Assessment ACFCI 12.10 Wound ACATs tools Caregiver Strain Index Assessment Kessler-10 Brief Pain Inventory (short) Mandated records (ACFI 5, ACFI 7-9) R-VBPI ABBEY Mandated assessments AUDIT ACFI 6: PAS-CIS SA Oral Health Referral Pad ACFI 10: Cornell Depression OHAT for non-dental professionals Scale Revised Urinary Incontinence Scale Revised Faecal Incontinence Scale Mini Nutritional Assessment OARS-ADL Barthel index of ADL KICA-ADL SMMSE RUDAS IQCODE KICA-COG Geriatric Depression Scale Diagnoses List of Medical diagnoses Section I. Disease Diagnoses CA: Medical Domain Health Conditions (condition, Dx List of Mental & Behavioural Section J. Health Conditions status, primary) falls, recent falls, problem frequency (balance, cardiac, diagnoses Relevant medical history. psychiatric, neurological, GI status, sleep, other), Dyspnoea Health Checks in past 3 months (SOB), Fatigue, Pain symptoms, instability of conditions Hospitalisation in past 3 months Nutrition ACFI 1: Nutrition P 76: CA: Medical Domain (not in ACFI) Currently ACFI 1 does not Oral Health, Appetite, weight loss and Q1. Ask the person or family about weight changes over the last 30 to cover oral hygiene. fluid intake. 180 days. subjective estimate of weight change from the person or caretaker can be used if no written records are available. CA: Physical Domain EBCAT: NSAF preferred over MNA. Function- eating Q2. Identifying dehydration can be difficult. Record your clinical NSAF misses (1.1=1; 1.1=2; 1.2=1). judgement based upon signs and symptoms (for example, severe RNDC misses (1.1=1) vomiting over a period of time). Alternatively, laboratory results CA: Medical Domain - Appetite, weight loss and fluid intake, indicating dehydration may be available (i.e., BUN/creatinine ratio 1.1 =1 (no match) How is your appetite? of > 25 [note that the standard for this ratio value can be country
Assessment ACFCI 12.10 Wound Assessment Mandated records (ACFI 5, ACFI 7-9) Mandated assessments ACFI 6: PAS-CIS ACFI 10: Cornell Depression Scale ACATs tools Caregiver Strain Index Kessler-10 Brief Pain Inventory (short) R-VBPI ABBEY AUDIT SA Oral Health Referral Pad OHAT for non-dental professionals Revised Urinary Incontinence Scale Revised Faecal Incontinence Scale Mini Nutritional Assessment OARS-ADL Barthel index of ADL KICA-ADL SMMSE RUDAS IQCODE KICA-COG Geriatric Depression Scale Diagnoses List of Medical diagnoses List of Mental & Behavioural diagnoses Section I. Disease Diagnoses Section J. Health Conditions falls, recent falls, problem frequency (balance, cardiac, psychiatric, neurological, GI status, sleep, other), Dyspnoea (SOB), Fatigue, Pain symptoms, instability of conditions CA: Medical Domain Health Conditions (condition, Dx status, primary) Relevant medical history. Health Checks in past 3 months Hospitalisation in past 3 months Nutrition ACFI 1: Nutrition Currently ACFI 1 does not cover oral hygiene. EBCAT: NSAF preferred over MNA. NSAF misses (1.1=1; 1.1=2; 1.2=1). RNDC misses (1.1=1) 1.1 =1 (no match) P 76: Q1. Ask the person or family about weight changes over the last 30 to 180 days. subjective estimate of weight change from the person or caretaker can be used if no written records are available. Q2. Identifying dehydration can be difficult. Record your clinical judgement based upon signs and symptoms (for example, severe vomiting over a period of time). Alternatively, laboratory results indicating dehydration may be available (i.e., BUN/creatinine ratio of > 25 [note that the standard for this ratio value can be country CA: Medical Domain (not in ACFI) Oral Health, Appetite, weight loss and fluid intake. CA: Physical Domain Function- eating CA: Medical Domain - Appetite, weight loss and fluid intake, How is your appetite?
acfi_review_report_part_3_appendices.docx