Puzzle Pieces The Omaha System: Solving the Clinical Data-Information Puzzle
 
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Problem Rating Scale for Outcomes

The Scale consists of three five-point, Likert-type scales for measuring the entire range of severity for the concepts of knowledge, behavior, and status.  Each of the sub scales is a continuum providing an evaluation framework for examining problem-specific client ratings at regular or predictable times.  Suggested times include admission, specific interim points, and discharge.  The ratings are a guide for the practitioner as client care is planned and provided; the ratings offer a method to monitor client progress throughout the period of service.  Using the Problem Rating Scale for Outcomes with the other two schemes of the Omaha System creates a comprehensive problem-solving model for practice, education, and research.

Concepts and Ratings of the Problem Rating Scale for Outcomes:

Concepts 1 2 3 4 5

Knowledge:
Ability of the client to remember and interpret information

No knowledge

Minimal knowledge

Basic knowledge

Adequate knowledge

Superior knowledge

Behavior:
Observable responses, actions, or activities of the client fitting the occasion or purpose

Not appropriate behavior

Rarely appropriate behavior

Inconsistently appropriate behavior

Usually appropriate behavior

Consistently appropriate behavior

Status:
Condition of the client in relation to objective and subjective defining characteristics

Extreme signs/ symptoms

Severe signs/ symptoms

Moderate signs/ symptoms Minimal signs/ symptoms No signs/ symptoms