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

OUTCOME SCALES/MEASURESOUTCOME SCALES1. ADL Scales (ADL Self Performance)a) - ADL Self Performance Hierarchy Scaleb) - ADL Short Formc) - ADL Long Form2. Depression Rating Scale (DRS) (Level of Depression)3. Pain Scale (Prevalence of Pain)4. Cognitive Performance Scale (CPS) (Level of Cognition)5. Changes in Health, End Stage Disease, Signs and Symptoms (CHESS) Scale (Frailty and instability)6. Index of Social Engagement (Degree of Social Engagement)7. interRAI Pressure Ulcer Risk (Pressure Ulcer Risk)8. Aggressive Behaviour Scale (Aggressive Behaviour)ACTIVITIES OF DAILY LIVING SCALESUses Information from RAI-MDS 2.0 Section GScale Measurement Score InterpretationADL Self-PerformanceHierarchy Scale• Personal Hygiene• Toileting• Locomotion On Unit• EatingADL Short Form • Personal Hygiene (G1jA)• Toilet Use (G1iA)• Locomotion on Unit (G1eA)• Eating (G1hA)ADL Long Form • Bed Mobility (G1aA)• Transfers (G1bA)• Locomotion on unit (G1eA)• Dressing (G1gA)• Eating (G1hA)• Toilet Use (G1iA)• Personal Hygiene (G1jA)0 - 6 Higher scores indicate moreimpairment0 -16 Higher scores indicate moreimpairment0 - 28 Higher scores indicate moreimpairmentADL Scales (3) Candidate for replacement of Barthel, Katz and FIM toolsDEPRESSION RATING SCALE (DRS)Based on the summation of 7 mood items from Section E1(Indicators of Depression, Anxiety, Sad Mood)• E1a - Resident made negative statements• E1d - Persistent anger with self or others• E1f - Expressions what appear to be unrealistic fears• E1h - Repetitive health complaints• E1i - Repetitive anxious complaintsFor Information: 416.327.7625 7ltchrai@ontario.ca7