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

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EXAMPLE:DayDaily Fluid IntakeSun.Mon.Tues.Wed.Thurs.Fri.Sat.7-Day Total1250 cc725 cc925 cc1200 cc1200 cc1200 cc1000 cc7550 ccTotal = 7550 cc / 7 days = 1078.6 cc per dayCode “3” for 1001-1500 cc per dayJ1d: INSUFFICIENT FLUIDINTENT:To record specific problems or symptoms that affects or could affect the resident’s health or functional status.CODING DEFINITION:Insufficient fluid: Did not consume all or almost all liquids provided during the last 3 days. Liquids include water,juices, coffee, gelatines and soups.PROCESS: Interview and observe resident Review clinical records including plan of care and intake records Consult front line staff and familyM5d: NUTRITION OR HYDRATION INTERVENTIONINTENT:To document any nutrition or hydration intervention to manage skin problemsCODING DEFINITIONS: Nutrition or hydration interventions include dietary measures received by the resident for the purpose ofpreventing or treating specific skin conditionsFor Information: 416.327.7625 7ltchrai@ontario.ca7
Examples include wheat-free diet to prevent allergic dermatitis, high calorie diet with added supplements toprevent skin breakdown and high protein supplements for wound healingPROCESS: Review resident’s clinical record including intake records. Interview the resident and care team.Note: Individual home’s policy will determine if the dietitian or nutrition manger completes this section of the RAI-MDS 2.0 assessment.R2b: ASSESSMENT INFORMATIONINTENT:To record staff signatures and titles of persons completing sections of the assessment.PROCESS: Each staff member who completes any section of the RAI-MDS 2.0 must sign, indicate title, sections he/shecompleted and date the assessment was completed The Assessment Coordinator must not sign the assessment as complete until all other assessors have signedtheir portions as complete.OTHER RELEVANT RAI-MDS SECTIONSTo obtain a complete clinical picture of a resident it is important to review all the completed sections of the RAI-MDS2.0 focusing particularly on the following RAI-MDS 2.0 sections:B4Cognitive Skills for Daily DecisionMakingC6Ability to understand othersD2 Visual limitations/Difficulties E4d Socially inappropriate or disruptive behaviourG1h Ability to feed self H2 Bowel Elimination PatternI Disease Diagnosis J J1: problem conditionJ2: pain symptomsJ5: stability of conditionsL1 Oral Status M1 UlcersO4 Medications P1A Special Treatments i.e. dialysisP9Abnormal LabsFor Information: 416.327.7625 8ltchrai@ontario.ca8
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 and 14: SECTION V - RESIDENT ASSESSMENT PRO
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: EXAMPLE:Step 1: Calculate Total Cal
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
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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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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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