Currently well but May have a wide potentially unstable of medical conditions Clinical Comments Neuropsychiatric Complex/unstable Psychiatric condition No psychiatric psychiatric needs stable, but requires condition monitoring High risk management Low or no risk Medium risk management Treatment under section of the Mental Health Act Clinical Comments Nursing care High physical 2 carers required for the No need for dependency and majority of care needs skilled nursing frequent monitoring required Qualified staff nurse No tracheostomy interventions required Low awareness e.g. monitoring, dressings, medication Specialist nursing care interventions required Clinical Comments Tracheostomy/ Unstable tracheostomy Tracheostomy in situ but No tracheostomy ventilatory requiring intensive stable suction Oxygen saturation monitoring programme Active weaning programme Assisted ventilation Clinical Comments Swallowing/ Complex swallowing Enteral feeding Normal evaluation (e.g. FEES) programme diet/stable diet nutrition Complex nutritional Moderate monitoring Able to eat requirements requiring required for food independently or intensive dietary consistency and/or diet with supervision support/ intervention content from care staff
Currently well but potentially unstable May have a wide of medical conditions Clinical Comments Neuropsychiatric Complex/unstable psychiatric needs High risk management Treatment under section of the Mental Health Act Psychiatric condition stable, but requires monitoring Medium risk management No psychiatric condition Low or no risk Clinical Comments Nursing care High physical dependency and frequent monitoring required Low awareness Specialist nursing care interventions required 2 carers required for the majority of care needs Qualified staff nurse interventions required e.g. monitoring, dressings, medication No need for skilled nursing No tracheostomy Clinical Comments Tracheostomy/ ventilatory Unstable tracheostomy requiring intensive suction Oxygen saturation monitoring programme Active weaning programme Assisted ventilation Tracheostomy in situ but stable No tracheostomy Clinical Comments Swallowing/ nutrition Complex swallowing evaluation (e.g. FEES) Complex nutritional requirements requiring intensive dietary support/ intervention Enteral feeding programme Moderate monitoring required for food consistency and/or diet content Normal diet/stable diet Able to eat independently or with supervision from care staff