Table of Contents
Introduction 1
Job Description for Restorative Program Director 2
Policy and Procedure for Restorative Program 3
Definitions and Criteria 5
Resident Care Regulations 8
Data Collection 10
Quality Indicators and Quality Measures 11
QI / QM Reports 12
MDS Entries and Restorative Potential 13
Coding Section P3 on the MDS 16
MDS RUG-IIII Codes 19
Restorative Nursing Referral 21
Nursing Assistant Flow Sheet 22
Summary Notes 23
Restorative Program Log 24
ADLs
Factors to Review for ADLs 25
ADL Problem Evaluation 27
RAP Module ADLs 28
Ambulation / Falls
Evaluation for Restorative Ambulation 29
Test for Balance from RAI Manual 32
Balance / Gait Assessment – Long Form 34
Balance / Gait Assessment – Short Form 35
Fall Prevention and Restorative Nursing 36
Factors to Review for Fall Risk 37
RAP Module for Falls 40
Fall Risk Assessment Form 41
Fall Risk Care Plan 42
Cane Care Plan 44
Crutches Care Plan 46
Gait Belt Care Plan 48
Walker Care Plan 50
Transfers
Policy and Procedure for Transfers and Lifts 52
Evaluation for Transfers 56
Transfers Care Plan 59
Bed Mobility
Evaluation for Bed Mobility 61
Turning Repositioning Care Plan 62
Range of Motion
Policy and Procedure for Range of Motion 63
Range of Motion Exercises 66
Coding Item G4 of the MDS 69
Measuring Range of Motion 71
Evaluation for Range of Motion 74
Range of Motion Care Plan 75
Locomotion
Evaluation for Wheelchair Use 77
Locomotion Care Plan 78
Brace / Splint
Evaluation for Brace / Splint 80
Brace / Splint Care Plan 81
Amputation / Prosthesis
Evaluation for Amputation / Prosthesis 82
Amputation Prosthesis Care Plan 83
Dressing / Grooming
Evaluation for Dressing / Grooming 85
Dressing Upper Body Care Plan 87
Dressing Lower Body Care Plan 88
Grooming Care Plan 89
Eating / Swallowing
Factors to Review for Nutritional Status 90
RAP Module for Nutritional Status 93
Evaluation for Restorative Dining 94
Restorative Dining Care Plan 96
Chewing Problem Care Plan 97
Swallowing Problem Care Plan 98
Incontinence
Urinary Incontinence 100
Coding MDS Section H 105
RAP Module for Urinary Incontinence 110
Evaluation for Incontinence 111
Policy and Procedure for Toileting Programs 113
Voiding Record 116
Bowel Incontinence Care Plan 118
Functional Incontinence Care Plan 119
Stress Incontinence Care Plan 120
Urge Incontinence Care Plan 121
Toileting Care Plan 122
Factors to Review for Urinary Catheters 123
Audit for Urinary Catheter Use 131
Catheter Care Plan 132
Communication
Factors to Review for Communication 134
RAP Module for Communication 136
Evaluation for Communication 137
Speech Impaired Care Plan 139
Receptive Communication Problem Care Plan 140
Hearing Aid Use Care Plan 141
Medication Self-Administration
Evaluation for Medication Self-Administration 143
Medication Self-Administration Care Plan 145
Nasal Spray Care Plan 146
Inhaler Care Plan 147
Blood Glucose Monitoring Care Plan 148
Insulin Care Plan 150
Ostomy Care
Evaluation for Ostomy Care 151
Ostomy Care Plan 152
References i
Index of Forms iii
CD-ROM is in back of the book