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

TRIGGERED RAP OR NON-TRIGGERED CLINICAL PROBLEM 5-STEP REVIEW PROCESSPURPOSE Aids critical analysis of RAPs Provides an organized approach to analyzing problems Identifies the need for further assessment Leads to decision making for the plan of care developmentSTEP 1: TYPE OF TRIGGERED RAPIS THIS A NEW, EXISTING OR ADJUSTED RAP?NEW RAPCurrent RAP that has not been previously triggeredEXISTING RAPCurrent RAP previously triggered that has no changes to the RAI-MDS 2.0 trigger itemsADJUSTED RAPCurrent RAP previously triggered that has new RAI-MDS 2.0 trigger items and/or changes to theprevious trigger itemsCLINICAL PROBLEM:New Non-triggered Clinical ProblemCurrent non-triggered clinical problem that has not been previously identifiedExisting Non-triggered Clinical ProblemCurrent non-triggered clinical problem that has been previously identifiedREMEMBER…RAI-MDS 2.0 is not the be-all-and-end-allClinicians are responsible for addressing all needs and strengths of residents regardless of whetherthese areas are included in RAI-MDS 2.0 or RAPs, e.g. quality of life issues, psychosocial needs,behaviours, cultural care, pain and depressionSTEP 2: NATURE OF THE CONDITIONDescribe the resident’s condition/problem in a way that everyone understands. Provide evidence or data tosupport the nature of the problemQuestions to ask: What is the problem? What have you observed to support evidence of this problem? What have you heard to support evidence of this problem? (Interviews with resident, familyand staff)For Information: 416.327.7625 6ltchrai@ontario.ca6