type it
- Type the concentration
- Click on Concentration unit. Select a value from the menu
- Click on Dosage form. Select a value from the menu
- Click on Dosage Direction. Select a value from the menu
- Click on Dose and type a value, or click on the buttons to increase or decrease the value. The dose amount must be complemented with the Unit of Measure, and can have decimal digits
- Click on Unit of Measure. Select a value from the menu.
- Click on Frequency. Type a value. The amount must be complemented with the Period unit
- Click on Period unit. Select a value from the menu between “hour” and “day.
- Click on Period. Type a value
- Click on When. Select one or more values from the menu
- Click on Days of the week. Select one or more values from the menu
- If you want to set more dosages, click on + and follow the steps from 6 to 15 again
- Select a date range, which is the duration of the prescription on the calendar.
- Click on the REGISTER button to save the data, otherwise click on the CANCEL button to discard them.
Example of dosage: if a patient takes a once a day, set Frequency=1, Period unit=day, Period=1
After registering a medication, it appears as a new record in the Medications tab. Also two new buttons appear, EDIT and DELETE, which allow respectively to modify and delete the data in a record (see Figure below).
Note: if you forget to insert information such as dosage or days of the week, the patient will not receive the related notifications.
After registering a medication, it appears as a new record in the Medications tab. Also two new buttons appear, EDIT and DELETE, which allow respectively to modify and delete the data in a record.
Diet Supplements
The Diet Supplements tab is shown in the picture below. Data concerning diet supplements are recorded here.
Follow the steps below to insert a record:
- Click on +DIET SUPPLEMENT button to open the Register Diet Supplement tab.
- Click on Diet supplement, select a value from the menu
- Click on Dosage form. Select a value from the menu
- Click on Dosage Direction. Select a value from the menu
- Click on Dose and type a value, or click on the buttons to increase or decrease the value. The dose amount must be complemented with the Unit of Measure, and can have decimal digits
- Click on Unit of Measure. Select a value from the menu.
- Click on Frequency. Type a value. The amount must be complemented with the Period unit
- Click on Period unit. Select a value from the menu
- Click on Period. Type a value
- Click on When. Select one or more values from the menu
- Click on Days of the week. Select one or more values from the menu
- If you want to set more dosages, click on + and follow the steps above again
- Select a date range, which is the duration of the prescription on the calendar
- Click on the REGISTER button to save the data, otherwise click on the CANCEL button to discard them.
After the registration, the diet supplement appears as a record in the Diet Supplements tab. Also two new buttons appear, EDIT and DELETE, which allow respectively to modify and delete the data in a record.
Questionnaires
This tab provides the questionnaires that must be administered to all the patients: Patient Specific Functional Scale (PSFP, only in Smart4Health), EQ-5D-5L, Mini Nutritional Assessment (MNA), Dexterity, Geriatric Depression Scale (GDS), MoCA, Instrumental Activities of Daily Living (IADL), Rapid Geriatric Assessment (RGA), Godin Leisure Time Exercise, Numeric Pain Rating Scale (only in Smart4Health), Global Perceived Effect (only in Smart4Health), Mobile Device Proficiency Questionnaire (MDPQ).
To fill a questionnaire, click on +ADD to open the tab, select the responses and save the results (see section ). It is possible to open a curtain menu, which displays the responses. Also, the score is coloured according to the criticality: green is for good results, red is for critical results.
Note: the score obtained in some questionnaire can impact on the patient profiling and, in some cases, can be a risk of exclusion factor. If the GDS score is >= 12, the dashboard will generate an alert for you to consider excluding the patient. If the IADL score is <=2, the dashboard will generate an alert for you to consider excluding the patient.