Socioeconomic Status Scoring System PDF

# Socioeconomic Status Scoring System This document presents a scoring system for evaluating socioeconomic status. It utilizes a combination of factors related to education level, occupation, and income to assign a score. ## Scoring Factors |Category|Factor|Score| |:---|:---|:---| |Education of...

# Socioeconomic Status Scoring System This document presents a scoring system for evaluating socioeconomic status. It utilizes a combination of factors related to education level, occupation, and income to assign a score. ## Scoring Factors |Category|Factor|Score| |:---|:---|:---| |Education of Head of Family|Professional degree|7| |Education of Head of Family|Graduate|6| |Education of Head of Family|Intermediate/diploma|5| |Education of Head of Family|High school|4| |Education of Head of Family|Middle school|3| |Education of Head of Family|Primary school|2| |Education of Head of Family|Illiterate|1| |Occupation of Head of Family|Professional|10| |Occupation of Head of Family|Semi profession|6| |Occupation of Head of Family|Clerical/shop/farm|5| |Occupation of Head of Family|Skilled worker|4| |Occupation of Head of Family|Semiskilled worker|3| |Occupation of Head of Family|Unskilled worker|2| |Occupation of Head of Family|Unemployed|1| |Total per capita family income per month (as given originally in 1976)|2000 and above|12| |Total per capita family income per month (as given originally in 1976)|RS 1000-1999|10| |Total per capita family income per month (as given originally in 1976)|RS 750-999|6| |Total per capita family income per month (as given originally in 1976)|RS 500-749 |4| |Total per capita family income per month (as given originally in 1976)|300-499|3| |Total per capita family income per month (as given originally in 1976)|RS 101-299|2| |Total per capita family income per month (as given originally in 1976)|Less than RS 100|1| ## Socioeconomic Class Determination Based on the total score obtained by adding the scores of the three factors (education, occupation, and income), the socioeconomic class is categorized as follows: |Total Score|Socioeconomic Class| |---|---| |26-29|Upper Class| |16-25|Upper Middle| |11-15|Lower Middle| |5-10|Upper Lower| |Below 5|Lower| ## Revised Income Category This table shows the original income groups, their revised equivalents using the AICPI (All-India Consumer Price Index), and corresponding scores. This adjustment aims to account for inflation and provide a more accurate representation of income levels: |Original Income Group|Revised Income Group (using AICPI)|Score| |:---|:---|:---| |RS 2000 and above|RS 47348 and above|12| |RS 1000-1999|RS 23674-47347|10| |RS 750-999|RS 17756-23673|6| |RS 500-749|RS 11837-17755|4| |RS 300-499|RS 7102-11836|3| |RS 101-299|RS 2391-7101|2| |Less than '100|Less than 2390|1| ## Pain Assessment Model This section outlines a structured model for assessing pain, often used in healthcare settings. The acronym **SOCRATES** is used to remember the key elements of pain assessment: - **S** - Site: Where exactly is the pain located? - **O** - Onset: What were you doing when the pain started? - **C** - Character: How does the pain feel like? - **R** - Radiates: Does the pain go anywhere else? - **A** - Associated Symptoms: Are there any other associated symptoms? - **T** - Time: How long have you had the pain? - **E** - Exacerbating factors: What makes the pain worse? - **S** - Severity: On a scale of 0-10, how severe is the pain? ## Medical Record Form: Elements This section provides a basic checklist of elements that are typically included in a patient's medical record form: **Demography:** - Name - Age - Gender - Residence - Religion - Education - Marital Status - Occupation - Socioeconomic status (using Kuppuswamy scale) - Date of Admission (ER or OPD) - Date of Appointment **Chief Complaint:** - History of Present Illness: - Details of present problem, including: - Time of onset - Mode of evolution - Any investigations - Treatment received - Outcome - Associated symptoms **Pain Assessment:** - Pain assessment using the SOCRATES model **Pelvic Examination:** - Palpable mass in the abdomen - Dysmenorrhea - Bowel dysfunction - Bladder dysfunction - Nausea, dizziness, or fatigue - Body part pain - Painful coitus - Bleeding or white discharge (during or after coitus) **Menstrual history:** - Age of menarche - Last menstrual period - Duration of menstrual cycle - Menorrhagia (heavy bleeding during menstruation) - Regularity of menstrual cycle - Day of flow - Number of pads (and type) - Scanty or excessive menstrual flow - Mid-cycle bleeding - Passage of clots - Vaginal discharge: - Color, smell, texture - Duration - Cyclic vs. non-cyclic - Description of vaginal discharge: - Normal discharge - Discharge with foul smell - potentially indicating an infection - Discharge with signs of irritation - White discharge and cramping that could indicate a possible pregnancy - Amenorrhea - Postpartum amenorrhea (when menstruation starts after giving birth) **Marriage and Obstetric History:** - Type of marriage (arranged, love) - Duration of marriage - Number of pregnancies - Whether each pregnancy was successful - Parity (whether the baby reached viability at 24 weeks or more) - Antenatal, natal, and post-natal complications - Health of each baby at birth - Immunization status - Mode of delivery (normal or cesarean section) - Any complications during pregnancy, while giving birth, or after delivery - History of abortion (month of occurrence) **Medical and Surgical History:** - Past medical history - Past surgical history - Drug history - Family history (of similar medical complaints, including tuberculosis, diabetes, hypertension, asthma, heart disease, thyroid) - Personal history (vegetarian, non-vegetarian, appetite, sleep, bowel function, bladder function) **Mass in Abdomen:** - Questions to guide evaluation of patients with a mass in the abdomen: - Duration of the mass - Any change in size - Any associated pain or tenderness - Associated symptoms like nausea, vomiting, or constipation - Weight loss or appetite loss - Heavy menses or amenorrhea (for potential fibroid) - Nulliparous: Risk for fibroids, endometriosis, endometrial cancer, and breast cancer - Multiparous: Risk for adenomyosis, cervical cancer, and prolapse - Miscarriage: Risk for sepsis **Obstetric History:** - Relevant questions: - Mode of delivery - Duration of labor - Any complications during labor or delivery - Whether there were any terminations or miscarriages. This structured format helps healthcare providers gather relevant information systematically to support comprehensive patient care.