The decision made to translate “At increased risk” as “At risk”, was made partly as understand with input from the nurses´ organization as there was a possibility that risk could be interpreted as decreased or increased.
Now a local stakeholder has objected as there is a difference between At risk and At increased risk. The International version has both, one as preferred and one as allowed, while Swedish and other languages have translated the FSN/Preferred term “At increased risk” as “At risk”. There is no “At increased risk” in Swedish.
For some conditions, the procedures differs depending on if the level is increased or not, for example for suicide risk.
The modelling for some of the concepts do have the interpretation “increased” , like At increased risk for suicide, so the context explains that this is the increased level. The finding is Increased level. (SCTID: 225444004). But the translation is “i riskzonen för…” (At risk of)
There is another SCTID for At low risk for suicide: 394687007.
However, the finding “At risk for suicide”, does not have a concept of its own and At increased risk, which in Sweden require a different procedure, is not visible unless you look at the modelling.
We have a similar problem when it comes to the risk of a fall, where a high risk can be further increased by, for example, certain prescriptions, and require different procedures.
Not all concepts that in English has the FSN At increased risk, are included in the ICNP, but all have in Swedish received the translation “at risk”, and none have “at increased risk”.
Is this an issue that we should bring to the table for new considerations, in accordance with the Swewdish stakeholder’s wishes?