Your shortcut to accurate assessment and compliant documentation The quick and easy way to document quality resident care! The Long-Term Care Clinical Assessment and Documentation Cheat Sheets is the ultimate blueprint for how to provide resident- centered care for any symptom or condition. Available on CD, this electronic-only resource provides nurses with a thorough list of what to check and what to document during every shift, based on the specific circumstances of a given resident. Best of all, the new electronic format of this content enables long-term care clinicians to easily search for the condition they need to treat and access the appropriate checklist within seconds. Each checklist can be downloaded and printed to fit directly into the resident's record to ensure thorough, focused, and regular assessments and documentation. Long-Term Care Clinical Assessment and Documentation Cheat Sheets is the most convenient way to guarantee your residents receive the proper care and your facility maintains compliant documentation. Long-Term Care Clinical Assessment and Documentation Cheat Sheets will help you: * Save time finding the correct guidelines for a resident's condition with the searchable, electronic checklists * Maintain complete and accurate clinical records for each resident to authenticate that physician orders were followed and residents were provided with the highest quality of care * Ensure consistency of care across each nurse's shift by including the relevant checklist in each resident record * Assess and document resident status, including cardiovascular, hematologic, and neurological conditions with more than 190 guidelines, tools, and cheat sheets * Avoid survey citations, lost reimbursement, and legal implications arising from improper documentation * Minimize nurses' stress by providing them with reliable guidance and data for each resident, in an easy-to-use format that fits seamlessly in their everyday work flow

Clinical Tools and Forms for Long-Term Care Barbara Acello, MS, RN Is your library of long-term care tools and forms a bit cluttered or a challenge to navigate? Minimize space and save time searching for the clinical, legal, and daily maintenance related forms you need with "Clinical Tools and Forms for Long-Term Care." This valuable book combines an extensive collection of long-term care tools and forms from author Barbara Acello, MS, RN, into an all-in-one comprehensive resource. Including clinical forms such as pain and activities of daily living assessments, as well as regulatory forms such as HIPAA rules and regulations, infection control, and facility-specific policies, the book s content is organized by topic so long-term care providers can instantly reference, download, and implement the forms they need. Table of contents Clinical Admission, Transfer, Discharge Assessment, Nursing Audits & Checklists Code/Medical Emergency Diabetes Monitoring & Medication Enteral, Parenteral Nutrition Falls Infection Control Medicare Medication Miscellaneous Nursing Assistant Nursing (Licensed) Documentation Nutrition (Oral) and Hydration Pain Physician Services Restraints Skin/Pressure Ulcer/Skin Tears Social Services/Behavior/Mental Health Vital Signs, Height/Weight Wandering/Eloping Documentation Audits & Checklists Certificates Code/Medical Emergency Employee Issues/Human Resources Infection Control In-Service/Education Miscellaneous Nursing Assistant Nursing (Licensed) Documentation Report Resident Consents and Releases Social Services/Behavior/Mental Health Wandering/Eloping Legal Advance Directive, DNR (No Code), POLST, Vial of Life Contracts and Agreements Employee Issues/Human Resources Medicare Nursing (Licensed) Documentation Resident Consents and Releases Restorative ADL Bowel and Bladder Restorative Nursing Task Analysis Top 10 Forms Restorative Nursing Care of Plan Form Admission Bladder Assessment Form Physician Orders for Life-Sustaining Treatment Vaccine Consent Elopement Patterning Tool Behavioral Scale for Cognitively Impaired Adults Brink/Yesavage Geriatric Depression Scale Skin Tear Risk Assessment Fall Prevention Assessment Medicare Redetermination Request Form Who should read this book? Administrators Directors of nursing (DON) Nurses Assistant DONs Staff educators Clinical managers Directors Nurse managers QA committee members Quality assurance staff "

"interRAI Clinical Assessment Protocols are designed to assist the assessor to interpret systematically all the information recorded on its assessment instruments for home care, community health, long-term care facilities, and assisted living"--Provided by publisher.

Today, more than 10 million people in the United States require some form of long-term care, a number that is rapidly increasing and will continue to do so for years to come. This concise and user-friendly resource contains the fundamental information long-term care nurses need to provide all aspects of safe and effective care to their patients in nursing homes and assisted living facilities. Written by a renowned and highly respected nurse leader in long-term care and gerontology, it presents key facts and core competencies related to the clinical and managerial responsibilities of nurses in these settings. Details on the specific skills required for this challenging specialty, as well as must-know information on regulatory standards, site visits, management and leadership, and dementia care, are presented in a concise format for quick access to information. The book embodies a holistic approach to nursing that recognizes the importance of quality of life in addition to quality of care. It provides an overview of the unique features of long-term care, addressing the operational differences between these settings and those of acute settings, the distinct responsibilities of long-term care nurses, special needs of the residents, and major clinical challenges. The text offers guidance on the use of evidence-based knowledge within the constraints of long-term care settings. Topics such as legal risks, documentation essentials, and the importance of self-care are covered, along with management and leadership issues relevant to the supervision of unlicensed personnel. The Fast Facts in a Nutshell feature assists readers in reinforcing and applying content, and a comprehensive resource list supplements the text. The book will also serve as a useful study tool for long-term nursing care certification. Key Features: Embodies the essential competencies for long-term care nursing practice Presents information in a concise easy-to-access format with bulleted facts and the Fast Facts in a Nutshell feature Addresses management and leadership issues germane to the long-term care setting Includes must-know information on regulatory standards, site visits, legal risks, documentation essentials, and more Guides nurses in using evidence-based knowledge in long-term care settings

"Provides primary care providers with information specific to the medical management of acutely ill adult and elder patients with multiple comorbid health problems. It also contains material on advanced directives, end of life care and regulatory and compliance concerns that often affect treatment decisions in these settings. A section on staff education is also included for nurse practitioners who are directing patient care given by both skilled and unskilled staff in subacute and long term care." --Cover.

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Long-Term Care Medicine: A Pocket Guide lessens the uncertainty involved in caring for patients in a long-term care facility. This practical pocket guide is divided into four sections: Introduction, Common Clinical Conditions, Psychosocial Aspects, and Special Issues in Long-Term Care. The chapters address all the varied components of the LTC system as well as how to take care of the patients and residents living within it. The contributors to this easy-to-read guide are passionate about LTC and many have worked within the American Medical Directors Association to create and disseminate a knowledge base for practitioners. Long-Term Care Medicine: A Pocket Guide is an invaluable resource for clinicians, practitioners, and educators who are seeking to optimize the care and living experience of residents in LTC by providing resident-centered care as well as resident choice, well-being, dignity, and an improved quality of life.

This book offers evidence and examples of useful experiences to help policy makers, providers and experts measure and improve the quality of long-term care services.