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Nuisance Bleeding Scale Questionnaire

Nuisance bleeding is any bleeding that is considered to be a nuisance or annoyance rather than a medical emergency. This can include bleeding from minor cuts or scrapes, nosebleeds, or bleeding gums. While nuisance bleeding is not usually critical, it can be a sign of a more serious condition if it occurs frequently or is accompanied by other symptoms.

How it works

The nuisance bleeding scale questionnaire is a quick and effective assessment tool for care teams. Patients answer a series of questions about their nuisance bleeding and answers are provided to care teams to help them provide appropriate and timely healthcare.

To start, patients select the Nuisance Bleeding Scale module and click Add. When they have answered all the questions, they will be assigned a score that is shared with their care team. From within the module, patients can view their progress in a graph and also access all their previous results. Daily, weekly, or monthly reminders can be set to help stay on track.

In the Huma Portal, care teams will see the latest Nuisance Bleeding score for their patient, with concerning scores flagged for attention. In the Patient Summary, care teams can view all historical data in graph or table form.

The nuisance bleeding scale questionnaire contains 24 questions:

Questions

1. Over the past 7 days, have you experienced easy bruising?

Answer yes or no

2. On how many of the past 7 days did you experience easy bruising?

Select one of the following

  • 1 day
  • 2 days
  • 3 days
  • 4 days
  • 5 days
  • 6 days
  • 7 days

3. Please rate the severity of your easy bruising over the past 7 days.

Select one of the following

  • Not at all severe
  • Mild
  • Moderate
  • Severe

4. Over the past 7 days, did you bleed from small cuts?

Answer yes or no

5. On how many of the past 7 days did you bleed from small cuts?

Select one of the following

  • 1 day
  • 2 days
  • 3 days
  • 4 days
  • 5 days
  • 6 days
  • 7 days

6. Please rate the severity of your bleeding from small cuts over the past 7 days.

Select one of the following

  • Not at all severe
  • Mild
  • Moderate
  • Severe

7. Over the past 7 days, did you have small red dots, �blotches� or circles on your skin?

Answer yes or no

8. On how many of the past 7 days did you have small red dots, �blotches� or circles on your skin?

Select one of the following

  • 1 day
  • 2 days
  • 3 days
  • 4 days
  • 5 days
  • 6 days
  • 7 days

9. Please rate the severity of the small red dots, �blotches� or circles on your skin over the past 7 days.

Select one of the following

  • Not at all severe
  • Mild
  • Moderate
  • Severe

10. Over the past 7 days, did you have bruises on your hands and arms?

Answer yes or no

11. On how many of the past 7 days did you have bruises on your hands and arms?

Select one of the following

  • 1 day
  • 2 days
  • 3 days
  • 4 days
  • 5 days
  • 6 days
  • 7 days

12. Please rate the severity of the bruises on your hands and arms over the past 7 days.

Select one of the following

  • Not at all severe
  • Mild
  • Moderate
  • Severe

13. Over the past 7 days, did you have bruises on your feet and legs?

Answer yes or no

14. On how many of the past 7 days did you have bruises on your feet and legs?

Select one of the following

  • 1 day
  • 2 days
  • 3 days
  • 4 days
  • 5 days
  • 6 days
  • 7 days

15. Please rate the severity of the bruises on your feet and legs over the past 7 days.

Select one of the following

  • Not at all severe
  • Mild
  • Moderate
  • Severe

16. Over the past 7 days, did you have bruises on other parts of your body?

Answer yes or no

17. On how many of the past 7 days did you have bruises on other parts of your body?

Select one of the following

  • 1 day
  • 2 days
  • 3 days
  • 4 days
  • 5 days
  • 6 days
  • 7 days

18. Please rate the severity of the bruises on the other parts of your body over the past 7 days.

Select one of the following

  • Not at all severe
  • Mild
  • Moderate
  • Severe

19. Over the past 7 days, did your gums bleed while brushing your teeth or eating?

Answer yes or no

20. On how many of the past 7 days did your gums bleed while brushing your teeth or eating?

Select one of the following

  • 1 day
  • 2 days
  • 3 days
  • 4 days
  • 5 days
  • 6 days
  • 7 days

21. Please rate the severity of your gums bleeding while brushing your teeth or eating over the past 7 days.

Select one of the following

  • Not at all severe
  • Mild
  • Moderate
  • Severe

22. Over the past 7 days, did you have a nose bleed that lasted 10 minutes or less?

Answer yes or no

23. On how many of the past 7 days did you have a nose bleed that lasted 10 minutes or less?

Select one of the following

  • 1 day
  • 2 days
  • 3 days
  • 4 days
  • 5 days
  • 6 days
  • 7 days

24. Please rate the severity of your nose bleed(s) that lasted 10 minutes or less over the past 7 days.

Select one of the following

  • Not at all severe
  • Mild
  • Moderate
  • Severe