Welcome to Oklahoma's Official Web Site
MDS RESOURCE LINKS
This listing of resources is being provided as a service and does not constitute or imply endorsement of these organizations or their programs. OSDH is not responsible for the content of pages found at these sites. URL addresses were current as of September 1, 2010. The first set of links are from the MDS 3.0 RAI Manual. The remaining links are listed under the related MDS 3.0 section when possible.
CARE AREA GENERAL RESOURCES
Excerpt from Centers for Medicare & Medicaid Services’
Long Term Care Facility Resident Assessment Instrument
User’s Manual, Version 3.0, June 2010
Advancing Excellence in America’s Nursing Homes Resources
Agency for Health Care Research and Quality
Alzheimer’s Association Resources
American Geriatrics Society Clinical Practice Guidelines and Tools
American Medical Directors Association (AMDA) Clinical Practice Guidelines and Tools
American Pain Society
American Society of Consultant Pharmacists Practice Resources
Association for Professionals in Infection Control and Epidemiology Practice Resources
Centers for Disease Control and Prevention: Infection Control in Long-Term Care Facilities Guidelines
CMS Pub. 100-07 State Operations Manual Appendix PP – Guidance to Surveyors for Long Term Care Facilities (federal regulations noted throughout; resources provided in endnotes)
Emerging Solutions in Pain Tools
GeriatricWeb Resources and Practice Guidelines
Hartford Institute for Geriatric Nursing Geriatric Protocols and Assessment Series
Hartford Institute for Geriatric Nursing Geriatric Clinical Nursing Resources
Institute for Safe Medication Practices
Medicare Quality Improvement Community (MedQIC)
Quality Improvement Organizations
Research in Gerontological Nursing
University of Missouri’s Geriatric Examination Tool Kit
U.S. Department of Health and Human Services Agency for Healthcare Research and Quality’s National Guideline Clearinghouse
LINKS SORTED BY MDS 3.0 SECTIONS
SECTION B. HEARING, SPEECH, AND VISION
HEARING: Try This: Hearing Screening in Older Adults—A Brief Hearing Loss Screener
SPEECH: Communication—Best Ways to Interact With the Person With Dementia
VISION: Lives Improve With Visual Supports
SECTION C. COGNITIVE PATTERNS
Memory Loss Not Linked to Surgery
Promoting Memory Retention
Conducting Mental Assessments
SLUMS Assessment Tool
ALZHEIMERS: Alzheimer’s Disease – 10 Warning Signs
Alzheimer’s Disease
Stages of Alzheimer’s Disease
FDA-Approved Treatments for Alzheimer’s
Barbara Broyles Alzheimer and Dementia Training Program for Nursing Assistants
Alzheimer’s—A Thief in the Night
Alzheimer’s Patients Respond to Cognitive Techniques
Guideline for Alzheimer’s Disease Management
DEMENTIA: Comparison of the Clinical Features of Delirium, Dementia, and Depression
The Family Approach to Dementia Care
A Guide to Dementia Diagnosis and Treatment
DELIRIUM: Try This: Assessing and Managing Delirium in Older Adults With Dementia
Common Risk Factors and Underlying Medical Conditions Associated With Delirium
Signs and Symptoms of Delirium Distinguished from Depression and Dementia
Delirium: Acute Intervention Checklist
Common Risk Factors and Underlying Medical Conditions Associated With Delirium
Delirium Risk Factors Intervention Guide
SECTION D. MOOD
Stress Scale for Adults
Try This: The Impact of Event Scale – Revised (IES-R)
DEPRESSION: Geriatric Depression Scale (Short Form)
Geriatric Depression Mood Scale Score Worksheet
Cornell Scale Guidelines
Cornell Scale for Depression in Dementia
Geriatric Depression Management Decision Guide
Zung Self Rated Depression Scale
Clinical Process Guideline: Depression
The Facts About Men and Depression
Putting a New Face on Depression Treatment
Managing Depression
Depression: Fast Facts
SECTION E. BEHAVIOR
Keeping Violent Behavior in Check
DEMENTIA: How to Respond When Dementia Causes Unpredictable Behaviors
MEDICATION: Clinical Process Guideline: Behavior Management and Antipsychotic Medication Prescribing
WANDERING: Wandering Behavior—Preparing for and Preventing It
Caring for Residents Who Wander
SECTION F. PREFERENCES FOR CUSTOMARY ROUTINE AND ACTIVITIES
Activities Tip Sheet
Quality of Life Assessment
Nurturing Resident’s Spirits
Creative Tasks Spark Imagination
The Healing Light of Art
SECTION G. FUNCTIONAL STATUS
Improve your Balance in 10 Minutes a Day
Mobility Decline Prevention
Stepping Up Ambulation
BATHING: Change Ideas for Bathing
Bathing Tip Sheet
SECTION H. BLADDER AND BOWEL
Preventing Urinary Tract Infections Tip Sheet
Clinical Process Guideline: Urinary Incontinence
Incontinence Management
A New Look at Incontinence
Reducing Urinary Incontinence
Guidelines for the Prevention of Intravascular Catheter-Related Infections
Guidelines for Prevention of Catheter-Associated Urinary Tract Infections 2009
Try This: Transient Urinary Incontinence In Older Adults
Try This: Persistent Urinary Incontinence in Older Adults
PROGRAMS: Prompted Voiding Yields Results
SECTION I. ACTIVE DIAGNOSES
HEART: Clinical Process Guideline: Heart Failure
PARKINSONS: Parkinson’s: A Caregiver’s Challenge
OSTEOPOROSIS: Osteoporosis: A Bare Bones Look
HYPERTENSION: Keeping Hypertension in Check
Caring for People With Pneumonia
DIABETES: AGS Clinical Practice Guidelines for Improving the Care of the Older Person With Diabetes Mellitus
Keeping Diabetes at Bay
SECTION J. HEALTH CONDITIONS
PAIN: Clinical Process Guideline: Pain Management
Improving Pain Management
Collaborating to Manage Pain
AGS Clinical Practice Guideline: Pharmacological Management of Persistent Pain in Older Persons
American Pain Society
Emerging Solutions in Pain Tools
Management of Pain in the Long Term Care Setting
Pain Assessment in Advanced Dementia (PAINAD) Scale
Try This: Pain Assessment for Older Adults
Try This: Assessing Pain in Older Adults With Dementia
Pain Treatment Algorithm
Comprehensive Assessment of Pain Flowchart
Pain: Essential Systems for Quality Care
Pain: Terminology and Types
Pain Overview
Systems Investigative Audit: Pain
DYSPNEA: Dyspnea Pocket Guide
Dyspnea Assessment Guide
FALLS: Clinical Process Guideline: Evaluation of Falls/Risks
Falls Prevention and Alzheimer’s
Promoting Safety, Reducing Falls
AGS Clinical Practice Guideline: Prevention of Falls in Older Persons
Falls Among Older Adults
Don’t Fall For It (Falls Prevention)
Documents/aipp/Toolkit/K.../FallPrevention.ppt
Try This: Fall Risk Assessment for Older Adults: The Hendrich II Fall Risk Model
Falls: Chair Exercises
QA: Post Falls Investigation Report
SECTION K. SWALLOWING/NUTRITIONAL STATUS
SWALLOWING: Tough to Swallow Process Indicator
Swallowing Difficulty
Documents/aipp/Toolkit/N.../SwallowingDifficulty.ppt
WEIGHT: Weight Loss Prevention
Addressing Loss of Weight Issues
NUTRITION: Nutrition Under a Microscope
Feeding Difficult-to-Feed Patients
Mary W.—A Nutrition Case Study
Elder Nutrition and Food Safety, University of Florida
Elder Nutrition
Clinical Process Guideline: Altered Nutritional Status
Try This: Assessing Nutrition in Older Adults
Try This: Eating and Feeding Issues in Older Adults With Dementia, Part I
Try This: Eating and Feeding Issues in Older Adults With Dementia, Part II
Clinical Process Guideline: Maintaining Hydration and Electrolyte Balance
SECTION L. ORAL/DENTAL STATUS
The Importance of Oral Health
Oral Hygiene
Documents/aipp/Toolkit/D_OralHygiene/OralHygiene.ppt
Try This: The Kayser-Jones Brief Oral Health Status Examination (BOHSE)
SECTION M. SKIN CONDITIONS
Pressure Ulcer Plan is Working
Pressure Ulcer Success Story
A New Look at Pressure Ulcers
Getting a Jump on Wound Care
Wound Care From the Top Down
RISK: Braden Scale for Predicting Pressure Sore Risk
Try This: Predicting Pressure Ulcer Risk
MANAGEMENT: Clinical Process Guideline: Prevention and Management of Pressure Ulcers
Pressure Ulcer Prevention
Preventing Pressure Ulcers
Pressure Ulcer Prevention and Management
documents/quality_improve/pu_pres.ppt
Quick Reference Guide: Pressure Ulcer Prevention
Pressure Ulcer Prevention Points
Pressure Ulcer Management Guide
Pressure Ulcer Positioning Pocket Guide
Pressure Ulcer Project Tool Kit
SBAR: Skin Care Instructions
Comprehensive Admission Skin Assessment
Pressure Ulcers: Facility Assessment Checklists
Clinical Practice Guidelines for Pressure Ulcers
tools/clinical/pressureulcers/PU%20CPG%20slides.ppt
Skin Tears: The Clinical Challenge
(3)/documents/01b.pdf
Systems Investigative Audit: Pressure Ulcer Prevention/Treatment
Tissue Tolerance and Individualized Turning Schedule
Clinical Fact Sheet: Quick Assessment of Leg Ulcers
TOOLS: Save Our Skin Tools
Pressure Ulcer Tracking and Trending Tools
PUSH Tool
STAGING: Pressure Ulcer Category Staging Illustrations
Pressure Ulcer Staging Pocket Guide
Pressure Ulcer Definition and Stages
Payne-Martin Method of Skin Tear Classification
(3)/PublishingImages/01-Fig3.JPG
INCONTINENCE: What the Experts Say in Incontinence Care and Pressure Ulcer Prevention Guidelines
What We Don’t Know Can Hurt Us, Incontinence and Related Perineal Skin Injury
NUTRITION: The Role of Nutrition in Pressure Ulcer Prevention and Treatment
CNAs: Pressure Ulcers: CNA Knowledge and Attitude Survey
Skin Monitoring: Comprehensive CNA Shower Review
SECTION N. MEDICATIONS
Heart Medications Pocket Guide
Asthma Management Guide
Benzodiazepine Facts
Warfarin and NSAIDs: Drug-Drug- Interaction
Propoxyphene – Potentially Inappropriate Medication
Vitamin D the Super Drug
Pain Meds in the Spotlight
ANTIBIOTICS: Judicious Antibiotic Use – Cough/Bronchitis
Judicious Antibiotic Use – Pharyngitis
Judicious Antibiotic Use – Rhinitis versus Sinusitis
Antibiotic Safety Brochure
INSULIN: Insulin Measures Worksheet
Insulin Storage and Stability
IN THE ELDERLY: Prescribing Principles for the Elderly
Try This: Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, Part I
Try This: Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, Part II
Medicines and You: A Guide for Older Adults
MANAGEMENT: Clinical Process Guideline: Medication Management and Reduction of Adverse Drug Reactions
Adverse Drug Event Trigger Tool
Fast Facts: Antidepressant Medication Side Effects
Medication Discrepancy Tool
Pill Disposal—A Growing Concern
Managing a Complex Drug Regimen
Tip Sheet for Prescribing Controlled Substances in Long Term Care
The Five Rights: Not the Gold Standard for Safe Medication Practices
(2)/documents/09.pdf
Daily Dose Thresholds for Antipsychotic Medications Used to Manage Behavioral Symptoms Related to Dementing Illnesses
Medication Management Process Indicator
Medication Reconciliation: Three Way Match Back Process
Medication Watch Card
American Society of Consultant Pharmacists Practice Resources
SECTION O. SPECIAL TREATMENTS, PROCEDURES, AND PROGRAMS
IMMUNIZATION: Overcoming Immunization Barriers
Pocket Guide to Common Immunizations for the Older Adult
Try This: Immunizations for Older Adults
RESTORATIVE: Some Hints on Restorative Dining
Rehab and Restorative Nursing
Documents/aipp/...RehabRestorative/RehabRestorative.ppt
SECTION P. RESTRAINTS
Making the Right Choice
Restraint Management Guide
Providing Restraint-Free Care
Try This: Avoiding Restraints in Older Adults With Dementia
SECTION Q. PARTICIPATION IN ASSESSMENT AND GOAL SETTING
Going Home, A New Reality
LINKS SORTED BY SUBJECT
CARE PLANNING
Care Planning Made Easier
ADLs: Plan of Care
Development of a Plan of Care for a Person With Pain
Pain: Key Care Plan Approaches
Development of a Plan of Care for a Resident at High Risk of Developing A Pressure Ulcer
Development of a Plan of Care for a Resident With a Pressure Ulcer
Walking Improvement: Overview for Developing Care Plans
Fall Prevention Intervention Care Plan
CULTURE CHANGE
Individualized Care
Principles of Person-Centered Care
Watch Your Language
Artifacts of Culture Change
Culture Change Goes Mainstream
Providers Collaborate on Quality Initiatives
Nurses Mull Culture Change Role
Investing in Culture Change—LTC Leaders Look at Why it Works
CONSISTENT A Case for Consistent Assignment
ASSIGNMENT:
Change Ideas for Consistent Assignment
Consistent Assignment Tip Sheet
Consistent Assignment Q and A
END OF LIFE CARE
Clinical Process Guideline: End of Life Care
Dying With Dignity
End of Life Decisions Made Easier
Managing Patients at End of Life
Comfort, Compassion, Dignity Mark End of Life Care
Change Ideas for Death and Dying
CAREGIVING
Unique Partnerships That Work
Loving Touch Makes a Difference
The Healing Power of Touch
Handle With Care
Culture Competence Counts
Providing Care as a Team
Putting Patient Safety First
Safe Smoking
Preserving Patient Dignity When Surrogates Step In
Caring for the Bariatric Patient
Resident’s Rights and Dignity
...Residents%20RightsDignity/ResidentsRightsDignity.ppt
Try This: The Modified Caregiver Strain Index (CSI)
Clinical Process Guideline: Acute Change in Condition
Teamwork Achieves Lower Pressure Ulcer, Pain Levels
WHEELCHAIR: Reinventing the Wheelchair
Individualized Wheelchair Seating for Older Adults
SLEEP: Try This: The Pittsburgh Sleep Quality Index (PSQI)
Try This: The Epworth Sleepiness Scale (ESS)
Change Ideas for Sleeping and Waking
RE-HOSPITALI- Many ER Visits Preventable
ZATION:
Avoiding Hospitalizations
Keeping Hospitalizations in Check
INFECTION CONTROL
Recommendations for Preventing the Spread of Vancomycin Resistance
Guideline for Infection Control in Health Care Personnel
Infection Control Grows More Challenging
Preventing Infections in Non-Hospital Settings: Long Term Care
Infection Control in Long Term Care Facilities
Definition of Infections for Surveillance in Long Term Care Facilities
Guidelines for Environmental Infection Control in Health Care Facilities
Guidelines for Disinfection and Sterilization in Health Care Facilities
SHEA/APIC Guideline: Infection Prevention and Control in the Long Term Care Facility
Recommended Infection-Control and Safe Injection Practices to Prevent Patient-to-Patient Transmission of Bloodborne Pathogens
Association for Professionals in Infection Control and Epidemiology Practice Resources
Infection Prevention and Control in Long Term Care
Infection Criteria Checklist
Monitoring for Infection Signs and Symptoms
Strive for Five Toolkit (Associated Health Care Infections)
C. Difficile: A Dangerous Threat
Infection Control Measures for Preventing and Controlling Influenza Transmission in Long Term Care Facilities
Break the Infection Chain
Keeping Infections Under Wraps
MRSA: MRSA Change Strategies
Information About MRSA Skin Infections
MRSA in Nursing Homes
HAND HYGIENE: Guideline for Hand Hygiene in Health Care Settings
Healthy Hands, Healthy Facility
MANAGEMENT
Verifying Employee Credentials
Everyone is Talking About It—Social Media
Long Term Care Health Information Technology Inevitable
CNAs: Working on CNA Empowerment
Traits of a Successful CNA
QUALITY: Pursuit of Quality: Ongoing Quest
The Path to Quality Improvement
Quality Improvement: Rapid Cycle Improvement Guide to Achieving Results
Better Training Leads to Better Care
RETENTION: Workforce Retention
Electronic Medical Records Enhance Retention, Recruitment
Recognition and Gratitude Make Big Impact
GENERAL RESOURCES
Arkansas Process Indicators – “Best Practices” for Nursing Homes
Michigan Clinical Process Guidelines
Oklahoma Foundation for Medical Quality
TMF Health Quality Institute
Primaris
The Anna and Harry Borun Center for Gerontological Research
Guide to Geriatric Syndromes, Part 1, The American Geriatrics Foundation for Health in Aging
Guide to Geriatric Syndromes, Part 2, The American Geriatrics Foundation for Health in Aging
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