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

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For persons 65 years and older the “normal’ range may begin slightly above BMI 18.5 and extend into the“overweight” range.Reference: Health CanadaBMI must be taken into consideration with other weight parameters – height and weight tables for the elderly, weightchanges, usual versus ideal adult body weights, ethnic differencesUse of Usual Body Weight is the most important factor in assessing weight changesAdditional References:Average Weight (kg) for Height for Ages 65-94 years, Master, Laser, Beckman, 1960NHANES BMI men, NHANES BMI womenLTC Action Group, Dietitians of CanadaRevised June 2008Adapted from LTC Action Group, Dietitians of Canada 2008For Information: 416.327.7625 35ltchrai@ontario.ca35
CHAPTER 3: Resident Assessment Protocolsand Care PlanningCHAPTER 3: Resident Assessment Protocols and Care Planning ..........1RAPs and Care Planning ..........................................................................2Overview of RAPs and Care Planning Timelines ...................................12Preparing for RAPs and Care Planning Checklist..................................16RAPS and Care Planning Software Orientation Checklist ....................17The College of Dietitians of Ontario Documentation Requirementsadapted for Long-Term Care..................................................................18Nutrition Assessment and Care Planning Guidelines for RegisteredDietitian..................................................................................................22Sample RAPs Documentation - Essential Competencies for DieteticPractice..................................................................................................24Dietitian Referral....................................................................................29Dietitian Referral Orientation ..............................................................................................................................29Dietitian Referral Form (Optional).......................................................................................................................32Resident Assessment Protocol (RAP) Auditing Tool – Optional.........................................................................34For Information: 416.327.7625 1ltchrai@ontario.ca
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 and 48: Essential Nutritional Assessment Ar
Page 49 and 50: Nutrition/Hydration Risk Identifica
Page 51: Assessing Nutrition / Hydration Ris
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.
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RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

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