{"id":48764,"date":"2024-09-06T10:32:28","date_gmt":"2024-09-06T10:32:28","guid":{"rendered":"https:\/\/ibima.eu\/?page_id=48764"},"modified":"2024-09-24T10:15:32","modified_gmt":"2024-09-24T10:15:32","slug":"encuesta-stop-iatro","status":"publish","type":"page","link":"https:\/\/ibima.eu\/es\/encuesta-stop-iatro\/","title":{"rendered":"Stop_IATRO"},"content":{"rendered":"\n[et_pb_section fb_built=\u00bb1&#8243; _builder_version=\u00bb4.27.0&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row _builder_version=\u00bb4.27.0&#8243; _module_preset=\u00bbdefault\u00bb column_structure=\u00bb1_5,1_5,1_5,1_5,1_5&#8243; hover_enabled=\u00bb0&#8243; sticky_enabled=\u00bb0&#8243; admin_label=\u00bbFila\u00bb][et_pb_column _builder_version=\u00bb4.27.0&#8243; _module_preset=\u00bbdefault\u00bb type=\u00bb1_5&#8243;][et_pb_image _builder_version=\u00bb4.27.0&#8243; _module_preset=\u00bbdefault\u00bb title_text=\u00bbLogo Unidad Docente\u00bb 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   <h2 class=\"gform_title\">Encuesta STOP IATRO sobre prevenci\u00f3n del deterioro funcional, la iatrogenia medicamentosa y la optimizaci\u00f3n terap\u00e9utica<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/es\/wp-json\/wp\/v2\/pages\/48764#gf_6' data-formid='6' novalidate> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n        <div id='gf_progressbar_wrapper_6' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Paso <span class='gf_step_current_page'>1<\/span> de <span class='gf_step_page_count'>6<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_16' style='width:16%;'><span>16%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_6_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_6_171\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_171\" >Esta encuesta forma parte del proyecto STOP IATRO, cuyo objetivo es implementar estrategias colectivas para prevenir las complicaciones asociadas a la atenci\u00f3n cl\u00ednica y los tratamientos. Estas complicaciones pueden llevar a la p\u00e9rdida de autonom\u00eda entre las personas mayores. El proyecto se basa en las recomendaciones de la Organizaci\u00f3n Mundial de la Salud (OMS), espec\u00edficamente en el programa Atenci\u00f3n Integrada para las Personas Mayores (ICOPE, por sus siglas en ingl\u00e9s).\n<br><br>\n\nCon esta encuesta, el equipo de investigaci\u00f3n busca recabar informaci\u00f3n de los profesionales sanitarios responsables de la prestaci\u00f3n de cuidados en el domicilio y\/o hospitalizaci\u00f3n en adultos mayores sobre sus conocimientos y pr\u00e1cticas, respecto a la dependencia iatrog\u00e9nica y la iatrogenia inducida por f\u00e1rmacos. La informaci\u00f3n proporcionada ser\u00e1 fundamental para crear un inventario de buenas pr\u00e1cticas relacionadas con la prevenci\u00f3n de la p\u00e9rdida de autonom\u00eda en las personas adultas mayores durante la asistencia sanitaria, e identificar las necesidades formativas que pudieran ser abordadas desde el \u00e1mbito del proyecto.\nLa primera secci\u00f3n de la encuesta est\u00e1 dise\u00f1ada para recopilar informaci\u00f3n sociodemogr\u00e1fica y profesional de los participantes. Las secciones posteriores contienen afirmaciones y preguntas relacionadas con la iatrogenia y su prevenci\u00f3n en la poblaci\u00f3n mayor.\n<br><br>\n\nEl cuestionario fue dise\u00f1ado siguiendo pautas y est\u00e1ndares \u00e9ticos. Todo el estudio STOP IATRO ha recibido la aprobaci\u00f3n del Comit\u00e9 de \u00c9tica de la Investigaci\u00f3n de la Provincia de M\u00e1laga con fecha 18 de junio de 2024. Adem\u00e1s, el estudio cumple con la normativa de protecci\u00f3n de datos vigente (Ley Org\u00e1nica 3\/2018, de 5 de diciembre, Reglamento Europeo 2016\/679 y Declaraci\u00f3n de Helsinki), garantizando de esta manera la confidencialidad, privacidad y consentimiento informado de los participantes. \nEl tiempo estimado para completar el cuestionario es de aproximadamente 10 minutos. Sus respuestas permanecer\u00e1n an\u00f3nimas y confidenciales. Agradecemos su tiempo y colaboraci\u00f3n al proporcionar esta valiosa informaci\u00f3n.\n<br><br>\n\nPara continuar, le solicitamos que confirme su consentimiento, indicando su plena comprensi\u00f3n y acuerdo para participar en el estudio, haciendo clic en la casilla \u00absiguiente\u00bb.<\/div><fieldset id=\"field_6_168\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_168\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consentimiento Pol\u00edtica de privacidad<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_6_168'><a href=\"https:\/\/ibima.eu\/wp-content\/uploads\/2024\/02\/AVISO-LEGAL-y-POLITICA-DE-PRIVACIDAD_FIMABIS_IBIMA_Ver_21_2_2024.pdf\">https:\/\/ibima.eu\/wp-content\/uploads\/2024\/02\/AVISO-LEGAL-y-POLITICA-DE-PRIVACIDAD_FIMABIS_IBIMA_Ver_21_2_2024.pdf<\/a><br \/>\n<\/div><div class='ginput_container ginput_container_consent'><input name='input_168.1' id='input_6_168_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_6_168\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_6_168_1' >Estoy de acuerdo con la Pol\u00edtica de Privacidad.<\/label><input type='hidden' name='input_168.2' value='Estoy de acuerdo con la Pol\u00edtica de Privacidad.' class='gform_hidden' \/><input type='hidden' name='input_168.3' value='4' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_6_175\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_175\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consentimiento Participaci\u00f3n en la Encuesta<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_6_175'><h4> Para continuar, le solicitamos que confirme su consentimiento a participar en la encuesta, indicando su plena comprensi\u00f3n y acuerdo para participar en el estudio, haciendo clic en la casilla <\/h4><\/div><div class='ginput_container ginput_container_consent'><input name='input_175.1' id='input_6_175_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_6_175\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_6_175_1' >Estoy de acuerdo con Participar en la Encuesta<\/label><input type='hidden' name='input_175.2' value='Estoy de acuerdo con Participar en la Encuesta' class='gform_hidden' \/><input type='hidden' name='input_175.3' value='4' class='gform_hidden' \/><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_6_169' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Siguiente '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_2' class='gform_page' data-js='page-field-id-169' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_6_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_6_19\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_19\" >Por favor, lea atentamente cada afirmaci\u00f3n e indique su respuesta en funci\u00f3n de sus conocimientos y experiencia. Recuerde que no hay respuestas correctas ni incorrectas<\/div><div id=\"field_6_18\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_18\" ><strong>1. Caracter\u00edsticas sociodemogr\u00e1ficas y profesionales<\/strong>\n<\/br><\/div><div id=\"field_6_50\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_50\" ><label class='gfield_label gform-field-label' for='input_6_50'>1.1. Edad (a\u00f1os):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_6_50' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_11\" ><legend class='gfield_label gform-field-label' >1.2. G\u00e9nero<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_11'>\n\t\t\t<div class='gchoice gchoice_6_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Hombre'  id='choice_6_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_11_0' id='label_6_11_0' class='gform-field-label gform-field-label--type-inline'>Hombre<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Mujer'  id='choice_6_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_11_1' id='label_6_11_1' class='gform-field-label gform-field-label--type-inline'>Mujer<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_11_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Otro'  id='choice_6_11_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_11_2' id='label_6_11_2' class='gform-field-label gform-field-label--type-inline'>Otro<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_51\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_51\" ><label class='gfield_label gform-field-label' for='input_6_51'>1.3. Indique el nombre de su centro de trabajo:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_6_51' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_14\" ><legend class='gfield_label gform-field-label' >1.4. Provincia en la que trabaja:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_14'>\n\t\t\t<div class='gchoice gchoice_6_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Almer\u00eda'  id='choice_6_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_0' id='label_6_14_0' class='gform-field-label gform-field-label--type-inline'>Almer\u00eda<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='C\u00e1diz'  id='choice_6_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_1' id='label_6_14_1' class='gform-field-label gform-field-label--type-inline'>C\u00e1diz<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='C\u00f3rdoba'  id='choice_6_14_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_2' id='label_6_14_2' class='gform-field-label gform-field-label--type-inline'>C\u00f3rdoba<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Granada'  id='choice_6_14_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_3' id='label_6_14_3' class='gform-field-label gform-field-label--type-inline'>Granada<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Huelva'  id='choice_6_14_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_4' id='label_6_14_4' class='gform-field-label gform-field-label--type-inline'>Huelva<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Ja\u00e9n'  id='choice_6_14_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_5' id='label_6_14_5' class='gform-field-label gform-field-label--type-inline'>Ja\u00e9n<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='M\u00e1laga'  id='choice_6_14_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_6' id='label_6_14_6' class='gform-field-label gform-field-label--type-inline'>M\u00e1laga<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Sevilla'  id='choice_6_14_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_7' id='label_6_14_7' class='gform-field-label gform-field-label--type-inline'>Sevilla<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='gf_other_choice'  id='choice_6_14_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_8' id='label_6_14_8' class='gform-field-label gform-field-label--type-inline'>Otro<\/label><br \/><input id='input_6_14_other' class='gchoice_other_control' name='input_14_other' type='text' value='Otro' aria-label='Si es otro, especif\u00edcalo, por favor'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_15\" ><legend class='gfield_label gform-field-label' >1.5. Ocupaci\u00f3n actual<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_15'>\n\t\t\t<div class='gchoice gchoice_6_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Farmac\u00e9utico\/a comunitario'  id='choice_6_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_0' id='label_6_15_0' class='gform-field-label gform-field-label--type-inline'>Farmac\u00e9utico\/a comunitario<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Farmac\u00e9utico\/a hospitalario'  id='choice_6_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_1' id='label_6_15_1' class='gform-field-label gform-field-label--type-inline'>Farmac\u00e9utico\/a hospitalario<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Farmac\u00e9utico de atenci\u00f3n primaria'  id='choice_6_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_2' id='label_6_15_2' class='gform-field-label gform-field-label--type-inline'>Farmac\u00e9utico de atenci\u00f3n primaria<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Enfermero\/a de atenci\u00f3n primaria'  id='choice_6_15_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_3' id='label_6_15_3' class='gform-field-label gform-field-label--type-inline'>Enfermero\/a de atenci\u00f3n primaria<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Enfermero\/a de hospital'  id='choice_6_15_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_4' id='label_6_15_4' class='gform-field-label gform-field-label--type-inline'>Enfermero\/a de hospital<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='M\u00e9dico\/a de atenci\u00f3n primaria'  id='choice_6_15_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_5' id='label_6_15_5' class='gform-field-label gform-field-label--type-inline'>M\u00e9dico\/a de atenci\u00f3n primaria<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='M\u00e9dico\/a de hospital'  id='choice_6_15_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_6' id='label_6_15_6' class='gform-field-label gform-field-label--type-inline'>M\u00e9dico\/a de hospital<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Auxiliar de enfermer\u00eda de atenci\u00f3n primaria'  id='choice_6_15_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_7' id='label_6_15_7' class='gform-field-label gform-field-label--type-inline'>Auxiliar de enfermer\u00eda de atenci\u00f3n primaria<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Auxiliar de enfermer\u00eda de atenci\u00f3n hospitalaria'  id='choice_6_15_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_8' id='label_6_15_8' class='gform-field-label gform-field-label--type-inline'>Auxiliar de enfermer\u00eda de atenci\u00f3n hospitalaria<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Terapia Ocupacional'  id='choice_6_15_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_9' id='label_6_15_9' class='gform-field-label gform-field-label--type-inline'>Terapia Ocupacional<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='gf_other_choice'  id='choice_6_15_10' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_10' id='label_6_15_10' class='gform-field-label gform-field-label--type-inline'>Otro<\/label><br \/><input id='input_6_15_other' class='gchoice_other_control' name='input_15_other' type='text' value='Otro' aria-label='Si es otro, especif\u00edcalo, por favor'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_172\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_172\" ><label class='gfield_label gform-field-label' for='input_6_172'>1.5.1. En caso de disponer de una especialidad en Medicina, Enfermer\u00eda o Farmacia, ind\u00edquela a continuaci\u00f3n (Obligatorio)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_6_172'>En caso de no ser M\u00e9dico, Enfermero ni Farmac\u00e9utico, debe contestar la casilla 'No procede'<\/div><div class='ginput_container ginput_container_select'><select name='input_172' id='input_6_172' class='large gfield_select'  aria-describedby=\"gfield_description_6_172\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Medicina - Alergolog\u00eda' >Medicina - Alergolog\u00eda<\/option><option value='Medicina - Anatom\u00eda Patol\u00f3gica' >Medicina - Anatom\u00eda Patol\u00f3gica<\/option><option value='Medicina - Analisis Cl\u00ednico' >Medicina - Analisis Cl\u00ednico<\/option><option value='Medicina - Anestesiolog\u00eda y Reanimaci\u00f3n' >Medicina - Anestesiolog\u00eda y Reanimaci\u00f3n<\/option><option value='Medicina - Angiolog\u00eda y Cirug\u00eda Vascular' >Medicina - Angiolog\u00eda y Cirug\u00eda Vascular<\/option><option value='Medicina - Aparato Digestivo' >Medicina - Aparato Digestivo<\/option><option value='Medicina - Bioquimica Cl\u00ednica' >Medicina - Bioquimica Cl\u00ednica<\/option><option value='Medicina - Cardiolog\u00eda' >Medicina - Cardiolog\u00eda<\/option><option value='Medicina - Cirug\u00eda Cardiovascular' >Medicina - Cirug\u00eda Cardiovascular<\/option><option value='Medicina - Cirug\u00eda General y del Aparato Digestivo' >Medicina - Cirug\u00eda General y del Aparato Digestivo<\/option><option value='Medicina - Cirug\u00eda Oral y Maxilofacial' >Medicina - Cirug\u00eda Oral y Maxilofacial<\/option><option value='Medicina - Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda' >Medicina - Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda<\/option><option value='Medicina - Cirug\u00eda Pedi\u00e1trica' >Medicina - Cirug\u00eda Pedi\u00e1trica<\/option><option value='Medicina - Cirug\u00eda Pl\u00e1stica, Est\u00e9tica y Reparadora' >Medicina - Cirug\u00eda Pl\u00e1stica, Est\u00e9tica y Reparadora<\/option><option value='Medicina - Cirug\u00eda Tor\u00e1cica' >Medicina - Cirug\u00eda Tor\u00e1cica<\/option><option value='Medicina - Dermatolog\u00eda M\u00e9dico-Quir\u00fargica y Venerolog\u00eda' >Medicina - Dermatolog\u00eda M\u00e9dico-Quir\u00fargica y Venerolog\u00eda<\/option><option value='Medicina - Endocrinolog\u00eda y Nutrici\u00f3n' >Medicina - Endocrinolog\u00eda y Nutrici\u00f3n<\/option><option value='Medicina - Farmacolog\u00eda Cl\u00ednica' >Medicina - Farmacolog\u00eda Cl\u00ednica<\/option><option value='Medicina - Geriatr\u00eda' >Medicina - Geriatr\u00eda<\/option><option value='Medicina - Hematolog\u00eda y Hemoterapia' >Medicina - Hematolog\u00eda y Hemoterapia<\/option><option value='Medicina - Inmunolog\u00eda' >Medicina - Inmunolog\u00eda<\/option><option value='Medicina Intensiva' >Medicina Intensiva<\/option><option value='Medicina Interna' >Medicina Interna<\/option><option value='Medicina Familiar y Comunitaria' >Medicina Familiar y Comunitaria<\/option><option value='Medicina F\u00edsica y de Rehabilitaci\u00f3n' >Medicina F\u00edsica y de Rehabilitaci\u00f3n<\/option><option value='Medicina - Microbiolog\u00eda y Parasitolog\u00eda Clinica' >Medicina - Microbiolog\u00eda y Parasitolog\u00eda Clinica<\/option><option value='Medicina del Trabajo' >Medicina del Trabajo<\/option><option value='Medicina - Nuclear' >Medicina - Nuclear<\/option><option value='Medicina - Nefrolog\u00eda' >Medicina - Nefrolog\u00eda<\/option><option value='Medicina - Neumolog\u00eda' >Medicina - Neumolog\u00eda<\/option><option value='Medicina - Neurocirug\u00eda' >Medicina - Neurocirug\u00eda<\/option><option value='Medicina - Neurofisiolog\u00eda Cl\u00ednica' >Medicina - Neurofisiolog\u00eda Cl\u00ednica<\/option><option value='Medicina - Neurolog\u00eda' >Medicina - Neurolog\u00eda<\/option><option value='Medicina - Obstetricia y Ginecolog\u00eda' >Medicina - Obstetricia y Ginecolog\u00eda<\/option><option value='Medicina - Oftalmolog\u00eda' >Medicina - Oftalmolog\u00eda<\/option><option value='Medicina - Oncolog\u00eda M\u00e9dica' >Medicina - Oncolog\u00eda M\u00e9dica<\/option><option value='Medicina - Oncolog\u00eda Radioter\u00e1pica' >Medicina - Oncolog\u00eda Radioter\u00e1pica<\/option><option value='Medicina - Otorrinolaringolog\u00eda' >Medicina - Otorrinolaringolog\u00eda<\/option><option value='Medicina Preventiva y Salud P\u00fablica' >Medicina Preventiva y Salud P\u00fablica<\/option><option value='Medicina - Pediatr\u00eda y sus \u00c1reas Espec\u00edficas' >Medicina - Pediatr\u00eda y sus \u00c1reas Espec\u00edficas<\/option><option value='Medicina - Psiquiatr\u00eda' >Medicina - Psiquiatr\u00eda<\/option><option value='Medicina - Radiodiagn\u00f3stico' >Medicina - Radiodiagn\u00f3stico<\/option><option value='Medicina - Reumatologia' >Medicina - Reumatologia<\/option><option value='Medicina - Urolog\u00eda' >Medicina - Urolog\u00eda<\/option><option value='Enfermer\u00eda del Trabajo' >Enfermer\u00eda del Trabajo<\/option><option value='Enfermer\u00eda Geri\u00e1trica' >Enfermer\u00eda Geri\u00e1trica<\/option><option value='Enfermer\u00eda Pedi\u00e1trica' >Enfermer\u00eda Pedi\u00e1trica<\/option><option value='Enfermer\u00eda en Salud Mental' >Enfermer\u00eda en Salud Mental<\/option><option value='Enfermer\u00eda M\u00e9dico-Quir\u00fargica' >Enfermer\u00eda M\u00e9dico-Quir\u00fargica<\/option><option value='Enfermer\u00eda Familiar y Comunitaria' >Enfermer\u00eda Familiar y Comunitaria<\/option><option value='Enfermer\u00eda Obs\u00e9trico-ginecol\u00f3gica' >Enfermer\u00eda Obs\u00e9trico-ginecol\u00f3gica<\/option><option value='Farmacia - An\u00e1lisis cl\u00ednico' >Farmacia - An\u00e1lisis cl\u00ednico<\/option><option value='Farmacia - Bioqu\u00edmica cl\u00ednica' >Farmacia - Bioqu\u00edmica cl\u00ednica<\/option><option value='Farmacia - Farmacia hospitalaria' >Farmacia - Farmacia hospitalaria<\/option><option value='Farmacia - Microbiolog\u00eda y Parasitolog\u00eda cl\u00ednica' >Farmacia - Microbiolog\u00eda y Parasitolog\u00eda cl\u00ednica<\/option><option value='Farmacia - Inmunolog\u00eda' >Farmacia - Inmunolog\u00eda<\/option><option value='Farmacia - Radiofarmacia' >Farmacia - Radiofarmacia<\/option><option value='Farmacia - Farmacia Industrial y Gal\u00e9nica' >Farmacia - Farmacia Industrial y Gal\u00e9nica<\/option><option value='No procede' >No procede<\/option><option value='Otros' >Otros<\/option><\/select><\/div><\/div><fieldset id=\"field_6_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_53\" ><legend class='gfield_label gform-field-label' >1.6. A\u00f1os de experiencia en la ocupaci\u00f3n indicada previamente:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_53'>\n\t\t\t<div class='gchoice gchoice_6_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='&lt; 2 a\u00f1os'  id='choice_6_53_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_53_0' id='label_6_53_0' class='gform-field-label gform-field-label--type-inline'>&lt; 2 a\u00f1os<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='De 2 a 5 a\u00f1os'  id='choice_6_53_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_53_1' id='label_6_53_1' class='gform-field-label gform-field-label--type-inline'>De 2 a 5 a\u00f1os<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_53_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='De 6 a 10 a\u00f1os'  id='choice_6_53_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_53_2' id='label_6_53_2' class='gform-field-label gform-field-label--type-inline'>De 6 a 10 a\u00f1os<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_53_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='&gt; 10 a\u00f1os'  id='choice_6_53_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_53_3' id='label_6_53_3' class='gform-field-label gform-field-label--type-inline'>&gt; 10 a\u00f1os<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_21' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Anterior'  \/> <input type='button' id='gform_next_button_6_21' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Siguiente '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_3' class='gform_page' data-js='page-field-id-21' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_6_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_6_22\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_22\" ><strong>2. Capacidad funcional<\/strong>\n<\/br>\n<\/div><fieldset id=\"field_6_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_23\" ><legend class='gfield_label gform-field-label' >2.1. \u00bfConoce las directrices\/programas de la OMS para prevenir, ralentizar o revertir el deterioro de las capacidades f\u00edsicas y mentales de los adultos mayores?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_23'>\n\t\t\t<div class='gchoice gchoice_6_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='S\u00ed'  id='choice_6_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_23_0' id='label_6_23_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='No'  id='choice_6_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_23_1' id='label_6_23_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_23_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='No responde'  id='choice_6_23_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_23_2' id='label_6_23_2' class='gform-field-label gform-field-label--type-inline'>No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_54\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_54\" ><label class='gfield_label gform-field-label' for='input_6_54'>Si su respuesta fue afirmativa, \u00bfPuede usted nombrar algunas?<\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_6_54' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_55\" ><legend class='gfield_label gform-field-label' >2.2. En su lugar de trabajo, \u00bfSabe si se han puesto en marcha directrices\/protocolos para prevenir el deterioro funcional (durante una hospitalizaci\u00f3n o en el domicilio) en las personas mayores?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_55'>\n\t\t\t<div class='gchoice gchoice_6_55_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='S\u00ed'  id='choice_6_55_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_55_0' id='label_6_55_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_55_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='No'  id='choice_6_55_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_55_1' id='label_6_55_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_55_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='No responde'  id='choice_6_55_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_55_2' id='label_6_55_2' class='gform-field-label gform-field-label--type-inline'>No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_56\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_56\" ><label class='gfield_label gform-field-label' for='input_6_56'>Si su respuesta fue afirmativa, \u00bfPuede usted nombrar algunas?<\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_6_56' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_58\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_58\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.3. En el hogar de la persona mayor: \u00bfQu\u00e9 funci\u00f3n(es) se debe(n) revisar regularmente para mantener o mejorar las capacidades funcionales de las personas mayores (durante una hospitalizaci\u00f3n o en el domicilio)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_58'>Puede seleccionar varias opciones<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_58'><div class='gchoice gchoice_6_58_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.1' type='checkbox'  value='O\u00eddo'  id='choice_6_58_1'   aria-describedby=\"gfield_description_6_58\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_58_1' id='label_6_58_1' class='gform-field-label gform-field-label--type-inline'>O\u00eddo<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_58_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.2' type='checkbox'  value='Vista'  id='choice_6_58_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_58_2' id='label_6_58_2' class='gform-field-label gform-field-label--type-inline'>Vista<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_58_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.3' type='checkbox'  value='Estado de \u00e1nimo'  id='choice_6_58_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_58_3' id='label_6_58_3' class='gform-field-label gform-field-label--type-inline'>Estado de \u00e1nimo<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_58_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.4' type='checkbox'  value='Vitalidad'  id='choice_6_58_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_58_4' id='label_6_58_4' class='gform-field-label gform-field-label--type-inline'>Vitalidad<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_58_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.5' type='checkbox'  value='Cognici\u00f3n'  id='choice_6_58_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_58_5' id='label_6_58_5' class='gform-field-label gform-field-label--type-inline'>Cognici\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_58_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.6' type='checkbox'  value='Movilidad'  id='choice_6_58_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_58_6' id='label_6_58_6' class='gform-field-label gform-field-label--type-inline'>Movilidad<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_58_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.7' type='checkbox'  value='No sabe\/No responde'  id='choice_6_58_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_58_7' id='label_6_58_7' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_59\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_59\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.4. En caso de deterioro de las capacidades funcionales de la persona mayor: \u00bfQu\u00e9 acci\u00f3n se debe seguir para prevenir la dependencia (durante una hospitalizaci\u00f3n o en el domicilio)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_59'>Puede seleccionar varias opciones<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_59'><div class='gchoice gchoice_6_59_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.1' type='checkbox'  value='Realizar una evaluaci\u00f3n geri\u00e1trica integral'  id='choice_6_59_1'   aria-describedby=\"gfield_description_6_59\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_59_1' id='label_6_59_1' class='gform-field-label gform-field-label--type-inline'>Realizar una evaluaci\u00f3n geri\u00e1trica integral<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_59_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.2' type='checkbox'  value='Derivar al paciente a su m\u00e9dico de cabecera o a un enfermero\/a'  id='choice_6_59_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_59_2' id='label_6_59_2' class='gform-field-label gform-field-label--type-inline'>Derivar al paciente a su m\u00e9dico de cabecera o a un enfermero\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_59_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.3' type='checkbox'  value='La estrategia de prevenci\u00f3n debe adaptarse a la funci\u00f3n espec\u00edfica que est\u00e1 deteriorada'  id='choice_6_59_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_59_3' id='label_6_59_3' class='gform-field-label gform-field-label--type-inline'>La estrategia de prevenci\u00f3n debe adaptarse a la funci\u00f3n espec\u00edfica que est\u00e1 deteriorada<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_59_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.4' type='checkbox'  value='No sabe\/No responde'  id='choice_6_59_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_59_4' id='label_6_59_4' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_60\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_60\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.5. \u00bfCu\u00e1les son las 2 principales herramientas que usted utiliza para evaluar la autonom\u00eda en adultos mayores?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_60'>Puede seleccionar varias opciones<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_60'><div class='gchoice gchoice_6_60_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.1' type='checkbox'  value='\u00cdndice de Katz'  id='choice_6_60_1'   aria-describedby=\"gfield_description_6_60\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_1' id='label_6_60_1' class='gform-field-label gform-field-label--type-inline'>\u00cdndice de Katz<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.2' type='checkbox'  value='\u00cdndica de Barthel'  id='choice_6_60_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_2' id='label_6_60_2' class='gform-field-label gform-field-label--type-inline'>\u00cdndica de Barthel<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.3' type='checkbox'  value='Escala de Tinetti'  id='choice_6_60_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_3' id='label_6_60_3' class='gform-field-label gform-field-label--type-inline'>Escala de Tinetti<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.4' type='checkbox'  value='\u00cdndice de Fragilidad'  id='choice_6_60_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_4' id='label_6_60_4' class='gform-field-label gform-field-label--type-inline'>\u00cdndice de Fragilidad<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.5' type='checkbox'  value='Escala de Lawton y Brody'  id='choice_6_60_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_5' id='label_6_60_5' class='gform-field-label gform-field-label--type-inline'>Escala de Lawton y Brody<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.6' type='checkbox'  value='Evaluaci\u00f3n Geri\u00e1trica funcional'  id='choice_6_60_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_6' id='label_6_60_6' class='gform-field-label gform-field-label--type-inline'>Evaluaci\u00f3n Geri\u00e1trica funcional<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.7' type='checkbox'  value='Prueba de Lev\u00e1ntate y Anda (Time Up and Go)'  id='choice_6_60_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_7' id='label_6_60_7' class='gform-field-label gform-field-label--type-inline'>Prueba de Lev\u00e1ntate y Anda (Time Up and Go)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.8' type='checkbox'  value='No sabe\/No responde'  id='choice_6_60_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_8' id='label_6_60_8' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.9' type='checkbox'  value='Otra'  id='choice_6_60_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_9' id='label_6_60_9' class='gform-field-label gform-field-label--type-inline'>Otra<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_61\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_61\" ><label class='gfield_label gform-field-label' for='input_6_61'>En caso de indicar &#039;Otra&#039; en la pregunta anterior, especifique cual:<\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_6_61' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_62\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_62\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.6. \u00bfCu\u00e1les son las 2 principales dificultades que usted encuentra al evaluar la autonom\u00eda en adultos mayores de forma habitual?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_62'>Puede seleccionar varias opciones<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_62'><div class='gchoice gchoice_6_62_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='Falta de herramientas estandarizadas'  id='choice_6_62_1'   aria-describedby=\"gfield_description_6_62\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_1' id='label_6_62_1' class='gform-field-label gform-field-label--type-inline'>Falta de herramientas estandarizadas<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_62_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.2' type='checkbox'  value='Rechazo de los pacientes a participar'  id='choice_6_62_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_2' id='label_6_62_2' class='gform-field-label gform-field-label--type-inline'>Rechazo de los pacientes a participar<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_62_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.3' type='checkbox'  value='Complejidad de los instrumentos disponibles'  id='choice_6_62_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_3' id='label_6_62_3' class='gform-field-label gform-field-label--type-inline'>Complejidad de los instrumentos disponibles<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_62_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.4' type='checkbox'  value='Falta de tiempo necesario para realizar la evaluaci\u00f3n'  id='choice_6_62_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_4' id='label_6_62_4' class='gform-field-label gform-field-label--type-inline'>Falta de tiempo necesario para realizar la evaluaci\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_62_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.5' type='checkbox'  value='Limitaciones en la formaci\u00f3n profesional'  id='choice_6_62_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_5' id='label_6_62_5' class='gform-field-label gform-field-label--type-inline'>Limitaciones en la formaci\u00f3n profesional<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_62_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.6' type='checkbox'  value='No sabe\/No responde'  id='choice_6_62_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_6' id='label_6_62_6' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_62_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.7' type='checkbox'  value='Otro'  id='choice_6_62_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_7' id='label_6_62_7' class='gform-field-label gform-field-label--type-inline'>Otro<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_63\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_63\" ><label class='gfield_label gform-field-label' for='input_6_63'>En caso de indicar &#039;Otro&#039; en la pregunta anterior, especifique cual:<\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_6_63' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_83\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_83\" ><strong>2.7\tDe acuerdo con su experiencia, califique el grado de recomendaci\u00f3n que dar\u00eda a las siguientes estrategias e intervenciones para prevenir la disminuci\u00f3n de la capacidad funcional en personas mayores. <\/strong>\n<\/br>\n(Usted debe seleccionar en la respuesta elegida en la escala desde 'Totalmente desaconsejado hasta Imprescindible)<\/div><div id=\"field_6_69\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_69\" ><label class='gfield_label gform-field-label' for='input_6_69'>Apoyo nutricional<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_69' id='input_6_69' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_70\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_70\" ><label class='gfield_label gform-field-label' for='input_6_70'>Apoyo psicosocial<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_70' id='input_6_70' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_71\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_71\" ><label class='gfield_label gform-field-label' for='input_6_71'>Modificaciones ambientales<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_71' id='input_6_71' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_72\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_72\" ><label class='gfield_label gform-field-label' for='input_6_72'>Fomentar la actividad f\u00edsica<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_72' id='input_6_72' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_73\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_73\" ><label class='gfield_label gform-field-label' for='input_6_73'>Estrategias para protecci\u00f3n urinaria<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_73' id='input_6_73' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_74\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_74\" ><label class='gfield_label gform-field-label' for='input_6_74'>Evaluaciones funcionales peri\u00f3dicas<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_74' id='input_6_74' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_75\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_75\" ><label class='gfield_label gform-field-label' for='input_6_75'>Equipos asistenciales multidisciplinarios<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_75' id='input_6_75' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_76\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_76\" ><label class='gfield_label gform-field-label' for='input_6_76'>Protocolos de movilizaci\u00f3n temprana<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_76' id='input_6_76' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_77\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_77\" ><label class='gfield_label gform-field-label' for='input_6_77'>Planificaci\u00f3n de cuidados transitorios<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_77' id='input_6_77' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_78\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_78\" ><label class='gfield_label gform-field-label' for='input_6_78'>Revisi\u00f3n y manejo de medicamentos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_6_78' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_79\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_79\" ><label class='gfield_label gform-field-label' for='input_6_79'>Asistencia de orientaci\u00f3n (en el tiempo y en el espacio)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_79' id='input_6_79' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_80\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_80\" ><label class='gfield_label gform-field-label' for='input_6_80'>Revisi\u00f3n de dispositivos (v\u00edas, sondas, endoscopios...)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_80' id='input_6_80' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_81\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_81\" ><label class='gfield_label gform-field-label' for='input_6_81'>Educaci\u00f3n para pacientes y cuidadores (vestirse, ir al ba\u00f1o...)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_81' id='input_6_81' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_82\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_82\" ><label class='gfield_label gform-field-label' for='input_6_82'>Dispositivos de asistencia para capacidades especiales<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_82' id='input_6_82' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_68\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_68\" ><strong>2.8. \u00bfCon qu\u00e9 frecuencia en su pr\u00e1ctica asistencial, observa los siguientes aspectos?<\/strong>\n<\/br>\n(Usted debe seleccionar en la respuesta elegida en la escala desde 'Nunca hasta Siempre')<\/div><div id=\"field_6_84\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_84\" ><label class='gfield_label gform-field-label' for='input_6_84'>Los pacientes en su domicilio experimentan una disminuci\u00f3n de la capacidad funcional no exclusivamente atribuible a su estado de salud<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_84' id='input_6_84' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_85\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_85\" ><label class='gfield_label gform-field-label' for='input_6_85'>La informaci\u00f3n sobre la situaci\u00f3n cl\u00ednica de los pacientes se comparte entre profesionales de hospital y atenci\u00f3n primaria<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_85' id='input_6_85' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_86\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_86\" ><label class='gfield_label gform-field-label' for='input_6_86'>La hospitalizaci\u00f3n tiene un impacto negativo en la capacidad de los pacientes para realizar las actividades diarias<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_86' id='input_6_86' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_87\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_87\" ><label class='gfield_label gform-field-label' for='input_6_87'>Los protocolos actuales de mi instituci\u00f3n para prevenir la p\u00e9rdida de capacidad funcional en pacientes mayores son efectivos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_87' id='input_6_87' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><fieldset id=\"field_6_88\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_88\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.9. Seleccione la(s) definci\u00f3n(es) que considere m\u00e1s adecuada(s) para describir la iatrogenia medicamentosa y la dependencia iatrog\u00e9nica de las opciones proporcionadas.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_88'>Puede escoger m\u00e1s de una respuesta<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_88'><div class='gchoice gchoice_6_88_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.1' type='checkbox'  value='Reacciones adversas o efectos no deseados que resultan directamente del uso de medicamentos prescritos por un profesional de la salud'  id='choice_6_88_1'   aria-describedby=\"gfield_description_6_88\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_88_1' id='label_6_88_1' class='gform-field-label gform-field-label--type-inline'>Reacciones adversas o efectos no deseados que resultan directamente del uso de medicamentos prescritos por un profesional de la salud<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_88_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.2' type='checkbox'  value='Consecuencias negativas o indeseables desde el punto de vista funcional ligada a la hospitalizaci\u00f3n, inducida por el entorno hospitalario y por los cuidados'  id='choice_6_88_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_88_2' id='label_6_88_2' class='gform-field-label gform-field-label--type-inline'>Consecuencias negativas o indeseables desde el punto de vista funcional ligada a la hospitalizaci\u00f3n, inducida por el entorno hospitalario y por los cuidados<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_88_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.3' type='checkbox'  value='Efecto perjudicial y no deseado por un f\u00e1rmaco, que se produce en dosis utilizadas en humanos para la profilaxis, el diagn\u00f3stico o la terapia'  id='choice_6_88_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_88_3' id='label_6_88_3' class='gform-field-label gform-field-label--type-inline'>Efecto perjudicial y no deseado por un f\u00e1rmaco, que se produce en dosis utilizadas en humanos para la profilaxis, el diagn\u00f3stico o la terapia<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_88_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.4' type='checkbox'  value='Proceso en el que un paciente reduce gradualmente su dependencia de un medicamento bajo la supervisi\u00f3n de un profesional de la salud'  id='choice_6_88_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_88_4' id='label_6_88_4' class='gform-field-label gform-field-label--type-inline'>Proceso en el que un paciente reduce gradualmente su dependencia de un medicamento bajo la supervisi\u00f3n de un profesional de la salud<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_89\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_89\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.10. \u00bfQu\u00e9 m\u00e9todo utilizar\u00edas para prevenir o tratar el delirio?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_89'><div class='gchoice gchoice_6_89_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.1' type='checkbox'  value='Evaluaci\u00f3n de los factores de confusi\u00f3n'  id='choice_6_89_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_89_1' id='label_6_89_1' class='gform-field-label gform-field-label--type-inline'>Evaluaci\u00f3n de los factores de confusi\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_89_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.2' type='checkbox'  value='Intervenci\u00f3n no farmacol\u00f3gica'  id='choice_6_89_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_89_2' id='label_6_89_2' class='gform-field-label gform-field-label--type-inline'>Intervenci\u00f3n no farmacol\u00f3gica<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_89_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.3' type='checkbox'  value='Intervenci\u00f3n farmacol\u00f3gica'  id='choice_6_89_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_89_3' id='label_6_89_3' class='gform-field-label gform-field-label--type-inline'>Intervenci\u00f3n farmacol\u00f3gica<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_90\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_90\" ><label class='gfield_label gform-field-label' for='input_6_90'>En caso de elegir &#039;Intervenci\u00f3n farmacol\u00f3gica&#039; especifique qu\u00e9 tipo de intervenci\u00f3n realiza:<\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_6_90' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_92\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_92\" ><strong>2.11. En su experiencia, \u00bfCu\u00e1nto contribuye cada uno de los siguientes factores a la p\u00e9rdida de la capacidad funcional de las personas mayores durante la hospitalizaci\u00f3n?<\/strong>\n<\/br>\n(Usted debe seleccionar en la respuesta elegida en la escala desde 'Nada hasta Mucho')<\/div><div id=\"field_6_93\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_93\" ><label class='gfield_label gform-field-label' for='input_6_93'>Edad del paciente<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_93' id='input_6_93' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_94\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_94\" ><label class='gfield_label gform-field-label' for='input_6_94'>Reposo prolongado en cama<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_94' id='input_6_94' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_95\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_95\" ><label class='gfield_label gform-field-label' for='input_6_95'>Motivo o m\u00e9todo de admisi\u00f3n<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_95' id='input_6_95' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_96\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_96\" ><label class='gfield_label gform-field-label' for='input_6_96'>Afecciones m\u00e9dicas subyacentes<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_96' id='input_6_96' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_97\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_97\" ><label class='gfield_label gform-field-label' for='input_6_97'>Efectos secundarios de los medicamentos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_97' id='input_6_97' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_98\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_98\" ><label class='gfield_label gform-field-label' for='input_6_98'>Diagn\u00f3stico err\u00f3neo del problema de salud<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_98' id='input_6_98' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_99\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_99\" ><label class='gfield_label gform-field-label' for='input_6_99'>Retraso en el tratamiento del problema de salud<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_99' id='input_6_99' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_100\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_100\" ><label class='gfield_label gform-field-label' for='input_6_100'>Retraso en el diagn\u00f3stico del problema de salud<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_100' id='input_6_100' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_101\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_101\" ><label class='gfield_label gform-field-label' for='input_6_101'>Falta de programas de rehabilitaci\u00f3n inadecuados<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_101' id='input_6_101' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_102\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_102\" ><label class='gfield_label gform-field-label' for='input_6_102'>Falta en la comunicaci\u00f3n entre profesionales sanitarios<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_102' id='input_6_102' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_103\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_103\" ><label class='gfield_label gform-field-label' for='input_6_103'>Falta de tratamiento adecuado del problema de salud<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_103' id='input_6_103' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_104\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_104\" ><label class='gfield_label gform-field-label' for='input_6_104'>Polifarmacia (uso de 5 o m\u00e1s medicamentos diferentes)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_104' id='input_6_104' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><fieldset id=\"field_6_105\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_105\" ><legend class='gfield_label gform-field-label' >2.12. En su pr\u00e1ctica habitual, presta especial atenci\u00f3n a la transici\u00f3n asistencial de un paciente tras el alta hospitalaria:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_105'>\n\t\t\t<div class='gchoice gchoice_6_105_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='S\u00ed'  id='choice_6_105_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_105_0' id='label_6_105_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_105_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='No'  id='choice_6_105_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_105_1' id='label_6_105_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_105_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='No sabe\/No responde'  id='choice_6_105_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_105_2' id='label_6_105_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_106\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_106\" ><label class='gfield_label gform-field-label' for='input_6_106'>En caso de respuesta afirmativa, indique en qu\u00e9 aspectos se enfoca:<\/label><div class='ginput_container ginput_container_text'><input name='input_106' id='input_6_106' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_173\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_173\" ><legend class='gfield_label gform-field-label' >3.8. \u00bfRealiza usted revisi\u00f3n del botiqu\u00edn domiciliario?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_173'>\n\t\t\t<div class='gchoice gchoice_6_173_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_173' type='radio' value='S\u00ed'  id='choice_6_173_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_173_0' id='label_6_173_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_173_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_173' type='radio' value='No'  id='choice_6_173_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_173_1' id='label_6_173_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_173_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_173' type='radio' value='No sabe \/ No responde'  id='choice_6_173_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_173_2' id='label_6_173_2' class='gform-field-label gform-field-label--type-inline'>No sabe \/ No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_35' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Anterior'  \/> <input type='button' id='gform_next_button_6_35' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Siguiente '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_4' class='gform_page' data-js='page-field-id-35' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_6_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_6_107\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_107\" ><strong>3. Iatrogenia medicamentosa<\/strong>\n<\/br>\nConsideramos evento adverso grave cualquier evento que sea inesperado en relaci\u00f3n con el estado de salud actual del paciente, cuyas consecuencias pueden ser la muerte, la p\u00e9rdida de capacidades funcionales permanentes o un pron\u00f3stico potencialmente mortal.<\/div><fieldset id=\"field_6_109\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_109\" ><legend class='gfield_label gform-field-label' >3.1. \u00bfCu\u00e1l cree usted es la tasa actual de eventos iatrog\u00e9nicos graves atribuibles a los medicamentos?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_109'>\n\t\t\t<div class='gchoice gchoice_6_109_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='\u2264 10 %'  id='choice_6_109_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_109_0' id='label_6_109_0' class='gform-field-label gform-field-label--type-inline'>\u2264 10 %<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_109_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='10 al 20%'  id='choice_6_109_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_109_1' id='label_6_109_1' class='gform-field-label gform-field-label--type-inline'>10 al 20%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_109_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='20 al 30%'  id='choice_6_109_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_109_2' id='label_6_109_2' class='gform-field-label gform-field-label--type-inline'>20 al 30%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_109_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='&gt;30%'  id='choice_6_109_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_109_3' id='label_6_109_3' class='gform-field-label gform-field-label--type-inline'>&gt;30%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_109_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='No sabe \/ No responde'  id='choice_6_109_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_109_4' id='label_6_109_4' class='gform-field-label gform-field-label--type-inline'>No sabe \/ No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_108\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_108\" ><legend class='gfield_label gform-field-label' >3.2. \u00bfQu\u00e9 parte de estos eventos iatrog\u00e9nicos graves relacionados con los medicamentos podr\u00edan haberse evitado?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_108'>\n\t\t\t<div class='gchoice gchoice_6_108_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='\u2264 10 %'  id='choice_6_108_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_108_0' id='label_6_108_0' class='gform-field-label gform-field-label--type-inline'>\u2264 10 %<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_108_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='10 al 20%'  id='choice_6_108_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_108_1' id='label_6_108_1' class='gform-field-label gform-field-label--type-inline'>10 al 20%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_108_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='20 al 30%'  id='choice_6_108_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_108_2' id='label_6_108_2' class='gform-field-label gform-field-label--type-inline'>20 al 30%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_108_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='&gt;30%'  id='choice_6_108_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_108_3' id='label_6_108_3' class='gform-field-label gform-field-label--type-inline'>&gt;30%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_108_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='No sabe \/ No responde'  id='choice_6_108_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_108_4' id='label_6_108_4' class='gform-field-label gform-field-label--type-inline'>No sabe \/ No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_110\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_110\" ><legend class='gfield_label gform-field-label' >3.3. \u00bfQu\u00e9 parte de estos eventos iatrog\u00e9nicos graves relacionados con los medicamentos motivaron la hospitalizaci\u00f3n del paciente?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_110'>\n\t\t\t<div class='gchoice gchoice_6_110_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='\u2264 10 %'  id='choice_6_110_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_110_0' id='label_6_110_0' class='gform-field-label gform-field-label--type-inline'>\u2264 10 %<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_110_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='10 al 20%'  id='choice_6_110_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_110_1' id='label_6_110_1' class='gform-field-label gform-field-label--type-inline'>10 al 20%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_110_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='20 al 30%'  id='choice_6_110_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_110_2' id='label_6_110_2' class='gform-field-label gform-field-label--type-inline'>20 al 30%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_110_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='&gt;30%'  id='choice_6_110_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_110_3' id='label_6_110_3' class='gform-field-label gform-field-label--type-inline'>&gt;30%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_110_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='No sabe \/ No responde'  id='choice_6_110_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_110_4' id='label_6_110_4' class='gform-field-label gform-field-label--type-inline'>No sabe \/ No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_112\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_112\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >3.4. En pacientes de edad avanzada, la polimedicaci\u00f3n aumenta el riesgo de los siguientes problemas, independientemente del tipo de medicaci\u00f3n prescrita:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_112'>Puede seleccionar varias opciones:<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_112'><div class='gchoice gchoice_6_112_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.1' type='checkbox'  value='Ca\u00eddas'  id='choice_6_112_1'   aria-describedby=\"gfield_description_6_112\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_112_1' id='label_6_112_1' class='gform-field-label gform-field-label--type-inline'>Ca\u00eddas<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_112_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.2' type='checkbox'  value='Interacciones'  id='choice_6_112_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_112_2' id='label_6_112_2' class='gform-field-label gform-field-label--type-inline'>Interacciones<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_112_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.3' type='checkbox'  value='Deterioro cognitivo'  id='choice_6_112_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_112_3' id='label_6_112_3' class='gform-field-label gform-field-label--type-inline'>Deterioro cognitivo<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_112_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.4' type='checkbox'  value='Errores de prescripci\u00f3n'  id='choice_6_112_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_112_4' id='label_6_112_4' class='gform-field-label gform-field-label--type-inline'>Errores de prescripci\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_112_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.5' type='checkbox'  value='No sabe\/No responde'  id='choice_6_112_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_112_5' id='label_6_112_5' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_112_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.6' type='checkbox'  value='Otros'  id='choice_6_112_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_112_6' id='label_6_112_6' class='gform-field-label gform-field-label--type-inline'>Otros<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_113\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_113\" ><label class='gfield_label gform-field-label' for='input_6_113'>En caso de elegir la opci\u00f3n &#039;Otros&#039; en la pregunta anterior, especifique cual:<\/label><div class='ginput_container ginput_container_text'><input name='input_113' id='input_6_113' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_114\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_114\" ><strong>3.5\tEn su opini\u00f3n, \u00bfQu\u00e9 relevancia tienen los siguientes factores en la aparici\u00f3n de eventos iatrog\u00e9nicos relacionados con medicamentos?<\/strong>\n<\/br>\n(Usted debe seleccionar en la respuesta elegida en la escala desde 'Ninguna relevancia hasta Mucha relevancia')<\/div><div id=\"field_6_115\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_115\" ><label class='gfield_label gform-field-label' for='input_6_115'>Polifarmacia<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_115' id='input_6_115' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_116\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_116\" ><label class='gfield_label gform-field-label' for='input_6_116'>Dosis incorrecta<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_116' id='input_6_116' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_117\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_117\" ><label class='gfield_label gform-field-label' for='input_6_117'>V\u00eda de administraci\u00f3n incorrecta<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_117' id='input_6_117' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_118\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_118\" ><label class='gfield_label gform-field-label' for='input_6_118'>Frecuencia de dosificaci\u00f3n incorrecta<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_118' id='input_6_118' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_119\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_119\" ><label class='gfield_label gform-field-label' for='input_6_119'>Disminuci\u00f3n de la adherencia al tratamiento<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_119' id='input_6_119' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_120\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_120\" ><label class='gfield_label gform-field-label' for='input_6_120'>Informaci\u00f3n recibida incompleta y\/o inexacta<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_120' id='input_6_120' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_121\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_121\" ><label class='gfield_label gform-field-label' for='input_6_121'>Problema de sensibilidad individual y contraindicaciones<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_121' id='input_6_121' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_122\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_122\" ><label class='gfield_label gform-field-label' for='input_6_122'>Medicaci\u00f3n administrada y\/o prescrita al paciente equivocado<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_122' id='input_6_122' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_123\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_123\" ><label class='gfield_label gform-field-label' for='input_6_123'>Interacciones medicamentosas (f\u00e1rmaco-f\u00e1rmaco\/f\u00e1rmaco-enfermedad)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_123' id='input_6_123' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_124\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_124\" ><label class='gfield_label gform-field-label' for='input_6_124'>Cambios en el metabolismo del f\u00e1rmaco debido a insuficiencia org\u00e1nica<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_124' id='input_6_124' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_125\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_125\" ><strong>3.6. Con qu\u00e9 frecuencia piensa que los siguientes f\u00e1rmacos est\u00e1n implicados en eventos iatrog\u00e9nicos graves?<\/strong>\n<\/br>\n(Usted debe seleccionar en la respuesta elegida en la escala desde 'Nunca hasta Siempre')<\/div><div id=\"field_6_126\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_126\" ><label class='gfield_label gform-field-label' for='input_6_126'>Opi\u00e1ceos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_126' id='input_6_126' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_127\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_127\" ><label class='gfield_label gform-field-label' for='input_6_127'>Antibi\u00f3ticos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_127' id='input_6_127' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_128\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_128\" ><label class='gfield_label gform-field-label' for='input_6_128'>Antidiab\u00e9ticos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_128' id='input_6_128' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_129\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_129\" ><label class='gfield_label gform-field-label' for='input_6_129'>Anticoagulantes<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_129' id='input_6_129' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_130\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_130\" ><label class='gfield_label gform-field-label' for='input_6_130'>Quimioterapia<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_130' id='input_6_130' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_131\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_131\" ><label class='gfield_label gform-field-label' for='input_6_131'>Corticosteroides<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_131' id='input_6_131' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_132\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_132\" ><label class='gfield_label gform-field-label' for='input_6_132'>Medicamentos psicotr\u00f3picos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_132' id='input_6_132' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_178\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_178\" ><label class='gfield_label gform-field-label' for='input_6_178'>Antiinflamatorios no esteroideos (AINE)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_178' id='input_6_178' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_133\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_133\" ><label class='gfield_label gform-field-label' for='input_6_133'>Antiinflamatorios no esteroideos (AINE)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_133' id='input_6_133' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_134\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_134\" ><label class='gfield_label gform-field-label' for='input_6_134'>Otros<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_134' id='input_6_134' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_135\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_135\" ><label class='gfield_label gform-field-label' for='input_6_135'>Si considera que hay otros f\u00e1rmacos por favor especifique cual:<\/label><div class='ginput_container ginput_container_text'><input name='input_135' id='input_6_135' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_138\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_138\" ><legend class='gfield_label gform-field-label' >3.7\t\u00bfCu\u00e1l de los siguientes enunciados refleja mejor lo que har\u00eda respecto a la sospecha de un evento adverso inducido por medicamento, por ejemplo: una ca\u00edda secundaria a hipotensi\u00f3n en un paciente con medicaci\u00f3n antihipertensiva?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_138'>\n\t\t\t<div class='gchoice gchoice_6_138_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='Normalmente, no considerar\u00eda que se tratara de un evento adverso'  id='choice_6_138_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_138_0' id='label_6_138_0' class='gform-field-label gform-field-label--type-inline'>Normalmente, no considerar\u00eda que se tratara de un evento adverso<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_138_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='Declarar\u00eda que es un evento adverso si lo ocurrido es grave'  id='choice_6_138_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_138_1' id='label_6_138_1' class='gform-field-label gform-field-label--type-inline'>Declarar\u00eda que es un evento adverso si lo ocurrido es grave<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_138_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='Declarar\u00eda que es un evento adverso si lo ocurrido es moderado'  id='choice_6_138_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_138_2' id='label_6_138_2' class='gform-field-label gform-field-label--type-inline'>Declarar\u00eda que es un evento adverso si lo ocurrido es moderado<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_138_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='Declarar\u00eda que es un evento adverso si lo ocurrido es leve'  id='choice_6_138_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_138_3' id='label_6_138_3' class='gform-field-label gform-field-label--type-inline'>Declarar\u00eda que es un evento adverso si lo ocurrido es leve<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_138_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='Siempre lo declarar\u00eda como evento adverso, independientemente de su gravedad'  id='choice_6_138_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_138_4' id='label_6_138_4' class='gform-field-label gform-field-label--type-inline'>Siempre lo declarar\u00eda como evento adverso, independientemente de su gravedad<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_176\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_176\" ><legend class='gfield_label gform-field-label' >3.8. \u00bfRealiza usted revisi\u00f3n del botiqu\u00edn domiciliario?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_176'>\n\t\t\t<div class='gchoice gchoice_6_176_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_176' type='radio' value='S\u00ed'  id='choice_6_176_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_176_0' id='label_6_176_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_176_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_176' type='radio' value='No'  id='choice_6_176_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_176_1' id='label_6_176_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_176_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_176' type='radio' value='No sabe \/ No responde'  id='choice_6_176_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_176_2' id='label_6_176_2' class='gform-field-label gform-field-label--type-inline'>No sabe \/ No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_139' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Anterior'  \/> <input type='button' id='gform_next_button_6_139' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Siguiente '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_5' class='gform_page' data-js='page-field-id-139' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_6_5' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_6_141\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_141\" ><strong>4. Optimizaci\u00f3n terap\u00e9utica<\/strong>\n<\/br><\/div><fieldset id=\"field_6_142\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_142\" ><legend class='gfield_label gform-field-label' >4.1. \u00bfConoce usted alguna gu\u00eda y\/o directriz publicada para optimizar la prescripci\u00f3n en pacientes adultos mayores?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_142'>\n\t\t\t<div class='gchoice gchoice_6_142_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='S\u00ed'  id='choice_6_142_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_142_0' id='label_6_142_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_142_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='No'  id='choice_6_142_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_142_1' id='label_6_142_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_142_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='No sabe\/No responde'  id='choice_6_142_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_142_2' id='label_6_142_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_144\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_144\" ><label class='gfield_label gform-field-label' for='input_6_144'>Si su respuesta fue afirmativa, \u00bfPuede usted nombrar algunas?<\/label><div class='ginput_container ginput_container_text'><input name='input_144' id='input_6_144' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_145\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_145\" ><legend class='gfield_label gform-field-label' >4.2. \u00bfEst\u00e1 usted familiarizado con el concepto de &quot;infrautilizaci\u00f3n&quot;, &quot;mal uso&quot; y &quot;sobreuso&quot; de medicamentos?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_145'>\n\t\t\t<div class='gchoice gchoice_6_145_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='S\u00ed'  id='choice_6_145_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_145_0' id='label_6_145_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_145_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='No'  id='choice_6_145_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_145_1' id='label_6_145_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_145_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='No sabe\/No responde'  id='choice_6_145_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_145_2' id='label_6_145_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_143\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_143\" ><legend class='gfield_label gform-field-label' >4.3. En su pr\u00e1ctica diaria, realiza usted una revisi\u00f3n de la medicaci\u00f3n a los pacientes mayores?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_143'>\n\t\t\t<div class='gchoice gchoice_6_143_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='S\u00ed'  id='choice_6_143_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_143_0' id='label_6_143_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_143_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='No'  id='choice_6_143_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_143_1' id='label_6_143_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_143_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='No sabe\/No responde'  id='choice_6_143_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_143_2' id='label_6_143_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_146\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_146\" ><legend class='gfield_label gform-field-label' >4.4. Cuando usted realiza una evaluaci\u00f3n de medicamentos\/revisi\u00f3n de recetas, \u00bfGeneralmente lo hace en compa\u00f1\u00eda de otros profesionales de la salud?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_146'>\n\t\t\t<div class='gchoice gchoice_6_146_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_146' type='radio' value='S\u00ed'  id='choice_6_146_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_146_0' id='label_6_146_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_146_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_146' type='radio' value='No'  id='choice_6_146_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_146_1' id='label_6_146_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_146_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_146' type='radio' value='No sabe\/No responde'  id='choice_6_146_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_146_2' id='label_6_146_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_147\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_147\" ><label class='gfield_label gform-field-label' for='input_6_147'>Si su respuesta fue afirmativa, \u00bfPuede especificar con qui\u00e9n?<\/label><div class='ginput_container ginput_container_text'><input name='input_147' id='input_6_147' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_148\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_148\" ><legend class='gfield_label gform-field-label' >4.5. Cuando usted realiza una evaluaci\u00f3n de la medicaci\u00f3n \u00bfUtiliza instrumentos o escalas para medir la adherencia terap\u00e9utica del paciente?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_148'>\n\t\t\t<div class='gchoice gchoice_6_148_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='S\u00ed'  id='choice_6_148_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_148_0' id='label_6_148_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_148_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='No'  id='choice_6_148_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_148_1' id='label_6_148_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_148_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='No sabe\/No responde'  id='choice_6_148_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_148_2' id='label_6_148_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_149\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_149\" ><label class='gfield_label gform-field-label' for='input_6_149'>Si su respuesta fue afirmativa, por favor especifique el instrumento utilizado:<\/label><div class='ginput_container ginput_container_text'><input name='input_149' id='input_6_149' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_152\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_152\" ><legend class='gfield_label gform-field-label' >4.6. \u00bfConsidera usted que la colaboraci\u00f3n entre profesionales es la clave para una prescripci\u00f3n \u00f3ptima en personas mayores?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_152'>\n\t\t\t<div class='gchoice gchoice_6_152_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_152' type='radio' value='S\u00ed'  id='choice_6_152_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_152_0' id='label_6_152_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_152_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_152' type='radio' value='No'  id='choice_6_152_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_152_1' id='label_6_152_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_152_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_152' type='radio' value='No sabe\/No responde'  id='choice_6_152_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_152_2' id='label_6_152_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_151\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_151\" ><legend class='gfield_label gform-field-label' >4.7. La OMS, en su documento de orientaci\u00f3n &quot;Medicamentos sin da\u00f1o&quot;, recomienda 7 pasos para optimizar la prescripci\u00f3n. \u00bfCu\u00e1l deber\u00eda considerarse primero?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_151'>\n\t\t\t<div class='gchoice gchoice_6_151_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='Usar la medicaci\u00f3n adecuada'  id='choice_6_151_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_151_0' id='label_6_151_0' class='gform-field-label gform-field-label--type-inline'>Usar la medicaci\u00f3n adecuada<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_151_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='\u00bfQu\u00e9 le importa al paciente?'  id='choice_6_151_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_151_1' id='label_6_151_1' class='gform-field-label gform-field-label--type-inline'>\u00bfQu\u00e9 le importa al paciente?<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_151_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='\u00bfEs eficaz el medicamento?'  id='choice_6_151_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_151_2' id='label_6_151_2' class='gform-field-label gform-field-label--type-inline'>\u00bfEs eficaz el medicamento?<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_151_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='\u00bfEs perjudicial el medicamento?'  id='choice_6_151_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_151_3' id='label_6_151_3' class='gform-field-label gform-field-label--type-inline'>\u00bfEs perjudicial el medicamento?<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_151_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='Tener en cuenta la sostenibilidad del sistema'  id='choice_6_151_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_151_4' id='label_6_151_4' class='gform-field-label gform-field-label--type-inline'>Tener en cuenta la sostenibilidad del sistema<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_151_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='\u00bfEl paciente toma medicaci\u00f3n innecesaria?'  id='choice_6_151_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_151_5' id='label_6_151_5' class='gform-field-label gform-field-label--type-inline'>\u00bfEl paciente toma medicaci\u00f3n innecesaria?<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_151_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='\u00bfSe acuerda el plan de tratamiento y se comparte con el paciente?'  id='choice_6_151_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_151_6' id='label_6_151_6' class='gform-field-label gform-field-label--type-inline'>\u00bfSe acuerda el plan de tratamiento y se comparte con el paciente?<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_150\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_150\" ><legend class='gfield_label gform-field-label' >4.8. \u00bfSabe usted detectar situaciones de dependencia iatrog\u00e9nica en su pr\u00e1ctica actual?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_150'>\n\t\t\t<div class='gchoice gchoice_6_150_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='S\u00ed'  id='choice_6_150_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_150_0' id='label_6_150_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_150_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='No'  id='choice_6_150_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_150_1' id='label_6_150_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_150_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='No sabe\/No responde'  id='choice_6_150_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_150_2' id='label_6_150_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_153\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_153\" ><label class='gfield_label gform-field-label' for='input_6_153'>Si su respuesta fue afirmativa, \u00bfCu\u00e1l es el procedimiento a seguir?<\/label><div class='ginput_container ginput_container_text'><input name='input_153' id='input_6_153' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_154\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_154\" ><legend class='gfield_label gform-field-label' >4.9. \u00bfSabe usted detectar eventos adversos relacionados con los medicamentos en su pr\u00e1ctica habitual?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_154'>\n\t\t\t<div class='gchoice gchoice_6_154_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_154' type='radio' value='S\u00ed'  id='choice_6_154_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_154_0' id='label_6_154_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_154_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_154' type='radio' value='No'  id='choice_6_154_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_154_1' id='label_6_154_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_154_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_154' type='radio' value='No sabe\/No responde'  id='choice_6_154_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_154_2' id='label_6_154_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_155\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_155\" ><label class='gfield_label gform-field-label' for='input_6_155'>Si su respuesta fue afirmativa, \u00bfCu\u00e1l es el procedimiento a seguir?<\/label><div class='ginput_container ginput_container_text'><input name='input_155' id='input_6_155' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_156\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_156\" ><strong>4.10. Indique su grado de acuerdo\/desacuerdo con las situaciones descritas en relaci\u00f3n a su pr\u00e1ctica asistencial<\/strong>\n<\/br>\n\"(Usted debe seleccionar en la respuesta elegida en la escala desde 'Totalmente en desacuerdo hasta Totalmente de acuerdo')<\/div><div id=\"field_6_157\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_157\" ><label class='gfield_label gform-field-label' for='input_6_157'>La falta de gu\u00edas\/protocolos desincentiva el registro de eventos iatrog\u00e9nicos durante mi pr\u00e1ctica cl\u00ednica<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_157' id='input_6_157' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected'><\/option><option value='Totalmente en desacuerdo' >Totalmente en desacuerdo<\/option><option value='En Desacuerdo' >En Desacuerdo<\/option><option value='Indiferente' >Indiferente<\/option><option value='De Acuerdo' >De Acuerdo<\/option><option value='Totalmente de Acuerdo' >Totalmente de Acuerdo<\/option><\/select><\/div><\/div><div id=\"field_6_158\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_158\" ><label class='gfield_label gform-field-label' for='input_6_158'>La historia cl\u00ednica electr\u00f3nica facilita el registro de eventos iatrog\u00e9nicos durante mi pr\u00e1ctica cl\u00ednica<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_158' id='input_6_158' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente en Desacuerdo' >Totalmente en Desacuerdo<\/option><option value='En Desacuerdo' >En Desacuerdo<\/option><option value='Indiferente' >Indiferente<\/option><option value='De Acuerdo' >De Acuerdo<\/option><option value='Totalmente de Acuerdo' >Totalmente de Acuerdo<\/option><\/select><\/div><\/div><div id=\"field_6_159\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_159\" ><label class='gfield_label gform-field-label' for='input_6_159'>Durante mi pr\u00e1ctica cl\u00ednica, no es relevante el registro de eventos iatrog\u00e9nicos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_159' id='input_6_159' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente en Desacuerdo' >Totalmente en Desacuerdo<\/option><option value='En Desacuerdo' >En Desacuerdo<\/option><option value='Indiferente' >Indiferente<\/option><option value='De Acuerdo' >De Acuerdo<\/option><option value='Totalmente de Acuerdo' >Totalmente de Acuerdo<\/option><\/select><\/div><\/div><div id=\"field_6_160\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_160\" ><label class='gfield_label gform-field-label' for='input_6_160'>La falta de tiempo dificulta registrar eventos iatrog\u00e9nicos durante mi pr\u00e1ctica cl\u00ednica<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_160' id='input_6_160' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente en Desacuerdo' >Totalmente en Desacuerdo<\/option><option value='En Desacuerdo' >En Desacuerdo<\/option><option value='Indiferente' >Indiferente<\/option><option value='De Acuerdo' >De Acuerdo<\/option><option value='Totalmente de Acuerdo' >Totalmente de Acuerdo<\/option><\/select><\/div><\/div><div id=\"field_6_161\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_161\" ><label class='gfield_label gform-field-label' for='input_6_161'>Es dif\u00edcil entender\/percibir la causa de un evento iatrog\u00e9nico durante mi pr\u00e1ctica cl\u00ednica<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_161' id='input_6_161' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente en Desacuerdo' >Totalmente en Desacuerdo<\/option><option value='En Desacuerdo' >En Desacuerdo<\/option><option value='Indiferente' >Indiferente<\/option><option value='De Acuerdo' >De Acuerdo<\/option><option value='Totalmente de Acuerdo' >Totalmente de Acuerdo<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_162' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Anterior'  \/> <input type='button' id='gform_next_button_6_162' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Siguiente '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_6' class='gform_page' data-js='page-field-id-162' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_6_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><fieldset id=\"field_6_163\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_163\" ><legend class='gfield_label gform-field-label' >5. \u00bfHa recibido alguna vez formaci\u00f3n sobre buenas pr\u00e1cticas para la prevenci\u00f3n y\/o gesti\u00f3n de la dependencia iatrog\u00e9nica y la iatrog\u00e9nica inducida por f\u00e1rmacos?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_163'>\n\t\t\t<div class='gchoice gchoice_6_163_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='No, nunca'  id='choice_6_163_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_163_0' id='label_6_163_0' class='gform-field-label gform-field-label--type-inline'>No, nunca<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_163_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='S\u00ed, hace menos de 1 a\u00f1o'  id='choice_6_163_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_163_1' id='label_6_163_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed, hace menos de 1 a\u00f1o<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_163_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='S\u00ed, hace menos de 3 a\u00f1os'  id='choice_6_163_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_163_2' id='label_6_163_2' class='gform-field-label gform-field-label--type-inline'>S\u00ed, hace menos de 3 a\u00f1os<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_163_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='S\u00ed, hace menos de 5 a\u00f1os'  id='choice_6_163_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_163_3' id='label_6_163_3' class='gform-field-label gform-field-label--type-inline'>S\u00ed, hace menos de 5 a\u00f1os<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_163_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='S\u00ed, hace menos de 10 a\u00f1os'  id='choice_6_163_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_163_4' id='label_6_163_4' class='gform-field-label gform-field-label--type-inline'>S\u00ed, hace menos de 10 a\u00f1os<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_163_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='S\u00ed, durante 10 a\u00f1os o m\u00e1s'  id='choice_6_163_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_163_5' id='label_6_163_5' class='gform-field-label gform-field-label--type-inline'>S\u00ed, durante 10 a\u00f1os o m\u00e1s<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_164\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_164\" ><strong>6. En relaci\u00f3n con la dependencia iatrog\u00e9nica y la iatrogenia medicamentosa indique tres necesidades formativas sobre las que le gustar\u00eda formarse:<\/strong><\/div><div id=\"field_6_165\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_165\" ><label class='gfield_label gform-field-label' for='input_6_165'>1.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_165' id='input_6_165' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_166\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_166\" ><label class='gfield_label gform-field-label' for='input_6_166'>2.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_166' id='input_6_166' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_167\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_167\" ><label class='gfield_label gform-field-label' for='input_6_167'>3.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_167' id='input_6_167' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_43\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_43\" ><label class='gfield_label gform-field-label' for='input_6_43'>CAPTCHA<\/label><div id='input_6_43' class='ginput_container ginput_recaptcha' data-sitekey='6LfjP5cpAAAAAIMc-d46lqG5Qpahbip4xtvf_vPg'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_6' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Anterior' 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var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_6' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Encuesta STOP IATRO sobre prevenci\u00f3n del deterioro funcional, la iatrogenia medicamentosa y la optimizaci\u00f3n terap\u00e9utica<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/es\/wp-json\/wp\/v2\/pages\/48764#gf_6' data-formid='6' novalidate> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n        <div id='gf_progressbar_wrapper_6' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Paso <span class='gf_step_current_page'>1<\/span> de <span class='gf_step_page_count'>6<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_16' style='width:16%;'><span>16%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_6_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_6_171\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_171\" >Esta encuesta forma parte del proyecto STOP IATRO, cuyo objetivo es implementar estrategias colectivas para prevenir las complicaciones asociadas a la atenci\u00f3n cl\u00ednica y los tratamientos. Estas complicaciones pueden llevar a la p\u00e9rdida de autonom\u00eda entre las personas mayores. El proyecto se basa en las recomendaciones de la Organizaci\u00f3n Mundial de la Salud (OMS), espec\u00edficamente en el programa Atenci\u00f3n Integrada para las Personas Mayores (ICOPE, por sus siglas en ingl\u00e9s).\n<br><br>\n\nCon esta encuesta, el equipo de investigaci\u00f3n busca recabar informaci\u00f3n de los profesionales sanitarios responsables de la prestaci\u00f3n de cuidados en el domicilio y\/o hospitalizaci\u00f3n en adultos mayores sobre sus conocimientos y pr\u00e1cticas, respecto a la dependencia iatrog\u00e9nica y la iatrogenia inducida por f\u00e1rmacos. La informaci\u00f3n proporcionada ser\u00e1 fundamental para crear un inventario de buenas pr\u00e1cticas relacionadas con la prevenci\u00f3n de la p\u00e9rdida de autonom\u00eda en las personas adultas mayores durante la asistencia sanitaria, e identificar las necesidades formativas que pudieran ser abordadas desde el \u00e1mbito del proyecto.\nLa primera secci\u00f3n de la encuesta est\u00e1 dise\u00f1ada para recopilar informaci\u00f3n sociodemogr\u00e1fica y profesional de los participantes. Las secciones posteriores contienen afirmaciones y preguntas relacionadas con la iatrogenia y su prevenci\u00f3n en la poblaci\u00f3n mayor.\n<br><br>\n\nEl cuestionario fue dise\u00f1ado siguiendo pautas y est\u00e1ndares \u00e9ticos. Todo el estudio STOP IATRO ha recibido la aprobaci\u00f3n del Comit\u00e9 de \u00c9tica de la Investigaci\u00f3n de la Provincia de M\u00e1laga con fecha 18 de junio de 2024. Adem\u00e1s, el estudio cumple con la normativa de protecci\u00f3n de datos vigente (Ley Org\u00e1nica 3\/2018, de 5 de diciembre, Reglamento Europeo 2016\/679 y Declaraci\u00f3n de Helsinki), garantizando de esta manera la confidencialidad, privacidad y consentimiento informado de los participantes. \nEl tiempo estimado para completar el cuestionario es de aproximadamente 10 minutos. Sus respuestas permanecer\u00e1n an\u00f3nimas y confidenciales. Agradecemos su tiempo y colaboraci\u00f3n al proporcionar esta valiosa informaci\u00f3n.\n<br><br>\n\nPara continuar, le solicitamos que confirme su consentimiento, indicando su plena comprensi\u00f3n y acuerdo para participar en el estudio, haciendo clic en la casilla \u00absiguiente\u00bb.<\/div><fieldset id=\"field_6_168\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_168\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consentimiento Pol\u00edtica de privacidad<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_6_168'><a href=\"https:\/\/ibima.eu\/wp-content\/uploads\/2024\/02\/AVISO-LEGAL-y-POLITICA-DE-PRIVACIDAD_FIMABIS_IBIMA_Ver_21_2_2024.pdf\">https:\/\/ibima.eu\/wp-content\/uploads\/2024\/02\/AVISO-LEGAL-y-POLITICA-DE-PRIVACIDAD_FIMABIS_IBIMA_Ver_21_2_2024.pdf<\/a><br \/>\n<\/div><div class='ginput_container ginput_container_consent'><input name='input_168.1' id='input_6_168_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_6_168\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_6_168_1' >Estoy de acuerdo con la Pol\u00edtica de Privacidad.<\/label><input type='hidden' name='input_168.2' value='Estoy de acuerdo con la Pol\u00edtica de Privacidad.' class='gform_hidden' \/><input type='hidden' name='input_168.3' value='4' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_6_175\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_175\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consentimiento Participaci\u00f3n en la Encuesta<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_6_175'><h4> Para continuar, le solicitamos que confirme su consentimiento a participar en la encuesta, indicando su plena comprensi\u00f3n y acuerdo para participar en el estudio, haciendo clic en la casilla <\/h4><\/div><div class='ginput_container ginput_container_consent'><input name='input_175.1' id='input_6_175_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_6_175\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_6_175_1' >Estoy de acuerdo con Participar en la Encuesta<\/label><input type='hidden' name='input_175.2' value='Estoy de acuerdo con Participar en la Encuesta' class='gform_hidden' \/><input type='hidden' name='input_175.3' value='4' class='gform_hidden' \/><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_6_169' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Siguiente '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_2' class='gform_page' data-js='page-field-id-169' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_6_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_6_19\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_19\" >Por favor, lea atentamente cada afirmaci\u00f3n e indique su respuesta en funci\u00f3n de sus conocimientos y experiencia. Recuerde que no hay respuestas correctas ni incorrectas<\/div><div id=\"field_6_18\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_18\" ><strong>1. Caracter\u00edsticas sociodemogr\u00e1ficas y profesionales<\/strong>\n<\/br><\/div><div id=\"field_6_50\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_50\" ><label class='gfield_label gform-field-label' for='input_6_50'>1.1. Edad (a\u00f1os):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_6_50' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_11\" ><legend class='gfield_label gform-field-label' >1.2. G\u00e9nero<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_11'>\n\t\t\t<div class='gchoice gchoice_6_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Hombre'  id='choice_6_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_11_0' id='label_6_11_0' class='gform-field-label gform-field-label--type-inline'>Hombre<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Mujer'  id='choice_6_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_11_1' id='label_6_11_1' class='gform-field-label gform-field-label--type-inline'>Mujer<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_11_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Otro'  id='choice_6_11_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_11_2' id='label_6_11_2' class='gform-field-label gform-field-label--type-inline'>Otro<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_51\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_51\" ><label class='gfield_label gform-field-label' for='input_6_51'>1.3. Indique el nombre de su centro de trabajo:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_6_51' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_14\" ><legend class='gfield_label gform-field-label' >1.4. Provincia en la que trabaja:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_14'>\n\t\t\t<div class='gchoice gchoice_6_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Almer\u00eda'  id='choice_6_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_0' id='label_6_14_0' class='gform-field-label gform-field-label--type-inline'>Almer\u00eda<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='C\u00e1diz'  id='choice_6_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_1' id='label_6_14_1' class='gform-field-label gform-field-label--type-inline'>C\u00e1diz<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='C\u00f3rdoba'  id='choice_6_14_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_2' id='label_6_14_2' class='gform-field-label gform-field-label--type-inline'>C\u00f3rdoba<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Granada'  id='choice_6_14_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_3' id='label_6_14_3' class='gform-field-label gform-field-label--type-inline'>Granada<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Huelva'  id='choice_6_14_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_4' id='label_6_14_4' class='gform-field-label gform-field-label--type-inline'>Huelva<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Ja\u00e9n'  id='choice_6_14_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_5' id='label_6_14_5' class='gform-field-label gform-field-label--type-inline'>Ja\u00e9n<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='M\u00e1laga'  id='choice_6_14_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_6' id='label_6_14_6' class='gform-field-label gform-field-label--type-inline'>M\u00e1laga<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Sevilla'  id='choice_6_14_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_7' id='label_6_14_7' class='gform-field-label gform-field-label--type-inline'>Sevilla<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_14_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='gf_other_choice'  id='choice_6_14_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_14_8' id='label_6_14_8' class='gform-field-label gform-field-label--type-inline'>Otro<\/label><br \/><input id='input_6_14_other' class='gchoice_other_control' name='input_14_other' type='text' value='Otro' aria-label='Si es otro, especif\u00edcalo, por favor'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_15\" ><legend class='gfield_label gform-field-label' >1.5. Ocupaci\u00f3n actual<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_15'>\n\t\t\t<div class='gchoice gchoice_6_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Farmac\u00e9utico\/a comunitario'  id='choice_6_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_0' id='label_6_15_0' class='gform-field-label gform-field-label--type-inline'>Farmac\u00e9utico\/a comunitario<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Farmac\u00e9utico\/a hospitalario'  id='choice_6_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_1' id='label_6_15_1' class='gform-field-label gform-field-label--type-inline'>Farmac\u00e9utico\/a hospitalario<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Farmac\u00e9utico de atenci\u00f3n primaria'  id='choice_6_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_2' id='label_6_15_2' class='gform-field-label gform-field-label--type-inline'>Farmac\u00e9utico de atenci\u00f3n primaria<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Enfermero\/a de atenci\u00f3n primaria'  id='choice_6_15_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_3' id='label_6_15_3' class='gform-field-label gform-field-label--type-inline'>Enfermero\/a de atenci\u00f3n primaria<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Enfermero\/a de hospital'  id='choice_6_15_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_4' id='label_6_15_4' class='gform-field-label gform-field-label--type-inline'>Enfermero\/a de hospital<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='M\u00e9dico\/a de atenci\u00f3n primaria'  id='choice_6_15_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_5' id='label_6_15_5' class='gform-field-label gform-field-label--type-inline'>M\u00e9dico\/a de atenci\u00f3n primaria<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='M\u00e9dico\/a de hospital'  id='choice_6_15_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_6' id='label_6_15_6' class='gform-field-label gform-field-label--type-inline'>M\u00e9dico\/a de hospital<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Auxiliar de enfermer\u00eda de atenci\u00f3n primaria'  id='choice_6_15_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_7' id='label_6_15_7' class='gform-field-label gform-field-label--type-inline'>Auxiliar de enfermer\u00eda de atenci\u00f3n primaria<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Auxiliar de enfermer\u00eda de atenci\u00f3n hospitalaria'  id='choice_6_15_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_8' id='label_6_15_8' class='gform-field-label gform-field-label--type-inline'>Auxiliar de enfermer\u00eda de atenci\u00f3n hospitalaria<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Terapia Ocupacional'  id='choice_6_15_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_9' id='label_6_15_9' class='gform-field-label gform-field-label--type-inline'>Terapia Ocupacional<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_15_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='gf_other_choice'  id='choice_6_15_10' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_15_10' id='label_6_15_10' class='gform-field-label gform-field-label--type-inline'>Otro<\/label><br \/><input id='input_6_15_other' class='gchoice_other_control' name='input_15_other' type='text' value='Otro' aria-label='Si es otro, especif\u00edcalo, por favor'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_172\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_172\" ><label class='gfield_label gform-field-label' for='input_6_172'>1.5.1. En caso de disponer de una especialidad en Medicina, Enfermer\u00eda o Farmacia, ind\u00edquela a continuaci\u00f3n (Obligatorio)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_6_172'>En caso de no ser M\u00e9dico, Enfermero ni Farmac\u00e9utico, debe contestar la casilla 'No procede'<\/div><div class='ginput_container ginput_container_select'><select name='input_172' id='input_6_172' class='large gfield_select'  aria-describedby=\"gfield_description_6_172\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Medicina - Alergolog\u00eda' >Medicina - Alergolog\u00eda<\/option><option value='Medicina - Anatom\u00eda Patol\u00f3gica' >Medicina - Anatom\u00eda Patol\u00f3gica<\/option><option value='Medicina - Analisis Cl\u00ednico' >Medicina - Analisis Cl\u00ednico<\/option><option value='Medicina - Anestesiolog\u00eda y Reanimaci\u00f3n' >Medicina - Anestesiolog\u00eda y Reanimaci\u00f3n<\/option><option value='Medicina - Angiolog\u00eda y Cirug\u00eda Vascular' >Medicina - Angiolog\u00eda y Cirug\u00eda Vascular<\/option><option value='Medicina - Aparato Digestivo' >Medicina - Aparato Digestivo<\/option><option value='Medicina - Bioquimica Cl\u00ednica' >Medicina - Bioquimica Cl\u00ednica<\/option><option value='Medicina - Cardiolog\u00eda' >Medicina - Cardiolog\u00eda<\/option><option value='Medicina - Cirug\u00eda Cardiovascular' >Medicina - Cirug\u00eda Cardiovascular<\/option><option value='Medicina - Cirug\u00eda General y del Aparato Digestivo' >Medicina - Cirug\u00eda General y del Aparato Digestivo<\/option><option value='Medicina - Cirug\u00eda Oral y Maxilofacial' >Medicina - Cirug\u00eda Oral y Maxilofacial<\/option><option value='Medicina - Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda' >Medicina - Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda<\/option><option value='Medicina - Cirug\u00eda Pedi\u00e1trica' >Medicina - Cirug\u00eda Pedi\u00e1trica<\/option><option value='Medicina - Cirug\u00eda Pl\u00e1stica, Est\u00e9tica y Reparadora' >Medicina - Cirug\u00eda Pl\u00e1stica, Est\u00e9tica y Reparadora<\/option><option value='Medicina - Cirug\u00eda Tor\u00e1cica' >Medicina - Cirug\u00eda Tor\u00e1cica<\/option><option value='Medicina - Dermatolog\u00eda M\u00e9dico-Quir\u00fargica y Venerolog\u00eda' >Medicina - Dermatolog\u00eda M\u00e9dico-Quir\u00fargica y Venerolog\u00eda<\/option><option value='Medicina - Endocrinolog\u00eda y Nutrici\u00f3n' >Medicina - Endocrinolog\u00eda y Nutrici\u00f3n<\/option><option value='Medicina - Farmacolog\u00eda Cl\u00ednica' >Medicina - Farmacolog\u00eda Cl\u00ednica<\/option><option value='Medicina - Geriatr\u00eda' >Medicina - Geriatr\u00eda<\/option><option value='Medicina - Hematolog\u00eda y Hemoterapia' >Medicina - Hematolog\u00eda y Hemoterapia<\/option><option value='Medicina - Inmunolog\u00eda' >Medicina - Inmunolog\u00eda<\/option><option value='Medicina Intensiva' >Medicina Intensiva<\/option><option value='Medicina Interna' >Medicina Interna<\/option><option value='Medicina Familiar y Comunitaria' >Medicina Familiar y Comunitaria<\/option><option value='Medicina F\u00edsica y de Rehabilitaci\u00f3n' >Medicina F\u00edsica y de Rehabilitaci\u00f3n<\/option><option value='Medicina - Microbiolog\u00eda y Parasitolog\u00eda Clinica' >Medicina - Microbiolog\u00eda y Parasitolog\u00eda Clinica<\/option><option value='Medicina del Trabajo' >Medicina del Trabajo<\/option><option value='Medicina - Nuclear' >Medicina - Nuclear<\/option><option value='Medicina - Nefrolog\u00eda' >Medicina - Nefrolog\u00eda<\/option><option value='Medicina - Neumolog\u00eda' >Medicina - Neumolog\u00eda<\/option><option value='Medicina - Neurocirug\u00eda' >Medicina - Neurocirug\u00eda<\/option><option value='Medicina - Neurofisiolog\u00eda Cl\u00ednica' >Medicina - Neurofisiolog\u00eda Cl\u00ednica<\/option><option value='Medicina - Neurolog\u00eda' >Medicina - Neurolog\u00eda<\/option><option value='Medicina - Obstetricia y Ginecolog\u00eda' >Medicina - Obstetricia y Ginecolog\u00eda<\/option><option value='Medicina - Oftalmolog\u00eda' >Medicina - Oftalmolog\u00eda<\/option><option value='Medicina - Oncolog\u00eda M\u00e9dica' >Medicina - Oncolog\u00eda M\u00e9dica<\/option><option value='Medicina - Oncolog\u00eda Radioter\u00e1pica' >Medicina - Oncolog\u00eda Radioter\u00e1pica<\/option><option value='Medicina - Otorrinolaringolog\u00eda' >Medicina - Otorrinolaringolog\u00eda<\/option><option value='Medicina Preventiva y Salud P\u00fablica' >Medicina Preventiva y Salud P\u00fablica<\/option><option value='Medicina - Pediatr\u00eda y sus \u00c1reas Espec\u00edficas' >Medicina - Pediatr\u00eda y sus \u00c1reas Espec\u00edficas<\/option><option value='Medicina - Psiquiatr\u00eda' >Medicina - Psiquiatr\u00eda<\/option><option value='Medicina - Radiodiagn\u00f3stico' >Medicina - Radiodiagn\u00f3stico<\/option><option value='Medicina - Reumatologia' >Medicina - Reumatologia<\/option><option value='Medicina - Urolog\u00eda' >Medicina - Urolog\u00eda<\/option><option value='Enfermer\u00eda del Trabajo' >Enfermer\u00eda del Trabajo<\/option><option value='Enfermer\u00eda Geri\u00e1trica' >Enfermer\u00eda Geri\u00e1trica<\/option><option value='Enfermer\u00eda Pedi\u00e1trica' >Enfermer\u00eda Pedi\u00e1trica<\/option><option value='Enfermer\u00eda en Salud Mental' >Enfermer\u00eda en Salud Mental<\/option><option value='Enfermer\u00eda M\u00e9dico-Quir\u00fargica' >Enfermer\u00eda M\u00e9dico-Quir\u00fargica<\/option><option value='Enfermer\u00eda Familiar y Comunitaria' >Enfermer\u00eda Familiar y Comunitaria<\/option><option value='Enfermer\u00eda Obs\u00e9trico-ginecol\u00f3gica' >Enfermer\u00eda Obs\u00e9trico-ginecol\u00f3gica<\/option><option value='Farmacia - An\u00e1lisis cl\u00ednico' >Farmacia - An\u00e1lisis cl\u00ednico<\/option><option value='Farmacia - Bioqu\u00edmica cl\u00ednica' >Farmacia - Bioqu\u00edmica cl\u00ednica<\/option><option value='Farmacia - Farmacia hospitalaria' >Farmacia - Farmacia hospitalaria<\/option><option value='Farmacia - Microbiolog\u00eda y Parasitolog\u00eda cl\u00ednica' >Farmacia - Microbiolog\u00eda y Parasitolog\u00eda cl\u00ednica<\/option><option value='Farmacia - Inmunolog\u00eda' >Farmacia - Inmunolog\u00eda<\/option><option value='Farmacia - Radiofarmacia' >Farmacia - Radiofarmacia<\/option><option value='Farmacia - Farmacia Industrial y Gal\u00e9nica' >Farmacia - Farmacia Industrial y Gal\u00e9nica<\/option><option value='No procede' >No procede<\/option><option value='Otros' >Otros<\/option><\/select><\/div><\/div><fieldset id=\"field_6_53\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_53\" ><legend class='gfield_label gform-field-label' >1.6. A\u00f1os de experiencia en la ocupaci\u00f3n indicada previamente:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_53'>\n\t\t\t<div class='gchoice gchoice_6_53_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='&lt; 2 a\u00f1os'  id='choice_6_53_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_53_0' id='label_6_53_0' class='gform-field-label gform-field-label--type-inline'>&lt; 2 a\u00f1os<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_53_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='De 2 a 5 a\u00f1os'  id='choice_6_53_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_53_1' id='label_6_53_1' class='gform-field-label gform-field-label--type-inline'>De 2 a 5 a\u00f1os<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_53_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='De 6 a 10 a\u00f1os'  id='choice_6_53_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_53_2' id='label_6_53_2' class='gform-field-label gform-field-label--type-inline'>De 6 a 10 a\u00f1os<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_53_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_53' type='radio' value='&gt; 10 a\u00f1os'  id='choice_6_53_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_53_3' id='label_6_53_3' class='gform-field-label gform-field-label--type-inline'>&gt; 10 a\u00f1os<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_21' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Anterior'  \/> <input type='button' id='gform_next_button_6_21' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Siguiente '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_3' class='gform_page' data-js='page-field-id-21' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_6_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_6_22\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_22\" ><strong>2. Capacidad funcional<\/strong>\n<\/br>\n<\/div><fieldset id=\"field_6_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_23\" ><legend class='gfield_label gform-field-label' >2.1. \u00bfConoce las directrices\/programas de la OMS para prevenir, ralentizar o revertir el deterioro de las capacidades f\u00edsicas y mentales de los adultos mayores?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_23'>\n\t\t\t<div class='gchoice gchoice_6_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='S\u00ed'  id='choice_6_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_23_0' id='label_6_23_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='No'  id='choice_6_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_23_1' id='label_6_23_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_23_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='No responde'  id='choice_6_23_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_23_2' id='label_6_23_2' class='gform-field-label gform-field-label--type-inline'>No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_54\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_54\" ><label class='gfield_label gform-field-label' for='input_6_54'>Si su respuesta fue afirmativa, \u00bfPuede usted nombrar algunas?<\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_6_54' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_55\" ><legend class='gfield_label gform-field-label' >2.2. En su lugar de trabajo, \u00bfSabe si se han puesto en marcha directrices\/protocolos para prevenir el deterioro funcional (durante una hospitalizaci\u00f3n o en el domicilio) en las personas mayores?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_55'>\n\t\t\t<div class='gchoice gchoice_6_55_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='S\u00ed'  id='choice_6_55_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_55_0' id='label_6_55_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_55_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='No'  id='choice_6_55_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_55_1' id='label_6_55_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_55_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='No responde'  id='choice_6_55_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_55_2' id='label_6_55_2' class='gform-field-label gform-field-label--type-inline'>No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_56\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_56\" ><label class='gfield_label gform-field-label' for='input_6_56'>Si su respuesta fue afirmativa, \u00bfPuede usted nombrar algunas?<\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_6_56' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_58\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_58\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.3. En el hogar de la persona mayor: \u00bfQu\u00e9 funci\u00f3n(es) se debe(n) revisar regularmente para mantener o mejorar las capacidades funcionales de las personas mayores (durante una hospitalizaci\u00f3n o en el domicilio)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_58'>Puede seleccionar varias opciones<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_58'><div class='gchoice gchoice_6_58_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.1' type='checkbox'  value='O\u00eddo'  id='choice_6_58_1'   aria-describedby=\"gfield_description_6_58\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_58_1' id='label_6_58_1' class='gform-field-label gform-field-label--type-inline'>O\u00eddo<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_58_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.2' type='checkbox'  value='Vista'  id='choice_6_58_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_58_2' id='label_6_58_2' class='gform-field-label gform-field-label--type-inline'>Vista<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_58_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.3' type='checkbox'  value='Estado de \u00e1nimo'  id='choice_6_58_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_58_3' id='label_6_58_3' class='gform-field-label gform-field-label--type-inline'>Estado de \u00e1nimo<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_58_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.4' type='checkbox'  value='Vitalidad'  id='choice_6_58_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_58_4' id='label_6_58_4' class='gform-field-label gform-field-label--type-inline'>Vitalidad<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_58_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.5' type='checkbox'  value='Cognici\u00f3n'  id='choice_6_58_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_58_5' id='label_6_58_5' class='gform-field-label gform-field-label--type-inline'>Cognici\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_58_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.6' type='checkbox'  value='Movilidad'  id='choice_6_58_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_58_6' id='label_6_58_6' class='gform-field-label gform-field-label--type-inline'>Movilidad<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_58_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.7' type='checkbox'  value='No sabe\/No responde'  id='choice_6_58_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_58_7' id='label_6_58_7' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_59\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_59\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.4. En caso de deterioro de las capacidades funcionales de la persona mayor: \u00bfQu\u00e9 acci\u00f3n se debe seguir para prevenir la dependencia (durante una hospitalizaci\u00f3n o en el domicilio)?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_59'>Puede seleccionar varias opciones<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_59'><div class='gchoice gchoice_6_59_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.1' type='checkbox'  value='Realizar una evaluaci\u00f3n geri\u00e1trica integral'  id='choice_6_59_1'   aria-describedby=\"gfield_description_6_59\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_59_1' id='label_6_59_1' class='gform-field-label gform-field-label--type-inline'>Realizar una evaluaci\u00f3n geri\u00e1trica integral<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_59_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.2' type='checkbox'  value='Derivar al paciente a su m\u00e9dico de cabecera o a un enfermero\/a'  id='choice_6_59_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_59_2' id='label_6_59_2' class='gform-field-label gform-field-label--type-inline'>Derivar al paciente a su m\u00e9dico de cabecera o a un enfermero\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_59_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.3' type='checkbox'  value='La estrategia de prevenci\u00f3n debe adaptarse a la funci\u00f3n espec\u00edfica que est\u00e1 deteriorada'  id='choice_6_59_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_59_3' id='label_6_59_3' class='gform-field-label gform-field-label--type-inline'>La estrategia de prevenci\u00f3n debe adaptarse a la funci\u00f3n espec\u00edfica que est\u00e1 deteriorada<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_59_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.4' type='checkbox'  value='No sabe\/No responde'  id='choice_6_59_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_59_4' id='label_6_59_4' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_60\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_60\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.5. \u00bfCu\u00e1les son las 2 principales herramientas que usted utiliza para evaluar la autonom\u00eda en adultos mayores?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_60'>Puede seleccionar varias opciones<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_60'><div class='gchoice gchoice_6_60_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.1' type='checkbox'  value='\u00cdndice de Katz'  id='choice_6_60_1'   aria-describedby=\"gfield_description_6_60\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_1' id='label_6_60_1' class='gform-field-label gform-field-label--type-inline'>\u00cdndice de Katz<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.2' type='checkbox'  value='\u00cdndica de Barthel'  id='choice_6_60_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_2' id='label_6_60_2' class='gform-field-label gform-field-label--type-inline'>\u00cdndica de Barthel<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.3' type='checkbox'  value='Escala de Tinetti'  id='choice_6_60_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_3' id='label_6_60_3' class='gform-field-label gform-field-label--type-inline'>Escala de Tinetti<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.4' type='checkbox'  value='\u00cdndice de Fragilidad'  id='choice_6_60_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_4' id='label_6_60_4' class='gform-field-label gform-field-label--type-inline'>\u00cdndice de Fragilidad<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.5' type='checkbox'  value='Escala de Lawton y Brody'  id='choice_6_60_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_5' id='label_6_60_5' class='gform-field-label gform-field-label--type-inline'>Escala de Lawton y Brody<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.6' type='checkbox'  value='Evaluaci\u00f3n Geri\u00e1trica funcional'  id='choice_6_60_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_6' id='label_6_60_6' class='gform-field-label gform-field-label--type-inline'>Evaluaci\u00f3n Geri\u00e1trica funcional<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.7' type='checkbox'  value='Prueba de Lev\u00e1ntate y Anda (Time Up and Go)'  id='choice_6_60_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_7' id='label_6_60_7' class='gform-field-label gform-field-label--type-inline'>Prueba de Lev\u00e1ntate y Anda (Time Up and Go)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.8' type='checkbox'  value='No sabe\/No responde'  id='choice_6_60_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_8' id='label_6_60_8' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_60_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.9' type='checkbox'  value='Otra'  id='choice_6_60_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_60_9' id='label_6_60_9' class='gform-field-label gform-field-label--type-inline'>Otra<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_61\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_61\" ><label class='gfield_label gform-field-label' for='input_6_61'>En caso de indicar &#039;Otra&#039; en la pregunta anterior, especifique cual:<\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_6_61' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_62\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_62\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.6. \u00bfCu\u00e1les son las 2 principales dificultades que usted encuentra al evaluar la autonom\u00eda en adultos mayores de forma habitual?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_62'>Puede seleccionar varias opciones<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_62'><div class='gchoice gchoice_6_62_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='Falta de herramientas estandarizadas'  id='choice_6_62_1'   aria-describedby=\"gfield_description_6_62\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_1' id='label_6_62_1' class='gform-field-label gform-field-label--type-inline'>Falta de herramientas estandarizadas<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_62_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.2' type='checkbox'  value='Rechazo de los pacientes a participar'  id='choice_6_62_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_2' id='label_6_62_2' class='gform-field-label gform-field-label--type-inline'>Rechazo de los pacientes a participar<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_62_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.3' type='checkbox'  value='Complejidad de los instrumentos disponibles'  id='choice_6_62_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_3' id='label_6_62_3' class='gform-field-label gform-field-label--type-inline'>Complejidad de los instrumentos disponibles<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_62_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.4' type='checkbox'  value='Falta de tiempo necesario para realizar la evaluaci\u00f3n'  id='choice_6_62_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_4' id='label_6_62_4' class='gform-field-label gform-field-label--type-inline'>Falta de tiempo necesario para realizar la evaluaci\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_62_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.5' type='checkbox'  value='Limitaciones en la formaci\u00f3n profesional'  id='choice_6_62_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_5' id='label_6_62_5' class='gform-field-label gform-field-label--type-inline'>Limitaciones en la formaci\u00f3n profesional<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_62_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.6' type='checkbox'  value='No sabe\/No responde'  id='choice_6_62_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_6' id='label_6_62_6' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_62_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.7' type='checkbox'  value='Otro'  id='choice_6_62_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_62_7' id='label_6_62_7' class='gform-field-label gform-field-label--type-inline'>Otro<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_63\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_63\" ><label class='gfield_label gform-field-label' for='input_6_63'>En caso de indicar &#039;Otro&#039; en la pregunta anterior, especifique cual:<\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_6_63' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_83\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_83\" ><strong>2.7\tDe acuerdo con su experiencia, califique el grado de recomendaci\u00f3n que dar\u00eda a las siguientes estrategias e intervenciones para prevenir la disminuci\u00f3n de la capacidad funcional en personas mayores. <\/strong>\n<\/br>\n(Usted debe seleccionar en la respuesta elegida en la escala desde 'Totalmente desaconsejado hasta Imprescindible)<\/div><div id=\"field_6_69\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_69\" ><label class='gfield_label gform-field-label' for='input_6_69'>Apoyo nutricional<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_69' id='input_6_69' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_70\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_70\" ><label class='gfield_label gform-field-label' for='input_6_70'>Apoyo psicosocial<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_70' id='input_6_70' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_71\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_71\" ><label class='gfield_label gform-field-label' for='input_6_71'>Modificaciones ambientales<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_71' id='input_6_71' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_72\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_72\" ><label class='gfield_label gform-field-label' for='input_6_72'>Fomentar la actividad f\u00edsica<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_72' id='input_6_72' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_73\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_73\" ><label class='gfield_label gform-field-label' for='input_6_73'>Estrategias para protecci\u00f3n urinaria<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_73' id='input_6_73' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_74\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_74\" ><label class='gfield_label gform-field-label' for='input_6_74'>Evaluaciones funcionales peri\u00f3dicas<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_74' id='input_6_74' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_75\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_75\" ><label class='gfield_label gform-field-label' for='input_6_75'>Equipos asistenciales multidisciplinarios<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_75' id='input_6_75' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_76\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_76\" ><label class='gfield_label gform-field-label' for='input_6_76'>Protocolos de movilizaci\u00f3n temprana<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_76' id='input_6_76' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_77\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_77\" ><label class='gfield_label gform-field-label' for='input_6_77'>Planificaci\u00f3n de cuidados transitorios<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_77' id='input_6_77' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_78\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_78\" ><label class='gfield_label gform-field-label' for='input_6_78'>Revisi\u00f3n y manejo de medicamentos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_6_78' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_79\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_79\" ><label class='gfield_label gform-field-label' for='input_6_79'>Asistencia de orientaci\u00f3n (en el tiempo y en el espacio)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_79' id='input_6_79' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_80\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_80\" ><label class='gfield_label gform-field-label' for='input_6_80'>Revisi\u00f3n de dispositivos (v\u00edas, sondas, endoscopios...)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_80' id='input_6_80' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_81\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_81\" ><label class='gfield_label gform-field-label' for='input_6_81'>Educaci\u00f3n para pacientes y cuidadores (vestirse, ir al ba\u00f1o...)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_81' id='input_6_81' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_82\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_82\" ><label class='gfield_label gform-field-label' for='input_6_82'>Dispositivos de asistencia para capacidades especiales<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_82' id='input_6_82' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_68\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_68\" ><strong>2.8. \u00bfCon qu\u00e9 frecuencia en su pr\u00e1ctica asistencial, observa los siguientes aspectos?<\/strong>\n<\/br>\n(Usted debe seleccionar en la respuesta elegida en la escala desde 'Nunca hasta Siempre')<\/div><div id=\"field_6_84\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_84\" ><label class='gfield_label gform-field-label' for='input_6_84'>Los pacientes en su domicilio experimentan una disminuci\u00f3n de la capacidad funcional no exclusivamente atribuible a su estado de salud<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_84' id='input_6_84' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_85\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_85\" ><label class='gfield_label gform-field-label' for='input_6_85'>La informaci\u00f3n sobre la situaci\u00f3n cl\u00ednica de los pacientes se comparte entre profesionales de hospital y atenci\u00f3n primaria<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_85' id='input_6_85' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_86\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_86\" ><label class='gfield_label gform-field-label' for='input_6_86'>La hospitalizaci\u00f3n tiene un impacto negativo en la capacidad de los pacientes para realizar las actividades diarias<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_86' id='input_6_86' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_87\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_87\" ><label class='gfield_label gform-field-label' for='input_6_87'>Los protocolos actuales de mi instituci\u00f3n para prevenir la p\u00e9rdida de capacidad funcional en pacientes mayores son efectivos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_87' id='input_6_87' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><fieldset id=\"field_6_88\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_88\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.9. Seleccione la(s) definci\u00f3n(es) que considere m\u00e1s adecuada(s) para describir la iatrogenia medicamentosa y la dependencia iatrog\u00e9nica de las opciones proporcionadas.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_88'>Puede escoger m\u00e1s de una respuesta<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_88'><div class='gchoice gchoice_6_88_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.1' type='checkbox'  value='Reacciones adversas o efectos no deseados que resultan directamente del uso de medicamentos prescritos por un profesional de la salud'  id='choice_6_88_1'   aria-describedby=\"gfield_description_6_88\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_88_1' id='label_6_88_1' class='gform-field-label gform-field-label--type-inline'>Reacciones adversas o efectos no deseados que resultan directamente del uso de medicamentos prescritos por un profesional de la salud<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_88_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.2' type='checkbox'  value='Consecuencias negativas o indeseables desde el punto de vista funcional ligada a la hospitalizaci\u00f3n, inducida por el entorno hospitalario y por los cuidados'  id='choice_6_88_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_88_2' id='label_6_88_2' class='gform-field-label gform-field-label--type-inline'>Consecuencias negativas o indeseables desde el punto de vista funcional ligada a la hospitalizaci\u00f3n, inducida por el entorno hospitalario y por los cuidados<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_88_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.3' type='checkbox'  value='Efecto perjudicial y no deseado por un f\u00e1rmaco, que se produce en dosis utilizadas en humanos para la profilaxis, el diagn\u00f3stico o la terapia'  id='choice_6_88_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_88_3' id='label_6_88_3' class='gform-field-label gform-field-label--type-inline'>Efecto perjudicial y no deseado por un f\u00e1rmaco, que se produce en dosis utilizadas en humanos para la profilaxis, el diagn\u00f3stico o la terapia<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_88_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.4' type='checkbox'  value='Proceso en el que un paciente reduce gradualmente su dependencia de un medicamento bajo la supervisi\u00f3n de un profesional de la salud'  id='choice_6_88_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_88_4' id='label_6_88_4' class='gform-field-label gform-field-label--type-inline'>Proceso en el que un paciente reduce gradualmente su dependencia de un medicamento bajo la supervisi\u00f3n de un profesional de la salud<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_89\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_89\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.10. \u00bfQu\u00e9 m\u00e9todo utilizar\u00edas para prevenir o tratar el delirio?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_89'><div class='gchoice gchoice_6_89_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.1' type='checkbox'  value='Evaluaci\u00f3n de los factores de confusi\u00f3n'  id='choice_6_89_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_89_1' id='label_6_89_1' class='gform-field-label gform-field-label--type-inline'>Evaluaci\u00f3n de los factores de confusi\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_89_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.2' type='checkbox'  value='Intervenci\u00f3n no farmacol\u00f3gica'  id='choice_6_89_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_89_2' id='label_6_89_2' class='gform-field-label gform-field-label--type-inline'>Intervenci\u00f3n no farmacol\u00f3gica<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_89_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.3' type='checkbox'  value='Intervenci\u00f3n farmacol\u00f3gica'  id='choice_6_89_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_89_3' id='label_6_89_3' class='gform-field-label gform-field-label--type-inline'>Intervenci\u00f3n farmacol\u00f3gica<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_90\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_90\" ><label class='gfield_label gform-field-label' for='input_6_90'>En caso de elegir &#039;Intervenci\u00f3n farmacol\u00f3gica&#039; especifique qu\u00e9 tipo de intervenci\u00f3n realiza:<\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_6_90' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_92\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_92\" ><strong>2.11. En su experiencia, \u00bfCu\u00e1nto contribuye cada uno de los siguientes factores a la p\u00e9rdida de la capacidad funcional de las personas mayores durante la hospitalizaci\u00f3n?<\/strong>\n<\/br>\n(Usted debe seleccionar en la respuesta elegida en la escala desde 'Nada hasta Mucho')<\/div><div id=\"field_6_93\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_93\" ><label class='gfield_label gform-field-label' for='input_6_93'>Edad del paciente<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_93' id='input_6_93' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_94\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_94\" ><label class='gfield_label gform-field-label' for='input_6_94'>Reposo prolongado en cama<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_94' id='input_6_94' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_95\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_95\" ><label class='gfield_label gform-field-label' for='input_6_95'>Motivo o m\u00e9todo de admisi\u00f3n<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_95' id='input_6_95' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_96\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_96\" ><label class='gfield_label gform-field-label' for='input_6_96'>Afecciones m\u00e9dicas subyacentes<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_96' id='input_6_96' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_97\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_97\" ><label class='gfield_label gform-field-label' for='input_6_97'>Efectos secundarios de los medicamentos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_97' id='input_6_97' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_98\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_98\" ><label class='gfield_label gform-field-label' for='input_6_98'>Diagn\u00f3stico err\u00f3neo del problema de salud<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_98' id='input_6_98' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_99\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_99\" ><label class='gfield_label gform-field-label' for='input_6_99'>Retraso en el tratamiento del problema de salud<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_99' id='input_6_99' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_100\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_100\" ><label class='gfield_label gform-field-label' for='input_6_100'>Retraso en el diagn\u00f3stico del problema de salud<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_100' id='input_6_100' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_101\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_101\" ><label class='gfield_label gform-field-label' for='input_6_101'>Falta de programas de rehabilitaci\u00f3n inadecuados<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_101' id='input_6_101' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_102\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_102\" ><label class='gfield_label gform-field-label' for='input_6_102'>Falta en la comunicaci\u00f3n entre profesionales sanitarios<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_102' id='input_6_102' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_103\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_103\" ><label class='gfield_label gform-field-label' for='input_6_103'>Falta de tratamiento adecuado del problema de salud<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_103' id='input_6_103' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><div id=\"field_6_104\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_104\" ><label class='gfield_label gform-field-label' for='input_6_104'>Polifarmacia (uso de 5 o m\u00e1s medicamentos diferentes)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_104' id='input_6_104' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nada' >Nada<\/option><option value='Poco' >Poco<\/option><option value='Moderadamente' >Moderadamente<\/option><option value='Bastante' >Bastante<\/option><option value='Mucho' >Mucho<\/option><\/select><\/div><\/div><fieldset id=\"field_6_105\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_105\" ><legend class='gfield_label gform-field-label' >2.12. En su pr\u00e1ctica habitual, presta especial atenci\u00f3n a la transici\u00f3n asistencial de un paciente tras el alta hospitalaria:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_105'>\n\t\t\t<div class='gchoice gchoice_6_105_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='S\u00ed'  id='choice_6_105_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_105_0' id='label_6_105_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_105_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='No'  id='choice_6_105_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_105_1' id='label_6_105_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_105_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='No sabe\/No responde'  id='choice_6_105_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_105_2' id='label_6_105_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_106\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_106\" ><label class='gfield_label gform-field-label' for='input_6_106'>En caso de respuesta afirmativa, indique en qu\u00e9 aspectos se enfoca:<\/label><div class='ginput_container ginput_container_text'><input name='input_106' id='input_6_106' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_173\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_173\" ><legend class='gfield_label gform-field-label' >3.8. \u00bfRealiza usted revisi\u00f3n del botiqu\u00edn domiciliario?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_173'>\n\t\t\t<div class='gchoice gchoice_6_173_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_173' type='radio' value='S\u00ed'  id='choice_6_173_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_173_0' id='label_6_173_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_173_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_173' type='radio' value='No'  id='choice_6_173_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_173_1' id='label_6_173_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_173_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_173' type='radio' value='No sabe \/ No responde'  id='choice_6_173_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_173_2' id='label_6_173_2' class='gform-field-label gform-field-label--type-inline'>No sabe \/ No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_35' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Anterior'  \/> <input type='button' id='gform_next_button_6_35' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Siguiente '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_4' class='gform_page' data-js='page-field-id-35' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_6_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_6_107\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_107\" ><strong>3. Iatrogenia medicamentosa<\/strong>\n<\/br>\nConsideramos evento adverso grave cualquier evento que sea inesperado en relaci\u00f3n con el estado de salud actual del paciente, cuyas consecuencias pueden ser la muerte, la p\u00e9rdida de capacidades funcionales permanentes o un pron\u00f3stico potencialmente mortal.<\/div><fieldset id=\"field_6_109\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_109\" ><legend class='gfield_label gform-field-label' >3.1. \u00bfCu\u00e1l cree usted es la tasa actual de eventos iatrog\u00e9nicos graves atribuibles a los medicamentos?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_109'>\n\t\t\t<div class='gchoice gchoice_6_109_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='\u2264 10 %'  id='choice_6_109_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_109_0' id='label_6_109_0' class='gform-field-label gform-field-label--type-inline'>\u2264 10 %<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_109_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='10 al 20%'  id='choice_6_109_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_109_1' id='label_6_109_1' class='gform-field-label gform-field-label--type-inline'>10 al 20%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_109_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='20 al 30%'  id='choice_6_109_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_109_2' id='label_6_109_2' class='gform-field-label gform-field-label--type-inline'>20 al 30%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_109_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='&gt;30%'  id='choice_6_109_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_109_3' id='label_6_109_3' class='gform-field-label gform-field-label--type-inline'>&gt;30%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_109_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_109' type='radio' value='No sabe \/ No responde'  id='choice_6_109_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_109_4' id='label_6_109_4' class='gform-field-label gform-field-label--type-inline'>No sabe \/ No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_108\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_108\" ><legend class='gfield_label gform-field-label' >3.2. \u00bfQu\u00e9 parte de estos eventos iatrog\u00e9nicos graves relacionados con los medicamentos podr\u00edan haberse evitado?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_108'>\n\t\t\t<div class='gchoice gchoice_6_108_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='\u2264 10 %'  id='choice_6_108_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_108_0' id='label_6_108_0' class='gform-field-label gform-field-label--type-inline'>\u2264 10 %<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_108_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='10 al 20%'  id='choice_6_108_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_108_1' id='label_6_108_1' class='gform-field-label gform-field-label--type-inline'>10 al 20%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_108_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='20 al 30%'  id='choice_6_108_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_108_2' id='label_6_108_2' class='gform-field-label gform-field-label--type-inline'>20 al 30%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_108_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='&gt;30%'  id='choice_6_108_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_108_3' id='label_6_108_3' class='gform-field-label gform-field-label--type-inline'>&gt;30%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_108_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='No sabe \/ No responde'  id='choice_6_108_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_108_4' id='label_6_108_4' class='gform-field-label gform-field-label--type-inline'>No sabe \/ No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_110\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_110\" ><legend class='gfield_label gform-field-label' >3.3. \u00bfQu\u00e9 parte de estos eventos iatrog\u00e9nicos graves relacionados con los medicamentos motivaron la hospitalizaci\u00f3n del paciente?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_110'>\n\t\t\t<div class='gchoice gchoice_6_110_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='\u2264 10 %'  id='choice_6_110_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_110_0' id='label_6_110_0' class='gform-field-label gform-field-label--type-inline'>\u2264 10 %<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_110_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='10 al 20%'  id='choice_6_110_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_110_1' id='label_6_110_1' class='gform-field-label gform-field-label--type-inline'>10 al 20%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_110_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='20 al 30%'  id='choice_6_110_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_110_2' id='label_6_110_2' class='gform-field-label gform-field-label--type-inline'>20 al 30%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_110_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='&gt;30%'  id='choice_6_110_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_110_3' id='label_6_110_3' class='gform-field-label gform-field-label--type-inline'>&gt;30%<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_110_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_110' type='radio' value='No sabe \/ No responde'  id='choice_6_110_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_110_4' id='label_6_110_4' class='gform-field-label gform-field-label--type-inline'>No sabe \/ No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_112\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_112\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >3.4. En pacientes de edad avanzada, la polimedicaci\u00f3n aumenta el riesgo de los siguientes problemas, independientemente del tipo de medicaci\u00f3n prescrita:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_6_112'>Puede seleccionar varias opciones:<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_112'><div class='gchoice gchoice_6_112_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.1' type='checkbox'  value='Ca\u00eddas'  id='choice_6_112_1'   aria-describedby=\"gfield_description_6_112\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_112_1' id='label_6_112_1' class='gform-field-label gform-field-label--type-inline'>Ca\u00eddas<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_112_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.2' type='checkbox'  value='Interacciones'  id='choice_6_112_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_112_2' id='label_6_112_2' class='gform-field-label gform-field-label--type-inline'>Interacciones<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_112_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.3' type='checkbox'  value='Deterioro cognitivo'  id='choice_6_112_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_112_3' id='label_6_112_3' class='gform-field-label gform-field-label--type-inline'>Deterioro cognitivo<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_112_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.4' type='checkbox'  value='Errores de prescripci\u00f3n'  id='choice_6_112_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_112_4' id='label_6_112_4' class='gform-field-label gform-field-label--type-inline'>Errores de prescripci\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_112_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.5' type='checkbox'  value='No sabe\/No responde'  id='choice_6_112_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_112_5' id='label_6_112_5' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_112_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_112.6' type='checkbox'  value='Otros'  id='choice_6_112_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_112_6' id='label_6_112_6' class='gform-field-label gform-field-label--type-inline'>Otros<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_113\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_113\" ><label class='gfield_label gform-field-label' for='input_6_113'>En caso de elegir la opci\u00f3n &#039;Otros&#039; en la pregunta anterior, especifique cual:<\/label><div class='ginput_container ginput_container_text'><input name='input_113' id='input_6_113' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_114\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_114\" ><strong>3.5\tEn su opini\u00f3n, \u00bfQu\u00e9 relevancia tienen los siguientes factores en la aparici\u00f3n de eventos iatrog\u00e9nicos relacionados con medicamentos?<\/strong>\n<\/br>\n(Usted debe seleccionar en la respuesta elegida en la escala desde 'Ninguna relevancia hasta Mucha relevancia')<\/div><div id=\"field_6_115\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_115\" ><label class='gfield_label gform-field-label' for='input_6_115'>Polifarmacia<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_115' id='input_6_115' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_116\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_116\" ><label class='gfield_label gform-field-label' for='input_6_116'>Dosis incorrecta<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_116' id='input_6_116' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_117\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_117\" ><label class='gfield_label gform-field-label' for='input_6_117'>V\u00eda de administraci\u00f3n incorrecta<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_117' id='input_6_117' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_118\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_118\" ><label class='gfield_label gform-field-label' for='input_6_118'>Frecuencia de dosificaci\u00f3n incorrecta<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_118' id='input_6_118' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_119\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_119\" ><label class='gfield_label gform-field-label' for='input_6_119'>Disminuci\u00f3n de la adherencia al tratamiento<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_119' id='input_6_119' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_120\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_120\" ><label class='gfield_label gform-field-label' for='input_6_120'>Informaci\u00f3n recibida incompleta y\/o inexacta<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_120' id='input_6_120' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_121\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_121\" ><label class='gfield_label gform-field-label' for='input_6_121'>Problema de sensibilidad individual y contraindicaciones<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_121' id='input_6_121' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_122\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_122\" ><label class='gfield_label gform-field-label' for='input_6_122'>Medicaci\u00f3n administrada y\/o prescrita al paciente equivocado<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_122' id='input_6_122' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_123\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_123\" ><label class='gfield_label gform-field-label' for='input_6_123'>Interacciones medicamentosas (f\u00e1rmaco-f\u00e1rmaco\/f\u00e1rmaco-enfermedad)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_123' id='input_6_123' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_124\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_124\" ><label class='gfield_label gform-field-label' for='input_6_124'>Cambios en el metabolismo del f\u00e1rmaco debido a insuficiencia org\u00e1nica<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_124' id='input_6_124' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Ninguna relevancia' >Ninguna relevancia<\/option><option value='Poca relevancia' >Poca relevancia<\/option><option value='Moderada relevancia' >Moderada relevancia<\/option><option value='Bastante relevancia' >Bastante relevancia<\/option><option value='Mucha relevancia' >Mucha relevancia<\/option><\/select><\/div><\/div><div id=\"field_6_125\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_125\" ><strong>3.6. Con qu\u00e9 frecuencia piensa que los siguientes f\u00e1rmacos est\u00e1n implicados en eventos iatrog\u00e9nicos graves?<\/strong>\n<\/br>\n(Usted debe seleccionar en la respuesta elegida en la escala desde 'Nunca hasta Siempre')<\/div><div id=\"field_6_126\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_126\" ><label class='gfield_label gform-field-label' for='input_6_126'>Opi\u00e1ceos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_126' id='input_6_126' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_127\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_127\" ><label class='gfield_label gform-field-label' for='input_6_127'>Antibi\u00f3ticos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_127' id='input_6_127' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_128\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_128\" ><label class='gfield_label gform-field-label' for='input_6_128'>Antidiab\u00e9ticos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_128' id='input_6_128' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_129\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_129\" ><label class='gfield_label gform-field-label' for='input_6_129'>Anticoagulantes<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_129' id='input_6_129' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_130\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_130\" ><label class='gfield_label gform-field-label' for='input_6_130'>Quimioterapia<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_130' id='input_6_130' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_131\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_131\" ><label class='gfield_label gform-field-label' for='input_6_131'>Corticosteroides<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_131' id='input_6_131' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_132\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_132\" ><label class='gfield_label gform-field-label' for='input_6_132'>Medicamentos psicotr\u00f3picos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_132' id='input_6_132' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_178\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_178\" ><label class='gfield_label gform-field-label' for='input_6_178'>Antiinflamatorios no esteroideos (AINE)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_178' id='input_6_178' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_133\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_133\" ><label class='gfield_label gform-field-label' for='input_6_133'>Antiinflamatorios no esteroideos (AINE)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_133' id='input_6_133' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Nunca' >Nunca<\/option><option value='Casi nunca' >Casi nunca<\/option><option value='A veces' >A veces<\/option><option value='Muchas veces' >Muchas veces<\/option><option value='Siempre' >Siempre<\/option><\/select><\/div><\/div><div id=\"field_6_134\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_134\" ><label class='gfield_label gform-field-label' for='input_6_134'>Otros<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_134' id='input_6_134' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente desaconsejado' >Totalmente desaconsejado<\/option><option value='Desaconsejado' >Desaconsejado<\/option><option value='Neutro' >Neutro<\/option><option value='Recomendado' >Recomendado<\/option><option value='Imprescindible' >Imprescindible<\/option><\/select><\/div><\/div><div id=\"field_6_135\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_135\" ><label class='gfield_label gform-field-label' for='input_6_135'>Si considera que hay otros f\u00e1rmacos por favor especifique cual:<\/label><div class='ginput_container ginput_container_text'><input name='input_135' id='input_6_135' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_138\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_138\" ><legend class='gfield_label gform-field-label' >3.7\t\u00bfCu\u00e1l de los siguientes enunciados refleja mejor lo que har\u00eda respecto a la sospecha de un evento adverso inducido por medicamento, por ejemplo: una ca\u00edda secundaria a hipotensi\u00f3n en un paciente con medicaci\u00f3n antihipertensiva?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_138'>\n\t\t\t<div class='gchoice gchoice_6_138_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='Normalmente, no considerar\u00eda que se tratara de un evento adverso'  id='choice_6_138_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_138_0' id='label_6_138_0' class='gform-field-label gform-field-label--type-inline'>Normalmente, no considerar\u00eda que se tratara de un evento adverso<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_138_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='Declarar\u00eda que es un evento adverso si lo ocurrido es grave'  id='choice_6_138_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_138_1' id='label_6_138_1' class='gform-field-label gform-field-label--type-inline'>Declarar\u00eda que es un evento adverso si lo ocurrido es grave<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_138_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='Declarar\u00eda que es un evento adverso si lo ocurrido es moderado'  id='choice_6_138_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_138_2' id='label_6_138_2' class='gform-field-label gform-field-label--type-inline'>Declarar\u00eda que es un evento adverso si lo ocurrido es moderado<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_138_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='Declarar\u00eda que es un evento adverso si lo ocurrido es leve'  id='choice_6_138_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_138_3' id='label_6_138_3' class='gform-field-label gform-field-label--type-inline'>Declarar\u00eda que es un evento adverso si lo ocurrido es leve<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_138_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_138' type='radio' value='Siempre lo declarar\u00eda como evento adverso, independientemente de su gravedad'  id='choice_6_138_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_138_4' id='label_6_138_4' class='gform-field-label gform-field-label--type-inline'>Siempre lo declarar\u00eda como evento adverso, independientemente de su gravedad<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_176\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_176\" ><legend class='gfield_label gform-field-label' >3.8. \u00bfRealiza usted revisi\u00f3n del botiqu\u00edn domiciliario?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_176'>\n\t\t\t<div class='gchoice gchoice_6_176_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_176' type='radio' value='S\u00ed'  id='choice_6_176_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_176_0' id='label_6_176_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_176_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_176' type='radio' value='No'  id='choice_6_176_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_176_1' id='label_6_176_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_176_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_176' type='radio' value='No sabe \/ No responde'  id='choice_6_176_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_176_2' id='label_6_176_2' class='gform-field-label gform-field-label--type-inline'>No sabe \/ No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_139' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Anterior'  \/> <input type='button' id='gform_next_button_6_139' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Siguiente '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_5' class='gform_page' data-js='page-field-id-139' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_6_5' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_6_141\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_141\" ><strong>4. Optimizaci\u00f3n terap\u00e9utica<\/strong>\n<\/br><\/div><fieldset id=\"field_6_142\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_142\" ><legend class='gfield_label gform-field-label' >4.1. \u00bfConoce usted alguna gu\u00eda y\/o directriz publicada para optimizar la prescripci\u00f3n en pacientes adultos mayores?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_142'>\n\t\t\t<div class='gchoice gchoice_6_142_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='S\u00ed'  id='choice_6_142_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_142_0' id='label_6_142_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_142_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='No'  id='choice_6_142_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_142_1' id='label_6_142_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_142_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='No sabe\/No responde'  id='choice_6_142_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_142_2' id='label_6_142_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_144\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_144\" ><label class='gfield_label gform-field-label' for='input_6_144'>Si su respuesta fue afirmativa, \u00bfPuede usted nombrar algunas?<\/label><div class='ginput_container ginput_container_text'><input name='input_144' id='input_6_144' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_145\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_145\" ><legend class='gfield_label gform-field-label' >4.2. \u00bfEst\u00e1 usted familiarizado con el concepto de &quot;infrautilizaci\u00f3n&quot;, &quot;mal uso&quot; y &quot;sobreuso&quot; de medicamentos?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_145'>\n\t\t\t<div class='gchoice gchoice_6_145_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='S\u00ed'  id='choice_6_145_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_145_0' id='label_6_145_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_145_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='No'  id='choice_6_145_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_145_1' id='label_6_145_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_145_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='No sabe\/No responde'  id='choice_6_145_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_145_2' id='label_6_145_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_143\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_143\" ><legend class='gfield_label gform-field-label' >4.3. En su pr\u00e1ctica diaria, realiza usted una revisi\u00f3n de la medicaci\u00f3n a los pacientes mayores?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_143'>\n\t\t\t<div class='gchoice gchoice_6_143_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='S\u00ed'  id='choice_6_143_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_143_0' id='label_6_143_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_143_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='No'  id='choice_6_143_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_143_1' id='label_6_143_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_143_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_143' type='radio' value='No sabe\/No responde'  id='choice_6_143_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_143_2' id='label_6_143_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_146\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_146\" ><legend class='gfield_label gform-field-label' >4.4. Cuando usted realiza una evaluaci\u00f3n de medicamentos\/revisi\u00f3n de recetas, \u00bfGeneralmente lo hace en compa\u00f1\u00eda de otros profesionales de la salud?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_146'>\n\t\t\t<div class='gchoice gchoice_6_146_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_146' type='radio' value='S\u00ed'  id='choice_6_146_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_146_0' id='label_6_146_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_146_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_146' type='radio' value='No'  id='choice_6_146_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_146_1' id='label_6_146_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_146_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_146' type='radio' value='No sabe\/No responde'  id='choice_6_146_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_146_2' id='label_6_146_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_147\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_147\" ><label class='gfield_label gform-field-label' for='input_6_147'>Si su respuesta fue afirmativa, \u00bfPuede especificar con qui\u00e9n?<\/label><div class='ginput_container ginput_container_text'><input name='input_147' id='input_6_147' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_148\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_148\" ><legend class='gfield_label gform-field-label' >4.5. Cuando usted realiza una evaluaci\u00f3n de la medicaci\u00f3n \u00bfUtiliza instrumentos o escalas para medir la adherencia terap\u00e9utica del paciente?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_148'>\n\t\t\t<div class='gchoice gchoice_6_148_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='S\u00ed'  id='choice_6_148_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_148_0' id='label_6_148_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_148_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='No'  id='choice_6_148_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_148_1' id='label_6_148_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_148_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='No sabe\/No responde'  id='choice_6_148_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_148_2' id='label_6_148_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_149\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_149\" ><label class='gfield_label gform-field-label' for='input_6_149'>Si su respuesta fue afirmativa, por favor especifique el instrumento utilizado:<\/label><div class='ginput_container ginput_container_text'><input name='input_149' id='input_6_149' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_152\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_152\" ><legend class='gfield_label gform-field-label' >4.6. \u00bfConsidera usted que la colaboraci\u00f3n entre profesionales es la clave para una prescripci\u00f3n \u00f3ptima en personas mayores?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_152'>\n\t\t\t<div class='gchoice gchoice_6_152_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_152' type='radio' value='S\u00ed'  id='choice_6_152_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_152_0' id='label_6_152_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_152_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_152' type='radio' value='No'  id='choice_6_152_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_152_1' id='label_6_152_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_152_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_152' type='radio' value='No sabe\/No responde'  id='choice_6_152_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_152_2' id='label_6_152_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_151\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_151\" ><legend class='gfield_label gform-field-label' >4.7. La OMS, en su documento de orientaci\u00f3n &quot;Medicamentos sin da\u00f1o&quot;, recomienda 7 pasos para optimizar la prescripci\u00f3n. \u00bfCu\u00e1l deber\u00eda considerarse primero?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_151'>\n\t\t\t<div class='gchoice gchoice_6_151_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='Usar la medicaci\u00f3n adecuada'  id='choice_6_151_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_151_0' id='label_6_151_0' class='gform-field-label gform-field-label--type-inline'>Usar la medicaci\u00f3n adecuada<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_151_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='\u00bfQu\u00e9 le importa al paciente?'  id='choice_6_151_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_151_1' id='label_6_151_1' class='gform-field-label gform-field-label--type-inline'>\u00bfQu\u00e9 le importa al paciente?<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_151_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='\u00bfEs eficaz el medicamento?'  id='choice_6_151_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_151_2' id='label_6_151_2' class='gform-field-label gform-field-label--type-inline'>\u00bfEs eficaz el medicamento?<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_151_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='\u00bfEs perjudicial el medicamento?'  id='choice_6_151_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_151_3' id='label_6_151_3' class='gform-field-label gform-field-label--type-inline'>\u00bfEs perjudicial el medicamento?<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_151_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='Tener en cuenta la sostenibilidad del sistema'  id='choice_6_151_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_151_4' id='label_6_151_4' class='gform-field-label gform-field-label--type-inline'>Tener en cuenta la sostenibilidad del sistema<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_151_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='\u00bfEl paciente toma medicaci\u00f3n innecesaria?'  id='choice_6_151_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_151_5' id='label_6_151_5' class='gform-field-label gform-field-label--type-inline'>\u00bfEl paciente toma medicaci\u00f3n innecesaria?<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_151_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='\u00bfSe acuerda el plan de tratamiento y se comparte con el paciente?'  id='choice_6_151_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_151_6' id='label_6_151_6' class='gform-field-label gform-field-label--type-inline'>\u00bfSe acuerda el plan de tratamiento y se comparte con el paciente?<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_150\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_150\" ><legend class='gfield_label gform-field-label' >4.8. \u00bfSabe usted detectar situaciones de dependencia iatrog\u00e9nica en su pr\u00e1ctica actual?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_150'>\n\t\t\t<div class='gchoice gchoice_6_150_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='S\u00ed'  id='choice_6_150_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_150_0' id='label_6_150_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_150_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='No'  id='choice_6_150_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_150_1' id='label_6_150_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_150_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='No sabe\/No responde'  id='choice_6_150_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_150_2' id='label_6_150_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_153\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_153\" ><label class='gfield_label gform-field-label' for='input_6_153'>Si su respuesta fue afirmativa, \u00bfCu\u00e1l es el procedimiento a seguir?<\/label><div class='ginput_container ginput_container_text'><input name='input_153' id='input_6_153' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_154\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_154\" ><legend class='gfield_label gform-field-label' >4.9. \u00bfSabe usted detectar eventos adversos relacionados con los medicamentos en su pr\u00e1ctica habitual?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_154'>\n\t\t\t<div class='gchoice gchoice_6_154_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_154' type='radio' value='S\u00ed'  id='choice_6_154_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_154_0' id='label_6_154_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_154_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_154' type='radio' value='No'  id='choice_6_154_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_154_1' id='label_6_154_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_154_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_154' type='radio' value='No sabe\/No responde'  id='choice_6_154_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_154_2' id='label_6_154_2' class='gform-field-label gform-field-label--type-inline'>No sabe\/No responde<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_155\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_155\" ><label class='gfield_label gform-field-label' for='input_6_155'>Si su respuesta fue afirmativa, \u00bfCu\u00e1l es el procedimiento a seguir?<\/label><div class='ginput_container ginput_container_text'><input name='input_155' id='input_6_155' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_156\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_156\" ><strong>4.10. Indique su grado de acuerdo\/desacuerdo con las situaciones descritas en relaci\u00f3n a su pr\u00e1ctica asistencial<\/strong>\n<\/br>\n\"(Usted debe seleccionar en la respuesta elegida en la escala desde 'Totalmente en desacuerdo hasta Totalmente de acuerdo')<\/div><div id=\"field_6_157\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_157\" ><label class='gfield_label gform-field-label' for='input_6_157'>La falta de gu\u00edas\/protocolos desincentiva el registro de eventos iatrog\u00e9nicos durante mi pr\u00e1ctica cl\u00ednica<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_157' id='input_6_157' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected'><\/option><option value='Totalmente en desacuerdo' >Totalmente en desacuerdo<\/option><option value='En Desacuerdo' >En Desacuerdo<\/option><option value='Indiferente' >Indiferente<\/option><option value='De Acuerdo' >De Acuerdo<\/option><option value='Totalmente de Acuerdo' >Totalmente de Acuerdo<\/option><\/select><\/div><\/div><div id=\"field_6_158\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_158\" ><label class='gfield_label gform-field-label' for='input_6_158'>La historia cl\u00ednica electr\u00f3nica facilita el registro de eventos iatrog\u00e9nicos durante mi pr\u00e1ctica cl\u00ednica<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_158' id='input_6_158' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente en Desacuerdo' >Totalmente en Desacuerdo<\/option><option value='En Desacuerdo' >En Desacuerdo<\/option><option value='Indiferente' >Indiferente<\/option><option value='De Acuerdo' >De Acuerdo<\/option><option value='Totalmente de Acuerdo' >Totalmente de Acuerdo<\/option><\/select><\/div><\/div><div id=\"field_6_159\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_159\" ><label class='gfield_label gform-field-label' for='input_6_159'>Durante mi pr\u00e1ctica cl\u00ednica, no es relevante el registro de eventos iatrog\u00e9nicos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_159' id='input_6_159' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente en Desacuerdo' >Totalmente en Desacuerdo<\/option><option value='En Desacuerdo' >En Desacuerdo<\/option><option value='Indiferente' >Indiferente<\/option><option value='De Acuerdo' >De Acuerdo<\/option><option value='Totalmente de Acuerdo' >Totalmente de Acuerdo<\/option><\/select><\/div><\/div><div id=\"field_6_160\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_160\" ><label class='gfield_label gform-field-label' for='input_6_160'>La falta de tiempo dificulta registrar eventos iatrog\u00e9nicos durante mi pr\u00e1ctica cl\u00ednica<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_160' id='input_6_160' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente en Desacuerdo' >Totalmente en Desacuerdo<\/option><option value='En Desacuerdo' >En Desacuerdo<\/option><option value='Indiferente' >Indiferente<\/option><option value='De Acuerdo' >De Acuerdo<\/option><option value='Totalmente de Acuerdo' >Totalmente de Acuerdo<\/option><\/select><\/div><\/div><div id=\"field_6_161\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_161\" ><label class='gfield_label gform-field-label' for='input_6_161'>Es dif\u00edcil entender\/percibir la causa de un evento iatrog\u00e9nico durante mi pr\u00e1ctica cl\u00ednica<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_161' id='input_6_161' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Totalmente en Desacuerdo' >Totalmente en Desacuerdo<\/option><option value='En Desacuerdo' >En Desacuerdo<\/option><option value='Indiferente' >Indiferente<\/option><option value='De Acuerdo' >De Acuerdo<\/option><option value='Totalmente de Acuerdo' >Totalmente de Acuerdo<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_6_162' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Anterior'  \/> <input type='button' id='gform_next_button_6_162' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Siguiente '  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_6' class='gform_page' data-js='page-field-id-162' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_6_6' class='gform_fields top_label form_sublabel_above description_above validation_below'><fieldset id=\"field_6_163\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_163\" ><legend class='gfield_label gform-field-label' >5. \u00bfHa recibido alguna vez formaci\u00f3n sobre buenas pr\u00e1cticas para la prevenci\u00f3n y\/o gesti\u00f3n de la dependencia iatrog\u00e9nica y la iatrog\u00e9nica inducida por f\u00e1rmacos?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_163'>\n\t\t\t<div class='gchoice gchoice_6_163_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='No, nunca'  id='choice_6_163_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_163_0' id='label_6_163_0' class='gform-field-label gform-field-label--type-inline'>No, nunca<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_163_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='S\u00ed, hace menos de 1 a\u00f1o'  id='choice_6_163_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_163_1' id='label_6_163_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed, hace menos de 1 a\u00f1o<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_163_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='S\u00ed, hace menos de 3 a\u00f1os'  id='choice_6_163_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_163_2' id='label_6_163_2' class='gform-field-label gform-field-label--type-inline'>S\u00ed, hace menos de 3 a\u00f1os<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_163_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='S\u00ed, hace menos de 5 a\u00f1os'  id='choice_6_163_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_163_3' id='label_6_163_3' class='gform-field-label gform-field-label--type-inline'>S\u00ed, hace menos de 5 a\u00f1os<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_163_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='S\u00ed, hace menos de 10 a\u00f1os'  id='choice_6_163_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_163_4' id='label_6_163_4' class='gform-field-label gform-field-label--type-inline'>S\u00ed, hace menos de 10 a\u00f1os<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_163_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='S\u00ed, durante 10 a\u00f1os o m\u00e1s'  id='choice_6_163_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_163_5' id='label_6_163_5' class='gform-field-label gform-field-label--type-inline'>S\u00ed, durante 10 a\u00f1os o m\u00e1s<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_6_164\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_164\" ><strong>6. En relaci\u00f3n con la dependencia iatrog\u00e9nica y la iatrogenia medicamentosa indique tres necesidades formativas sobre las que le gustar\u00eda formarse:<\/strong><\/div><div id=\"field_6_165\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_165\" ><label class='gfield_label gform-field-label' for='input_6_165'>1.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_165' id='input_6_165' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_166\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_166\" ><label class='gfield_label gform-field-label' for='input_6_166'>2.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_166' id='input_6_166' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_167\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_167\" ><label class='gfield_label gform-field-label' for='input_6_167'>3.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_167' id='input_6_167' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_43\" class=\"gfield gfield--type-captcha gfield--input-type-captcha gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_43\" ><label class='gfield_label gform-field-label' for='input_6_43'>CAPTCHA<\/label><div id='input_6_43' class='ginput_container ginput_recaptcha' data-sitekey='6LfjP5cpAAAAAIMc-d46lqG5Qpahbip4xtvf_vPg'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_6' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Anterior' 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