Table 4.7: Summary of ADL Recommendations Item Change Assessments, Checklists, Ratings Audit system Fit to Items noted Changes Validated Standardised Fit to RAC Fit to Improves Mandated Contemporary Outcomes External Clarifies below noted below assessment information workforce Gateway reviews Assessment Assessments Rules NR NR NR NR Currency improved NR RN/AHP sign NR Professional Claim (Ax) (3/12) off Accountability requires a new Ax Nutrition Assessment MNA-Short YES YES & YES BMI, nutritional YES In NATFRAME In NSAF Objective Objective objective status outcomes evidence Nutrition Checklist NR NR NR NR Reduced to one NR NR NR Standard Care- Uses the Ax checklist. removed outcomes Readiness to Eat (vitamised food, cutting up food) Nutrition Rating NR NR NR Monitoring of Standard care; NR NR NR NR Uses the Ax nutritional Monitoring; outcomes needs Moderate Assist; Full Assistance Mobility Assessment PMS YES, for PT, fit YES & NR Transfers, mobility YES In NATFRAME Add to Guidelines Objective for nurses objective NSAF evidence Mobility Assessment FRAT YES, for YES NR NR YES In NATFRAME Add to Guidelines Objective nurses, fit for NSAF evidence PT Personal Checklist NR NR NR Based on Grooming removed NR NR NR NR Redundant Hygiene Statistical analysis Continence Evidence Continence NR YES Comprehensive More than YES- use a Designed for Add to NR Objective Ax Form and assessment frequency and Ax if subset of NSAF evidence Care Plan OR supported tool completed Qs Diagnosis Continence Checklists NR NR NR NR Minor changes to NR NR NR NR NR frequency ADL Rating scale NR NR NR NR Standard Care; NR NR NR STANDARD CARE: Clarifies the (R-ACFI 2-4) Moderate assist; verbal assist, assistance Full assist; setting up, type and Mechanical lifting occasional or resources episodic used. ADL Reason for NR NR YES & NR Physical; YES NR Yes- Map NR YES- improves (R-ACFI 1-4) assistance requests Sensory; from NSAF evidence (new) evidence Cognitive; Behavioural
Table 4.7: Summary of ADL Recommendations Item Change Assessments, Checklists, Ratings Audit system Items noted below Changes noted below Mandated Validated assessment Standardised information Contemporary Outcomes Fit to External Assessment Fit to RAC workforce Fit to Gateway Clarifies Improves reviews Assessments (Ax) Rules NR NR NR NR Currency improved (3/12) NR RN/AHP sign off NR Professional Accountability Claim requires a new Ax Nutrition Assessment MNA-Short YES YES & objective YES BMI, nutritional status YES In NATFRAME In NSAF Objective outcomes Objective evidence Nutrition Checklist NR NR NR NR Reduced to one checklist. NR NR NR Standard Care- removed Readiness to Eat (vitamised food, cutting up food) Uses the Ax outcomes Nutrition Rating NR NR NR Monitoring of nutritional needs Standard care; Monitoring; Moderate Assist; Full Assistance NR NR NR NR Uses the Ax outcomes Mobility Assessment PMS YES, for PT, fit for nurses YES & objective NR Transfers, mobility YES In NATFRAME Add to NSAF Guidelines Objective evidence Mobility Assessment FRAT YES, for nurses, fit for PT YES NR NR YES In NATFRAME Add to NSAF Guidelines Objective evidence Personal Hygiene Checklist NR NR NR Based on Statistical analysis Grooming removed NR NR NR NR Redundant Continence Evidence Continence Ax Form and Care Plan OR Diagnosis NR YES Comprehensive assessment supported More than frequency and Ax if tool completed YES- use a subset of Qs Designed for Add to NSAF NR Objective evidence Continence Checklists NR NR NR NR Minor changes to frequency NR NR NR NR NR ADL (R-ACFI 2-4) Rating scale NR NR NR NR Standard Care; Moderate assist; Full assist; Mechanical lifting NR NR NR STANDARD CARE: verbal assist, setting up, occasional or episodic Clarifies the assistance type and resources used. ADL (R-ACFI 1-4) Reason for assistance (new) NR NR YES & requests evidence NR Physical; Sensory; Cognitive; Behavioural YES NR Yes- Map from NSAF NR YES- improves evidence
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