Method for graphically creating care documentation and computer program product

Abstract

The invention relates to a method for graphically creating care documentation, wherein a description of the condition of a patient is created (101) in the form of graphical symbols (370-392, 311, 321, 331, 341, 351, 322, 322, 332, 342, 352, 501, 601-604, 605-614), and wherein a description of the care documentation is created (103) from text modules in accordance with the graphical symbols (370-392, 311, 321, 331, 341, 351, 322, 322, 332, 342, 352, 501, 601-604, 605-614). The method according to the invention is distinguished by the fact that susceptibilities of the patient are automatically added (102) in the form of graphical symbols (322, 322, 332, 342, 352, 605-614) to the care documentation in accordance with the description of the condition, and by the fact that, furthermore, an assessment of a degree of care of the patient is automatically generated (104) from the graphical symbols and the classification thereof in accordance with the care documentation. The invention also relates to a corresponding computer program product (400).

Description

[0001] Method for graphically creating nursing documentation and computer program product

[0002] The invention relates to a method for graphically creating a nursing documentation according to the preamble of claim 1 and a corresponding computer program product.

[0003] In the state of the art, it is known that when caring for sick people or people in need of care, documentation about the person's condition, the nursing or medical measures already carried out and the nursing or medical measures still to be carried out must be created individually for each sick person or person in need of care.

[0004] The documentation of the care measures carried out or to be carried out as well as their scheduling are usually freely formulated and entered into electronic forms using appropriate software on a computer and the forms are then filed.

[0005] In this context, WO 91 / 06 917 A1 describes a system for the centralized storage and generation of reports and for creating a schedule for patient care in hospitals. This computer-assisted system ensures that a terminal is available at several care or treatment stations, where the current care status can be retrieved and the care result can be entered after a care or therapy procedure has been performed. The updated care status can be made available to all connected terminals via a central computer.DE 10 157 788 A1 describes a method for controlling and documenting the performance of services of the same type by one or more persons at different locations by means of a computer using a service flow control program which carries out an optimal allocation of persons taking into account the type of service and predetermined priorities, the presence of service personnel, travel times, lengths and walking times between the locations and the completion of a service to be provided.

[0006] EP 303 930 A2 describes a computer-assisted expert system which, after specific input of an existing trauma and further classification of the findings, provides the user with a treatment suggestion which is also evaluated with regard to the likelihood of success based on previous experience with other patients in similar cases.

[0007] DE 4 122 143 C2 discloses a method for creating and processing documentation for nursing measures to be performed on individuals using a computer. The computer uses a first image generator to generate a representation of a human body from the front and back on a screen. Furthermore, the computer also depicts the nursing actions required to perform the nursing measures, the necessary nursing aids, and possible external body damage using pictogram-like symbols surrounding the body representation.

[0008] The known methods for documenting and planning the care measures that have been carried out and those that are still to be carried out are disadvantageous in that they require the time-consuming formulation of free text in order to fill out the corresponding forms. The method of DE 4 122 143 C2 does describe the use of pictograms, but only to depict a patient's current condition and future measures to be carried out in the hospital. Further documentation must also be carried out in free text here. However, in particular for nursing staff who only speak the respective national language at a comparatively low level, the necessary completion of the forms in free text results in increased time expenditure, which is then no longer available for the care of the persons in need of care. It is an object of the present invention to propose an improved method for the graphical creation of care documentation.

[0009] This object is achieved according to the invention by the method for graphically creating a nursing documentation according to claim 1. Advantageous embodiments and further developments of the invention emerge from the dependent claims.

[0010] The invention relates to a method for graphically creating nursing documentation, wherein a description of a patient's condition is created in the form of graphic symbols and wherein a description of the nursing documentation is created from text modules in accordance with the graphic symbols.

[0011] The invention therefore describes a method, in particular a computer-implemented method, in which care documentation is created, for example, for patients in a hospital, participants in a rehabilitation program or senior citizens in a retirement home.

[0012] According to the invention, the care documentation is not created by manually writing text, but rather by selecting different graphic symbols. The graphic symbols are displayed to a user, for example, on a display, and can be selected by the user, for example, by using appropriate input devices such as a mouse or keyboard. It is also possible and preferred for the display to be touch-sensitive, for example, as a so-called touchscreen. In this case, the corresponding symbols can also be selected by touching the display. The graphic symbols are preferably designed as so-called software buttons.

[0013] For the purposes of the invention, a description of the patient's condition is understood to mean a description of the patient's physical, psychological, or cognitive condition. In particular, the description of the condition can describe various medical diagnoses or suspicions. Examples of these could be a broken arm, appendicitis, a viral infection, dementia, intellectual disability, or heart failure. Advantageously, the description of the condition also includes the patient's age and gender. The method can be carried out, for example, on a conventional computer, in particular a so-called PC, but it is also conceivable and preferred for the method to be carried out on a mobile phone or a tablet.

[0014] Each of the graphic symbols is assigned a specific meaning or message, so that a complete nursing documentation can be created by selecting the graphic symbols. The meaning or message of each graphic symbol is available in the form of a pre-formulated text module and can be viewed by a user of the system at any time.

[0015] Thus, based on the graphic symbols selected by the user and their assigned meaning, a description of the nursing documentation in text form can be created automatically from the text modules in accordance with the graphic symbols.

[0016] Such written care documentation is often required for certain organizational purposes, such as applying for support payments from health insurance or nursing care funds.

[0017] The method according to the invention is characterized in that in the nursing documentation, vulnerabilities of the patient are automatically added in the form of graphic symbols according to the description of the condition and that, furthermore, in accordance with the nursing documentation, an assessment of the patient's care level is automatically generated from the graphic symbols and their classification.

[0018] It is also preferred that each graphic symbol be assigned text modules that are formulated differently but have identical content.

[0019] For example, one of the different text modules can then be selected at random, so that the texts created from the text modules can have a certain linguistic variety that is perceived as pleasant.

[0020] Alternatively, the different, yet identically content-related text modules can also be selected depending on the text to be generated. For example, a specific formulation, i.e., a specific text module, of a graphic symbol can be reserved for the creation of nursing documentation, while another text module can be reserved for the description of the patient's condition.

[0021] The care level is preferably determined by assigning a point value to each patient condition, i.e., each selected graphic symbol and / or its classification using circles. These point values ​​assigned to the selected graphic symbols are then automatically added together. The sum of the point values ​​added in this way can then be automatically compared against a predefined table, which assigns a specific care level to each point value. This allows a relatively simple and reliable automated determination of a patient's care level.

[0022] A patient's vulnerability is defined as whether or not the patient has a predisposition to certain symptoms, weaknesses, or risks due to their condition. For example, dementia may be associated with an increased risk of escape, so that the patient regularly attempts to leave the facility without authorization due to general confusion. Likewise, bedriddenness may be associated with an increased risk of pressure ulcers.

[0023] The method according to the invention therefore automatically adds the vulnerabilities in the form of graphic symbols, so that a user of the method can immediately recognize the weaknesses, risks and symptoms that exist for a patient and can accordingly exercise special care in this regard.

[0024] Likewise, the method according to the invention automatically generates an assessment of the patient's care level from text modules based on the care documentation. The care level is a highly relevant parameter in many national healthcare systems for granting different levels of financial support payments, for example, from health insurance or long-term care insurance funds. Therefore, preparing the assessment of the care level using conventional methods generally takes a comparatively long time, which is then no longer available to the caregivers for care and support activities.

[0025] The invention thus proposes a very user-friendly and intuitive

[0026] Procedures are provided, particularly for members of the nursing professions in hospitals and retirement homes, which can lead to relief for them, particularly in administrative tasks.

[0027] Another advantage is that caregivers and support staff do not need to have a complete command of the local language, as they neither have to prepare written care documentation nor read and fully understand it. This makes access to caregiving possible or even easier for those who, for example, speak a language other than the one spoken in the facility as their native language and who have not yet completed all the normally required language courses.

[0028] Nursing documentation includes both a description of the patient's condition and their vulnerabilities, and is therefore to be understood as an umbrella term for both the description of the patient's condition and their vulnerabilities.

[0029] Some of the graphic symbols are primarily used to create or display the condition description, while others are primarily used to determine the level of care. In principle, it is also conceivable and preferred for some graphic symbols to serve both to create or display the condition description and to determine the level of care.

[0030] According to a preferred embodiment of the invention, it is provided that a prognosis of the patient is also generated automatically in accordance with the description of the condition.

[0031] For the purposes of the invention, a prognosis is understood as an expected progression of the patient's condition over time, whereby an improvement in the condition is preferably always assumed. For example, the prognosis for a bedridden patient may stipulate that the patient will be mobile in a wheelchair after a first period of time, mobile with the help of a walker after a second period of time, and mobile independently without any aids after a third period of time.

[0032] This offers the advantage that all information about the forecast can be presented in graphical symbols, so that in this case, too, little or no language skills are required to create or understand the information in text form. Furthermore, by generating the forecast automatically, particularly based on empirical values ​​from identical or similar condition descriptions, the provision of the forecast can be further simplified.

[0033] According to a further preferred embodiment of the invention, it is provided that a care plan is generated automatically in accordance with the care documentation.

[0034] For the purposes of the invention, a care plan is understood to be a specification of the measures to be performed on a patient, i.e., nursing and treatment measures. For example, the care plan may include specific nursing measures such as washing and dressing, as well as specific treatment measures such as administering medication and conducting examinations, e.g., X-rays.

[0035] In general, the term nursing measures refers to all nursing actions and behaviors of the nursing staff.

[0036] Using the graphical symbols, care measures can also be planned for specific care problems, which can be customized by the user. One or more care measures can be automatically generated for a given condition or vulnerability. The individual care measures result from individual graphical symbols that describe a condition or vulnerability. For example, a selected graphical symbol for "pressure ulcer" can automatically generate the care measures "pressure ulcer prevention" and "positioning."

[0037] This also has the advantage that all information can be presented in graphic symbols, so that no special language skills are required to create or understand the information.

[0038] By generating the care plan automatically, particularly based on empirical values ​​of identical or similar condition descriptions, the provision of the care plan can be further simplified in this case as well.

[0039] According to a particularly preferred embodiment of the invention, it is provided that a time specification for the implementation of individual measures of the care plan is automatically generated in accordance with the care documentation.

[0040] Thus, not only the care plan as such is created, but also time specifications are created that describe which measures of the care plan should be carried out at which time or at which time intervals.

[0041] The time specifications are also advantageously displayed in the form of graphic symbols.

[0042] By advantageously generating the time specification automatically, in particular based on empirical values ​​from identical or similar care plans, the provision of the time specifications can also be simplified.

[0043] According to a further preferred embodiment of the invention, it is provided that the graphic symbols are represented as pictograms.

[0044] Pictograms are symbols that convey information through a simplified graphic representation. The pictograms preferably consist of iconic representations of objects, scenes, abstract symbols, numbers, or text elements. In other words, the pictograms are descriptive symbols. This simplifies understanding the meaning of the pictograms and thus the use of the method according to the invention.

[0045] According to a further preferred embodiment of the invention, it is provided that the condition description, the vulnerabilities, the level of care, the prognosis, the care plan and / or the time specification are manually editable.

[0046] This results in the advantage that a user of the method according to the invention can edit and adapt the information automatically generated by the method at any time—i.e., the description of the condition, the vulnerabilities, the level of care, the prognosis, the care plan, or the timeline—in order to tailor it individually and optimally to the patient's respective requirements and needs. In this sense, the automatically generated information should be understood as a suggestion from the method to the user, which the user can accept, modify, or completely reject. This ensures that each patient receives the best possible care and treatment, as all information can be reviewed and adapted by qualified specialists.

[0047] According to a further preferred embodiment of the invention, the text modules are manually editable. Just like the automatically generated information, i.e., the description of the condition, the vulnerabilities, the level of care, the prognosis, the care plan, or the timeline, the corresponding text modules are to be understood exclusively as suggestions that can be accepted, modified, or completely rejected at any time by qualified personnel.

[0048] According to a further preferred embodiment of the invention, it is provided that an intensity of a state is displayed by means of the graphic symbols representing the state.

[0049] In particular, the graphic symbols in the lower area, in the upper area or in a side area may have a scale in the form of dots or lines indicating the intensity of the respective condition.

[0050] For example, a graphic symbol that describes the patient's ability to "change position while lying down" can have four dots or circles in the upper area, which can be filled or empty, or can have different colors, such as white or red. To the left of the dots or circles there can be a "+" symbol, for example, and to the right of the dots or circles there can be a "-" symbol. One of the dots or circles can then be selected by a user to indicate the intensity of the condition, with a selected dot or circle immediately next to the "+" symbol indicating "independence", the next circle "predominantly independent", the next circle yet next to "predominantly dependent" and conversely a selected dot or circle immediately next to the "-" symbol (fourth circle) indicating "dependence". In this way the ability to "change position while lying down" can be represented in four levels.

[0051] The number of circles can vary, especially depending on how many levels a condition requires to be classified. For some conditions, additional graphical symbols may be beneficial to make more precise statements about the condition. In such cases, it is possible to select multiple graphical symbols for the condition.

[0052] For example, a graphic symbol that describes the state of "disorientation" can be further specified using four additional graphic symbols: "temporal orientation", "spatial orientation", "recognition of surroundings" and "recognition of people". Regardless of the description of the patient's disorientation, disorientation generally carries the risk that the patient will attempt to escape from the facility in which they are being accommodated. Accordingly, a graphic symbol can be displayed that indicates the general risk of escape. This can be marked manually but can also be recognized automatically. For example, the selected graphic symbols "temporal disorientation" and "spatial disorientation" represent a risk of escape. In this case, the patient does not know when and where they are and tries to get home.

[0053] According to a further preferred embodiment of the invention, it is provided that the assessment of the patient's level of care is also generated from a frequency of medication administration and / or a frequency of a measure for determining the level of care.

[0054] For example, a graphic symbol that stands for "medication" can have two selection fields at the bottom, the first of which has the meaning: "Yes, the patient receives medication." A second selection field can then have the opposite meaning: "No, the patient does not receive medication." If the selection field for "Yes, the patient receives medication" has been selected, additional text fields can be used to specify how often the patient receives the medication. For example, one text field can be labeled "T" for "day," another text field can be labeled "W" for "week," and a third text field can be labeled "M" for "month." A number can then be entered into each of the three text fields to represent the frequency of medication administration during the selected period. For example, a "3" in the "T" text field would mean that the patient receives the medication three times a day.A "2" in the text field "W" would mean that the patient receives the medication twice a week.

[0055] Likewise, a graphic symbol, for example, for changing a bandage or taking a temperature, can have corresponding checkboxes and text fields. For example, the graphic symbol for taking a temperature can indicate that the patient's temperature is measured five times a day by selecting the checkbox "Yes, the patient's temperature must be measured" and entering the number "5" in the "T" text field.

[0056] This information is also advantageously taken into account when determining the level of care required.

[0057] According to a further preferred embodiment of the invention, it is provided that definitions of the graphic symbols can be displayed in text form. The definitions of the graphic symbols can preferably be displayed permanently and can also be permanently deactivated. For example, a software button can be provided, e.g., with the image of an arrow, which, when pressed, displays the definitions assigned to the graphic symbols in text form. Upon repeated pressing of the software button, the definitions can then, for example, be deactivated again. This ensures that, in case of doubt about the meaning of a graphic symbol, its intended meaning can be checked at any time.

[0058] Preferably, it is provided that the language in which the definitions are displayed can be switched. For example, different languages ​​can be represented by symbolic representations of the respective national flag. Selecting the English flag would then display the definitions in English. Selecting the French flag, on the other hand, would display the definitions in French. In principle, any language for displaying the definitions is conceivable and preferred. Any language can be added by simply editing or adapting the software program underlying the method, for example, by inserting it into corresponding text windows. The necessary functionalities of the method are basically available.According to a further preferred embodiment of the invention, it is provided that the graphic symbols which were used together in the past to create the state description with a frequency exceeding a predeterminable threshold are proposed to create a current state description if at least one of these graphic symbols is used to create the current state description.

[0059] This makes it advantageous to draw on past experience to simplify the creation of the current condition description. For example, if a user selects the condition "bedridden," the conditions "muscle weakness" and "joint stiffness" can be automatically suggested, since "bedridden" is often associated with the conditions "muscle weakness" and "joint stiffness."

[0060] According to a further preferred embodiment of the invention, it is provided that the graphic symbols which have been used together in the past to supplement the vulnerabilities with a frequency exceeding a predeterminable threshold are proposed to supplement the current vulnerabilities if at least one of these graphic symbols is used to supplement the current vulnerabilities.

[0061] In this case, too, past experience can be used to simplify the creation of current vulnerabilities. For example, if a user selects the vulnerability "pressure ulcer," the additional vulnerabilities "risk of infection" and "risk of ulcers" can be automatically suggested, since "pressure ulcers" often go hand in hand with these other vulnerabilities.

[0062] According to a further preferred embodiment of the invention, it is provided that nursing documentation created in the past is kept in an electronic memory and is stored as templates with pre-filled graphic symbols.

[0063] The templates preferably contain all selected graphic symbols that have been assigned to a specific patient in the past. Thus, previously created nursing documentation can be retrieved at any time by a user of the method according to the invention and used like a template to describe an identical or similar case. The user can then adapt this nursing documentation as needed or adopt it unchanged.

[0064] The invention also relates to a computer program product comprising instructions that, when the computer program product is executed by a computer, cause the computer to execute the method according to the invention. This leads to the advantages already described in connection with the method according to the invention.

[0065] A computer is preferably understood to mean a so-called PC. However, a smartphone or tablet can also represent a computer within the meaning of the invention.

[0066] The computer program product therefore describes the method according to the invention in the form of a software algorithm which comprises the instructions necessary to carry out the method.

[0067] According to a preferred embodiment of the invention, it is provided that the computer program product has software interfaces by means of which it can be connected at the data level to another computer program product for creating a care documentation.

[0068] In other words, the computer program product according to the invention advantageously represents so-called add-on software, which only functions in conjunction with another basic software. The basic software is advantageously already existing software for creating care documentation.

[0069] This results in the advantage that care facilities, such as hospitals or retirement homes, can continue to work with their existing care software, whereby only the computer program product according to the invention is additionally installed and set up. The software interfaces establish a connection between the computer program product according to the invention and the existing care software, which allows control of the existing basic software, i.e., the existing care software, via the computer program product according to the invention. Thus, users retain the basic functionalities and familiar systems of the known and existing care software, but their usability is correspondingly improved by the computer program product according to the invention.

[0070] The invention is explained below by way of example with reference to embodiments shown in the figures.

[0071] They show:

[0072] Fig. 1 shows, by way of example and schematically, a possible embodiment of a method according to the invention for graphically creating a nursing documentation in the form of a flow chart,

[0073] Fig. 2 shows an example and schematic representation of a nursing documentation created in the past and stored in an electronic memory, which can be used as a template with pre-filled graphic symbols to create a similar nursing documentation,

[0074] Fig. 3a shows exemplary and schematic pictograms pre-sorted according to five thematic blocks, by means of which a user of the method according to the invention can easily create a description of the condition of a patient and add existing vulnerabilities,

[0075] Fig. 3b shows, by way of example and schematically, three submenus that open when corresponding pictograms of the topic block of Fig. 3a are selected,

[0076] Fig. 4 shows, by way of example and schematically, a computer program product according to the invention, which consists of several functionally successive software modules and

[0077] Fig. 5a shows an exemplary and schematic pictogram used in the method according to the invention. The pictogram represents the state "changing position while lying down" with the classification "dependence."

[0078] Fig. 5b shows an exemplary and schematic illustration of a pictogram with definitions used in the method according to the invention. For example, the pictogram represents the condition "changing position while lying down" with the classification "lack of independence." Fig. 6 shows an exemplary and schematic illustration of the creation of a care plan using pictograms.

[0079] Identical objects, functional units, and comparable components are designated by the same reference symbols throughout the figures. These objects, functional units, and comparable components are identical in terms of their technical features, unless explicitly or implicitly stated otherwise in the description.

[0080] Fig. 1 shows an example and schematically a possible embodiment of a method according to the invention for graphically creating a nursing documentation in the form of a flow chart.

[0081] In a first method step 101, a user of software executing the method according to the invention on a computer creates a description of a patient's condition in the form of graphic symbols. The graphic symbols are, for example, designed as pictograms.

[0082] In this case, further pictograms which have been used in the past with a certain probability together with at least one of the selected pictograms to create a status description are automatically suggested to the user for creating the current status description.

[0083] The description of the condition includes the age, gender as well as the physical, mental and emotional condition of the patient.

[0084] In the following step 102, the patient's vulnerabilities are automatically added to the nursing documentation in the form of pictograms in accordance with the description of the condition.

[0085] Here, too, additional pictograms that have been used in the past with a certain probability together with at least one of the selected pictograms to supplement the vulnerabilities are automatically suggested to the user for creating the current vulnerabilities, so that the user can easily modify and adapt the automatically added vulnerabilities. In step 103, a description of the nursing documentation is created from text modules based on the graphic symbols. The text modules are predefined text descriptions for each of the selected graphic symbols.

[0086] In addition, in step 104, an assessment of the patient's care level is automatically generated from the graphic symbols and their classification in accordance with the nursing documentation.

[0087] Furthermore, in step 105, a prognosis for the patient is automatically generated in the form of pictograms based on the condition description. The prognosis can also be created from text modules in text form.

[0088] Finally, in step 106, a care plan is automatically generated in the form of pictograms based on the nursing documentation. The care plan can also be generated in text form from text modules.

[0089] Simultaneously with step 106, in step 107, a time specification for the implementation of individual measures of the care plan is automatically generated based on the nursing documentation. The time specification is also generated, for example, in the form of pictograms. In this case, the care plan can also be generated in text form from text modules.

[0090] The condition description, vulnerabilities, level of care, prognosis, care plan and time frame can all be edited manually by the user.

[0091] Likewise, all text modules can be edited by the user.

[0092] Fig. 2 shows an example and schematic representation of a nursing documentation created in the past and stored in an electronic memory, which can be used as a template with pre-filled graphic symbols to create a similar nursing documentation.

[0093] Successive steps are marked by arrows in Fig. 2.

[0094] The first icon 201 represents a "+" symbol. By selecting the "+" symbol, for example, by clicking it with a computer mouse, a new nursing documentation can be created. A three-line menu 202 then appears, offering the user the options "Initial Assessment" 203, "Intermediate Assessment / Evaluation" 204, and "Final Assessment" 205.

[0095] If “Initial assessment” 203 is selected, the user can create a new nursing documentation by selecting the “new” 206 field.

[0096] When selecting “Interim assessment / evaluation” 204 ​​or “Final assessment” 205, the user can either create a new nursing documentation by selecting one of the fields “new” 207, 208 or adopt the nursing documentation previously created as part of the “initial assessment” 203 or “interim assessment / evaluation” 204 ​​by selecting one of the fields “adopt previous” 209, 210, provided that no or only minor changes in the patient’s condition have occurred since the “initial assessment” 203 or “interim assessment / evaluation” 204 ​​was created.

[0097] If the user wishes to create a new nursing documentation, they can create it using the "Manual Assessment" field 211. When creating the nursing documentation, the user is asked in field 212 whether the new nursing documentation should be saved as a template for future nursing documentation. In this case, the user is prompted to enter a name for the template in field 213, under which it will be saved.

[0098] The user can then create the care documentation in table 214.

[0099] If the user wants to create a new nursing documentation but wants to use a previously created nursing documentation as a template, he can search for a suitable nursing documentation saved as a template via the "Template Assessment" field 215 using the pictograms 216, 217, 218, 219 and 220. It is also possible for the user to use the Symbol 221 specifically searches for a specific older template. Once the user has selected a template, a corresponding, fully completed table 222 is automatically suggested.

[0100] Fig. 3a shows, by way of example and schematically, pictograms pre-sorted according to five topic blocks 310, 320, 330, 340 and 350, by means of which a user of the method according to the invention can easily create a description of the condition of a patient and can add existing vulnerabilities.

[0101] Each topic block accordingly includes a group of pictograms describing the patient's condition and a group of pictograms describing the patient's vulnerabilities.

[0102] The first topic block 310 contains a variety of different pictograms to describe the cognitive and communicative abilities of the patient 311 as well as a variety of different pictograms to describe the associated vulnerabilities of the patient 312.

[0103] The second topic block 320 contains a variety of different pictograms for describing the mobility and mobility of the patient 321 as well as a variety of different pictograms for describing the associated vulnerabilities of the patient 322.

[0104] The third topic block 33 contains a variety of different pictograms to describe the disease-related demands and burdens of the patient 331 as well as a variety of different pictograms to describe the associated vulnerabilities of the patient 332.

[0105] The fourth topic block 340 contains a variety of different pictograms to describe the patient's self-care abilities 341 as well as a variety of different pictograms to describe the patient's associated vulnerabilities 342.

[0106] Finally, the fifth topic block 350 contains a variety of different pictograms for describing the social skills of the patient 351 as well as a variety of different pictograms for describing the associated vulnerabilities of the patient 352.

[0107] Depending on the selected pictograms for describing the patient's condition, the method according to the invention automatically adds vulnerabilities. However, the method according to the invention is not limited to the five topic blocks shown in the example. Instead, six, seven, or more different topic blocks can be provided.

[0108] The icons contained in the respective topic blocks can be collapsed and expanded using the arrow symbols 360 and 361 in the header area of ​​topic blocks 310, 320, 330, 340, and 350. For example, when working on a single screen, it may be easier or clearer to expand only one of the five topic blocks described above (310, 320, 330, 340, and 350) and collapse the other four.

[0109] Fig. 3b shows, by way of example and schematically, three submenus 370, 380, 390 which open when corresponding pictograms 370, 380, 390 of the topic block 310 of Fig. 3a are selected.

[0110] Submenu 370 is selected by pictogram 370. It includes the status descriptions 371, 372, 373, 374, 375, and 376, as well as some vulnerabilities from group 312.

[0111] For example, when selecting the condition description 371 “Consciousness”, the other pictograms 37T “awake”, 371” “somnolent”, 37T” “soprous” and 37T” “comatose” are displayed.

[0112] When selecting the condition description 372 “Disorientation”, for example, the other pictograms 372' “temporal orientation”, 372” “spatial orientation”, 372'” “recognition of the surroundings” and 372'” “recognition of people” are displayed.

[0113] When selecting the status description 373 “Understanding of facts”, for example, instead of selecting further, subordinate pictograms, the intensity of the restriction can be indicated by selecting a point in the lower part of the pictogram.

[0114] For example, when selecting the status description 374 "Everyday Competence," the intensity of the impairment can also be indicated by selecting a point in the lower part of the pictogram. When selecting the status description 375 "Attention," the additional pictograms 375' "not impaired," 375" "temporarily impaired," and 375'" "continuously impaired" are displayed.

[0115] When selecting condition description 376 “Medications that increase the risk of falls or delirium”, for example, a “Yes” or “No” can be indicated by selecting a point in the lower part of the pictogram.

[0116] Submenu 380 is selected by pictogram 380. It includes the status descriptions 381, 382, ​​377, 383, and 384, as well as some vulnerabilities from group 312.

[0117] For example, if the condition description 381 “hearing impairment” is selected, the additional pictograms 381 ' “no hearing impairment”, 381“ “hard of hearing”, 381“' “deaf” and 381““hearing aid required” are displayed.

[0118] For example, if the condition description 377 “Visual ability” is selected, the additional pictograms 377' “no visual impairment”, 377” “visual impairment”, 377'” “blindness” and 377”” “visual aid required, glasses” are displayed.

[0119] For example, when selecting the status description 382 “Communication of basic needs”, the additional pictograms 382' “full ability”, 382” “low ability” and 382'” “no ability” are displayed.

[0120] When selecting the status description 383 “self-initiated activities”, for example, the additional pictograms 383' “initiates extensively”, 383” “initiates increasingly”, 383'” “initiates little” and 383”” “does not initiate” are displayed.

[0121] When selecting the status description 384 “Characteristics of challenging behavior,” for example, the additional pictograms 384' “no challenging behavior,” 384” “non-aggressive,” 384'” “aggressive,” 384”” “combined,” 384””' “passive” are displayed.

[0122] Submenu 390 is selected by pictogram 390. It includes status descriptions 391 and 392.

[0123] For example, if the status description 391 "Falling Asleep / Sleeping Through the Night" is selected, the additional pictograms 391 ' "No Sleep Disturbance" and 391 ' "Sleep Disturbance" are displayed. If the status description 392 "Sleep-Wake Rhythm" is selected, the additional pictograms 392 ' "No Change" and 392 ' "Change" are displayed.

[0124] Each of the pictograms shown can also be assigned a meaning other than that described as an example. Likewise, the links between the condition descriptions and the vulnerabilities described in this example can be changed and adapted.

[0125] Fig. 4 shows, by way of example and schematically, a computer program product 400 according to the invention, which consists of several functionally successive software modules 401, 402, 403, 404, 405. Each of the software modules 401, 402, 403, 404, 405 has software interfaces for connecting to another of the software modules 401, 402, 403, 404, 405 and for connecting to already known maintenance software 406, 407, 408, 409.

[0126] According to the example, the software module 402 of the computer program product 400 according to the invention is connected as an additional software module via software interfaces to a known nursing software 406, 407 of a hospital and to a known nursing software 408, 409 of a retirement home.

[0127] Fig. 5a shows an exemplary and schematic illustration of a pictogram 501 used in the context of the method according to the invention. For example, pictogram 501 represents the state "change of position while lying down."

[0128] The intensity of the condition or the impairment of the patient due to the condition “change of position while lying down” is represented by selecting one of four points 502, 503, 504, 505 arranged in the lower area of ​​the pictogram 501.

[0129] A selected point or circle directly next to the "+" symbol can indicate "independence," the next circle can indicate the "predominantly independent" state, the next circle again can indicate the "predominantly dependent" state, and finally a selected point or circle directly next to the "-" symbol (fourth circle) can indicate the "dependent" state. For example, in Fig. 5, point 505 directly adjacent to the "-" symbol is selected, which describes "dependence." Fig. 5b shows that by selecting the arrow symbol 506 in the header area of ​​the pictogram 501, the definitions 507 for selectable circles or points can be displayed in text form. The definitions can be hidden again by selecting them again.

[0130] Fig. 6 shows an example and schematic of the creation of a care plan using pictograms.

[0131] A user can select one or more of the pictograms 601, 602, 603, and 604. A classification of the respective condition or impairment is possible using the points displayed in the lower part of the pictograms.

[0132] For example, the user has selected pictogram 604 and thus the state "Change of position while lying down." Using the points displayed in the lower part of pictogram 604, the user has also marked the "change of position while lying down" with the classification "Dependence."

[0133] A series of vulnerabilities 605, 606, 607, 608, 609, 610, 611, 612, 613, 614 are then automatically suggested in the form of pictograms 605, 606, 607, 608, 609, 610, 611, 612, 613, 614, which are often associated with the condition “changing position while lying down” and in particular with its classification as “lack of independence”.

[0134] For example, the user has selected pictograms 605, 610, 611 and 613 from the suggested pictograms 605, 606, 607, 608, 609, 610, 611, 612, 613, 614.

[0135] Pictogram 605 stands for susceptibility “pressure ulcer risk”, pictogram 610 stands for “thrombosis risk”, pictogram 611 stands for “pneumonia risk” and pictogram 613 stands for “contracture risk”.

[0136] When selecting the described pictograms 604, 605, 610, 611, and 613, the procedure also automatically creates measures 615, 616, 617, 618, and 619, each with a description of measures 615, 616, 617, 618, and 619, and completes them in text form with the corresponding nursing actions and behaviors of the nursing staff.

[0137] 101 Creating the condition description

[0138] 102 Supplementing the vulnerabilities

[0139] 103 Description of nursing documentation from text modules

[0140] 104 Generating an assessment of a patient's care level from text modules

[0141] 105 Generating a forecast

[0142] 106 Creating a care plan

[0143] 107 Creating a time constraint

[0144] 201 “+” symbol

[0145] 202 three-line menu

[0146] 203 Field “Initial assessment”

[0147] 204 Field “Interim assessment / evaluation”

[0148] 205 Field “Final Assessment”

[0149] 206 Field “new”

[0150] 207 Field “new”

[0151] 208 Field “new”

[0152] 209 Field “Previous Apply”

[0153] 210 Field “Previous Apply”

[0154] 211 Field “manual assessment”

[0155] 212 “Question to user” field

[0156] 213 Template Name field

[0157] 214 Table field “Template assessment”

[0158] pictogram

[0159] pictogram

[0160] pictogram

[0161] pictogram

[0162] pictogram

[0163] “+” symbol, “Search for template” field, first topic block

[0164] Pictograms to describe the cognitive and communicative

[0165] Skills associated vulnerabilities second topic block

[0166] Pictograms describing mobility and mobility-related vulnerabilities, third thematic block

[0167] Pictograms to describe the disease-related

[0168] Requirements associated vulnerabilities fourth topic block

[0169] Pictograms to describe the capabilities of the

[0170] Self-sufficiency related vulnerabilities fifth topic block

[0171] Pictograms describing social skills and associated vulnerabilities

[0172] arrow symbol

[0173] arrow symbol

[0174] Pictogram, submenu , 371 ', 371", Pictogram "Consciousness" , 371"" , 372', 372", Pictogram "Disorientation" '", 372"" Pictogram "Understanding of facts"

[0175] Pictogram “Controlling multi-step everyday actions”, 375' , 375”, Pictogram “Language comprehension” '”, 375””

[0176] Pictogram “Helplessness” , 377', 377", Pictogram “Vision” '", 377""

[0177] Pictogram, submenu , 381', 381“', Pictogram “Hearing impairment” “', 381““ , 382', 382“ Pictogram “Communication of basic needs” '“ , 383', 383“, Pictogram '“, 383““ , 384', 384“, Pictogram '“, 383““, 384““' Pictogram, submenu , 391', 391“ Pictogram “Falling asleep / Sleeping through the night” , 392', 392“ Pictogram “Sleep-wake rhythm”

[0178] computer program product

[0179] Software module

[0180] Software module

[0181] Software module

[0182] Software module

[0183] Software module

[0184] Care software

[0185] Care software

[0186] Care software

[0187] Care software

[0188] pictogram

[0189] Dot Dot Dot Dot Arrow symbol

[0190] Definitions

[0191] pictogram

[0192] pictogram

[0193] pictogram

[0194] pictogram

[0195] pictogram

[0196] pictogram

[0197] pictogram

[0198] pictogram

[0199] pictogram

[0200] pictogram

[0201] pictogram

[0202] pictogram

[0203] pictogram

[0204] pictogram

[0205] Description of the measure in text form

[0206] Description of the measure in text form

[0207] Description of the measure in text form

[0208] Description of the measure in text form

[0209] Description of the measure in text form

Claims

Patent claims 1 . Method for graphically creating a nursing documentation, wherein a description of the condition of a patient is created in the form of graphic symbols (370-392, 311, 321, 331, 341, 351, 322, 322, 332, 342, 352, 501, 601-604, 605-614) (101) and wherein a description of the nursing documentation is created from text modules according to the graphic symbols (370-392, 311, 321, 331, 341, 351, 322, 322, 332, 342, 352, 501, 601-604, 605-614), characterized in that in the nursing documentation According to the description of the condition, the patient's vulnerabilities are automatically added in the form of graphic symbols (322, 332, 342, 352, 605-614) (102) and that, furthermore, according to the nursing documentation, an assessment of the patient's level of care is automatically generated from the graphic symbols and their classification (104).

2. Method according to claim 1, characterized in that a prognosis of the patient is automatically generated according to the description of the condition (105).

3. Method according to at least one of claims 1 and 2, characterized in that a care plan is also generated automatically in accordance with the care documentation (106).

4. Method according to claim 3, characterized in that, in accordance with the nursing documentation, a time specification for the implementation of individual measures of the nursing plan is automatically generated (107).

5. The method according to at least one of claims 1 to 4, characterized in that the graphic symbols (216-220, 370-392, 311, 321, 331, 341, 351, 322, 322, 332, 342, 352, 501, 601-604, 605-614) are represented as pictograms (216-220, 370-392, 311, 321, 331, 341, 351, 322, 322, 332, 342, 352, 501, 601-604, OOSOI 4).

6. Method according to at least one of claims 1 to 5, characterized in that the description of the condition, the vulnerabilities, the level of care, the prognosis, the care plan and / or the time specification can be edited manually.

7. Method according to at least one of claims 1 to 6, characterized in that the text modules can be edited manually.

8. Method according to at least one of claims 1 to 7, characterized in that an intensity of a state is displayed by means of the graphic symbols (373,374,376, 501, 601-604) representing the state.

9. Method according to at least one of claims 1 to 8, characterized in that the assessment of the patient's level of care is also generated from graphic symbols which represent a frequency of the condition descriptions in the form of numbers for determining the level of care.

10. Method according to at least one of claims 1 to 9, characterized in that definitions of the graphic symbols (370-392, 311, 321, 331, 341, 351, 322, 322, 332, 342, 352, 501, 601-604, 605-614) can be displayed in text form.

11. Method according to at least one of claims 1 to 10, characterized in that the graphic symbols (370-392, 311, 321, 331, 341, 351, 322, 322, 332, 342, 352, 501, 601-604, 605-614), which were used together in the past to create the state description with a frequency exceeding a predeterminable threshold, are proposed for creating a current state description if at least one of these graphic symbols (370-392, 311, 321, 331, 341, 351, 322, 322, 332, 342, 352, 501, 601-604, 605-614) used to create the current status description.

12. Method according to at least one of claims 1 to 11, characterized in that the graphic symbols (370-392, 311, 321, 331, 341, 351, 501, 601-604), which were used together in the past to supplement the vulnerabilities with a frequency exceeding a predeterminable threshold, are proposed to supplement the current vulnerabilities if at least one of these graphic symbols (216-219, 501) is used to supplement the current vulnerabilities.

13. Method according to at least one of claims 1 to 12, characterized in that care documentation created in the past is kept in an electronic memory and is stored as templates with pre-filled graphic symbols.

14. Computer program product (400), comprising instructions which, when the computer program product (400) is executed by a computer, cause the computer to carry out a method according to at least one of claims 1 to 13.

15. Computer program product (400) according to claim 14, characterized in that the computer program product (400) has software interfaces by means of which it can be connected at the data level to another computer program product (400) for creating a care documentation.

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