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

More documents

Recommendations

Info

DomainQuality IndicatorsPSYCHOSOCIAL FUNCTIONBehaviourCognitive FunctionCognitive FunctionCommunicationDeliriumMoodWorsened behavioural symptomsImproved behavioural symptomsWorsened cognitive abilityImproved cognitive abilityWorsened cognitive abilityImproved cognitive abilityWorsened communication abilityImproved communication abilityHas deliriumWorsened mood – symptoms of depressionSAFETYMedicationsFallsInfectionsTaken antipsychotics without a relevant diagnosisFallen (in last 30 days)Has an infectionWorsened/unchanged respiratory infectionPressure Ulcers Has a pressure ulcer at stages 2 to 4Worsened pressure ulcer at stages 2 to 4Has a new pressure ulcer at stages 2 to 4RestraintsDaily physical restraintsOTHER CLINICAL ISSUESContinenceNutrition/WeightPainHas an indwelling catheterWorsened bowel continenceWorsened urinary continenceHas a urinary tract infectionImproved bowel continenceImproved bladder continenceHas a feeding tubeHas had weight lossHas painWorsened painFor Information: 416.327.7625 11ltchrai@ontario.ca11
OUTCOME SCALES OR MEASURES• 10 outcome measurement scales• Outcome Scales can help to improve clinical practice by:- Identifying resident specific or aggregate information on resident care needs and outcomes- Tracking clinical outcomes (e.g. pain)- Monitoring resident change over time- Evaluating the effectiveness of clinical interventions- Targeting staff education for clinical improvementScaleCognitive Performance Scale (CPS)Depression Rating Scale (DRS)Activity of Daily Living (ADL Short Form, ADL Long Form, ADLHierarchy)Changes in Health, End-Stage Disease and Signs andSymptoms Scale (CHESS)Index of Social Engagement (ISE)Pain ScaleAggressive Behaviour ScaleinterRAI Pressure Ulcer Risk ScaleMeasuresLevel of cognitionLevel of depressionADL performanceFrailty and instabilityDegree of social engagementPrevalence of painAggressive BehaviourPressure Ulcer RiskUTILIZATION GROUPS RUG-III• Upon completion of the RAI-MDS 2.0, the software automatically classifies residents into 7 major groups• Residents are grouped according to their clinical and diagnostic characteristics and resource utilization• RUGs can help to:- Compare resident profile, resource requirements and utilization by unit, and by types ofresidents- Trend resource intensity over time to validate workload- Determine staffing pattern- Assign appropriate skill mix to care unitFor Information: 416.327.7625 12ltchrai@ontario.ca12
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 and 12: SECTION P: SPECIAL TREATMENTS AND P
Page 13: SECTION V - RESIDENT ASSESSMENT PRO
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
Page 63 and 64: RAP IMPLEMENTATION STRATEGIES Compl
Page 65 and 66:
NEW ADMISSION RAP AND CARE PLAN TIM
Page 67 and 68:
M axim um 7 days M aximum 7 days Ma
Page 69 and 70:
RAPS and Care Planning Software Ori
Page 71 and 72:
The College of Dietitians of Ontari
Page 73 and 74:
8 Documentation by the dietitian in
Page 75 and 76:
17.10 Draws relevant conclusions fr
Page 77 and 78:
RAPProcessLeaves25% ormore foodunea
Page 79 and 80:
RAP Process Step 1Type of RAPLeaves
Page 81 and 82:
Dietitian ReferralDietitian Referra
Page 83 and 84:
13. Dental Care14. Pressure UlcersD
Page 85 and 86:
New triggered RAPs affecting nutrit
Page 87 and 88:
Criteria to Review4. Evidence of RA
Page 89 and 90:
OverviewOVERVIEW• Getting started
Page 91 and 92:
MoodWorsened mood - symptoms of dep
Page 93 and 94:
15. Prevalence of depression withou
Page 95 and 96:
• E1l - Sad, pained worried facia
Page 97 and 98:
AGGRESSIVE BEHAVIOUR SCALE (ABS)•
Page 99 and 100:
• Hemiplegia, pneumonia, septicem
Page 101 and 102:
Preparing for RAI-MDS 2.0 Outputs a
Page 103 and 104:
Application of RAI-MDS 2.0 Reports
Page 105 and 106:
Case Study ApplicationThe Quality I
Page 107 and 108:
Domain # Quality Indicators - Unit
Page 109 and 110:
Domain # Quality Indicators - Unit
Page 111 and 112:
4-35Domain # Quality Indicators - U
Page 113 and 114:
InterRAI RAI-MDS 2.0 Quality Indica
Page 115 and 116:
For Information: 416.327.7625 28ltc
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Strategies for Achieving RAI-MDS 2.
Page 123 and 124:
RAI-MDS 2.0 Quality Improvement Too
Page 125 and 126:
Comments:Part C: Use of Data for De
Page 127:
Literature: Recommended Articles1.
show all

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

Create successful ePaper yourself

Delete template?

Save as template?