CAPSTONE VILLAGE “Resident Assessments in the Assisted Living Environment”

1. CAPSTONE VILLAGE“Resident Assessments in the Assisted Living Environment” 2010 ALAA FALL CONFERENCE

2. Objectives • Discuss and Identify Resident Assessments • Explain the Importance of Resident Assessments • To Differentiate the Pros & Cons About Resident Assessments • To Discuss the Fundamentals of Preventive Care • To Educate Other Communities about Procedures with Resident Assessments in the Community and with Hospital Stay.

3. To Err is Human-IOMPreventing Medical Errors • “Medical Errors can be defined as the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim”—IOM Nov. 1999

4. What is a Resident Assessment? • To make an evaluation or appraisal of the condition of a resident by practicing thorough assessing of the entire body. • Head to Toe system

5. Why Do We Do Resident Assessments? • To classify residents correctly • To identify what type of care plan to use on the patient • To ensure the correct amount of care to be executed on the patient

6. Pros about Resident Assessments • Can lead to the discovery of an unknown condition • Gather information to understand how to treat your patient • Comforts residents to know they will receive the necessary care

7. Cons about Resident Assessments • Assessments can be time consuming • Can discover an unknown condition, which can lead to emotional distress • Can delay the admission time of a resident, contingent upon suspicious resident assessment results.

8. Preventive Care • To prevent disease or injuries, rather than curing them or treating their symptoms • Due to the changing causes of death, disease pattern, and economic burden health care emphasis should shift to preventive care. • Encourage elderly to participate in Preventive Care Programs • Public health programs • Community Programs • Personal Lifestyles

9. Quality of Care • Upon admission after the resident assessment has been completed each resident should be granted the top grade of quality of care. • Quality of care is to ensure that all residents are getting their required needs met within the community. • Residents and family members are expecting that they receive the best quality of care in timely manners and one major reason is partly due to the financial obligations. • Expectations are always a lot higher in assisted living facilities due to the fact that the majority of assisted livings are private pay.

10. Outcomes of Resident Assessments • Effective • The assessments provide scientific knowledge to those about various unrecognized health issues. It is very beneficial to the resident, family, and assisted living community so that they will know the proper care plan to allocate a resident • Resident Centered • Once they are completed it gives the community information on how to provide care that is respective and responsive to the resident’s needs.

11. Outcomes (contd.) • Equitable • The objective about resident assessments is that they are not bias. • They provide care that does not vary in quality due to personal characteristics such as gender, race, and religion

12. How to Choose LTC Services • Keep in mind that Medicare does not pay for long term care, just some services provided within it • Get as much information as possible as to what type of facility is best for your needs • All assisted living facilities do not offer the same services; therefore you have to pick the one that is best fit for your individual necessities and luxuries.

13. Care Plans • Once a resident assessment is completed, it is our duty to create a care plan that is specific to the need of that resident • They can include as follow: • Needs and Problems • Goals • Approaches • Medications • Activities • Ambulating

14. Care Plans (contd.) • Organized Care Plans are good resources especially for the administrators, nurses, and CNAs to make sure that they have something to refer to and be constantly reminded on how to care for a particular resident, if there is any doubt.

15. Service Plans • How to address the resident’s needs • Identifies what type and when services are needed • Resident A needs a bath MWF • Resident B needs to be checked every 2 hrs. • Resident C is on an every hr. toileting schedule • Useful Reminders to CNAs anytime there is confusion with a resident

16. Alabama AL Facts • The range of cost of ALF in this state is from $800 to $3500 • The cost of assisted living depends greatly on the type of care needed • The rise in cost is just a bit more than 4.5%

17. Admissions Process • Tour the facility • Review of Medical Health Statements • Past and present health conditions • Symptoms • Hospitalizations • Former Admissions • Administrators Assessment • Conversational Questions • Checks mental status • RN assessment • Head to Toe Assessment