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BOX B.1: Domains and Problems of the Omaha System Problem Classification Scheme

Environmental Domain

Material resources and physical surroundings both inside and outside the living area, neighborhood, and broader community:

  • Income

  • Sanitation

  • Residence

  • Neighborhood/workplace safety

Psychosocial Domain

Patterns of behavior, emotion, communication, relationships, and development:

  • Communication with community resources

  • Social contact

  • Role change

  • Interpersonal relationship

  • Spirituality

  • Grief

  • Mental health

  • Sexuality

  • Caretaking/parenting

  • Neglect

  • Abuse

  • Growth and development

Physiological Domain

Functions and processes that maintain life:

  • Hearing

  • Vision

  • Speech and language

  • Oral health

  • Cognition

  • Pain

  • Consciousness

  • Skin

  • Neuromusculoskeletal function

  • Respiration

  • Circulation

  • Digestion-hydration

  • Bowel function

  • Urinary function

  • Reproductive function

  • Pregnancy

  • Postpartum

  • Communicable/infectious condition

Health-Related Behaviors Domain

Patterns of activity that maintain or promote wellness, promote recovery, and decrease the risk of disease:

  • Nutrition

  • Sleep and rest patterns

  • Physical activity

  • Personal care

  • Substance use

  • Family planning

  • Healthcare supervision

  • Medication regimen

From: Martin, K. S. (2005). The Omaha System: A key to practice, documentation, and information management (Reprinted 2nd ed.). Omaha, NE: Health Connections Press.

BOX B.2: Categories of the Omaha System Intervention Scheme

Teaching, Guidance, and Counseling

Activities designed to provide information and materials, encourage action and responsibility for self-care and coping, and assist the individual, family, or community to make decisions and solve problems.

Treatments and Procedures

Technical activities such as wound care, specimen collection, resistive exercises, and medication prescriptions that are designed to prevent, decrease, or alleviate signs and symptoms for the individual, family, or community.

Case Management

Activities such as coordination, advocacy, and referral that facilitate service delivery; promote assertiveness; guide the individual, family, or community toward use of appropriate community resources; and improve communication among health and human service providers.

Surveillance

Activities such as detection, measurement, critical analysis, and monitoring intended to identify the individual, family, or community's status in relation to a given condition or phenomenon.

From: Martin, K. S. (2005). The Omaha System: A key to practice, documentation, and information management (Reprinted 2nd ed.). Omaha, NE: Health Connections Press.

BOX B.3: Targets of the Omaha System Intervention Scheme

  • anatomy/physiology

  • anger management

  • behavior modification

  • bladder care

  • bonding/attachment

  • bowel care

  • cardiac care

  • caretaking/parenting skills

  • cast care

  • communication

  • community outreach worker services

  • continuity of care

  • coping skills

  • day care/respite

  • dietary management

  • discipline

  • dressing change/wound care

  • durable medical equipment

  • education

  • employment

  • end-of-life care

  • environment

  • exercises

  • family planning care

  • feeding procedures

  • finances

  • gait training

  • genetics

  • growth/development care

  • home

  • homemaking/housekeeping

  • infection precautions

  • interaction

  • interpreter/translator services

  • laboratory findings

  • legal system

  • medical/dental care

  • medication action/side effects

  • medication administration

  • medication coordination/ordering

  • medication prescription

  • medication setup

  • mobility/transfers

  • nursing care

  • nutritionist care

  • occupational therapy care

  • ostomy care

  • other community resources

  • paraprofessional/aide care

  • personal hygiene

  • physical therapy care

  • positioning

  • recreational therapy care

  • relaxation/breathing techniques

  • respiratory care

  • respiratory therapy care

  • rest/sleep

  • safety

  • screening procedures

  • sickness/injury care

  • signs/symptoms-mental/emotional

  • signs/symptoms-physical

  • skin care

  • social work/counseling care

  • specimen collection

  • speech and language pathology care

  • spiritual care

  • stimulation/nurturance

  • stress management

  • substance use cessation

  • supplies

  • support group

  • support system

  • transportation

  • wellness

  • other

From: Martin, K. S. (2005). The Omaha System: A key to practice, documentation, and information management...

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