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

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Admission Nutrition Assessment Worksheet - For Beginners (optional)Resident’s Name: Room #: DOA:Language Spoken:Religious/Cultural Needs:Anthropometric Measures and Physical observationAdmission Height (cm): RAI-MDS 2.0: K2 Admission Weight (kg): RAI-MDS 2.0: K2 Usual Body Weight (kg):‘Average’ Weight for Ht/Age/Sex (kg): Resident’s Goal Weight (kg): BMI:Weight HistoryPhysical signs of malnutrition RAI-MDS 2.0: Sections H, K, L, I, M, PMedical Information:Pertinent Diagnosis and Surgical History RAI-MDS 2.0: Sections B, C, D, E, G, I, J, M, O PRAI-MDS 2.0 Output Score:CPS: DRS: CHESS: Pain: ISE: ADL (Long):Medications with Nutritional Implications (including vitamins/minerals): RAI-MDS 2.0: Sections O and U (optional)Laboratory Data: RAI-MDS 2.0: P9Gastrointestinal RAI-MDS 2.0: Sections H, I, J, OGastrointestinal Problem:Managed By:Comment:Skin RAI-MDS 2.0: Sections M, PNutrition Related Skin Problem:Managed By:Comment:Chewing RAI-MDS 2.0: Sections I, J, K, L P⁭ No ⁭ Yes, Reason: Managed By:Comment:Swallowing RAI-MDS 2.0: Sections I, J, K, L P⁭ No ⁭ Yes, Reason: Managed By:Comment:Oral RAI-MDS 2.0: Section L⁭ No ⁭ Yes, Reason: Managed By:Comment (including last dental visit):For Information: 416.327.7625 25ltchrai@ontario.ca25
Sensory Deficit Affecting Nutritional Intake RAI-MDS 2.0: Sections B, C, D⁭ No ⁭ Yes, Reason: Managed By:Comment:Diet Information: RAI-MDS 2.0: Sections A10f, H, I, J K, MCurrent Diet/Enteral Feeding Order:Diet Texture:Food Allergies/Intolerances and Side Effects:Fluid Consistency:Meal Observation:Eating Ability: RAI-MDS 2.0: Section G, P⁭ Independent ⁭ Extensive Assistance ⁭ Supervision (encouragement and cueing)⁭ Limited Assistance ⁭ Total DependenceEating Behaviors: RAI-MDS 2.0: Sections EAssistive Feeding Devices: RAI-MDS 2.0: Section KDiet History: RAI-MDS 2.0: Sections AC1i-k, J, KSpecial Diet Recommended Previously:⁭ Yes ⁭ No Reason:Did you follow it? ⁭ Yes ⁭ No, Reason:Comment:Appetite History: ⁭ Good ⁭ Fair ⁭ PoorComment:Nutrition Supplements/Special Snacks: RAI-MDS 2.0:Section KType:Amount:Comment:Best Meal: ⁭ Breakfast ⁭ Lunch ⁭ DinnerComment:Food and Fluid Preferences: (state specific food and beverage preferences and dislikes)⁭ Vegetables ⁭ Fruits ⁭ Grain Products ⁭ Milk and Alternatives ⁭ Meat and Alternatives ⁭ Others:Comment:Food Intake:Average Reported Food Intake: ⁭ >75-100% ⁭ 50-75% ⁭ 1500cc/day ⁭ 1000-1500cc/day ⁭ 500-1000cc/day ⁭
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 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: Recommended Tools (Optional)Admissi
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
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For Information: 416.327.7625 28ltc
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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.
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RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

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