Special Care Topics, Volume One

Table of Contents

Forms are listed in Italicized text, and are all included in the companion CD.

Introduction   1

Restraints  

Establishing a Facility Restraint Program   2

Policy and Procedure   4

Types of Restraints   6

Side Rails   8

Assessment   10

Guidelines for Restraint Use   11

Checklist for Restraint Use   16

Medical Symptoms   17

Investigating Underlying Causes of Medical Symptoms   18

Alternatives to Restraint Use   19

Consent   21

Consent Form   23

Monitoring Use of Restraints   24

Potential Negative Outcomes   25

Monitoring Flow Sheet for Restraint Use   26

Emergency Situations   27

Coding Section P of the MDS 3.0   28

Physical Restraints CAT Module   31

Care-planning   32

Care Plan, Restraint   34

Care Plan, Knowledge Deficit   36

Care Plan, Range of Motion   37

Care Plan, Fall Risk   38

Quality Assurance   40

Quality Indicator   42

Facility Restraint Program Quality Assurance Audit   43

Restraint Documentation Quality Assurance Audit   44

Facility Restraint Use Quality Assurance Audit   45

Falls   

Definitions and Regulations   46

Establishing a Facility Fall Prevention Program   48

Facility Fall Prevention Program Quality Assurance Audit   49

Fall Risk Assessment   50

Risk Factors for Falls   51

Fall Risk Assessment Form   52

MDS 3.0 Coding for Falls  53

Guidelines for Assessment  55

Falls CAT Module   58

Restorative Nursing and Therapy   59

Test for Balance   60

Balance and Gait Assessment Short Form   62

Balance and Gait Assessment Long Form   63

Risk Identification Programs and Restraint Use and Falls  64

Care-planning   67

Falls Care Plan    68

Knowledge Deficit, Safety Awareness Care Plan   70

Non-Compliance Care Plan   71

Physical Mobility, Ambulation Care Plan   72

Physical Mobility, Range of Motion Care Plan   73

Physical Mobility, Transfers Care Plan   74

Restraints Care Plan   75

Post Fall Assessment and Investigation   77

Quality Assurance   79

Falls Log   81

Fall Documentation Quality Assurance Audit   82

Incident Audit   83

Pain   

Pain   84

Staff Education   85

Resident Pain Care Bill of Rights   87

Internet Resources for Pain Management   88

Establishing a Facility Pain Care Program   89

Facility Pain Care Program Quality Assurance Audit   90

Assessing Pain   91

Coding Section J of the MDS 3.0   94

Pain Scales   98

Pain Assessment Terms   100

Qualitative Descriptions of Pain, Nonverbal Indicators of Pain   101

Pain Interview and Assessment   102

Pain Interview and Assessment – Long Form   103

Pain Assessment for the Cognitively Impaired   105

Management and Monitoring of Pain   106

Interventions   107

Potential Side Effects of Pain Medication   107

Non-pharmacological Interventions   107

Pain Flow Sheet   108

Pain Flow Sheet for Cognitively Impaired   109

Pain Medication History   110

Quality Assurance   111

Care Plans for Pain   112

Pain Care Plan 113

Pain, Cognitively Impaired Care Plan   114

Knowledge Deficit Care Plan   117

Pain Medication, Potential for Side Effects Care Plan   118

Acetominophen Care Plan   119

NSAID, Cox Care Plan   120

Opioid Care Plan   121

Gastrointestinal Discomfort Care Plan   122

Constipation Care Plan   123 

CD Contents

References 

CD   back of book