Table of Contents
DINING AND MEAL SERVICES
Introduction 1
Promoting a Therapeutic Dining Experience 2
Dietary Federal Regulations 3
Surveyor Protocols for Dining and Food Service 4
Feeding Assistant Regulations 8
Meal Service Quality Assurance Audit 9
NUTRITION
MDS Entries and Potential Nutritional Problems 10
Federal Regulations on Unintended Weight Loss 13
Surveyor Protocols for Unintended Weight Loss 16
Nutritional Status Guidelines 19
Nutritional Status RAP Key 23
Nutritional Status RAP Module 24
Nutrition Quality Indicator 25
Monitoring Intake and Weight Status 26
Weight Loss Quality Assurance Audit 27
Unintended Weight Loss Care Plan 28
Food Allergies Care Plan 30
Anemia Care Plan 31
Cough, Fear of Choking Care Plan 32
Constipation Care Plan 33
Chewing Problem Care Plan 34
Gastrointestinal Discomfort Care Plan 35
Knowledge Deficit Care Plan 36
Obesity Care Plan 37
Reduced Ability to Feed Self Care Plan 38
Refuses to Eat or Drink Care Plan 40
Swallowing Problem Care Plan 42
Unstable Blood Sugars Care Plan 44
HYDRATION
Federal Regulations on Hydration 46
Surveyor Protocols for Hydration 48
Dehydration / Fluid Maintenance Guidelines 50
Dehydration / Fluid Maintenance RAP Key 54
Dehydration / Fluid Maintenance RAP Module 55
Quality Indicator for Hydration 56
Hydration Quality Assurance Audit 57
Diarrhea Care Plan 58
Fluid Deficit Care Plan 59
Fluid Excess Care Plan 60
FEEDING TUBES
Federal Regulations on Feeding Tubes 61
Feeding Tubes Guidelines 63
Feeding Tubes RAP Key 68
Feeding Tubes RAP Module 69
Tube Feeding Quality Assurance Audit 70
Tube Feeding Care Plan 71
DENTAL CARE
Federal Regulations on Dental Care 73
Dental Care Guidelines 74
Dental Care RAP Key 78
Dental Care RAP Module 79
Dental Care Care Plan 80
Gum Problems Care Plan 81
References 82
Index of Forms 83
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