Nursing Care Plans for Long Term Care
104 Comprehensive Person Centered Care Plans and 20 Care Area Assessments
Baseline Care Plans are fast and easy with these nursing documentation tools
2023 Book and Flash Drive for MDS v1.18.11
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Current with all RAI Manual Updates, PDPM, Surveyor Guidelines and Federal Regulatory Changes
Easy to use templates in the book and on the Flash Drive.
Covers every nursing diagnosis and nursing care plan problem that may be generated from the Minimum Data Set – MDS 3.0.
Includes how to write baseline and comprehensive care plans. Nursing care plan standards. Nursing diagnoses, problem statements, goals, and interventions.
Nursing Care Plan Templates for Long Term Care
Nursing ~ Psychosocial ~ Nutritional ~ Medications
Abusive
Activities
Activity Intolerance
Airway Clearance
Allergies
Anemia
Anger
Angina
Anxiety
Blepharitis
Blood Sugars
Breathing Patterns
Cardiac Output
Cataracts
Chewing Problem
Cognitive Deficit
Decision-Making
Disordered Thinking
Memory Problem
Colostomy
Communication
Hearing
Speech
Conflict with Family
Constipation
Dental Care
Depression
Diarrhea
Discharge Pending
Fall Risk
Family Coping
Fluid Volume Deficit
Fluid Volume Excess
Gastrointestinal Discomfort
Grief over Lost Status / Roles
Hoards Objects
Hypertension
Hypotension
Hypothyroidism
Incontinence
Knowledge Deficit
Manipulative Behaviors
Non-compliance
Obesity
Pacemaker
Pain
Paranoia
Parkinson’s
Peripheral Vascular Disease
Physical Mobility
Ambulation
Bed Mobility
Locomotion
Range of Motion
Transfers
Prefers Own Routine
Refuses to Eat / Drink
Rejects Care
Restraint
Rheumatoid Arthritis
Seizures
Self Care Deficit
Bathing
Dressing and Grooming
Eating
Hygiene
Sensory Deprivation
Sensory Perception
Skin Breakdown
Pressure Ulcer
Sleep Pattern Disturbance
Smoking
Social Isolation
Socially Inappropriate Behavior
Strengths
Swallowing Problem
Terminal Prognosis
Tracheostomy
Trauma
Tube Feeding
Unhappy with Roommate
Urinary Retention
Urinary Catheter
Urinary Tract Infection
Visual Impairment
Wandering
Weight Loss
Withdrawal from Care
In the back of the book, the Cross-Referenced Index lists alternative problem titles.
Work CAAs fast and accurately with easy to use templates
Nutritional Status Care Area Assessment CAA
Cognitive Loss – Dementia Care Area Assessment CAA
Care Area Assessment CAA Modules:
Activities
ADL Functional / Rehabilitation Potential
Behavioral Symptoms
Cognitive Loss / Dementia
Communication
Dehydration / Fluid Maintenance
Delirium
Dental Care
Falls
Feeding Tubes
Mood State
Nutritional Status
Pain
Physical Restraints
Pressure Ulcer
Psychosocial / Well-Being
Psychotropic Drug Use
Return to Community Referral
Urinary Incontinence and Indwelling Catheter
Visual Function
CAA Summary Notes
The 20 CAA Modules in this book are easy-to-use checklists of triggers, and include many other very pertinent MDS items to help make the care-planning decision clearer.
The applicable MDS sections are listed on the left side of the form, and flow alphabetically in MDS order for fast reference.
Ample space is at the bottom of the form for CAA Summary documentation notes.
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