MDS RESOURCE LINKS

This listing of resources is being provided as a service and does not constitute or imply endorsement of these organizations or their programs. OSDH is not responsible for the content of pages found at these sites. URL addresses were current as of September 1, 2010. The first set of links are from the MDS 3.0 RAI Manual. The remaining links are listed under the related MDS 3.0 section when possible.

CARE AREA GENERAL RESOURCES Excerpt from Centers for Medicare & Medicaid Services’ Long Term Care Facility Resident Assessment Instrument

User’s Manual, Version 3.0, June 2010

Advancing Excellence in America’s Nursing Homes Resourceshttp://www.nhqualitycampaign.org/star_index.aspx?controls=nhTechAssist

Agency for Health Care Research and Qualityhttp://www.ahrq.gov/clinic/

Alzheimer’s Association Resourceshttp://www.alz.org/professionals_and_researchers_14899.asp#professional

American Geriatrics Society Clinical Practice Guidelines and Toolshttp://www.americangeriatrics.org

American Medical Directors Association (AMDA) Clinical Practice Guidelines and Toolshttp://www.amda.com/tools

American Pain Societyhttp://www.ampainsoc.org/pub/cp_guidelines.htm

American Society of Consultant Pharmacists Practice Resourceshttp://www.ascp.com/resources

Association for Professionals in Infection Control and Epidemiology Practice Resourceshttp://www.apic.org/AM/Template.cfm?Section=Practice

Centers for Disease Control and Prevention: Infection Control in Long-Term Care Facilities Guidelines http://www.cdc.gov/ncidod/dhqp/gl_longterm_care.html

CMS Pub. 100-07 State Operations Manual Appendix PP – Guidance to Surveyors for Long Term Care Facilities (federal regulations noted throughout; resources provided in endnotes)http://cms.gov/manuals/Downloads/som107ap_pp_guidelines_ltcf.pdf

Emerging Solutions in Pain Toolshttp://www.emergingsolutionsinpain.com/

GeriatricWeb Resources and Practice Guidelineshttp://geriatricweb.sc.edu/

Hartford Institute for Geriatric Nursing Geriatric Protocols and Assessment Serieshttp://www.hartfordign.org/resources

Hartford Institute for Geriatric Nursing Geriatric Clinical Nursing Resourceshttp://consultgerirn.org/resources

Institute for Safe Medication Practiceshttp://www.ismp.org/

Medicare Quality Improvement Community (MedQIC)http://www.qualitynet.org/dcs/ContentServer?c=MQParents&pagename=Medqic%2FContent%2FParentShellTemplateandcid=1089815966986andparentName=Setting

Quality Improvement Organizationswww.medqic.org

Research in Gerontological Nursinghttp://www.geronurseresearch.com/

University of Missouri’s Geriatric Examination Tool Kithttp://web.missouri.edu/~proste/tool/

U.S. Department of Health and Human Services Agency for Healthcare Research and Quality’s National Guideline Clearinghousehttp://www.guideline.gov/

LINKS SORTED BY MDS 3.0 SECTIONS

SECTION B. HEARING, SPEECH, AND VISION

HEARING: Try This: Hearing Screening in Older Adults—A Brief Hearing Loss Screenerhttp://consultgerirn.org/uploads/File/trythis/try_this_12.pdf

SPEECH: Communication—Best Ways to Interact With the Person With Dementiahttp://www.alz.org/national/documents/brochure_communication.pdf

VISION: Lives Improve With Visual Supportshttp://www.ahcancal.org/News/publication/Provider/CaregivingMar2008.pdf

SECTION C. COGNITIVE PATTERNS

Memory Loss Not Linked to Surgeryhttp://www.ahcancal.org/News/publication/Provider/NewsJan2010Memory.pdfPromoting Memory Retentionhttp://www.providermagazine.com/pdf/caregiving-07-2005.pdfConducting Mental Assessmentshttp://www.providermagazine.com/pdf/caregiving-06-2003.pdfSLUMS Assessment Toolhttp://medschool.slu.edu/agingsuccessfully/pdfsurveys/slumsexam_05.pdf

ALZHEIMERS: Alzheimer’s Disease – 10 Warning Signshttp://www.alz.org/national/documents/brochure_10warnsigns.pdfAlzheimer’s Disease

http://www.alz.org/national/documents/topicsheet_alzdisease.pdfStages of Alzheimer’s Diseasehttp://www.alz.org/national/documents/topicsheet_stages.pdfFDA-Approved Treatments for Alzheimer’shttp://www.alz.org/national/documents/topicsheet_treatments.pdfBarbara Broyles Alzheimer and Dementia Training Program for Nursing Assistantshttp://www.ok.gov/health/documents/Broyles%20Alzheimer%20Curriculum.docAlzheimer’s—A Thief in the Nighthttp://www.providermagazine.com/pdf/2007/cover-10-2007.pdfAlzheimer’s Patients Respond to Cognitive Techniqueshttp://www.providermagazine.com/pdf/cover-12-2005.pdfGuideline for Alzheimer’s Disease Managementhttp://www.alz.org/californiasouthland/documents/professional_GuidelineFullReport.pdf

DEMENTIA: Comparison of the Clinical Features of Delirium, Dementia, and Depressionhttp://www.interiorhealth.ca/uploadedFiles/Health_Services/Senior_and_Adult_Care/Dementia_Care/Professional_Resources/DepressionDementiaDeliriumTable_3ds.pdfThe Family Approach to Dementia Carehttp://www.providermagazine.com/pdf/cover-10-2005.pdfA Guide to Dementia Diagnosis and Treatmenthttp://dementia.americangeriatrics.org/

DELIRIUM: Try This: Assessing and Managing Delirium in Older Adults With Dementiahttp://consultgerirn.org/uploads/File/trythis/try_this_d8.pdfCommon Risk Factors and Underlying Medical Conditions Associated With Deliriumhttp://www.primaris.org/sites/default/files/resources/Delirium/del_risk_factors.pdfSigns and Symptoms of Delirium Distinguished from Depression and Dementiahttp://www.primaris.org/sites/default/files/resources/Delirium/del_signs_symptoms.pdfDelirium: Acute Intervention Checklisthttp://www.primaris.org/sites/default/files/resources/Delirium/del_interv_checklist.pdfCommon Risk Factors and Underlying Medical Conditions Associated With Deliriumhttp://www.primaris.org/sites/default/files/resources/Delirium/del_risk_factors.pdfDelirium Risk Factors Intervention Guidehttp://www.primaris.org/sites/default/files/resources/Delirium/del_risk_factors.pdf

SECTION D. MOOD

Stress Scale for Adultshttp://www.google.com/search?q=stress+scale+for+adults&sourceid=ie7&rls=com.microsoft:en-us:IE-SearchBox&ie=&oe=Try This: The Impact of Event Scale – Revised (IES-R)http://consultgerirn.org/uploads/File/trythis/try_this_19.pdf

DEPRESSION: Geriatric Depression Scale (Short Form)http://www.afmc.org/Documents/quality_improve/depression/geriatric_depression_scale.pdfGeriatric Depression Mood Scale Score Worksheethttp://www.afmc.org/Documents/quality_improve/depression/AFMC_Mood_Scale_MDS_Worksheet_MAR07.pdfCornell Scale Guidelines http://www.afmc.org/Documents/quality_improve/depression/CornellScaleGuidelines.pdfCornell Scale for Depression in Dementiahttp://www.afmc.org/Documents/quality_improve/depression/CornellScale.pdfGeriatric Depression Management Decision Guidehttp://www.afmc.org/Documents/quality_improve/depression/DepressionManagementGuide.pdf

Zung Self Rated Depression Scalehttp://healthnet.umassmed.edu/mhealth/ZungSelfRatedDepressionScale.pdfClinical Process Guideline: Depressionhttp://www.michigan.gov/mdch/0,1607,7-132-27417_27655_31223_35790-173460--,00.htmlThe Facts About Men and Depressionhttp://www.nimh.nih.gov/health/publications/real-men-real-depression-easy-to-read/real-men-real-depression.pdfPutting a New Face on Depression Treatmenthttp://www.ahcancal.org/News/publication/Provider/CoverFeb2009.pdfManaging Depressionhttp://www.ahcancal.org/News/publication/Provider/CaregivingSep2008.pdfDepression: Fast Factshttp://www.primaris.org/sites/default/files/resources/Depression/depression_fast%20facts%20depression%20final.pdf

SECTION E. BEHAVIOR

Keeping Violent Behavior in Checkhttp://www.providermagazine.com/pdf/caregiving-09-2004.pdf

DEMENTIA: How to Respond When Dementia Causes Unpredictable Behaviorshttp://www.alz.org/national/documents/brochure_behaviors.pdf

MEDICATION: Clinical Process Guideline: Behavior Management and Antipsychotic Medication Prescribinghttp://www.michigan.gov/mdch/0,1607,7-132-27417_27655_31223_35790-174610--,00.html

WANDERING: Wandering Behavior—Preparing for and Preventing Ithttp://www.alz.org/national/documents/topicsheet_wandering.pdfCaring for Residents Who Wanderhttp://www.providermagazine.com/pdf/caregiving10-2006.pdf

SECTION F. PREFERENCES FOR CUSTOMARY ROUTINE AND ACTIVITIES

Activities Tip Sheethttp://www.afmc.org/Documents/quality_improve/nursinghome/arkaccord/ArkAccord_Activities_Tip_Sheet_0107.pdfQuality of Life Assessmenthttp://www.geronet.med.ucla.edu/centers/borun/modules/Quality-of-life_assessment/default.htmhttp://www.geronet.med.ucla.edu/centers/borun/modules/Quality-of-life_assessment/docs/qolmod.pdfNurturing Resident’s Spiritshttp://www.ahcancal.org/News/publication/Provider/CoverMay2009.pdfCreative Tasks Spark Imaginationhttp://www.ahcancal.org/News/publication/Provider/CaregivingOct2008.pdfThe Healing Light of Arthttp://www.providermagazine.com/pdf/cover-12-2004.pdf

SECTION G. FUNCTIONAL STATUS

Improve your Balance in 10 Minutes a Dayhttp://www.laterlifetraining.co.uk/documents/ImproveYourBalance_ABS_BGS_06.pdf

Mobility Decline Preventionhttp://www.geronet.med.ucla.edu/centers/borun/modules/Mobility_decline_prevention/default.htmhttp://www.geronet.med.ucla.edu/centers/borun/modules/Mobility_decline_prevention/mdmod.pdfStepping Up Ambulationhttp://www.ahcancal.org/News/publication/Provider/CaregivingJul2008.pdf

BATHING: Change Ideas for Bathinghttp://www.primaris.org/sites/default/files/resources/Bathing%20Improvement%20&%20Stabilization/Th-3_Change_Ideas_BATHING.pdfBathing Tip Sheethttp://www.afmc.org/Documents/quality_improve/nursinghome/arkaccord/ArkAccord_Bathing_Tip_Sheet_0107.pdf

SECTION H. BLADDER AND BOWEL

Preventing Urinary Tract Infections Tip Sheethttp://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/cauti/Documents/tips.pdfClinical Process Guideline: Urinary Incontinencehttp://www.michigan.gov/mdch/0,1607,7-132-27417_27655_31223_35790-174780--,00.htmlIncontinence Managementhttp://www.geronet.med.ucla.edu/centers/borun/modules/Incontinence_management/default.htmA New Look at Incontinencehttp://www.ahcancal.org/News/publication/Provider/CaregivingJune2010.pdfReducing Urinary Incontinencehttp://www.ahcancal.org/News/publication/Provider/CaregivingJun2009.pdfGuidelines for the Prevention of Intravascular Catheter-Related Infectionshttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr5110a1.htmGuidelines for Prevention of Catheter-Associated Urinary Tract Infections 2009http://www.cdc.gov/ncidod/dhqp/pdf/guidelines/CAUTI_Guideline2009final.pdfTry This: Transient Urinary Incontinence In Older Adultshttp://consultgerirn.org/uploads/File/trythis/try_this_11_1.pdfTry This: Persistent Urinary Incontinence in Older Adultshttp://consultgerirn.org/uploads/File/trythis/try_this_11_2.pdf

PROGRAMS: Prompted Voiding Yields Resultshttp://www.ahcancal.org/News/publication/Provider/CaregivingMar2009.pdf

SECTION I. ACTIVE DIAGNOSES

HEART: Clinical Process Guideline: Heart Failurehttp://www.michigan.gov/mdch/0,1607,7-132-27417_27655_31223_35790-178033--,00.html

PARKINSONS: Parkinson’s: A Caregiver’s Challengehttp://www.ahcancal.org/News/publication/Provider/CaregivingJan2008.pdf

OSTEOPOROSIS: Osteoporosis: A Bare Bones Lookhttp://www.providermagazine.com/pdf/2007/caregiving-09-2007.pdf

HYPERTENSION: Keeping Hypertension in Checkhttp://www.providermagazine.com/pdf/caregiving-10-2004.pdfCaring for People With Pneumoniahttp://www.providermagazine.com/pdf/caregiving-04-2003.pdf

DIABETES: AGS Clinical Practice Guidelines for Improving the Care of the Older Person With Diabetes Mellitushttp://www.americangeriatrics.org/files/documents/JAGSfinal05.pdfKeeping Diabetes at Bay

http://www.providermagazine.com/pdf/caregiving-09-2005.pdf

SECTION J. HEALTH CONDITIONS

PAIN: Clinical Process Guideline: Pain Managementhttp://www.michigan.gov/mdch/0,1607,7-132-27417_27655_31223_35790-174194--,00.htmlImproving Pain Managementhttp://www.providermagazine.com/pdf/2007/caregiving-10-2007.pdfCollaborating to Manage Painhttp://www.providermagazine.com/pdf/caregiving-12-2004.pdfAGS Clinical Practice Guideline: Pharmacological Management of Persistent Pain in Older Personshttp://www.americangeriatrics.org/health_care_professionals/clinical_practice/clinical_guidelines_recommendations/2009/American Pain Societyhttp://www.ampainsoc.org/pub/cp_guidelines.htmEmerging Solutions in Pain Toolshttp://www.emergingsolutionsinpain.com/Management of Pain in the Long Term Care Settinghttp://nursinghomes.tmf.org/Portals/16/Documents/NH/Toolkits/Pain/PainMgt.pdfPain Assessment in Advanced Dementia (PAINAD) Scalehttp://web.missouri.edu/~proste/tool/cog/painad.pdfTry This: Pain Assessment for Older Adultshttp://consultgerirn.org/uploads/File/trythis/try_this_7.pdfTry This: Assessing Pain in Older Adults With Dementiahttp://consultgerirn.org/uploads/File/trythis/try_this_d2.pdfPain Treatment Algorithmhttp://resources.lanit.com/moaha/pdf/ADVANCINGEXCELLENCE/PAIN%20Mild%20Pain%20Treatment%20Algorithm.pdfComprehensive Assessment of Pain Flowcharthttp://www.primaris.org/sites/default/files/resources/Pain/pain_comprehensive%20assessment%20final.pdfPain: Essential Systems for Quality Carehttp://www.primaris.org/sites/default/files/resources/Pain/pain_essential%20systems%20final.pdfPain: Terminology and Typeshttp://www.primaris.org/sites/default/files/resources/Pain/pain_terminology%20and%20types%20final.pdfPain Overviewhttp://www.primaris.org/sites/default/files/resources/Pain/pain_overview%20final.pdfSystems Investigative Audit: Pain http://www.primaris.org/sites/default/files/resources/Pain/systems%20investigative%20audit%20pain.pdf

DYSPNEA: Dyspnea Pocket Guidehttp://www.afmc.org/Documents/quality_improve/qi_tools/dyspnea/Dyspbrochure.pdfDyspnea Assessment Guidehttp://www.afmc.org/Documents/quality_improve/qi_tools/dyspnea/DYSPAssessPocketGuide.pdf

FALLS: Clinical Process Guideline: Evaluation of Falls/Riskshttp://www.michigan.gov/mdch/0,1607,7-132-27417_27655_31223_35790-174663--,00.htmlFalls Prevention and Alzheimer’shttp://www.providermagazine.com/pdf/caregiving-11-2006.pdfPromoting Safety, Reducing Fallshttp://www.providermagazine.com/pdf/caregiving-05-2004.pdf

AGS Clinical Practice Guideline: Prevention of Falls in Older Personshttp://www.americangeriatrics.org/health_care_professionals/clinical_practice/clinical_guidelines_recommendations/2010/Falls Among Older Adultshttp://www.cdc.gov/HomeandRecreationalSafety/Falls/adultfalls.htmlDon’t Fall For It (Falls Prevention)www.afmc.org/Documents/aipp/Toolkit/K.../FallPrevention.pptTry This: Fall Risk Assessment for Older Adults: The Hendrich II Fall Risk Modelhttp://consultgerirn.org/uploads/File/trythis/try_this_8.pdfFalls: Chair Exerciseshttp://www.primaris.org/sites/default/files/resources/Restraints%20and%20Falls/falls_chair%20exercises%20final.pdfQA: Post Falls Investigation Reporthttp://www.primaris.org/sites/default/files/resources/Restraints%20and%20Falls/qa_post%20fall%20investigation%20report_2008.pdf

SECTION K. SWALLOWING/NUTRITIONAL STATUS

SWALLOWING: Tough to Swallow Process Indicatorhttps://www.medicaid.state.ar.us/Download/general/units/oltc/training/swallow2.pdfSwallowing Difficultywww.afmc.org/Documents/aipp/Toolkit/N.../SwallowingDifficulty.ppt

WEIGHT: Weight Loss Preventionhttp://www.geronet.med.ucla.edu/centers/borun/modules/Weight_loss_prevention/default.htmhttp://www.geronet.med.ucla.edu/centers/borun/modules/Weight_loss_prevention/wlmod.pdfAddressing Loss of Weight Issueshttp://www.providermagazine.com/pdf/2006_january.pdf#nameddest=Caregiving

NUTRITION: Nutrition Under a Microscopehttp://www.ahcancal.org/News/publication/Provider/CaregivingMay2009.pdfFeeding Difficult-to-Feed Patientshttp://www.providermagazine.com/pdf/caregiving-09-2006.pdfMary W.—A Nutrition Case Studyhttp://www.providermagazine.com/pdf/2007/caregiving-02-2007.pdfElder Nutrition and Food Safety, University of Floridahttp://enafs.ifas.ufl.edu/modules.htmlElder Nutritionhttp://edis.ifas.ufl.edu/pdffiles/fy/fy62800.pdfClinical Process Guideline: Altered Nutritional Statushttp://www.michigan.gov/mdch/0,1607,7-132-27417_27655_31223_35790-173711--,00.htmlTry This: Assessing Nutrition in Older Adultshttp://consultgerirn.org/uploads/File/trythis/try_this_9.pdfTry This: Eating and Feeding Issues in Older Adults With Dementia, Part Ihttp://consultgerirn.org/uploads/File/trythis/try_this_d11_1.pdfTry This: Eating and Feeding Issues in Older Adults With Dementia, Part IIhttp://consultgerirn.org/uploads/File/trythis/try_this_d11_2.pdfClinical Process Guideline: Maintaining Hydration and Electrolyte Balancehttp://www.michigan.gov/mdch/0,1607,7-132-27417_27655_31223_35790-174699--,00.html

SECTION L. ORAL/DENTAL STATUS

The Importance of Oral Healthhttp://www.providermagazine.com/pdf/caregiving-01-2005.pdfOral Hygienewww.afmc.org/Documents/aipp/Toolkit/D_OralHygiene/OralHygiene.pptTry This: The Kayser-Jones Brief Oral Health Status Examination (BOHSE)http://consultgerirn.org/uploads/File/trythis/try_this_18.pdf

SECTION M. SKIN CONDITIONS

Pressure Ulcer Plan is Workinghttp://www.ahcancal.org/News/publication/Provider/CaregivingMay2008.pdfPressure Ulcer Success Storyhttp://www.ahcancal.org/News/publication/Provider/CaregivingDec2007.pdfA New Look at Pressure Ulcershttp://www.providermagazine.com/pdf/2007/caregiving-04-2007.pdfGetting a Jump on Wound Carehttp://www.providermagazine.com/pdf/2007/caregiving-01-2007.pdfWound Care From the Top Downhttp://www.providermagazine.com/pdf/caregiving-08-2005.pdf

RISK: Braden Scale for Predicting Pressure Sore Riskhttp://www.primaris.org/sites/default/files/resources/Pressure%20Ulcers/braden%20scale_2010.pdfTry This: Predicting Pressure Ulcer Risk http://consultgerirn.org/uploads/File/trythis/try_this_5.pdf

MANAGEMENT: Clinical Process Guideline: Prevention and Management of Pressure Ulcers http://www.michigan.gov/mdch/0,1607,7-132-27417_27655_31223_35790-174762--,00.html

Pressure Ulcer Preventionhttp://www.geronet.med.ucla.edu/centers/borun/modules/Pressure_ulcer_prevention/default.htmPreventing Pressure Ulcershttp://www.ahcancal.org/News/publication/Provider/CaregivingAug2008.pdfPressure Ulcer Prevention and Managementwww.afmc.org/documents/quality_improve/pu_pres.pptQuick Reference Guide: Pressure Ulcer Preventionhttp://npuap.org/Final_Quick_Prevention_for_web_2010.pdfPressure Ulcer Prevention Pointshttp://www.npuap.org/PU_Prev_Points.pdfPressure Ulcer Management Guidehttp://www.afmc.org/Documents/quality_improve/qi_tools/pressure_ulcer/PUManagementGuide.pdfPressure Ulcer Positioning Pocket Guidehttp://www.afmc.org/documents/quality_improve/qi_tools/pressure_ulcer/PUPressurePointsCard.pdfPressure Ulcer Project Tool Kithttp://www.afmc.org/documents/quality_improve/qi_tools/pressure_ulcer/PUbooklet.pdfSBAR: Skin Care Instructionshttp://www.qualitynet.org/dcs/ContentServer?c=MQTools&pagename=Medqic%2FMQTools%2FToolTemplate&cid=1228733778377&parentName=CategoryComprehensive Admission Skin Assessmenthttp://louisianaqio.eqhs.org/PDF/Patient%20Safety/Comprehensive%20Skin%20Assessment.pdfPressure Ulcers: Facility Assessment Checklistshttp://www.qide.org/shared/content/pa_documents/Patient%20Safety%209SOW/Facility%20Assessment%20ChecklistPrU.pdfClinical Practice Guidelines for Pressure Ulcerswww.amda.com/tools/clinical/pressureulcers/PU%20CPG%20slides.ppt

Skin Tears: The Clinical Challengehttp://patientsafetyauthority.org/ADVISORIES/AdvisoryLibrary/2006/Sep3(3)/documents/01b.pdfSystems Investigative Audit: Pressure Ulcer Prevention/Treatmenthttp://www.primaris.org/sites/default/files/resources/Pressure%20Ulcers/systems%20investigative%20audit_2008.pdfTissue Tolerance and Individualized Turning Schedulehttp://www.primaris.org/sites/default/files/resources/Pressure%20Ulcers/tissue%20tolerance%20and%20turning%20schedule_2008.pdfClinical Fact Sheet: Quick Assessment of Leg Ulcershttp://www.primaris.org/sites/default/files/resources/Pressure%20Ulcers/pressure%20ulcer_clinical%20fact%20sheet%20leg%20ulcer%20assmnt%20final.pdf

TOOLS: Save Our Skin Toolshttp://www.lhcrmedicare.org/sosnh.htmPressure Ulcer Tracking and Trending Toolshttp://www.iqh.org/index.php?option=com_content&view=article&id=232:pressure-ulcer-tracking-and-trending-tool&catid=35:tools&Itemid=225http://www.internetifmc.com/provider/documents/qmqi_pressure_ulcer_tracking_tool_sample.pdfPUSH Toolhttp://npuap.org/tools.htm

STAGING: Pressure Ulcer Category Staging Illustrationshttp://www.npuap.org/resources.htmPressure Ulcer Staging Pocket Guidehttp://www.afmc.org/documents/quality_improve/qi_tools/pressure_ulcer/PUStagingGuideCard.pdfPressure Ulcer Definition and Stageshttp://www.npuap.org/documents/PU_Definition_Stages.pdfPayne-Martin Method of Skin Tear Classificationhttp://patientsafetyauthority.org/ADVISORIES/AdvisoryLibrary/2006/Sep3(3)/PublishingImages/01-Fig3.JPG

INCONTINENCE: What the Experts Say in Incontinence Care and Pressure Ulcer Prevention Guidelineshttp://www.sageproducts.com/documents/pdf/education/guidlines/skin/20476_What_the_experts_say_in_incontinence_care_and_pressure_ulcer_prevention_guidelines.pdfWhat We Don’t Know Can Hurt Us, Incontinence and Related Perineal Skin Injuryhttp://www.sageproducts.com/documents/pdf/education/symposia/iad/20706_What_We_Dont_Know_Can_Hurt_Us.pdf

NUTRITION: The Role of Nutrition in Pressure Ulcer Prevention and Treatmenthttp://npuap.org/Nutrition%20White%20Paper%20Website%20Version.pdf

CNAs: Pressure Ulcers: CNA Knowledge and Attitude Surveyhttp://www.primaris.org/sites/default/files/resources/Pressure%20Ulcers/CNA%20knowledge%20and%20attitude%20survey_2008.pdfSkin Monitoring: Comprehensive CNA Shower Reviewhttp://www.primaris.org/sites/default/files/resources/Pressure%20Ulcers/CNA%20shower%20assessment_2008.pdf

SECTION N. MEDICATIONS

Heart Medications Pocket Guidehttp://www.afmc.org/Documents/quality_improve/qi_tools/ami/AMI_HF_Contraindications_Pocket_Card.pdfAsthma Management Guidehttp://www.afmc.org/Documents/quality_improve/qi_tools/asthma/AsthmaGuidelineProvidBro.pdfBenzodiazepine Facts

http://www.afmc.org/Documents/quality_improve/qi_tools/benzo/BenzoProviderTipSheet.pdfWarfarin and NSAIDs: Drug-Drug- Interactionhttp://www.afmc.org/Documents/nursing_home/drugsafety/ProviderDDIflyer.pdfPropoxyphene – Potentially Inappropriate Medicationhttp://www.afmc.org/Documents/nursing_home/drugsafety/ProviderPIMflyer.pdfVitamin D the Super Drughttp://www.ahcancal.org/News/publication/Provider/NewsJune2010VitaminD.pdfPain Meds in the Spotlighthttp://www.ahcancal.org/News/publication/Provider/NewsFeb2010PainMeds.pdf

ANTIBIOTICS: Judicious Antibiotic Use – Cough/Bronchitishttp://www.afmc.org/documents/quality_improve/qi_tools/aresistance/academic_detailing/CoughIllnessBrochitis.pdfJudicious Antibiotic Use – Pharyngitishttp://www.afmc.org/documents/quality_improve/qi_tools/aresistance/academic_detailing/Pharyngitis.pdfJudicious Antibiotic Use – Rhinitis versus Sinusitishttp://www.afmc.org/documents/quality_improve/qi_tools/aresistance/academic_detailing/RhinitisvsSinusitis.pdfAntibiotic Safety Brochurehttp://www.preventinfection.org/AM/AMTemplate.cfm?template=/CM/ContentDisplay.cfm&ContentID=8686

INSULIN: Insulin Measures Worksheethttp://patientsafetyauthority.org/EducationalTools/PatientSafetyTools/insulin/Documents/worksheet.pdfInsulin Storage and Stabilityhttp://www.pswi.org/professional/pharmaco/insulin%20page.pdf

IN THE ELDERLY: Prescribing Principles for the Elderlyhttp://www.afmc.org/Documents/nursing_home/drugsafety/ProviderPrescribingPrincipleflyer.pdfTry This: Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, Part Ihttp://consultgerirn.org/uploads/File/trythis/try_this_16_1.pdfTry This: Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, Part IIhttp://consultgerirn.org/uploads/File/trythis/try_this_16_2.pdfMedicines and You: A Guide for Older Adultshttp://www.eldercare.gov/Eldercare.NET/Public/Resources/fact_sheets/pdfs/Your_Medicines_and_You.pdf

MANAGEMENT: Clinical Process Guideline: Medication Management and Reduction of Adverse Drug Reactions http://www.michigan.gov/mdch/0,1607,7-132-27417_27655_31223_35790-174738--,00.html

Adverse Drug Event Trigger Toolhttp://www.ihi.org/ihi/uploads/AdverseDrugEventTriggerTool.pdfFast Facts: Antidepressant Medication Side Effectshttp://www.primaris.org/sites/default/files/resources/Depression/fast%20facts%20side%20effects%20newbw.pdfMedication Discrepancy Toolhttp://www.caretransitions.org/documents/MDT.v3.pdfPill Disposal—A Growing Concernhttp://www.ahcancal.org/News/publication/Provider/CoverSep2009.pdfManaging a Complex Drug Regimenhttp://www.providermagazine.com/pdf/caregiving-12-2005.pdfTip Sheet for Prescribing Controlled Substances in Long Term Carehttp://www.americangeriatrics.org/files/documents/tip_sheet_fly.pdfThe Five Rights: Not the Gold Standard for Safe Medication Practiceshttp://patientsafetyauthority.org/ADVISORIES/AdvisoryLibrary/2005/jun2(2)/documents/09.pdf

Daily Dose Thresholds for Antipsychotic Medications Used to Manage Behavioral Symptoms Related to Dementing Illnesseshttp://www.ncdhhs.gov/dhsr/nhlcs/pdf/phar_dosagetables.pdfMedication Management Process Indicatorhttp://www.afmc.org/Documents/aipp/medicationmgmt/MedicationManagement.pdfMedication Reconciliation: Three Way Match Back Processhttp://www.afmc.org/Documents/aipp/medicationmgmt/MedReconPrintableFlyer.pdfMedication Watch Cardhttp://www.afmc.org/Documents/quality_improve/qi_tools/med_management/MedicationWatchListHORZ4UP.pdfAmerican Society of Consultant Pharmacists Practice Resourceshttp://www.ascp.com/resources

SECTION O. SPECIAL TREATMENTS, PROCEDURES, AND PROGRAMS

IMMUNIZATION: Overcoming Immunization Barriershttp://www.providermagazine.com/pdf/caregiving-11-2005.pdfPocket Guide to Common Immunizations for the Older Adulthttp://www.americangeriatrics.org/files/documents/AGS_PocketGuide.pdfTry This: Immunizations for Older Adultshttp://consultgerirn.org/uploads/File/trythis/try_this_21.pdf

RESTORATIVE: Some Hints on Restorative Dininghttp://www.providermagazine.com/pdf/caregiving-03-2005.pdfRehab and Restorative Nursingwww.afmc.org/Documents/aipp/... RehabRestorative / RehabRestorative .ppt

SECTION P. RESTRAINTS

Making the Right Choicehttp://www.afmc.org/documents/quality_improve/nh_restraints/restraintbrochure.pdfRestraint Management Guidehttp://www.afmc.org/Documents/quality_improve/nh_restraints/RestraintManagementGuide.pdfProviding Restraint-Free Carehttp://www.providermagazine.com/pdf/caregiving-12-2006.pdfTry This: Avoiding Restraints in Older Adults With Dementiahttp://consultgerirn.org/uploads/File/trythis/try_this_d1.pdf

SECTION Q. PARTICIPATION IN ASSESSMENT AND GOAL SETTING

Going Home, A New Realityhttp://www.ahcancal.org/News/publication/Provider/CoverJuly2010.pdf

LINKS SORTED BY SUBJECTCARE PLANNING

Care Planning Made Easierhttp://www.ahcancal.org/News/publication/Provider/CaregivingOct2009.pdfADLs: Plan of Carehttp://www.primaris.org/sites/default/files/resources/ADL/adl_planof_care.pdfDevelopment of a Plan of Care for a Person With Painhttp://www.primaris.org/sites/default/files/resources/Pain/pain_plan%20of%20care%20flow%20final.pdfPain: Key Care Plan Approacheshttp://www.primaris.org/sites/default/files/resources/Pain/pain_key%20care%20final.pdfDevelopment of a Plan of Care for a Resident at High Risk of Developing A Pressure Ulcerhttp://www.primaris.org/sites/default/files/resources/Pressure%20Ulcers/pu_high_risk.pdfDevelopment of a Plan of Care for a Resident With a Pressure Ulcerhttp://www.primaris.org/sites/default/files/resources/Pressure%20Ulcers/pu_care_plan.pdfWalking Improvement: Overview for Developing Care Planshttp://www.primaris.org/sites/default/files/resources/Walking/walk_overview_flow.pdfFall Prevention Intervention Care Planhttp://www.primaris.org/sites/default/files/resources/Restraints%20and%20Falls/falls_prevention%20intervention%20care%20plan%20final.pdf

CULTURE CHANGE

Individualized Carehttp://www.afmc.org/Documents/quality_improve/nursinghome/arkaccord/IndCareOrganizationalSelf-Asses.pdfPrinciples of Person-Centered Carehttp://www.primaris.org/sites/default/files/resources/Person-Centered%20Care/PrinciplesofPCC.pdfWatch Your Languagehttp://www.primaris.org/sites/default/files/resources/Person-Centered%20Care/Watch_Your_Language.pdfArtifacts of Culture Changehttp://www.afmc.org/Documents/quality_improve/nursinghome/arkaccord/Artifacts_of_Culture_Change.pdfCulture Change Goes Mainstreamhttp://www.ahcancal.org/News/publication/Provider/CoverMay2010.pdfProviders Collaborate on Quality Initiativeshttp://www.ahcancal.org/News/publication/Provider/CoverDec2009.pdfNurses Mull Culture Change Rolehttp://www.ahcancal.org/News/publication/Provider/NewsDec2009NursesMull.pdfInvesting in Culture Change—LTC Leaders Look at Why it Workshttp://www.ahcancal.org/News/publication/Provider/CoverAug2008.pdf

CONSISTENT A Case for Consistent Assignment ASSIGNMENT: http://www.providermagazine.com/pdf/caregiving-06-2006.pdf

Change Ideas for Consistent Assignmenthttp://www.primaris.org/sites/default/files/resources/Person-Centered%20Care/3ChangeIdeas_CONSISTENT_ASSIGNMENT.pdfConsistent Assignment Tip Sheethttp://www.afmc.org/Documents/quality_improve/nursinghome/arkaccord/ArkAccord_Consistent_Assignment_Tip_Sheet_0906.pdfConsistent Assignment Q and A

http://www.afmc.org/HTML/programs/quality_improve/nursing_home/arkansasaccord/pdc_answers.aspx#ca

END OF LIFE CARE

Clinical Process Guideline: End of Life Carehttp://www.michigan.gov/mdch/0,1607,7-132-27417_27655_31223_35790-174155--,00.htmlDying With Dignityhttp://www.providermagazine.com/pdf/caregiving-02-2005.pdfEnd of Life Decisions Made Easierhttp://www.providermagazine.com/pdf/caregiving-03-2006.pdfManaging Patients at End of Lifehttp://www.providermagazine.com/pdf/2007/caregiving-05-2007.pdfComfort, Compassion, Dignity Mark End of Life Carehttp://www.providermagazine.com/pdf/cover-12-2003.pdfChange Ideas for Death and Dyinghttp://www.primaris.org/sites/default/files/resources/Person-Centered%20Care/ChangeIdeasDEATH%20_DYING.pdf

CAREGIVING

Unique Partnerships That Workhttp://www.ahcancal.org/News/publication/Provider/CaregivingJuly2010.pdfLoving Touch Makes a Differencehttp://www.ahcancal.org/News/publication/Provider/CaregivingMay2010.pdfThe Healing Power of Touchhttp://www.ahcancal.org/News/publication/Provider/CaregivingApr2010.pdfHandle With Carehttp://www.ahcancal.org/News/publication/Provider/CaregivingJan2010.pdfCulture Competence Countshttp://www.ahcancal.org/News/publication/Provider/CaregivingDec2009.pdfProviding Care as a Teamhttp://www.ahcancal.org/News/publication/Provider/CoverJun2009.pdfPutting Patient Safety Firsthttp://www.ahcancal.org/News/publication/Provider/CaregivingApr2009.pdfSafe Smokinghttp://www.ahcancal.org/News/publication/Provider/CaregivingApr2008.pdfPreserving Patient Dignity When Surrogates Step Inhttp://www.providermagazine.com/pdf/cover-07-2004.pdfCaring for the Bariatric Patienthttp://www.providermagazine.com/pdf/caregiving-04-2005.pdfResident’s Rights and Dignitywww.afmc.org/... Residents %20 Rights Dignity/ ResidentsRights Dignity.ppt Try This: The Modified Caregiver Strain Index (CSI)http://consultgerirn.org/uploads/File/trythis/try_this_14.pdfClinical Process Guideline: Acute Change in Conditionhttp://www.michigan.gov/mdch/0,1607,7-132-27417_27655_31223_35790-108902--,00.htmlTeamwork Achieves Lower Pressure Ulcer, Pain Levelshttp://www.providermagazine.com/pdf/cover-06-2005.pdf

WHEELCHAIR: Reinventing the Wheelchair

http://www.ahcancal.org/News/publication/Provider/CaregivingJun2008.pdfIndividualized Wheelchair Seating for Older Adultshttp://www.cfmc.org/files/nh/wheelchair%20positioning.pdf

SLEEP: Try This: The Pittsburgh Sleep Quality Index (PSQI)http://consultgerirn.org/uploads/File/trythis/try_this_6_1.pdfTry This: The Epworth Sleepiness Scale (ESS)http://consultgerirn.org/uploads/File/trythis/try_this_6_2.pdfChange Ideas for Sleeping and Wakinghttp://www.primaris.org/sites/default/files/resources/Person-Centered%20Care/3ChangeIdeas_SLEEPINGANDWAKING.pdf

RE-HOSPITALI- Many ER Visits Preventable ZATION: http://www.ahcancal.org/News/publication/Provider/NewsJuly2010ManyER.pdf

Avoiding Hospitalizationshttp://www.ahcancal.org/News/publication/Provider/CaregivingFeb2009.pdfKeeping Hospitalizations in Checkhttp://www.providermagazine.com/pdf/2007/caregiving-03-2007.pdf

INFECTION CONTROL

Recommendations for Preventing the Spread of Vancomycin Resistancehttp://www.apic.org/AM/Template.cfm?Section=Multi_Drug_Resistance_Organisms&template=/CM/ContentDisplay.cfm&section=Guidelines&ContentID=1150Guideline for Infection Control in Health Care Personnelhttp://www.apic.org/AM/Template.cfm?Section=Topics1&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=1146Infection Control Grows More Challenginghttp://download.journals.elsevierhealth.com/pdfs/journals/1526-4114/PIIS1526411408600542.pdfPreventing Infections in Non-Hospital Settings: Long Term Carehttp://www.cdc.gov/ncidod/eid/vol7no2/nicolle.htmInfection Control in Long Term Care Facilitieshttp://www.cdc.gov/ncidod/dhqp/gl_longterm_care.htmlDefinition of Infections for Surveillance in Long Term Care Facilitieshttp://www.apic.org/AM/Template.cfm?Section=Definitions_and_Surveillance&Template=/CM/ContentDisplay.cfm&ContentFileID=24Guidelines for Environmental Infection Control in Health Care Facilitieshttp://www.apic.org/AM/Template.cfm?Section=Environmental_Services&template=/CM/ContentDisplay.cfm&section=Guidelines&ContentID=1174Guidelines for Disinfection and Sterilization in Health Care Facilitieshttp://www.cdc.gov/ncidod/dhqp/pdf/guidelines/Disinfection_Nov_2008.pdfSHEA/APIC Guideline: Infection Prevention and Control in the Long Term Care Facilityhttp://www.apic.org/Content/NavigationMenu/PracticeGuidance/APIC-SHEA_Guideline.pdfRecommended Infection-Control and Safe Injection Practices to Prevent Patient-to-Patient Transmission of Bloodborne Pathogenshttp://www.cdc.gov/hepatitis/Resources/OrderPubs/HealthProf/PrevP-to-PTransHandout_Eng.pdfAssociation for Professionals in Infection Control and Epidemiology Practice Resourceshttp://www.apic.org/AM/Template.cfm?Section=PracticeInfection Prevention and Control in Long Term Carehttp://www.afmc.org/Documents/aipp/MDS/MDSMinutesOCT2009.pdfInfection Criteria Checklisthttp://www.primaris.org/sites/default/files/resources/Infection/inf_checklist.pdfMonitoring for Infection Signs and Symptoms

http://www.primaris.org/sites/default/files/resources/Infection/inf_monitoring.pdfStrive for Five Toolkit (Associated Health Care Infections)http://www.primaris.org/sites/default/files/resources/MRSA/Strive%20for%20Five%20Toolkit.pdfC. Difficile: A Dangerous Threathttp://www.ahcancal.org/News/publication/Provider/CaregivingNov2008.pdfInfection Control Measures for Preventing and Controlling Influenza Transmission in Long Term Care Facilitieshttp://www.cdc.gov/flu/professionals/infectioncontrol/pdf/longtermcare.pdfBreak the Infection Chainhttp://www.ahcancal.org/News/publication/Provider/CaregivingMar2010.pdfKeeping Infections Under Wrapshttp://www.providermagazine.com/pdf/caregiving-04-2006.pdf

MRSA: MRSA Change Strategieshttp://www.primaris.org/sites/default/files/resources/MRSA/MRSA%20change%20strategies%20.pdfInformation About MRSA Skin Infectionshttp://www.cdc.gov/mrsa/mrsa_initiative/skin_infection/PDF/provider/MRSA_ProviderBrochureF.pdfMRSA in Nursing Homeshttp://www.afmc.org/HTML/programs/quality_improve/mrsa/nursinghomes.aspx

HAND HYGIENE: Guideline for Hand Hygiene in Health Care Settingshttp://www.cdc.gov/mmwr/PDF/rr/rr5116.pdfHealthy Hands, Healthy Facilityhttp://www.ahcancal.org/News/publication/Provider/CaregivingNov2009.pdf

MANAGEMENT

Verifying Employee Credentialshttp://www.ahcancal.org/News/publication/Provider/HumanResourcesJuly2010.pdfEveryone is Talking About It—Social Mediahttp://www.ahcancal.org/News/publication/Provider/CoverMar2010.pdfLong Term Care Health Information Technology Inevitablehttp://www.ahcancal.org/News/publication/Provider/CoverMar2009.pdf

CNAs: Working on CNA Empowermenthttp://www.ahcancal.org/News/publication/Provider/CaregivingFeb2008.pdfTraits of a Successful CNAhttp://www.ahcancal.org/News/publication/Provider/HumanResourcesSep2009.pdf

QUALITY: Pursuit of Quality: Ongoing Questhttp://www.ahcancal.org/News/publication/Provider/CoverOct2009.pdfThe Path to Quality Improvementhttp://www.ahcancal.org/News/publication/Provider/CaregivingJul2009.pdfQuality Improvement: Rapid Cycle Improvement Guide to Achieving Resultshttp://www.primaris.org/sites/default/files/resources/QI%20Resources/rapid%20cycle%20improvement.pdfBetter Training Leads to Better Carehttp://www.providermagazine.com/pdf/cover-05-2004.pdf

RETENTION: Workforce Retentionhttp://www.afmc.org/HTML/programs/quality_improve/nursing_home/workforce_reten.aspxElectronic Medical Records Enhance Retention, Recruitmenthttp://www.ahcancal.org/News/publication/Provider/TechNewsMar2010.pdfRecognition and Gratitude Make Big Impacthttp://www.ahcancal.org/News/publication/Provider/CoverNov2009.pdf

GENERAL RESOURCES

Arkansas Process Indicators – “Best Practices” for Nursing Homeshttps://www.medicaid.state.ar.us/InternetSolution/General/units/oltc/training/procind.aspxMichigan Clinical Process Guidelineshttp://www.michigan.gov/mdch/0,1607,7-132-27417_27655_31223-174899--,00.htmlOklahoma Foundation for Medical Qualityhttp://www.ofmq.com/nursing-homeTMF Health Quality Institutehttp://nursinghomes.tmf.org/NursingHomes/tabid/332/Default.aspxPrimarishttp://www.primaris.org/Nursing%20HomesThe Anna and Harry Borun Center for Gerontological Researchhttp://www.geronet.med.ucla.edu/centers/borun/Guide to Geriatric Syndromes, Part 1, The American Geriatrics Foundation for Health in Aginghttp://www.healthinaging.org/public_education/gs_part1.pdfGuide to Geriatric Syndromes, Part 2, The American Geriatrics Foundation for Health in Aginghttp://www.healthinaging.org/public_education/gs_part2.pdf