Appendix
- Page ID
- 160255
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- 1: Glossaries
- This page offers a glossary of essential terminology related to swallowing disorders, rehabilitation, activities of daily living, and splinting programs. It covers key terms like dysphagia and aspiration, rehabilitation abbreviations, adaptive equipment for ADLs, and concepts in splinting, including joint alignment and spasticity. This resource enhances understanding of clinical and therapeutic language.
- 2: Adaptive Walking Devices
- This page explores mobility aids such as canes, crutches, and walkers. It categorizes canes into ortho, quad, single-point, and walk types, highlighting their support features. Crutches include axillary, forearm trough, and Lofstrand styles, tailored to users' weight-bearing abilities. Three walker types—pick-up, front wheel, and four-wheeled—are outlined, offering various levels of mobility assistance. The emphasis is on enhancing balance, control, and safety for users.
- 3: RNA Hiring Interview Grid
- This page presents a scoring system for nursing interview evaluations, highlighting areas such as experience, performance, and competencies. It features a checklist for qualification assessment and a scenario-based evaluation to gauge interview skills, problem-solving, and communication. Each criterion is assigned a scoring range, leading to a total score to quantitatively assess candidates' capabilities.
- 4: Sample RNP Policy and Procedure
- This page discusses the Restorative Nursing Program (RNP), designed to enhance residents' self-care through targeted training in skills like mobility and communication. The program adheres to specific policies for Skilled Nursing Facilities and begins with an assessment to determine individual restorative needs. Referrals can come from therapy programs or family, and the process includes screenings, staff training, and the creation of personalized care plans.
- 5: Sample Restorative Dining Program Protocol
- The Restorative Dining Program promotes independent eating for residents by using adaptive techniques and equipment to enhance nutrition and prevent dehydration. Eligible residents may experience weight loss or eating difficulties, while success is measured by weight gain and independent eating. The program includes assessments, staff training, and adaptive tools in a low-stress environment with a 2-to-1 staff ratio, alongside continuous team reviews to monitor progress and update care plans.
- 6: Blank Documentation Forms
- This page provides forms for assessing residents in Restorative Nursing and Dining Programs, covering self-performance, communication, and special needs. It includes structured methods for tracking activities and progress, documenting meal consumption, and recording behavioral observations. Sections for initial assessments, rehabilitation goals, and staff accountability (initials/signatures) are emphasized.
- 7: Case Study Sample Forms
- This page summarizes the implementation and progress of restorative nursing and dining programs for residents Cora Connelly, William Lowe, and Ava Wave. Each case addresses individual needs, goals, and monitoring methods for mobility, self-feeding, and communication. Cora's rehabilitation focuses on ambulation improvements; William's program addresses his left upper extremity and self-feeding challenges; Ava is aided by memory cueing for daily activities and dietary support due to oral dysphagia.
- 8: Documentation Crosswalk
- This page discusses several scales for evaluating independence in activities of daily living (ADLs), including the MDS Scale, MDS ADL Support Scale, Rehab Scale, and FIM Scale. It categorizes levels of required assistance from total independence to complete dependence, detailing the extent of help needed and incorporating specific percentages to illustrate degrees of independence. The page also addresses situations where activities might not occur or remain untested.
- 10: Regulations
- This page discusses the governance of Skilled Nursing Facilities (SNFs) under various laws aimed at enhancing resident care and quality of life. It highlights the critical role of staff in restorative nursing programs and the importance of OBRA regulations for care standards, mobility, nutrition, and resident rights. The page emphasizes resident dignity, informed consent, privacy, and the right to refuse treatment.
- 11: Minimum Data Set
- This page summarizes the Minimum Data Set (MDS) 3.0 assessments for nursing home residents, covering demographic information, communication, mood, behavioral symptoms, preferences, mobility, self-care, health conditions, and pain management. It emphasizes comprehensive evaluations through coding systems to document functional statuses, care needs, and personal choices, ensuring tailored care and compliance with federal regulations.
- 12: OSHA
- This page discusses OSHA Guidelines for Nursing Homes aimed at preventing musculoskeletal disorders (MSDs) among staff by recommending ergonomic practices. It highlights that MSDs like low back pain can be reduced through proper techniques and emphasizes the importance of the Restorative Nursing Program Certification Course in training caregivers. OSHA recommends minimizing manual lifting of residents to enhance safety for both residents and caregivers.
- 13: Quality Improvement Monitor
- This page presents a Quality Improvement Monitor Tool for evaluating the Restorative Nursing Program in healthcare settings. It focuses on key indicators for assessing documentation completeness, care plan consistency, and daily treatment records. A structured case review process is outlined, emphasizing individual assessments based on residents' conditions.
- 14: RNA CQI Trend Report
- This page provides an overview of the RNA CQI Trend Report, detailing monthly clinical and quality indicators like average daily census, resident numbers receiving RNA services, and rehabilitation program data. It covers new admissions, discharges, and quality metrics such as bedfast residents and declines in ADLs and ROM. The report also addresses problem identification, concerns, and related actions and progress outcomes.
- 15: Competency Checklists
- This page presents a competency checklist for learning assistive mobility and transfer techniques in healthcare. It covers tasks like transitioning positions and using a slide board, emphasizing proper wheelchair positioning, pressure risk zones, and ambulation techniques. The checklist serves as a guide for skill completion verification, particularly in adaptive equipment for dressing patients with hemiplegia.