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

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Essential Nutritional Assessment Areas for Further Considerations (Part A Resource Guide) Non-Triggered Clinical Problem IdentificationDietary restrictions:Cultural/religious purposesOther dietary restrictionsRAI-MDS 2.0: Sections K5, I1Special diet recommended previously:⁭ Yes Reason:Did you follow it? ⁭ Yes ⁭ No, Reason:Religious/cultural needs: Self-imposed dietary restrictions:Food intolerance/hypersensitivitiesFood and fluid restrictions/dislikes (state specific food and beveragedislikes/restrictions)⁭ Vegetables ⁭ Fruits ⁭ Grain Products ⁭ Milk and Alternatives⁭ Meat and Alternatives ⁭ Others:Comment:Signs & symptoms of malnutritionnutrient deficiency RAI-MDS 2.0: Sections H, K, L, I, M, PNutrition related skin problem is managed by:Anthropometry and body composition:Body mass index (BMI) Frame sizeRAI-MDS 2.0: Section K2a-bBiochemical dataRAI-MDS 2.0 Section PEstimation of energy, protein, fluid, micronutrientsRAI-MDS 2.0: Sections B, K, M, I, J, H, N, GBMI:Laboratory Data:Energy (kcal)/day: Protein (g.)/day: Fluid (cc)/day:Other:For Information: 416.327.7625 31ltchrai@ontario.ca3131
Nutrition/Hydration Risk Identification Tool - OptionalResident Name: _______________________________________________Registered Dietitian to complete upon admission and whenever risk indicators change.HIGH NUTRITION / HYDRATION RISKSignificant weight change 5% - 1 mo., 7.5% - 3 mo., 10% -6 mo. (confirmed by reweigh) or 130% goal / usualbody weightSeverely underweight or BMI (< 18 in most elderlyindividuals)Severely overweight or BMI (> 32 in most elderlyindividuals)Recent changed appetite
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 and 42: Recommended Tools (Optional)Admissi
Page 43 and 44: Sensory Deficit Affecting Nutrition
Page 45 and 46: Admission Nutrition Assessment Work
Page 47: Essential Nutritional Assessment Ar
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
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Domain # Quality Indicators - Unit
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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
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.
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RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

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