PATIENT NUMBER:……………………………….
DIAGNOSIS:……………………………………….
GENDER: MALE/FEMALE (circle)
The EdFED Scale
The procedure
for using the EdFED Scale is as follows:
1. A nurse
who is familiar with the individual about whom the questions are being asked,
for example, a key worker, primary nurse or team leader should complete this
questionnaire.
2. The
questionnaire refers to recent, usual behaviour related to feeding while in
hospital.
3. A response
should be given to each question.
4. Responses
are as follows:
0 – “never”
1 – “sometimes”
2 – “often”
Please circle
the appropriate response
5. “Refusal”
and “inability” mean the same thing in the context of this
questionnaire.
Q1 Does the
patient ever refuse to eat? 0 1 2
Q2 Does the
patient turn his/her head away while being fed? 0 1 2
Q3 Does the
patient refuse to open his/her mouth? 0 1 2
Q4 Does the
patient spit out his/her food? 0 1 2
Q5 Does the
patient leave his/her mouth open
allowing food
to drop out? 0 1 2
Q6 Does the patient refuse to swallow? 0 1 2
TOTAL
DATE:……………………….
NB – this version
of the EdFED is for research purposes and no recommendations are made for
action at this stage of use.
No comments:
Post a Comment