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MDS 3.0 Things to Assess Carefully. Christa M. Hojlo, PhD, RN, NHA 810 Vermont Ave, NW (114) Washington, DC 20420 202-461-6779. Objectives. Learner will: Articulate history of MDS 3.0 Identify differences between 2.0 and 3.0 Address important aspects in the following
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MDS 3.0Things to Assess Carefully Christa M. Hojlo, PhD, RN, NHA 810 Vermont Ave, NW (114) Washington, DC 20420 202-461-6779
Objectives • Learner will: • Articulate history of MDS 3.0 • Identify differences between 2.0 and 3.0 • Address important aspects in the following Sections: C Cognitive Patterns D Mood E Behavior M Pressure ulcers Q Participation in Assessment and Goal Setting (discharge planning) • Describe Care Area Assessment (CAA) Summary
History of MDS 3.0 • VA involvement • Testing • 5 new sections
Identify Differences Between 2.0 and 3.0 • Shorter • Questions stated more clearly • Evidence based
Special Sections C Cognitive Patterns D Mood E Behavior M Skin Conditions Q Participation in Assessment and Goal Setting (discharge planning)
Section C-Cognitive Patterns • Brief Interview for Mental Status (BIMS) • Interview • Staff assessment if resident not interviewable • Correlation with MMSE • Summary score
Section D-Mood • Interview • Staff assessment if resident not interviewable • Correlation with GDS • Score
Section E Behavior • Direct observation required • Impact on resident • Impact on staff • Section on wandering
Section M-Skin Conditions • New definition of pressure ulcers • Where acquired • Risk assessment required (facility can select) • Current number of unhealed and what stage • Unstageable • Measure length, width, depth
Section M-Skin Conditions (cont’d) • Etiology important! • Other ulcers, wounds, skin conditions • Skin and ulcer treatments • No reverse staging
Q Participation in Discharge Planning • Assessment and Goal Setting • Interview – resident’s expectations • Recommend social worker/discharge planner assess • Ties into Olmsted Act • Discharge into community assessed and addressed
Care Area Assessment (CAA) Summary • What is CAA? • CAAs vs. RAPs • Who participates • Why is this important
Summary • MDS 3.0 designed to improve the assessment of residents using improved questions that have been tested. • New Sections and implications • Good training is very important