Resident Assessment and Monitoring for Long-Term Care

What’s missing from your resident assessments?

If you’re not using standardized clinical assessments and monitoring tools in your long-term care facility, you’re likely missing steps that can jeopardize resident care—as well as your facility’s reputation.

Ensure you never miss a step with our new book Resident Assessment and Monitoring for Long-Term Care: Essential Tools and Guidelines for Clinicians

Clinical assessments are a central and daily part of every long-term care nurse’s job. These resident assessments must cover all your clinical bases or residents’ health will suffer, and repercussions will surface during survey time. Worse yet, insufficient or missing assessments can lead to lawsuits that your facility will lose.

All the tools and information you need

This guide features everything you need to ensure your assessment and monitoring processes are on track. Resident Assessment and Monitoring for Long-Term Care:

• Breaks down common procedures into easy-to-follow steps
• Offers valuable information on disease management and quality of life concerns
• Provides guidelines for commonly encountered clinical issues
• Features tools and forms to help with assessment, monitoring, and documentation

From an expert you can trust

Written by a long-term care expert specifically for the long-term care setting, Resident Assessment and Monitoring for Long-Term Care provides critical reimbursement and regulatory advice. Author Barbara Acello, MS, RN draws on her more than 30 years of experience to fill this book with helpful and time-tested advice, guidelines, policies, and procedures for resident assessments.

Easy to use and easy to customize

Resident Assessment and Monitoring for Long-Term Care comes with a FREE companion CD-ROM that features modifiable versions of all the forms and tools featured in the manual. You can effortlessly customize all the included materials to reflect the specific needs and policies of your facility.

Give your frontline nurses the tools they need for high-quality care. Order Resident Assessment and Monitoring for Long-Term Care today!

Take a look at our comprehensive table of contents:

Section 1: The RAI and care planning
The RAI
Additional assessments
Time frames for RAI completion
Time frames for the care plan
Summary of MDS and care plan schedule
Purpose of the care plan
Holistic care
Assessment and care planning processes
Maintaining and improving the residents well being
Assessment
Physician and other facility personnel involvement
Developing the care plan
Paper compliance
Section 2: General assessment and monitoring concerns
Common steps in all procedures
Initial procedure actions
Ending procedure actions
Aging changes
Physical assessment of the geriatric resident
Environmental modifications during assessments
Examining the cognitively impaired resident
Components of the assessment
Sequence of physical assessment
Resident monitoring and ongoing care
Standard of care for monitoring residents with acute illness or infection
Section 3: Admission nursing assessment
Admission assessment components
Section 4: Neurological assessment
Purpose of neurological assessment
Resident evaluation
Assessing level of consciousness and orientation
Evaluating motor function
Monitoring residents with potential head injury for subdural hematoma
Glasgow coma scale
Example policy and procedure for neurologic checks
The Cincinnati Pre-Hospital Stroke Scale
Section 5: Pain assessment
Assessing pain in the elderly
Types of pain
JCAHO’s solution
Identifying residents in pain and those at risk for pain
Pain assessment
Using a pain assessment scale
The McGill-Melzak Pain Questionnaire
Section 6: Depression and mental status assessments
Depression
Brink/Yesavage Geriatric Depression Scale (Short Form)
Social Adjustment Rating Scale
Nursing diagnoses associated with stress
Mini-Mental Status Evaluation
Section 7: Pressure ulcers
Risk factors for pressure ulcer development
Pressure ulcer prevention measures
Staging pressure ulcers
Assessing pressure ulcers
Pressure ulcer management
Section 8: Falls
Fall risk
Assessment and planning
Fall risk factors and admission assessments
Past falls
Fall assessment tool
Section 9: Urinary incontinence
The incontinence problem
Categories of bladder control
Identification and management of potentially reversible causes of incontinence
Types of urinary incontinence
Incontinence assessment
Assessment for bowel and bladder management form
Assessment for bowel and bladder management programs
Incontinence management versus restraining
Management options
Section 10: Additional assessments
Carotid artery assessment
Evaluating the pulse
Assessing the carotid artery for a bruit
Pupil assessments
Pupil and accommodation assessments
Hypoxemia
Assessing for hypoxemia
Pulse oximeter
Substance abuse signs and symptoms
Predisposing factors for substance abuse
Characteristics of substance abuse
Drug test results
Edema
Quantifying edema scale
Blood pressure guidelines for adults 18 or over
Blood pressure categories

ABOUT THE AUTHOR:

As an independent nurse consultant and educator, Barbara Acello, MS, RN, has worked in long-term care for more than thirty-three years. In addition to owning and operating a school for nursing assistants, she helped to write and develop mandatory state curricula for nurse aides and EMTs. She has also written and/or contributed to approximately 60 textbooks, instructor guides, quick reference guides, and supplemental instructional material for healthcare personnel. During her nursing career, Ms. Acello has worked in eight states as a director of nursing, long-term care facility consultant, and educator. Presently, she is consults, lectures, and writes on long-term care issues. She is a member of the Texas Nurses Association (TNA), American College of HealthCare Administrators (ACHCA), and National Association of Directors of Nursing in Long Term Care (NADONA). She actively mentors certified nursing assistants (CNAs) and their instructors.

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