RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

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RAI-MDS 2.0 MODELRAPS FOR PLAN OF CARE• Based on the coding of the RAI-MDS 2.0 assessment• Identify possible additional assessment or intervention needs• Cover issues that are common in target population or pose severe risks• Help dietitian and nutrition manager focus on key nutrition care issues• Provide an important link between the RAI-MDS 2.0 assessment and care planning• Replace quarterly narrative summary documentation for all interdisciplinary team membersTHERE ARE 18 RAPS:• Delirium• Cognitive Loss/Dementia• Visual Function• Communication• ADL Functional/Rehabilitation Potential• Urinary Incontinence and Indwelling Catheter• Psychosocial Well-Being• Mood State• Activities• Behavioural Symptoms• Falls• Nutritional Status• Feeding Tubes• Dehydration/Fluid Maintenance• Dental Care• Pressure Ulcers• Psychotropic Drug Use• Physical RestraintsFor Information: 416.327.7625 9ltchrai@ontario.ca9
SECTION V – RESIDENT ASSESSMENT PROTOCOL SUMMARYMONITORING AND EVALUATION SYSTEMSEmbedded within the RAI-MDS 2.0 are various scales and IndicesQUALITY INDICATORS (QIS) There are 35 QIs Can be used to:- Identify exemplary care- Help staff to track quality of care- Identify potential care problem areas/quality concerns- Target staff education for care improvement- Identify residents at risk for monitoring the outcomes of care over timeDomainQuality IndicatorsPHYSICAL FUNCTIONActivities of Daily LivingMobilityWorsened early-loss ADL; improvedWorsened mid-loss ADL; improvedWorsened late-loss ADL; improvedWorsened ADLWorsened locomotionImproved locomotionFor Information: 416.327.7625 10ltchrai@ontario.ca10
Page 1 and 2: RAI-MDS 2.0 Nutritional Care Resour
Page 3 and 4: Table of Contents1. Chapter 1: RAI-
Page 5 and 6: Glossary of TermsADLAlgorithmAverag
Page 7 and 8: RAI-MDS 2.0 Target population:Frail
Page 9 and 10: SECTION F: PSYCHOSOCIAL WELL-BEINGI
Page 11: SECTION P: SPECIAL TREATMENTS AND P
Page 15 and 16: OUTCOME SCALES OR MEASURES• 10 ou
Page 17 and 18: Getting Started ChecklistCompletion
Page 19 and 20: Selected Coding Sections of RAI-MDS
Page 21 and 22: WEIGHT CHANGE CALCULATION EXAMPLE:C
Page 23 and 24: EXAMPLE:Step 1: Calculate Total Cal
Page 25 and 26: Examples include wheat-free diet to
Page 27 and 28: Overview of Assessment TimelinesOBS
Page 29 and 30: 2. QUARTERLY ASSESSMENT TIMELINEThe
Page 31 and 32: TIMELINE FOR SIGNIFICANT CHANGE IN
Page 33 and 34: RAI-MDS 2.0 Nutrition Assessment Pr
Page 35 and 36: Day 0 First Day of New Admission On
Page 37 and 38: RAI-MDS 2.0 Nutrition Quarterly, Si
Page 39 and 40: Preparing to Code ChecklistThe foll
Page 41 and 42: Recommended Tools (Optional)Admissi
Page 43 and 44: Sensory Deficit Affecting Nutrition
Page 45 and 46: Admission Nutrition Assessment Work
Page 47 and 48: Essential Nutritional Assessment Ar
Page 49 and 50: Nutrition/Hydration Risk Identifica
Page 51 and 52: Assessing Nutrition / Hydration Ris
Page 53 and 54: CHAPTER 3: Resident Assessment Prot
Page 55 and 56: TRIGGERED RAPS IN THE RAI-MDS 2.0 R
Page 57 and 58: TRIGGERED RAP OR NON-TRIGGERED CLIN
Page 59 and 60: What have you read to support evide
Page 61 and 62: NO EXISTING RAP TRIGGEREDIf existin
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RAP IMPLEMENTATION STRATEGIES Compl
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NEW ADMISSION RAP AND CARE PLAN TIM
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M axim um 7 days M aximum 7 days Ma
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RAPS and Care Planning Software Ori
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The College of Dietitians of Ontari
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8 Documentation by the dietitian in
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17.10 Draws relevant conclusions fr
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RAPProcessLeaves25% ormore foodunea
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RAP Process Step 1Type of RAPLeaves
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Dietitian ReferralDietitian Referra
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13. Dental Care14. Pressure UlcersD
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New triggered RAPs affecting nutrit
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Criteria to Review4. Evidence of RA
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OverviewOVERVIEW• Getting started
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MoodWorsened mood - symptoms of dep
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15. Prevalence of depression withou
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• E1l - Sad, pained worried facia
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AGGRESSIVE BEHAVIOUR SCALE (ABS)•
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• Hemiplegia, pneumonia, septicem
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Preparing for RAI-MDS 2.0 Outputs a
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Application of RAI-MDS 2.0 Reports
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Case Study ApplicationThe Quality I
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Domain # Quality Indicators - Unit
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Domain # Quality Indicators - Unit
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4-35Domain # Quality Indicators - U
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InterRAI RAI-MDS 2.0 Quality Indica
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For Information: 416.327.7625 28ltc
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Page 119 and 120:
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Strategies for Achieving RAI-MDS 2.
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RAI-MDS 2.0 Quality Improvement Too
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Comments:Part C: Use of Data for De
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Literature: Recommended Articles1.
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RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

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