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About dlancaster

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  1. Dear Brian, I have the same concerns about 3.0. My company's software assists me by highlighting the triggers in red after all of section F has been saved. In your case you may want to take a blank section F worksheet and mark it up as a key after you examine the 3.0 manual to find out which resonses are triggers. You can then mark to the left of each response [3, 4, 5, 6] for example. It is only the second half of section F that contains triggers, if I am not mistaken. I too am frusterated by the the use such ambiguous language on the psychosocial section D question "resident no longer finds pleasure in doing 'things.' I am finding this to continuously RAPping. If the social workers are not defining what 'things' are, we may find that this trigger comes up time and time again. It would help if SW could set the stage a bit by defining exactly what "things" means. For example, What I like to do on the section F question which asks how important it is for the res. to do their 'favorite activities:' is to preface the question "what are your favorite current activities?" Then ask the res. "are those important to you? This usually produces a reponse like 1 or 2 that is not a CAA trigger since they better understand the question. This way "favorite activities" is better defined and we don't have to do triple the quantity of frivolous CAA's which really are not problems necessarily. So get with the social workers and explain the situation by offering suggestions for them to preface those thorny questions. I am not suggesting that we should avoid doing CAA's altogether, but rather eliminate the built-in tendency of the 3.0 for triggering meaningless CAA's. Resident's with genuine depression symptomology will still continue to trigger even with a clearer definition of "things." Another example on section F is when a resident states that "pets/animals are (#4) not at all important to them." In my opinion, this is not a problem, but a stated preference which should already be accounted for on the initial assessment; and not an activities deficit. My MDS Coordinator told me to just document in the CAA that "res. lack of importance ascribed to being around pets/animals is an expressed preference; and not a request for a substitute activity or deficit. See initial assessent dated _/_/_. " Hope that helped too.
  2. dlancaster

    MDS 3.0

    I have seen 3.0 drafts and attended an in-house seminar and CEU session re: 3.0 and have concluded that the line of questioning we use during our resident interview has dramatically changed. Additionally, as where we would have previously used our common sense to know when to utilize a family member/POA to gather demographic and interest related data (i.e. in the case of cognitive deficits, language barriers, or unable to respond) toward completion of the MDS sections; we now have to follow a protocol guided by the 3.0 which gives us step-by-step instructions. So much for free thinking! What I do like is the inclusion of any language barriers present and "preferred language" being given a more prominent place in the 3.0, if I am recalling correctly. Otherwise, it is essentially the same info. that we are gathering to populate our sections on 3.0. I would network with your local ACC toward getting the most recent draft copy to study in advance of Oct.1st.
  3. Esteemed colleague, ...I can't help but think about what a 90 year old was doing in their youth, which in many ways impacts their living reality. Think depression - then soup-it-up a bit. No pun intended! Seriously, these folks were probably trying to find ways to sustain their families though rough times. During tough times, they very well could have been making soup, with whatever ingredients they could find! How about advertising a "stone soup social," and serving up cup sized portions of "stone soup" on a walk-in basis instead of a fixed time. Say, from 2:30-4:00 PM. You will need a large soup kettle and a portable hot plate if you don't have a stove in your common area. Don't attach any extension cords to it either, since that will cause a potential electrical hazard. Just clear it for food allergies in advance. Some folks allergic to sulfa may be sensitive to garlic. FYI. If you want to add a really neat twist, you could, just for historical value charge 1 penny/cup of soup, which is probably what it would have cost in 1930. That would drum up alot of interest and smiles, and make your flyers look neat. Finally you could locate and print off a copy of the original folktale for them to take with them for them to read to their great grandkids, later.
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