Social Service and Psychosocial Care Plans for Long Term Care
2022 Ninth Edition Book and CD, 179 pages
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Current with all RAI Manual Updates, PDPM, Trauma Informed Care, Surveyor Guidelines, and Federal Regulatory Changes
Cognitive ~ Mood ~ Behavior ~ Medications ~ Psychosocial Well-Being
Sample Social Service Care Plans and Forms:
The complete resource for Psychosocial care plans
11 monitoring and tracking forms, 7 CAAs, Psychosocial Outcome Severity Guide, F-tags, Resident Rights, MDS Coding, Psychotropic Guidance, Quality Measures, Modified Abnormal Involuntary Movement Scale AIMs, Skilled Charting Guidelines, Alternatives to Restraint Use, Dementia Inservice
39 Psychosocial Care Plans
Conflict with Family
Grief Over Lost Status
Prefers Own Routine
Psychotropic Drug Use
Refuses to Eat
Sleep Pattern Disturbance
Unhappy with Roommate
Withdrawal from Care
Meeting the psychosocial needs of residents is a vital part of long term care nursing. Psychosocial well-being effects the resident’s life, health, and potential to thrive at the highest level of functioning. The importance of comprehensive Social Service care plans is emphasized by the Psychosocial Outcome Severity Guide.
At least half of all long term care residents have a dementing illness, most commonly Alzheimer’s disease or vascular dementia.The prevalence of depression in nursing homes is 20% – 25% (compared with 3% in the community). 13% of nursing home residents develop a new episode of major depression within a one year period. In a study conducted over 12 months, residents with depression had a 59% increase in mortality.
This manual provides information and tools to improve Social Service assessments and interventions for meeting psychosocial needs. Regulations, survey protocols, and excerpts from the RAI User’s Manual give the basis of long term care industry standards and quality of care. Social Service care plans are provided for every possible problem generated from the MDS entries.
Assessment forms and Quality Assurance audits are included, as well as a complete copy of the Psychosocial Outcome Severity Guide.
Social Service 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.
When the Psychosocial Outcome Severity Guide became effective in 2006, it became apparent that CMS expected Social Services to be much more involved in the care planning process. The Social Service care plans in this manual cover the possible psychosocial needs residents may have in response to issues, illnesses, medications, and/or other factors.
Text, care plans, and forms specific to certain medications in the Psychotropic Medication section reflect changes to the State Operations Manual, Appendix P, Medication Pass and Pharmacy Services.
The CD-ROM contains all of the forms and care plans from the book, and these can easily be made resident and facility specific using a word processor.
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