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
Conflict with Family
Fluid Volume Deficit
Fluid Volume Excess
Grief over Lost Status / Roles
Peripheral Vascular Disease
Range of Motion
Prefers Own Routine
Refuses to Eat / Drink
Self Care Deficit
Dressing and Grooming
Sleep Pattern Disturbance
Socially Inappropriate Behavior
Unhappy with Roommate
Urinary Tract Infection
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
Care Area Assessment CAA Modules:
ADL Functional / Rehabilitation Potential
Cognitive Loss / Dementia
Dehydration / Fluid Maintenance
Psychosocial / Well-Being
Psychotropic Drug Use
Return to Community Referral
Urinary Incontinence and Indwelling Catheter
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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