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[]
["南河内　脳卒中地域連携パス　（医療者用）　"]
[]
[]
["氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"性別",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生",null,null,null,null,null,null,null,"歳"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様"]
[]
[]
["急性期病名",null,null,null,null,null,"脳梗塞",null,null,null,null,null,null,null,"ラクナ",null,null,null,null,null,null,null,"アテローム",null,null,null,null,null,null,null,null,"心原性",null,null,null,null,null,"その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,")",null,null,"分類不能"]
[]
[null,null,null,null,null,null,"脳内出血",null,null,null,null,null,null,null,"被殻",null,null,null,null,null,null,null,"視床",null,null,null,null,null,null,null,null,"橋",null,null,null,null,null,"小脳",null,null,null,null,null,null,"皮質下"]
[]
[null,null,null,null,null,null,"くも膜下出血",null,null,null,null,null,null,null,"脳動脈瘤破裂",null,null,null,null,null,null,null,"その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[]
["医療機関・担当者名",null,null,null,"急性期",null,null,"独立行政法人 国立病院機構 大阪南医療センター",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"病院",null,null,"主治医："]
[]
[null,null,null,null,null,null,null,"Ns:",null,null,null,null,null,null,null,null,"PT:",null,null,null,null,null,null,null,null,"OT:",null,null,null,null,null,null,null,null,"ST:",null,null,null,null,null,null,null,null,"地域連携担当："]
[]
[null,null,null,null,"回復期等病院",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"病院",null,null,"主治医："]
[]
[null,null,null,null,null,null,null,"Ns:",null,null,null,null,null,null,null,null,"PT:",null,null,null,null,null,null,null,null,"OT:",null,null,null,null,null,null,null,null,"ST:",null,null,null,null,null,null,null,null,"地域連携担当："]
[]
[null,null,null,null,"維持期(かかりつけ医・施設等)",null,null,"名称：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主治医："]
[]
[null,null,null,null,null,null,null,"CM:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"地域連携担当：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"居宅介護事業所名："]
[]
[]
["発症前のADL",null,"屋内移動",null,null,null,null,null,"自立",null,null,"介助",null,null,"不可",null,null,"杖",null,null,"手押し車",null,null,null,null,"車椅子",null,null,null,"補助器具(",null,null,null,null,null,null,null,null,null,null,")",null,null,"アレルギー感染症情報"]
[null,null,"屋外移動",null,null,null,null,null,"自立",null,null,"介助",null,null,"不可",null,null,"杖",null,null,"手押し車",null,null,null,null,"車椅子",null,null,null,"補助器具(",null,null,null,null,null,null,null,null,null,null,")"]
[null,null,"排泄",null,null,null,null,null,"自立",null,null,"介助",null,null,"トイレ",null,null,null,"Pトイレ",null,null,null,"尿器",null,null,"おむつ",null,null,null,"カテーテル等",null,null,null,null,null,null,"ストマ"]
[null,null,"食事",null,null,null,null,null,"自立",null,null,"介助",null,null,"不可",null,null,"スプーン",null,null,null,null,"自助具",null,null,null,null,"経口",null,null,null,"経管"]
[null,null,"整容",null,null,null,null,null,"自立",null,null,"介助",null,null,"不可"]
[null,null,"入浴",null,null,null,null,null,"自立",null,null,"介助",null,null,"不可",null,null,"自宅浴槽",null,null,null,null,"リフト浴",null,null,null,"シャワー浴"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期",null,null,null,null,null,null,null,"回復期",null,null,null,null,null,null,null,"維持期"]
["日常生活機能評価",null,"患者の状況",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院時",null,null,null,"退院時",null,null,null,"入院時",null,null,null,"退院時",null,null,null,"入院時",null,null,null,"退院時"]
[null,null,"項目",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"評価"]
[null,null,"床上安静指示",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"なし（0）　　・　　あり（1）　"]
[null,null,"何れかの手を胸元まで持ち上げれる",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"できる（0）　　　・　　　できない（1）"]
[null,null,"寝返り",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"できる(0)・何かにつかまればできる(1)・できない(2)"]
[null,null,"起き上がり",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"できる（0）　　　・　　　できない（1）"]
[null,null,"座位保持",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"できる（0）  ・  支えがあればできる（1）  ・  できない（2）"]
[null,null,"移乗",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"できる（０）  ・  見守り・一部要介助（1 ）  ・ できない（2）"]
[null,null,"移動方法",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介助を要しない移動(0)・介助を要する移動(搬送含)(1)"]
[null,null,"口腔清掃",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"できる（0）　　　・　　　できない（1）"]
[null,null,"食事摂取",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介助なし（0）　・　一部介助（1）　・　全介助（2）"]
[null,null,"衣服の着脱",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"介助なし（0）　・　一部介助（1）　・　全介助（2）"]
[null,null,"他者への意思伝達",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"できる（0） ・ できない時とできる時あり(1) ・ できない(2)"]
[null,null,"診療・療養上の指示が通じる",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"はい（0）　 ・　　いいえ（1）"]
[null,null,"危険行動",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"なし（0）　　・　　あり（1）　"]
[null,null,"合計",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(AM38:AP51)","v":0},null,null,null,{"$f":"SUM(AQ38:AT51)","v":0},null,null,null,{"$f":"SUM(AU38:AX51)","v":0},null,null,null,{"$f":"SUM(AY38:BB51)","v":0},null,null,null,{"$f":"SUM(BC38:BF51)","v":0},null,null,null,{"$f":"SUM(BG38:BJ51)","v":0}]
["バリアンス評価　※有りの場合基準及びコード入力",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"無",null,null,null,null,null,null,null,"無",null,null,null,null,null,null,null,"無"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有(",null,null,null,null,null,")",null,"有(",null,null,null,null,null,")",null,"有(",null,null,null,null,null,")"]
[]
["バリアンス基準及びコード"]
[null,null,"Ⅰ期間目標の未達成",null,null,null,null,null,null,null,null,null,null,"Ⅱ在院日数の超過",null,null,null,null,null,null,null,null,null,"Ⅲ期間目標の早期達成"]
["バリアンスコード及び要因"]
["患者・家族要因　",null,null,null,null,null,null,null,null,null,"病院のシステム要因",null,null,null,null,null,null,null,null,null,null,null,null,"患者・家族要因"]
["A-1主症状",null,null,null,null,null,null,null,null,null,"C-1検査情報や書類不備",null,null,null,null,null,null,null,null,null,null,null,null,"E-1自宅退院"]
["A-2治療・検査",null,null,null,null,null,null,null,null,null,"C-2設備・機材・器具の故障",null,null,null,null,null,null,null,null,null,null,null,null,"E-2他院決定（他地域回復期）"]
["A-3続発感染・疼痛",null,null,null,null,null,null,null,null,null,"C-3診察・検査予約ができない",null,null,null,null,null,null,null,null,null,null,null,null,"E-3その他"]
["A-4合併症",null,null,null,null,null,null,null,null,null,"C-4その他"]
["A-5意思決定",null,null,null,null,null,null,null,null,null,"地域連携"]
["Ａ-7その他",null,null,null,null,null,null,null,null,null,"D-1受入れ先の状況"]
["Ａ-8他院決定（療養型）",null,null,null,null,null,null,null,null,null,"D-2在宅支援者の調整"]
["医療チームの要因",null,null,null,null,null,null,null,null,null,"D-3退院の移送調整"]
["B-1Drの指示忘れ、",null,null,null,null,null,null,null,null,null,"D-4在宅ケア設備・器具"]
["     指示の追加",null,null,null,null,null,null,null,null,null,"D-5その他"]
["B-2Drの指示通り"]
["    実行不可"]
["B-3その他"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No.30099（Ver2.0）　　大阪南医療センター　1/全4"]
["急性期病院",null,null,null,null,null,null,null,null,"患者氏名",{"$f":"IF(患者氏名<>\"\",患者氏名,\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,"紹介元",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"かかりつけ医(",null,null,null,null,null,null,null,null,null,null,null,null,")"]
["達成目標",null,null,null,null,"（退院基準）急性期の治療が終了している"]
["医師","経過",null,null,null,null,null,null,"発症日:",null,null,null,null,null,null,null,null,null,null,null,null,null,"入院日:",null,null,null,null,null,null,null,null,null,null,null,null,null,"転院日:"]
[null,"治療",null,null,null,null,null,null,"t-PA"]
[null,null,null,null,null,null,null,null,null,null,null,null,"手術術式：（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,null,null,"手術日:"]
[null,"既往歴"]
[]
[]
[null,"その他",null,null,null,null,null,null,"退院後、急性期の受診あるか",null,null,null,null,null,null,null,null,null,null,null,null,null,"無(かかりつけ医への連携もしくは選定必要)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有(退院後",null,null,null,null,null,null,"ヶ月後に　外来予約が必要)"]
["コメディカル","評価指標",null,null,null,null,null,null,null,"入院当初",null,null,null,null,"退院時",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PT"]
[null,null,null,null,null,null,null,null,null,null,"月",null,null,"日",null,null,"月",null,null,"日",null,"退院時modified Ranking Scale"]
[null,null,null,null,null,null,null,null,null,null,"FIM合計点",null,null,null,null,{"$f":"SUM(P91:Q98,AF89:AG98)","v":0},null,{"$f":"SUM(R91:S98,AH89:AI98)","v":0},null,null,null,"評価日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院時",null,null,"退院時"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移乗",null,null,"ﾍﾞｯﾄﾞ,椅子,車椅子"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院時",null,null,"退院時",null,null,null,null,null,"トイレ",null,null,null,null,null,null,null,null,null,null,null,null,"OT"]
[null,null,null,null,null,"ｾﾙﾌｹｱ",null,null,null,"食事",null,null,null,null,null,null,null,null,null,null,null,null,null,"浴槽、シャワー"]
[null,null,null,null,null,null,null,null,null,"整容",null,null,null,null,null,null,null,null,null,null,"移動",null,null,"歩行、車椅子"]
[null,null,null,null,null,null,null,null,null,"清拭",null,null,null,null,null,null,null,null,null,null,null,null,null,"階段"]
[null,null,null,null,null,"排泄",null,null,null,"更衣(上半身)",null,null,null,null,null,null,null,null,null,null,"ｺﾐｭﾆ",null,null,"理解"]
[null,null,null,null,null,"ｺﾝﾄﾛｰﾙ",null,null,null,"更衣(下半身)",null,null,null,null,null,null,null,null,null,null,"ｹｰｼｮﾝ",null,null,"表出",null,null,null,null,null,null,null,null,null,null,null,null,"ST"]
[null,null,null,null,null,null,null,null,null,"トイレ動作",null,null,null,null,null,null,null,null,null,null,"社会的",null,null,"社会的交流"]
[null,null,null,null,null,null,null,null,null,"排尿ｺﾝﾄﾛｰﾙ",null,null,null,null,null,null,null,null,null,null,"認知",null,null,"問題解決"]
[null,null,null,null,null,null,null,null,null,"排便ｺﾝﾄﾛｰﾙ",null,null,null,null,null,null,null,null,null,null,null,null,null,"記憶"]
[]
[null,"リハビリプログラム内容・経過・課題",null,null,null,null,null,null,null,null,null,"リハ起算日:"]
[null,null,null,null,null,"リハビリスタッフ記載項目",null,"利き手",null,null,null,null,null,null,null,null,"右",null,null,null,"左"]
[null,null,null,null,null,null,null,"麻痺",null,null,null,null,null,null,null,null,"右",null,null,null,"左"]
[null,null,null,null,null,null,null,"BrStage上肢",null,null,null,null,null,null,null,null,"Ⅰ",null,null,null,"Ⅱ",null,null,null,"Ⅲ",null,null,null,"Ⅳ",null,null,null,"Ⅴ",null,null,null,"Ⅵ"]
[null,null,null,null,null,null,null,"BrStage手指",null,null,null,null,null,null,null,null,"Ⅰ",null,null,null,"Ⅱ",null,null,null,"Ⅲ",null,null,null,"Ⅳ",null,null,null,"Ⅴ",null,null,null,"Ⅵ"]
[null,null,null,null,null,null,null,"BrStage下肢",null,null,null,null,null,null,null,null,"Ⅰ",null,null,null,"Ⅱ",null,null,null,"Ⅲ",null,null,null,"Ⅳ",null,null,null,"Ⅴ",null,null,null,"Ⅵ"]
[null,null,null,null,null,null,null,"健側MMT上肢",null,null,null,null,null,null,null,null,"０",null,null,null,"１",null,null,null,"２",null,null,null,"３",null,null,null,"４",null,null,null,"５"]
[null,null,null,null,null,null,null,"健側MMT手指",null,null,null,null,null,null,null,null,"０",null,null,null,"１",null,null,null,"２",null,null,null,"３",null,null,null,"４",null,null,null,"５"]
[null,null,null,null,null,null,null,"健側MMT下肢",null,null,null,null,null,null,null,null,"０",null,null,null,"１",null,null,null,"２",null,null,null,"３",null,null,null,"４",null,null,null,"５"]
[null,null,null,null,null,null,null,"協調運動障害",null,null,null,null,null,null,null,null,"無",null,null,null,"有",null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,null,null,"嚥下障害",null,null,null,null,null,null,null,null,"無",null,null,null,"有",null,"(",null,"先行期",null,null,null,null,"口腔準備期",null,null,null,null,null,null,"口腔期",null,null,null,null,"食道期",null,null,null,")"]
[null,null,null,null,null,null,null,"構音障害",null,null,null,null,null,null,null,null,"無",null,null,null,"有",null,"(","発語明瞭期",null,null,null,null,null,null,"１",null,"２",null,"３",null,"４",null,"５",null,"）"]
[null,null,null,null,null,null,null,"感覚障害",null,null,null,null,null,null,null,null,"無",null,null,null,"有",null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,null,null,"リハビリ拒否",null,null,null,null,null,null,null,null,"頻回",null,null,null,"時々",null,null,null,"無"]
[null,null,null,null,null,null,null,"高次機能障害",null,null,null,null,null,null,null,null,"失語",null,null,null,"失行",null,null,null,"注意障害",null,null,null,null,"記憶障害",null,null,null,null,null,"情動障害",null,null,null,null,null,"半側空間無視",null,null,null,null,null,null,"前頭葉障害",null,null,null,null,null,null,"未確定認知障害"]
[null,null,null,null,null,null,null,"HDS-R",null,null,null,null,null,null,null,null,null,null,null,"／３０",null,null,null,null,"RCPM",null,null,null,null,null,null,null,null,"／３６(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,null,null,"MMSE",null,null,null,null,null,null,null,null,null,null,null,"／３０",null,null,null,null,"FAB",null,null,null,null,null,null,null,null,"／１８(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,null,null,"下肢装具",null,null,null,null,null,null,null,null,"長下肢装具",null,null,null,null,null,null,"短下肢装具",null,null,null,null,null,null,"その他(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
["地域連携担当","連携\n今後の方向性",null,null,null,"介護保険",null,null,null,null,null,"無",null,null,null,"有",null,null,"介護度(",null,null,null,null,null,null,null,")",null,"申請中",null,null,null,null,null,null,null,null,null,null,"その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,"家族状況",null,null,null,null,"同居家族(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")","キーパーソン(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,null,null,null,null,null,"同居以外の家族(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,"現時点での最終的な生活場所の希望",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"自宅",null,null,null,"施設",null,null,null,"療養",null,null,null,"その他(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,"備考"]
[]
["看護師","移動",null,null,null,null,null,"自立",null,null,null,"歩行器",null,null,null,null,"車いす",null,null,null,null,"ベッド上",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"保清",null,null,null,null,null,null,"自立",null,null,null,"一部介助",null,null,null,null,null,"全介助"]
[null,"栄養",null,null,null,null,null,"自立",null,null,null,"介助",null,null,null,null,null,null,null,"エネルギー",null,null,null,null,null,null,null,null,"kcal",null,null,null,null,null,null,null,null,"着衣",null,null,null,null,null,null,"自立",null,null,null,"一部介助",null,null,null,null,null,"全介助"]
[null,null,null,null,null,"主食形態",null,null,null,null,null,null,null,null,null,null,null,null,null,"副食形態",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"内服管理",null,null,null,null,null,null,"自己",null,null,null,null,null,"看護師"]
[null,null,null,null,null,"トロミ",null,null,null,null,"不要",null,null,null,"要（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）","病気治療の受け止め方、今後の意向"]
[null,null,null,null,null,"経管栄養",null,null,null,"内容（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）","本人"]
[null,null,null,null,null,"備考"]
[]
[null,"排泄",null,null,null,null,null,"自立",null,null,null,"介助",null,null,null,"おむつ",null,null,null,null,"ﾊﾞﾙﾝ",null,null,null,"その他（",null,null,null,null,null,null,null,null,null,null,null,"）","家族（",null,null,"続柄",null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,"最終排便日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1日尿量",null,null,null,null,"ml"]
[null,"睡眠",null,null,null,null,"睡眠剤使用",null,null,null,null,null,null,"無",null,null,"有(",null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,"インスリン",null,null,null,null,null,"無",null,null,"有",null,"管理者(",null,null,null,null,"自己",null,null,null,"看護師)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"認知面、意識レベル"]
[null,"口腔ケア",null,null,null,null,null,"自己",null,null,null,"一部介助",null,null,null,null,null,"全介助",null,null,null,"義歯(",null,null,null,"有",null,null,"無)"]
[null,null,null,null,null,null,"歯科衛生士介入(",null,null,null,null,null,null,null,null,"有",null,null,"無)"]
[null,"MMT",null,null,null,null,"上肢R",null,null,"(",null,null,")","L","(",null,null,")","下肢R",null,null,"(",null,null,")","L","(",null,null,")"]
[null,"認知障害",null,null,null,null,null,"無",null,null,"有",null,"(程度:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,"デバイス",null,null,null,null,null,"経管栄養",null,null,null,null,null,"Fr",null,null,null,null,null,"CV",null,"挿入部位",null,null,null,null,null,null,null,null,null,"バルン",null,null,null,null,null,"FR",null,null,null,"cc",null,null,"気管切開 商品名"]
[null,null,null,null,null,null,null,"交換日",null,null,null,null,null,null,null,null,null,null,null,"交換日",null,null,null,null,null,null,null,null,null,null,null,"交換日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FR",null,"交換日"]
[null,null,null,null,null,null,null,"経鼻",null,null,null,null,"経管",null,null,null,null,"その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,"入院中の問題点と看護実践・退院指導"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No.30099（Ver2.0）　　大阪南医療センター　2/全4"]
["回復期等病院",null,null,null,null,null,null,"患者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,"紹介元",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"かかりつけ医（　　　　　　　　　　　　　　　　　　　　　）"]
["医師","経過",null,null,null,null,"転院日：",null,null,null,null,null,null,"年",null,null,"月",null,null,"日",null,null,"治療内容、経過について",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院：",null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[]
[]
[]
["コメディカル","評価指標",null,null,null,null,null,null,null,"入院当初",null,null,null,null,"退院時",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PT"]
[null,null,null,null,null,null,null,null,null,null,"月",null,null,"日",null,null,"月",null,null,"日",null,"退院時modified Ranking Scale"]
[null,null,null,null,null,null,null,null,null,null,"FIM合計点",null,null,null,null,{"$f":"SUM(P165:Q172,AF163:AG172)","v":0},null,{"$f":"SUM(R165:S172,AH163:AI172)","v":0},null,null,null,"評価日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院時",null,null,"退院時"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移乗",null,null,"ﾍﾞｯﾄﾞ,椅子,車椅子"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"入院時",null,null,"退院時",null,null,null,null,null,"トイレ",null,null,null,null,null,null,null,null,null,null,null,null,"OT"]
[null,null,null,null,null,"ｾﾙﾌｹｱ",null,null,null,"食事",null,null,null,null,null,null,null,null,null,null,null,null,null,"浴槽、シャワー"]
[null,null,null,null,null,null,null,null,null,"整容",null,null,null,null,null,null,null,null,null,null,"移動",null,null,"歩行、車椅子"]
[null,null,null,null,null,null,null,null,null,"清拭",null,null,null,null,null,null,null,null,null,null,null,null,null,"階段"]
[null,null,null,null,null,"排泄",null,null,null,"更衣(上半身)",null,null,null,null,null,null,null,null,null,null,"ｺﾐｭﾆ",null,null,"理解"]
[null,null,null,null,null,"ｺﾝﾄﾛｰﾙ",null,null,null,"更衣(下半身)",null,null,null,null,null,null,null,null,null,null,"ｹｰｼｮﾝ",null,null,"表出",null,null,null,null,null,null,null,null,null,null,null,null,"ST"]
[null,null,null,null,null,null,null,null,null,"トイレ動作",null,null,null,null,null,null,null,null,null,null,"社会的",null,null,"社会的交流"]
[null,null,null,null,null,null,null,null,null,"排尿ｺﾝﾄﾛｰﾙ",null,null,null,null,null,null,null,null,null,null,"認知",null,null,"問題解決"]
[null,null,null,null,null,null,null,null,null,"排便ｺﾝﾄﾛｰﾙ",null,null,null,null,null,null,null,null,null,null,null,null,null,"記憶"]
[]
[null,"リハビリプログラム内容・経過・課題",null,null,null,null,null,null,null,null,null,"リハ起算日:"]
[null,null,null,null,null,"リハビリスタッフ記載項目",null,"利き手",null,null,null,null,null,null,null,null,"右",null,null,null,"左"]
[null,null,null,null,null,null,null,"麻痺",null,null,null,null,null,null,null,null,"右",null,null,null,"左"]
[null,null,null,null,null,null,null,"BrStage上肢",null,null,null,null,null,null,null,null,"Ⅰ",null,null,null,"Ⅱ",null,null,null,"Ⅲ",null,null,null,"Ⅳ",null,null,null,"Ⅴ",null,null,null,"Ⅵ"]
[null,null,null,null,null,null,null,"BrStage手指",null,null,null,null,null,null,null,null,"Ⅰ",null,null,null,"Ⅱ",null,null,null,"Ⅲ",null,null,null,"Ⅳ",null,null,null,"Ⅴ",null,null,null,"Ⅵ"]
[null,null,null,null,null,null,null,"BrStage下肢",null,null,null,null,null,null,null,null,"Ⅰ",null,null,null,"Ⅱ",null,null,null,"Ⅲ",null,null,null,"Ⅳ",null,null,null,"Ⅴ",null,null,null,"Ⅵ"]
[null,null,null,null,null,null,null,"健側MMT上肢",null,null,null,null,null,null,null,null,"０",null,null,null,"１",null,null,null,"２",null,null,null,"３",null,null,null,"４",null,null,null,"５"]
[null,null,null,null,null,null,null,"健側MMT手指",null,null,null,null,null,null,null,null,"０",null,null,null,"１",null,null,null,"２",null,null,null,"３",null,null,null,"４",null,null,null,"５"]
[null,null,null,null,null,null,null,"健側MMT下肢",null,null,null,null,null,null,null,null,"０",null,null,null,"１",null,null,null,"２",null,null,null,"３",null,null,null,"４",null,null,null,"５"]
[null,null,null,null,null,null,null,"協調運動障害",null,null,null,null,null,null,null,null,"無",null,null,null,"有",null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,null,null,"嚥下障害",null,null,null,null,null,null,null,null,"無",null,null,null,"有",null,"(",null,"先行期",null,null,null,null,"口腔準備期",null,null,null,null,null,null,"口腔期",null,null,null,null,"食道期",null,null,null,")"]
[null,null,null,null,null,null,null,"構音障害",null,null,null,null,null,null,null,null,"無",null,null,null,"有",null,"(","発語明瞭期",null,null,null,null,null,null,"１",null,"２",null,"３",null,"４",null,"５",null,"）"]
[null,null,null,null,null,null,null,"感覚障害",null,null,null,null,null,null,null,null,"無",null,null,null,"有",null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,null,null,"リハビリ拒否",null,null,null,null,null,null,null,null,"頻回",null,null,null,"時々",null,null,null,"無"]
[null,null,null,null,null,null,null,"高次機能障害",null,null,null,null,null,null,null,null,"失語",null,null,null,"失行",null,null,null,"注意障害",null,null,null,null,"記憶障害",null,null,null,null,null,"情動障害",null,null,null,null,null,"半側空間無視",null,null,null,null,null,null,"前頭葉障害",null,null,null,null,null,null,"未確定認知障害"]
[null,null,null,null,null,null,null,"HDS-R",null,null,null,null,null,null,null,null,null,null,null,"／３０",null,null,null,null,"RCPM",null,null,null,null,null,null,null,null,"／３６(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,null,null,"MMSE",null,null,null,null,null,null,null,null,null,null,null,"／３０",null,null,null,null,"FAB",null,null,null,null,null,null,null,null,"／１８(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,null,null,"下肢装具",null,null,null,null,null,null,null,null,"長下肢装具",null,null,null,null,null,null,"短下肢装具",null,null,null,null,null,null,"その他(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
["地域連携担当","介護保険",null,null,null,null,null,null,null,null,"□無",null,null,"□有",null,null,null,"（","介護度",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"ケアマネージャー情報",null,null,null,null,null,null,null,null,"事業所名（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）","担当者（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"ケアプラン内容"]
[]
[null,"転帰",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"かかりつけ医"]
[null,"備考"]
[]
["看護師","移動",null,null,null,null,null,"自立",null,null,null,"歩行器",null,null,null,null,"車いす",null,null,null,null,"ベッド上",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"保清",null,null,null,null,null,null,"自立",null,null,null,"一部介助",null,null,null,null,null,"全介助"]
[null,"栄養",null,null,null,null,null,"自立",null,null,null,"介助",null,null,"エネルギー",null,null,null,null,null,null,null,null,"kcal",null,null,"食事開始",null,null,null,null,null,null,"月",null,null,"日",null,null,null,null,null,"最終保清",null,null,null,null,null,null,"月",null,null,null,"日"]
[null,null,null,null,null,"主食形態",null,null,null,null,null,null,null,null,null,null,null,null,null,"副食形態",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"着衣",null,null,null,null,null,null,"自立",null,null,null,"一部介助",null,null,null,null,null,"全介助"]
[null,null,null,null,null,"トロミ",null,null,null,null,"不要",null,null,null,"要（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）","内服管理",null,null,null,null,null,null,"自己",null,null,null,null,null,"看護師"]
[null,null,null,null,null,"経管栄養",null,null,null,"内容（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）","病気治療の受け止め方、今後の意向"]
[null,null,null,null,null,"備考",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"本人"]
[]
[null,"排泄",null,null,null,null,null,"自立",null,null,null,"介助",null,null,null,"おむつ",null,null,null,null,"ﾊﾞﾙﾝ",null,null,null,"その他（",null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,"最終排便日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1日尿量",null,null,null,null,"ml",null,null,null,null,null,null,null,"家族（",null,null,"続柄",null,null,null,null,null,null,"）"]
[null,"睡眠",null,null,null,null,"睡眠剤使用",null,null,null,null,null,null,"無",null,null,"有(",null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,"インスリン",null,null,null,null,null,"無",null,null,"有",null,"管理者(",null,null,null,null,"自己",null,null,null,"看護師)"]
[null,"口腔ケア",null,null,null,null,null,"自己",null,null,null,"一部介助",null,null,null,null,null,"全介助",null,null,null,"義歯(",null,null,null,"有",null,null,"無)",null,null,null,null,null,null,null,null,"認知面、意識レベル"]
[null,null,null,null,null,null,"歯科衛生士介入(",null,null,null,null,null,null,null,null,"有",null,null,"無)"]
[null,null,null,null,null,null,"口腔内の状況（",null,null,null,null,null,null,null,null,null,null,null,null,null,"）","かかりつけ歯科医（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"MMT",null,null,null,null,"上肢R",null,null,"(",null,null,")","L","(",null,null,")","下肢R",null,null,"(",null,null,")","L","(",null,null,")"]
[null,"認知障害",null,null,null,null,null,"無",null,null,"有",null,"(程度:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,"デバイス",null,null,null,null,null,"経管栄養",null,null,null,null,null,"Fr",null,null,null,null,null,"CV",null,"挿入部位",null,null,null,null,null,null,null,null,null,"バルン",null,null,null,null,null,"FR",null,null,null,"cc",null,null,"気管切開 商品名"]
[null,null,null,null,null,null,null,"交換日",null,null,null,null,null,null,null,null,null,null,null,"交換日",null,null,null,null,null,null,null,null,null,null,null,"交換日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FR",null,"交換日"]
[null,null,null,null,null,null,null,"経鼻",null,null,null,null,"経管",null,null,null,null,"その他（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[null,"入院中の問題点と看護実践・退院指導"]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No.30099（Ver2.0）　　大阪南医療センター　3/全4"]
[]
["維持期医療機関",null,null,null,null,null,null,null,"患者氏名",null,null,null,null,null,null,null,null,null,null,null,null,"紹介元",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"かかりつけ医（　　　　　　　　　　　　　　　　　　　　　）"]
["医師","経過",null,null,null,"リハ病院退院後1,2ヶ月後～"]
[null,null,null,null,null,"治療内容、経過について"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"□パスを急性期病院へ（退院月の翌月末までに）返送"]
[]
["コメディカル","リハビリ"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["地域連携担当","介護保険",null,null,null,null,null,null,null,null,"□無",null,null,"□有",null,null,null,"（","介護度",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"ケアマネージャー情報",null,null,null,null,null,null,null,null,"事業所名（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）","担当者（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[null,"ケアプラン内容"]
[]
[null,"転帰",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"かかりつけ医"]
[]
[null,"備考"]
[]
["看護師","どのような看護と介護をしてきたか",null,null,null,"家族指導（介護支援及び介助方法の指導）"]
[]
[]
[]
[]
[]
[]
[]
[null,"栄養",null,null,null,"生活指導（栄養）"]
[]
[]
[]
[]
[null,"口腔ケア",null,null,null,"口腔ケアの実施",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（かかりつけ歯科医：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[null,"服薬",null,null,null,"服薬管理指導"]
[]
[null,"清潔排泄"]
[]
[null,"その他\n必要事項"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No.30099（Ver2.0）　　大阪南医療センター　4/全4"]