Standard Care: Independent or staff standing by for occasional assistance or provision of setting up activities. Independent (with or without aids). Standing by for occasional or episodic assistance. Transfer Setting up activities Verbal assistance, prompting, cuing. Moderate Assistance: Always providing physical assistance, on a one-to-one basis, for at least part of the activity, whenever the activity is needed. Full Assistance: Always providing physical assistance, by at least two staff, throughout the entire activity, whenever the activity is needed. Assessors This tool is suitable for external assessment (pre-entry or review) and internal assessment (new resident or re-appraisal). External Assessors could review the claim or complete the ACFI Checklist using evidence from: Diagnoses that support a physical impairment, sensory loss, dementia/ cognitive loss, behavioural issues Documentation by Physical Therapists, Medical Practitioners Informants e.g. Physical Therapist who has recently assessed the person, Medical Practitioner, resident, carer Rationale for new R-ACFI Continence Question The following gives the rationale for modifying the current ACFI Continence question: Relevant Assessment Tools Review The NSAF collects information to identify continence issues: Do you have bladder or bowel issues that affect your lifestyle? Bladder issues; Bowel issues; Have you discussed these problems with anyone (e.g. GP, continence advisor)? Would you like to discuss continence issues with a continence advisory service? The supplementary functional tools are Revised Urinary Incontinence Scale and Revised Faecal Incontinence Scale. These tools rate responses on 5 questions, and then give a mean score for identifying incontinent male/female patients. The relevant interRAI items are (i) Bladder Continence and (ii) Bowel Incontinence. Both items use a rating scale to score frequency over the last 3 days (Continent; Control catheter or ostomy; Infrequent incontinent - none in last 3 days but does have episodes; Occasionally incontinent – less than daily; Frequently incontinent - daily but some control present; Incontinent - no control present).
Standard Care: Independent or staff standing by for occasional assistance or provision of setting up activities. Independent (with or without aids). Standing by for occasional or episodic assistance. Transfer Setting up activities Verbal assistance, prompting, cuing. Moderate Assistance: Always providing physical assistance, on a one-to-one basis, for at least part of the activity, whenever the activity is needed. Full Assistance: Always providing physical assistance, by at least two staff, throughout the entire activity, whenever the activity is needed. Assessors This tool is suitable for external assessment (pre-entry or review) and internal assessment (new resident or re-appraisal). External Assessors could review the claim or complete the ACFI Checklist using evidence from: Diagnoses that support a physical impairment, sensory loss, dementia/ cognitive loss, behavioural issues Documentation by Physical Therapists, Medical Practitioners Informants e.g. Physical Therapist who has recently assessed the person, Medical Practitioner, resident, carer Rationale for new R-ACFI Continence Question The following gives the rationale for modifying the current ACFI Continence question: Relevant Assessment Tools Review The NSAF collects information to identify continence issues: Do you have bladder or bowel issues that affect your lifestyle? Bladder issues; Bowel issues; Have you discussed these problems with anyone (e.g. GP, continence advisor)? Would you like to discuss continence issues with a continence advisory service? The supplementary functional tools are Revised Urinary Incontinence Scale and Revised Faecal Incontinence Scale. These tools rate responses on 5 questions, and then give a mean score for identifying incontinent male/female patients. The relevant interRAI items are (i) Bladder Continence and (ii) Bowel Incontinence. Both items use a rating scale to score frequency over the last 3 days (Continent; Control catheter or ostomy; Infrequent incontinent - none in last 3 days but does have episodes; Occasionally incontinent – less than daily; Frequently incontinent - daily but some control present; Incontinent - no control present).
acfi_review_report_part_3_appendices.docx