I have read all of the replies and I like the action that it is getting. I want to remind you all that there is a CarePlan section in the forum area of this site and I serve as moderator. I am glad to help if needed. Also, I wanted to give you all a warning on some of the replies that I have seen regarding forms.
In some of the facilities that I have consulted for, the strict guidelines for each individual corporate policy, could...repeat could, make any and all of your documentation useless in the eyes of the surveyors. Due to the new regs and the subjectivity of each individual surveyor....some of these facilities have been sited because they used a "cookie cutter" form instead of making each resident an individualized Care plan/progress note/interview/etc.
Since I have not seen the forms that you speak of...I just wanted to throw that out for you.
I have seen a ton of Nursing Home staff, become overly reliant on checklists instead of making a unique assesment. There are many products that rely on this way of charting, and if you get the right surveyor, you could get burned.
Just a tip...
Come see me at the CP forum.
bigchris
2
Care Plans and the New Regs
Started by ActivityGal, Aug 10 2006 04:44 AM
35 replies to this topic
#32
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Posted 18 November 2007 - 09:05 AM
ActivityGal, on Aug 10 2006, 05:43 AM, said:
Hi all,
I am in need of some help and clarification. I have been reading the posts about the new guidelines, and I have taken some seminiar classes on them. However, I am still lost. I know that there are some newer things that need to be incorporated in the programs, but I am confused about Care Plans. I am a newly certified CTRS, so I have no consultant at my facility. I rely on others for my information. Other facilities in my are are talking about how they had to go through a whole revamping in their facility. Now that has me concerned, that I am interpreting things the wrong way. I know that the goal has to focus on the resident's outcome, and not just participation.
I would really appreciate some examples that you all are using in your facility. I know that the goal "res will attend activities 3x's per week" is not going to fly with the new guidelines. That's fine, I have never used that goal. To me, that is an example of participation. Here are some of the examples that I use currently.
1. problem - Res had decreased lower body strength
goal - Res will attend exercise and complete 5 sets of upper body exercises as demonstrated by AA
or
2. problem - Res needs to maintain her current cognative functioning
goal - res will answer 5 trivia questions at 80% accuracy weekly with minimal verbal clues from AA.
These are just 2 examples of goals that I use. Would anyone please share some other examples, and also let me know if what I am doing is correct. I am highly concerned that I doing this wrong. All your help will be very valuable to me.
Thank Your
I am in need of some help and clarification. I have been reading the posts about the new guidelines, and I have taken some seminiar classes on them. However, I am still lost. I know that there are some newer things that need to be incorporated in the programs, but I am confused about Care Plans. I am a newly certified CTRS, so I have no consultant at my facility. I rely on others for my information. Other facilities in my are are talking about how they had to go through a whole revamping in their facility. Now that has me concerned, that I am interpreting things the wrong way. I know that the goal has to focus on the resident's outcome, and not just participation.
I would really appreciate some examples that you all are using in your facility. I know that the goal "res will attend activities 3x's per week" is not going to fly with the new guidelines. That's fine, I have never used that goal. To me, that is an example of participation. Here are some of the examples that I use currently.
1. problem - Res had decreased lower body strength
goal - Res will attend exercise and complete 5 sets of upper body exercises as demonstrated by AA
or
2. problem - Res needs to maintain her current cognative functioning
goal - res will answer 5 trivia questions at 80% accuracy weekly with minimal verbal clues from AA.
These are just 2 examples of goals that I use. Would anyone please share some other examples, and also let me know if what I am doing is correct. I am highly concerned that I doing this wrong. All your help will be very valuable to me.
Thank Your
#33
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Posted 18 November 2007 - 07:05 PM
Guest_billie, on Sep 3 2006, 04:05 PM, said:
can someone please send me the form too? thanks
brmolina1@stx.rr.com
thanks again billie.
brmolina1@stx.rr.com
thanks again billie.
#34
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Posted 25 November 2007 - 01:25 PM
Sounds to me that you are on the correct path. The goal needs to be person centered rather than group centered and it looks like you have the idea in the two examples you have given....Linda
ActivityGal, on Aug 10 2006, 05:43 AM, said:
Hi all,
I am in need of some help and clarification. I have been reading the posts about the new guidelines, and I have taken some seminiar classes on them. However, I am still lost. I know that there are some newer things that need to be incorporated in the programs, but I am confused about Care Plans. I am a newly certified CTRS, so I have no consultant at my facility. I rely on others for my information. Other facilities in my are are talking about how they had to go through a whole revamping in their facility. Now that has me concerned, that I am interpreting things the wrong way. I know that the goal has to focus on the resident's outcome, and not just participation.
I would really appreciate some examples that you all are using in your facility. I know that the goal "res will attend activities 3x's per week" is not going to fly with the new guidelines. That's fine, I have never used that goal. To me, that is an example of participation. Here are some of the examples that I use currently.
1. problem - Res had decreased lower body strength
goal - Res will attend exercise and complete 5 sets of upper body exercises as demonstrated by AA
or
2. problem - Res needs to maintain her current cognative functioning
goal - res will answer 5 trivia questions at 80% accuracy weekly with minimal verbal clues from AA.
These are just 2 examples of goals that I use. Would anyone please share some other examples, and also let me know if what I am doing is correct. I am highly concerned that I doing this wrong. All your help will be very valuable to me.
Thank Your
I am in need of some help and clarification. I have been reading the posts about the new guidelines, and I have taken some seminiar classes on them. However, I am still lost. I know that there are some newer things that need to be incorporated in the programs, but I am confused about Care Plans. I am a newly certified CTRS, so I have no consultant at my facility. I rely on others for my information. Other facilities in my are are talking about how they had to go through a whole revamping in their facility. Now that has me concerned, that I am interpreting things the wrong way. I know that the goal has to focus on the resident's outcome, and not just participation.
I would really appreciate some examples that you all are using in your facility. I know that the goal "res will attend activities 3x's per week" is not going to fly with the new guidelines. That's fine, I have never used that goal. To me, that is an example of participation. Here are some of the examples that I use currently.
1. problem - Res had decreased lower body strength
goal - Res will attend exercise and complete 5 sets of upper body exercises as demonstrated by AA
or
2. problem - Res needs to maintain her current cognative functioning
goal - res will answer 5 trivia questions at 80% accuracy weekly with minimal verbal clues from AA.
These are just 2 examples of goals that I use. Would anyone please share some other examples, and also let me know if what I am doing is correct. I am highly concerned that I doing this wrong. All your help will be very valuable to me.
Thank Your
#35
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Posted 26 November 2007 - 08:36 AM
ActivityGal, on Aug 10 2006, 03:43 AM, said:
Hi all,
I am in need of some help and clarification. I have been reading the posts about the new guidelines, and I have taken some seminiar classes on them. However, I am still lost. I know that there are some newer things that need to be incorporated in the programs, but I am confused about Care Plans. I am a newly certified CTRS, so I have no consultant at my facility. I rely on others for my information. Other facilities in my are are talking about how they had to go through a whole revamping in their facility. Now that has me concerned, that I am interpreting things the wrong way. I know that the goal has to focus on the resident's outcome, and not just participation.
I would really appreciate some examples that you all are using in your facility. I know that the goal "res will attend activities 3x's per week" is not going to fly with the new guidelines. That's fine, I have never used that goal. To me, that is an example of participation. Here are some of the examples that I use currently.
1. problem - Res had decreased lower body strength
goal - Res will attend exercise and complete 5 sets of upper body exercises as demonstrated by AA
or
2. problem - Res needs to maintain her current cognative functioning
goal - res will answer 5 trivia questions at 80% accuracy weekly with minimal verbal clues from AA.
These are just 2 examples of goals that I use. Would anyone please share some other examples, and also let me know if what I am doing is correct. I am highly concerned that I doing this wrong. All your help will be very valuable to me.
Thank Your
I am in need of some help and clarification. I have been reading the posts about the new guidelines, and I have taken some seminiar classes on them. However, I am still lost. I know that there are some newer things that need to be incorporated in the programs, but I am confused about Care Plans. I am a newly certified CTRS, so I have no consultant at my facility. I rely on others for my information. Other facilities in my are are talking about how they had to go through a whole revamping in their facility. Now that has me concerned, that I am interpreting things the wrong way. I know that the goal has to focus on the resident's outcome, and not just participation.
I would really appreciate some examples that you all are using in your facility. I know that the goal "res will attend activities 3x's per week" is not going to fly with the new guidelines. That's fine, I have never used that goal. To me, that is an example of participation. Here are some of the examples that I use currently.
1. problem - Res had decreased lower body strength
goal - Res will attend exercise and complete 5 sets of upper body exercises as demonstrated by AA
or
2. problem - Res needs to maintain her current cognative functioning
goal - res will answer 5 trivia questions at 80% accuracy weekly with minimal verbal clues from AA.
These are just 2 examples of goals that I use. Would anyone please share some other examples, and also let me know if what I am doing is correct. I am highly concerned that I doing this wrong. All your help will be very valuable to me.
Thank Your
Hello,
I have to tell you, I only use the "I" format in care planning now, and I don't have problem, but I have activity Interests example: Activity Interests: (A) I love to read, (
I love Bingo, ect. Goal: I will read for at least 1 hour each day, I will attend all bingo's offered. And then the key is to put all the "problems" under approaches, such as 1) I have a hearing impairment and I wear hearing aides, also I list like 2) group activities of my interest: bingo, fitness (ect). I do still use I will attend at least 13 or what ever group activities offered, only if the resident states that she/he loves to attend group activities.
I hope this helps!
Edited by tmackc, 26 November 2007 - 08:36 AM.
#36
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Posted 04 April 2008 - 10:50 AM
DjHAWKY, on Sep 5 2006, 06:07 PM, said:
Hi smrld.. the forms have assessments with new doc area for updates, multi dept participation logs, we print these out and put them on a clipboard that floats any staff leading a discussion, observing a self directed activity.. volunteers even fill these out. we have them in our Volunteer pack.. we give them to the family members to pencil in anything they discuss any wishes expressed.. the note resident reaction, times.. dates.. they are 3per sheet.. I am taking them directly from the clipboard and filing with my participation records..making notation in Progress notes.. updating assessements.. creating careplanning therapies as I go.. its helping tremendously .. I have even started a seperate sheet to start grouping similar interests for clubs, tourneys, functions.. If I can get my residents participating in self directed group functions..clubs and what not I will be more a community coordinator.. merely providing support for my groups.. I have 2 very established functions meeting weekly.. and have been offering membership/participation to new arrival-residents.. now if I can get a few culture oriented groups going.. that can help me to understand their backgrounds and needs .. I will have pretty good thing going.. :-P
Hi out there. could use a copy of any forms I been in activities for only a short time and need help...activitygoof@alltel.net
