Methods: A retrospective cohort study consisting of all nursing home (NH) residents (≥66 years) with advanced dementia (Cognitive Function Scale score ≥2), a hospitalization between 2013–2017, and a Minimum Data Set (MDS) 3.0 assessment within 120 days before hospitalization. Pre‐...
Therefore, it is possible for LVN/LPNs to complete the MDS and care planning decision, sign to certify its accuracy, and obtain an RN signature to certify the completion of the MDS and RAP assessment process. The result is that LVNs/LPNs throughout the nation may routinely be practicing ...
18 A complete list of measures used for risk adjustment in the analyses can be found in the eMethods in Supplement 1. Other patient characteristics included performance on the Cognitive Function Scale20 and the ADL score.21 Facility characteristics included the total number of beds, ...
it enables comparison across NHs and is important for clinical planning and decision making [7,9,10]. Assessment of NH residents with MDS is completed at the time of admission and every third month thereafter or when there is significant change in the resident’s health status [17]....
Paired sample t-tests were used to determine the difference between PrI pain and time of the day, PrI pain on two different days, and PrI pain level and the most recent MDS pain intensity score. PrI pain level was evaluated using the Pain Class for all sample t-tests. Bivariate ...
Each change in ADL score has potential repercussions on a patient’s perceived level of ability and engagement in care that could ultimately affect their likelihood of being discharged home, especially when coupled with cognitive challenges, such as delirium. Functional ability on the MDS 3.0 ADL ...
Delirium symptoms were assessed using 6 items from the Minimum Data Set-2 (MDS-2) [26]. This instrument was initially designed to be used in all nursing home facilities in the United States of America to collect comprehensive and standardized data in order to improve health care for this ...
MDS consists of typically understudied, but vulnerable and medically complex, nursing home residents. We used the modified Charlson Comorbidity Index, a validated algorithm to determine the extent of disease burden in this population,20 and we used the PHQ-9 assessment or the PHQ-9 OV score ...
[23], that compared its psychometric properties with several other commonly used oral health assessment instruments (OHAT, DHI, OAS, ohr-MDS, BOHSE, OHS TNP) and proposed it as the most appropriate for assessing oral health of older adults by non-dental caregivers until further evidence of ...
(eTable 2 in the Supplement), activities of daily living score at initial assessment (range, 1-28, where a higher score indicates a greater need for assistance with activities of daily living), and severe cognitive impairment (score >3 on the 4-point Cognitive Function Scale, where 1 ...