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Definitions and Criteria of Restorative Nursing Care Plans

From the Revised Long Term Care Resident Assessment Instrument (RAI) User’s Manual, CMS:

Generally, Restorative Nursing care plans are initiated when a resident is discharged from formalized physical, occupational, or speech rehabilitation therapy.

A resident may also be started on a Restorative nursing care plan when he/she is admitted to the facility with restorative needs, but is not a candidate for formalized rehabilitation therapy, or when a restorative need arises during the course of a custodial stay.

Restorative Nursing care plans:

Do not require a physician’s order.

Do not include procedures or techniques carried out by or under the direction of qualified therapists.

Do not include groups with more than four residents per supervising helper or caregiver.

If a Restorative Nursing care plan is in place when a care plan is being revised, it is appropriate to reassess progress, goals and duration/frequency as part of the care planning process. Good clinical practice would indicate that the results of this “reassessment” should be documented in the record.

When not contraindicated by State practice act provisions, a progress note written by the Restorative aide and countersigned by a licensed nurse is sufficient to document the Restorative Nursing care plan once the purpose and objectives of treatment have been established.

Restorative Nursing care plans must meet all of the following criteria:

Measurable objectives and interventions must be documented in the care plan and in the clinical record.

Evidence of periodic evaluation by a licensed nurse must be present in the clinical record.

Nurse assistants/aides must be trained in the techniques that promote resident involvement in the activity.

These activities are carried out or supervised by members of the nursing staff. Sometimes, under licensed nurse supervision, other staff and volunteers will be assigned to work with specific residents.

For Restorative Nursing care plans to qualify for Medicare reimbursement :

There must be 2 or more different Restorative activities at least 6 days per week, each practiced for a total of at least 15 minutes during each 24-hour period.

The 15 minutes of time in a day may be totaled across 24 hours (10 minutes on the day shift plus 5 minutes on the evening shift) however; 15-minute time increments cannot be obtained by combining O0500A through J.

Nursing articles on how to write a Restorative care plan

Care Plan Basics and Standards

Care Plan Meeting Format

Resident Voice Strengthens Nursing Care Plans

Order now and receive a FREE Restorative Inservices manual!

ADL Inservice ~ Range of Motion Inservice~ Transfers and Lifts ~ Restorative Dining

Restorative Nursing Care Plans

2012 MDS 3.0 Edition

Data Collection tools

Regulations and definitions

Comprehensive Evaluations

Goal-specific Restorative Nursing Care Plans

15 complete Restorative programs

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65 Forms and Restorative Nursing Care Plans in the book and on the CD:

The goal of a Restorative Nursing Care Plan is to ensure that a resident’s abilities in activities of daily living do not diminish unless circumstances of the individual’s clinical condition demonstrate that diminution was unavoidable.

The Restorative Nurse plays a vital part in improving and maintaining the residents’ quality of life and quality of care in the long term care facility.

This manual provides the essential information, forms, and nursing care plans to facilitate the organization and efficiency of a Restorative Nursing program.

General Forms

Job Description for Restorative Nurse

Restorative Nursing Policy and Procedure

Restorative Nursing Referral

Restorative Nursing Assistant Charting Form

Restorative Summary Notes

Restorative Nursing Program Log

ADLs

ADL Problem Evaluation

CAA Module ADLs

Ambulation / Falls

Restorative Nursing Evaluation for Ambulation

Balance / Gait Assessments

CAA Module for Falls

Fall Risk Assessment Form

Fall Risk Care Plan

Cane Care Plan

Crutches Care Plan

Gait Belt Care Plan

Walker Care Plan

Amputation / Prosthesis

Restorative Nursing Evaluation

Amputation Prosthesis

Restorative Care Plan

Transfers

Restorative Nursing Policy and Procedure

Evaluation for Transfers

Transfers Care Plan

Bed Mobility

Evaluation for Bed Mobility

Turning Repositioning Care Plan

Brace / Splint

Evaluation for Brace / Splint

Brace / Splint Care Plan

Communication

CAA Module for Communication

Evaluation for Communication

Speech Impaired Care Plan

Receptive Communication

Hearing Aid Use Care Plan

Dressing / Grooming

Restorative Nursing Evaluation

Dressing Care Plans

Grooming Care Plan

Eating / Swallowing

CAA Module for Nutritional

Evaluation for Restorative Dining

Restorative Dining Care Plan

Chewing Problem Care Plan

Swallowing Problem Care Plan

Locomotion

Evaluation Wheelchair Use

Locomotion Care Plan

Ostomy Care

Evaluation for Ostomy Care

Ostomy Care Plan

Medication Self-Administration

Evaluation

Medication Self-Administration

Nasal Spray Care Plan

Inhaler Care Plan

Blood Glucose Monitoring

Insulin Care Plan

Range of Motion

Policy and Procedure

Evaluation for Range of Motion

Range of Motion Care Plan

Incontinence

CAA Module

Evaluation for Incontinence

Policy and Procedure

Voiding Record

Bowel Incontinence Care Plan

Functional Incontinence Care Plan

Stress Incontinence Care Plan

Urge Incontinence Care Plan

Toileting Care Plan

Audit for Urinary Catheter Use

Catheter Care Plan

The first section gives a full description of the Restorative Nursing position and definitions and criteria of a Restorative Nursing program.

Helpful tools are provided to assure easy and comprehensive data collection, completion of MDS 3.0 information, analysis of data, and recording of vital information.

Sections are included for thirteen different Restorative Nursing programs, and provide evaluations, assessments, and Restorative Nursing care plans.

Restorative care plans and forms have been updated to ensure compliance with the change to MDS version 3.0 and with all of the federal regulations and guidelines updated during the past year.

All of the forms and care plans in the book are included on the CD so they can be saved to a computer whenever needed. By adding or deleting entries, the forms and care plans can be made resident specific.

Forms on the CD are not numbered. Forms in the manual are numbered for the sake of convenience.

View and Print Sample Restorative Nursing Care Plans and Forms

Introduction
Ambulation Evaluation
Restorative Dining Evaluation
Cane Care Plan

Inhaler Care Plan
Restorative Inservices Manual

ADLs ~ Range of Motion Transfers and Lifts Therapeutic Dining

Fax or Mail Order Form

Definitions and Criteria of Restorative Nursing Care Plans

Restorative Nursing care plans:

Restorative Nursing care plans must meet all of the following criteria:

Care Plan Basics and Standards

Care Plan Meeting Format

Resident Voice Strengthens Nursing Care Plans

ADL Inservice ~ Range of Motion Inservice~ Transfers and Lifts ~ Restorative Dining

Restorative Nursing Care Plans

2012 MDS 3.0 Edition

Data Collection tools

Regulations and definitions

Comprehensive Evaluations

Goal-specific Restorative Nursing Care Plans

15 complete Restorative programs

65 Forms and Restorative Nursing Care Plans in the book and on the CD:

View and Print Sample Restorative Nursing Care Plans and Forms

Introduction Ambulation Evaluation Restorative Dining Evaluation Cane Care Plan

Inhaler Care Plan Restorative Inservices Manual

ADLs ~ Range of Motion Transfers and Lifts Therapeutic Dining

Fax or Mail Order Form

Definitions and Criteria of Restorative Nursing Care Plans

Restorative Nursing care plans:

Restorative Nursing care plans must meet all of the following criteria:

Care Plan Basics and Standards

Care Plan Meeting Format

Resident Voice Strengthens Nursing Care Plans

ADL Inservice ~ Range of Motion Inservice~ Transfers and Lifts ~ Restorative Dining

Restorative Nursing Care Plans

2012 MDS 3.0 Edition

Data Collection tools

Regulations and definitions

Comprehensive Evaluations

Goal-specific Restorative Nursing Care Plans

15 complete Restorative programs

65 Forms and Restorative Nursing Care Plans in the book and on the CD:

Introduction
Ambulation Evaluation
Restorative Dining Evaluation
Cane Care Plan

Inhaler Care Plan
Restorative Inservices Manual