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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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