Table of Contents
Social Services and Long Term Care
Introduction 1
Federal Regulations on Psychosocial Needs 2
Psychosocial Outcome Severity Guide 6
Resident Rights 11
Resident Rights Glossary 12
Resident Rights Regulations 13
Promoting a Therapeutic Environment 20
Cognitive Patterns
Guidelines for Cognitive Assessment 22
Brief Interview for Mental Status 26
Coding Section C of MDS 3.0 27
CAT Module for Cognitive Loss / Dementia 36
Quality Indicator for Cognitive Patterns 37
Mood
Guidelines for Mood Assessment 38
Resident Mood Interview 42
Coding Section D of MDS 3.0 43
Coding Section I of MDS 3.0 51
CAT Module for Mood State 52
Quality Indicators for Emotional Patterns 53
Behavior
Guidelines for Behavior Assessment 54
Coding Section E of MDS 3.0 59
CAT Module for Behavioral Symptoms 65
Quality Indicators for Behavioral Patterns 66
Flow Sheet for Behavior 67
Flow Sheet for Behavior / Cognitively Impaired 68
QA Audit for Wandering Prevention 69
Customary Routine
Interview for Daily Preferences 70
Coding Section F of MDS 3.0 71
Psychotropic Medications
Guidelines for Psychotropic Medication Use 79
Potential Psychotropic Side Effects 84
Antipsychotic Medications Guidance 88
Antipsychotic Use Audit 92
Anxiolytic Medications Guidance 93
Anxiolytic Use Audit 95
Coding Section N of MDS 3.0 96
CAT Module for Psychotropic Drug Use 99
Quality Indicators for Psychotropic Drug Use 100
Modified Abnormal Involuntary Movement Scale 101
Resident QA Audit for Psychotropic Drug Use 102
Facility QA Audit for Psychotropic Drug Use 103
Psychosocial Well-Being
Guidelines for Psychosocial Well-Being 104
CAT Module for Psychosocial Well-Being 105
Discharge Planning
Coding Section Q of the MDS 3.0 106
Guidelines for Return to Community Referral 109
CAT Module for Return to Community Referral 110
Care Plans
Care plans follow page 110, and are in alphabetical order
Blank Care Plan
Abusive, Physically
Abusive, Verbally
Anger
Antidepressant
Anxiety
Conflict with Family / Friends
Conflict with Staff
Decision-making
Depression
Discharge Pending
Disordered Thinking / Awareness
Family Coping
Fear
Grief Over Lost Status / Roles
Hypnotic
Lithium
Manipulative Behaviors
MAO Inhibitor
Memory Problem
Paranoia
Psychotropic Drug Use
Refuses to Eat, Drink
Rejects Care
Restraint
Room or Environment Change
Sensory Deprivation
Sensory Perception Altered
Sleep Pattern Disturbance
Smoking
Social Isolation
Socially Inappropriate
Strengths
Terminal Prognosis
Tricyclic
Unhappy with Roommate / Other Resident
Wandering
Withdrawal from Care / Activities
References
CD-ROM back of book