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The Omaha System Cheat Sheet by

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Introd­uction

The Omaha System is a resear­ch-­based, compre­hensive practice and docume­ntation standa­rdized taxonomy designed to describe client care. The Omaha System is summarized in the Overview, and includes an assessment component (Problem Classi­fic­ation Scheme), a care plan/s­ervices component (Inter­vention Scheme), and an evaluation component (Problem Rating Scale for Outcomes).

Omaha System Overview

Consists of three relati­onal, reliable, and valid components designed to be used together:
Problem Classi­fic­ation Scheme (client assess­ment)
Intervention Scheme (care plans and servic­es)
Problem Rating Scale for Outcomes (client change­/ev­alu­ati­on)

Has terms that are arranged in a hierarchy (i.e. from general to specific), and are intended to be easily understood by health care profes­sionals and the general public. It provides a structure to document client needs and strengths, describe multid­isc­ipl­inary practi­tioner interv­ent­ions, and measure client outcomes in a simple and user-f­rie­ndly, yet compre­hen­sive, manner.

Problem Classi­fic­ation Scheme

The Problem Classi­fic­ation Scheme provides a structure, terms, and system of cues and clues for a standa­rdized assessment of indivi­duals, families, and commun­ities. It helps practi­tioners collect, sort, document, classify, analyze, retrieve, and commun­icate health­-re­lated needs and strengths. It is a compre­hen­sive, orderly, non-ex­hau­stive, mutually exclusive taxonomy or hierarchy. The Problem Classi­fic­ation Scheme consists of four levels of abstra­ction. Four domains appear at the first or most general level. Forty-two client problems or areas of concern are at the second level; by defini­tion, problems are neutral, not negative. The third level consists of two sets of problem modifiers: health promotion, potential, and actual as well as indivi­dual, family, and community. Clusters of signs and symptoms that describe actual problems are at the fourth or most specific level. Using the Problem Classi­fic­ation Scheme with the Interv­ention Scheme and Problem Rating Scale for Outcomes creates a compre­hensive proble­m-s­olving model for practice, education, and research.
 

Omaha System

Four Domains

Envi­ron­mental Domain: Material resources and physical surrou­ndings both inside and outside the living area, neighb­orhood, and broader community.
Psyc­hos­ocial Domain: Patterns of behavior, emotion, commun­ica­tion, relati­ons­hips, and develo­pment.
Phys­iol­ogical Domain: Functions and processes that maintain life.
Heal­th-­related Behaviors Domain: Patterns of activity that maintain or promote wellness, promote recovery, and decrease the risk of disease.

Problem Modifiers

Envi­ron­men­tal
Psyc­hos­ocial
Phys­iol­ogi­cal
Beha­viors
Income
Sanitation
Residence
Neighborhood/
Workplace
Safety
Communication
w/community
resources
Social contact
Role change
Interpersonal
relationship
Spirituality
Grief
Mental health
Sexuality
Caretaking/
parenting
Neglect
Abuse
Growth &
development
Hearing
Vision
Speech &
Language
Oral health
Cognition
Pain
Consciousness
Skin
Neuro-musculo-
skeletal function
Respiration
Circulation
Digestion-
Hydration
Bowel function
Urinary
Reproductive
Pregnancy
Postpartum
Communicable/
infectious
condition
Nutrition
Sleep/Rest
patterns
Physical
activity
Personal
care
Substance
abuse
Family
planning
Healthcare
supervision
Medication
regiment

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