SDOH-SWYC 001-5 months [PART 2]: Well Child Screening form for 1-5 mos_Formas para Exámenes de bienestar 1-5 meses
Date of Appointment/ Fecha de su Cita
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Month
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Day
Year
Date
Edinburgh Postnatal Depression Scale (EPDS)
Name of Mother
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First Name
Last Name
EPDS Score:
As you have recently had a baby, we would like to know how you are feeling. Please UNDERLINE which comes closest to howyou have felt. IN THE PAST 7 DAYS, not just how you feel today. || Como usted have poco tuvo un bebe, nos gustaria saber como se ha estado sintiendo. Por favor haga un cirouto alrededor de larespuesta que mas se acarca a como se ha sentido en los ultimos.En los ultimos 7 dias:
1. I have been able to laugh and see the funny side of things as much as I always could. || Ha podido reir y ver el lado bueno de las cosas:
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0 - As much as I always could // Tanto como siempre he podido hacerlo
1 - Not quite so much now // No tanto ahora
2 - Definitely not so much now // Sin duda, mucho menos ahora
3 - Not at all // No en absolute
2. I have looked forward with enjoyment to things || He mirado al futuro con placer para hacer cosas:
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0 - As much as I always could // Tanto como siempre
1 - Rather less than I used to // Algo menos de lo que solía hacerlo
2 - Definitely less than I used to // Definitivamente menos de lo que solía hacerlo
3 - Hardly at all // Prácticamente nunca
3. I have blamed myself unnecessarily whenthings went wrong. // Me he culpado sin necesidad cuando las cosas marchaban mal:
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3 – Yes, most of the time // Sí, casi siempre
2 – Yes, some of the time // Sí, algunas veces
1 – Not very often // No muy a menudo
0 – No, never // No, nunca
4. I have been anxious or worried for no goodreasons. // He estado ansiosa y preocupada sin motivo alguno:
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0 – No, not at all // No, en absolute
1- Hardly, ever // Casi nada
2 - Yes, sometimes // Sí, a veces
3 - Yes, very often // Sí, muy a menudo
5. I have felt scared or panicky for no very good reason// He sentido miedo o panico sin motivo alguno:
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3 – Yes, quite a lot // i, bastante
2 – Yes, sometimes // Sí, aveces
1 – No, not much // No mucho
0 – No, not at all // No, en absolute
6. Things have been getting on top of me.// Las cosas me oprimen o agobian:
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3 – Yes, most of the time I haven't been able to cope at all // Si, Ia mayor parte del tiempo no he podido sobrellevarlas
2 – Yes, sometimes I haven't been coping as wellas usual // Si, a veces no he podido sobrellevarlasde la manera
1 – No, most of the time I have coped quite will // No, la mayoria de las veces he podidosobrellevarlas bastante bien
0 – No, I have been coping as well as everl // No, he podido sobrellevarlas tan biencomo lo hecho siempre
7. I have been so unhappy that I have had difficulty sleeping// Me he sentidotan infeliz, que lie tenido dificultadpara dormir:
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3 – Yes, most of the time // Si, casi siempre
2 – Yes, sometimes// Si, a veces
1 – Not very often // No muy a menudo
0 – No, not at all // No, en absolute
8. I have felt sad or miserable // Me he sentido triste y desgraciada:
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3 – Yes, most of the time // Si, casi siempre
2 – Yes, quite often// Si, bastante a menudo
1 – Not very often // No muy a menudo
0 – No, not at all // No, en absolute
9. I have been so unhappy that I have been crying// Me he sentido tan infeliz que he estado llorando:
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3 – Yes, most of the time // Si, casi siempre
2 – Yes, quite often// Si, bastante a menudo
1 – Only occasionally // Ocasionalmente
0 – No, not at all // No, en absolute
10. The thought of harming myself has occurred to me // Ha pensado en hacerme dafio:
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3 – Yes, quite often // Si,bastante a menudo
2 – Sometimes// A veces
1 – Hardly ever // Casi nunca
0 – Never // No,nunca
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