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Patient Care Classification Patient Care classification using four levels of nursing care intensity

Area of care Eating Category I Feeds self Category II Needs some help in preparing Category III Cannot feed self but is able to chew and swallowing Category IV Cannot feed self any may have difficulty swallowing Completely dependent


Almost entirely self sufficient

Need some help in bathing, oral hygiene Needs some help in getting up to bathroom /urinal Needs some help with adjusting position/ bed..

Unable to do much for self


Up and to bathroom alone

In bed, needs bedpan / urinal placed; Cannot turn without help, get drink, adjust position of extremities Acute symptoms Any treatment more than twice /shift

Completely dependent


Self sufficient

Completely dependent

General health Treatment

Good Simple supervised, simple dressing

Mild symptoms Any Treatment more than once per shift, foley catheter care, I&O.

Critically ill Any elaborate/ delicate procedure requiring two nurses, vital signs more often than every two hours.. Teaching of resistive patients,

Health education and teaching

Routine follow up teaching

Initial teaching of care of ostomies; new diabetics; patients with mild adverse reactions to their illness

More intensive items; teaching of apprehensive/ mildly resistive patients.

Calculating Staffing Needs

The following are the hours of nursing care needed for each level patient per shift:

Category I NCHPPD for Day shift NCHPPD for P.M (Evening) shift NCHPPD for night shift 2.3

Category II 2.9

Category III 3.4

Category IV 4.6









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California, San Francisco School of Nursing

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