ARCHETYPE Augmented Indicator of Relative Need (Augmented ioRN) (openEHR-EHR-OBSERVATION.augmented_iorn.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.augmented_iorn.v0
ConceptAugmented Indicator of Relative Need (Augmented ioRN)
DescriptionThe Augmented Indicator of Relative Need (Augmented ioRN) is a tool for measuring and describing the functional needs and relative dependency levels of older people living in care homes.
UseUse to record details of an Augmented ioRN questionnaire. Augmented ioRN is a standardised questionnaire and algorithm tool that groups people according to the degree of their functional independence, summarising the key characteristics of people who use health and care services. The Augmented ioRN tool is available for people who live in care homes or who are in hospital, while a different version (ioRN2) is also available for people living in the community (e.g. at their own home).
MisuseNot to be used to record details of an ioRN2 questionnaire - use OBSERVATION.iorn2 for this purpose.
PurposeTo record details of an Augmented ioRN questionnaire.
ReferencesCanny A, Robertson F, Knight P, Redpath A, Witham M. 142An Evaluation Of The Psychometric Properties Of The Indicator Of Relative Need (IORN) Instrument. Age and Ageing. 2017;46(suppl_1):i35-i38.

Health and Social Care | Care Homes | Staffing Model | Health Topics | ISD Scotland [Internet]. Isdscotland.org. 2021 [cited 2021 Apr 27]. Available from: https://www.isdscotland.org/health-topics/health-and-social-community-care/Care-Homes/Staffing-Model/.

Knight P. The Indicator of Relative Need (ioRN) - information for integrated working. International Journal of Integrated Care. 2016;16(6):361.
Copyright© Apperta Foundation
AuthorsAuthor name: Heidi Koikkalainen
Organisation: freshEHR Clinical Informatics, UK
Email: heidi@freshehr.com
Date originally authored: 2021-04-26
Other Details LanguageAuthor name: Heidi Koikkalainen
Organisation: freshEHR Clinical Informatics, UK
Email: heidi@freshehr.com
Date originally authored: 2021-04-26
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=Apperta UK, references=Canny A, Robertson F, Knight P, Redpath A, Witham M. 142An Evaluation Of The Psychometric Properties Of The Indicator Of Relative Need (IORN) Instrument. Age and Ageing. 2017;46(suppl_1):i35-i38. Health and Social Care | Care Homes | Staffing Model | Health Topics | ISD Scotland [Internet]. Isdscotland.org. 2021 [cited 2021 Apr 27]. Available from: https://www.isdscotland.org/health-topics/health-and-social-community-care/Care-Homes/Staffing-Model/. Knight P. The Indicator of Relative Need (ioRN) - information for integrated working. International Journal of Integrated Care. 2016;16(6):361., current_contact=Heidi Koikkalainen, heidi@freshehr.com, original_namespace=uk.org.clinicalmodels, original_publisher=Apperta UK, custodian_namespace=uk.org.clinicalmodels, MD5-CAM-1.0.1=6CBEA4973EA0A0C8618DECDD1483BA50, build_uid=99db9e45-07f3-441d-a93f-cb169a089235, revision=0.0.1-alpha}
Keywordsindicator, assessment, functional, need, dependency
Lifecyclein_development
UID925f14af-dc45-4f8a-8585-4e107cf68fdc
Language useden
Citeable Identifier1051.32.1140
Revision Number0.0.1-alpha
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2: Needs the physical assistance OR Encouragement, prompting or supervision of one person [The person needs the physical assistance OR encouragement, prompting or supervision of one person; i.e. needs an initial prompt or supervision because of lack of awareness or risk/fear of falling or needs equipment or adaptation set up but no further help.]
3: Requires the physical assistance of two or more people OR Does not move location [The person requires the physical assistance of two or more people OR does not move location; e.g. confined to bed.]
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  • Medium [Medium Activities of Daily Living score.]
  • High [High Activities of Daily Living score.]
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3: Once in each 24-hour period [The person is incontinent of faeces once in each 24-hour period.]
4: Two or three times in each 24-hour period [The person is incontinent of faeces two or three times in each 24-hour period.]
5: Four times or more in each 24-hour period [The person is incontinent of faeces four times or more in each 24-hour period.]
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  • High [High continence score.]
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2: More than once a week but not daily [The person's behaviour constitutes a risk of harm to themselves or others more than once a week but not daily.]
3: Once a day, on average [The person's behaviour constitutes a risk of harm to themselves or others once a day, on average.]
4: More than once a day [The person's behaviour constitutes a risk of harm to themselves or others more than once a day.]
5: Throughout the day [The person's behaviour constitutes a risk of harm to themselves or others throughout the day.]
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2: More than once a week but not daily [There are episodes of severe, risky or disruptive problem behaviour more than once a week but not daily.]
3: Once a day, on average [There are episodes of severe, risky or disruptive problem behaviour once a day, on average.]
4: More than once a day [There are episodes of severe, risky or disruptive problem behaviour more than once a day.]
5: Throughout the day [There are episodes of severe, risky or disruptive problem behaviour throughout the day.]
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  • Medium [Medium Risk & Behavioural support needs score.]
  • High [High Risk & Behavioural support needs score.]
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  • A [Low Activities of Daily Living score + Low Risk & Behavioural Support Needs score.]
  • B [Low Activities of Daily Living score + High Risk & Behavioural Support Needs score.]
  • C [Medium Activities of Daily Living score + Low Risk & Behavioural Support Needs score.]
  • D [Medium Activities of Daily Living score + Medium Risk & Behavioural Support Needs score.]
  • E [Medium Activities of Daily Living score + High Risk & Behavioural Support Needs score.]
  • F [High Activities of Daily Living score + Low continence score + Low Risk & Behavioural Support Needs score.]
  • G [High Activities of Daily Living score + Low continence score + High Risk & Behavioural Support Needs score.]
  • H [High Activities of Daily Living score + High continence score.]
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