6 Management of chronic wounds, including 1. Diagnosis varicose and pressure ulcers, and diabetic AND foot ulcers. 2. Directive [registered nurse or medical practitioner or allied health professional] 11 AND 3. Wound Assessment AND On request: record 6 Management of ongoing administration of 1. Directive/prescription [authorised intravenous fluids, hypodermoclysis, nurse practitioner or medical 12 syringe drivers and dialysis. practitioner] 6 Suctioning airways, tracheostomy care. 1. Diagnosis AND 13 2. Directive [registered nurse or medical practitioner] 6 Management of ongoing tube feeding. 1. Diagnosis AND 14 2. Directive [registered nurse or medical practitioner or allied health professional] 15 Palliative Care Program involving End of 1. Directive by [CNC/CNS in pain or Life care where ongoing care will involve palliative care or medical intensive clinical nursing and/or complex practitioner] pain management in the residential care AND setting. 2. Pain Assessment (as per Pain End-of-life (terminal) care definition Management Guidelines (PMG) kit) AND This description is similar to and modified 15 from the end-of-life description found in page 3. Assess the resident using the 6 of the 2017 ACFI User Guide. Palliative Approach Toolkit in Residential Aged Care Facilities. “… palliative care is appropriate when the resident is in the final days or weeks of life and *Note: a Palliative Care claim will care decisions may need to be reviewed more require a mandatory re-appraisal in 6 frequently.” (Australian Palliative Residential months. Aged Care Project, 2006, p. 38) Table 7: R-ACFI Complex Health Assessment Tools Recommendations Complex Health Care (CHC) Mandatory Recommended Source Comprehensive Health Comprehensive Health La Trobe University (ACEBAC) research team: Assessment (CHA) Assessment for Older Dr Deirdre Fetherstonhaugh, Dr Margaret Regular, ongoing, People: Winbolt, Dr Michael Bauer, Professor Rhonda Nay. documented 3 monthly, Documentation This project was supported with funding from comprehensive health Template. (CHAOP) Victorian Department of Health, Wellbeing, assessment, undertaken Integrated Care and Ageing Division and from the and signed off by a Home and Community Care Program which is
6 Management of chronic wounds, including varicose and pressure ulcers, and diabetic foot ulcers. 1. Diagnosis AND 2. Directive [registered nurse or medical practitioner or allied health professional] AND 3. Wound Assessment AND On request: record 11 6 Management of ongoing administration of intravenous fluids, hypodermoclysis, syringe drivers and dialysis. 1. Directive/prescription [authorised nurse practitioner or medical practitioner] 12 6 Suctioning airways, tracheostomy care. 1. Diagnosis AND 2. Directive [registered nurse or medical practitioner] 13 6 Management of ongoing tube feeding. 1. Diagnosis AND 2. Directive [registered nurse or medical practitioner or allied health professional] 14 15 Palliative Care Program involving End of Life care where ongoing care will involve intensive clinical nursing and/or complex pain management in the residential care setting. End-of-life (terminal) care definition This description is similar to and modified from the end-of-life description found in page 6 of the 2017 ACFI User Guide. “… palliative care is appropriate when the resident is in the final days or weeks of life and care decisions may need to be reviewed more frequently.” (Australian Palliative Residential Aged Care Project, 2006, p. 38) 1. Directive by [CNC/CNS in pain or palliative care or medical practitioner] AND 2. Pain Assessment (as per Pain Management Guidelines (PMG) kit) AND 3. Assess the resident using the Palliative Approach Toolkit in Residential Aged Care Facilities. *Note: a Palliative Care claim will require a mandatory re-appraisal in 6 months. 15 Table 7: R-ACFI Complex Health Assessment Tools Recommendations Complex Health Care (CHC) Mandatory Recommended Source Comprehensive Health Assessment (CHA) Regular, ongoing, documented 3 monthly, comprehensive health assessment, undertaken and signed off by a Comprehensive Health Assessment for Older People: Documentation Template. (CHAOP) La Trobe University (ACEBAC) research team: Dr Deirdre Fetherstonhaugh, Dr Margaret Winbolt, Dr Michael Bauer, Professor Rhonda Nay. This project was supported with funding from Victorian Department of Health, Wellbeing, Integrated Care and Ageing Division and from the Home and Community Care Program which is
acfi_review_report_part_1_summary.docx