Search results
Results from the WOW.Com Content Network
PointClickCare Point of Care is a cloud-based software solution for long-term and post-acute care providers.
Available Login Names ...
Identify diagnoses: The disease conditions in this section require a physician-documented diagnosis (or by a nurse practitioner, physician assistant, or clinical nurse specialist if allowable under state licensure laws) in the last 60 days. ADLs, paresis, or paralysis. NURSING MONITORING.
Steps for Assessment. Review the medical record, including skin care flow sheets or other skin tracking forms. Speak with direct care staff and the treatment nurse to confirm conclusions from the medical record review. Examine the resident and determine whether any skin ulcers/injuries are present.
Intent: Items in this section assess the need for assistance with activities of daily living (ADLs), altered gait and balance, and decreased range of motion. In addition, on admission, resident and staff opinions regarding functional rehabilitation potential are noted.
PROGRAMS. Intent: The intent of the items in this section is to identify any special treatments, procedures, and programs that the resident received or performed during the specified time periods.
intain adequate nutrition and hydration. This section covers swallowing disorders, height and weight, weight loss, and nutritional approaches. The assessor should collaborate with the dietitian and dietary staff to ensure that items in this section have.
Steps for Assessment. Examine the resident to note the presence of any urinary or bowel appliances. Review the medical record, including bladder and bowel records, for documentation of current or past use of urinary or bowel appliances.
Check L0200B, no natural teeth or tooth fragment(s) (edentulous): if the resident is edentulous/lacks all natural teeth or parts of teeth. Check L0200C, abnormal mouth tissue (ulcers, masses, oral lesions): select if any ulcer, mass, or oral lesion is noted on any oral surface.
Once the frequency and impact of behavioral symptoms are accurately determined, follow-up evaluation and care plan interventions can be developed to improve the symptoms or reduce their impact. This section focuses on the resident’s actions, not the intent of their behavior.