Understanding the Minimum Data Set in Resident Care

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21 Terms

1

Purpose of MDS

It provides a standardized approach to assessing and planning resident care in long-term care facilities.

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2

How often must MDS be completed for each resident?

Within 14 days of admission, annually, every three months, and with any significant change in condition.

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3

Types of information reported by nursing assistants

Objective and subjective information.

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4

Role of nursing assistant in observing residents

They observe changes and report them to the nurse, which can help identify health problems.

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5

Importance of nursing assistant's reporting

It can lead to early intervention if a problem is detected.

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6

Senses used in observation

Sight, smell, hearing, and touch.

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7

Example of using sight in observation

Noticing changes in appearance like redness or swelling.

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8

What to listen for when observing residents

Residents' words, tone, breathing patterns, and unusual sounds like coughing or crying.

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9

Meaning of resident being 'oriented'

They are aware of who they are, where they are, and the current date/time.

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10

Incident report

A factual report documenting an unexpected event or problem during care.

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11

Answering the phone at work

Greet the caller, identify the facility, themselves, and listen to the caller's request carefully.

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12

Nursing assistant's role in care planning

To observe, report, and provide input during care planning meetings based on their interactions with residents.

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13

Resident call system

A system that allows residents to signal staff when they need assistance.

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14

Importance of prompt response to call lights

Ignoring call lights can be considered neglectful and may impact the resident's well-being.

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15

Start-of-shift report contents

Information about residents' conditions, incidents from the last shift, and any special care instructions.

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16

Items on an assignment sheet

Resident's name, room number, ADLs, medical diagnosis, diet orders, and activity level.

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17

Code status

Instructions on the level and type of care a resident should receive in an emergency.

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18

Importance of organizing work for NAs

It helps ensure all residents receive timely and thorough care throughout the shift.

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19

Reporting changes in resident's appetite

Changes in appetite can indicate underlying health issues that may need attention.

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20

When to seek help with a task

When a resident's safety may be at risk or if they cannot complete a task alone.

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21

Documenting an incident observed

By stating only the facts without opinions and describing what they saw, the time, and the resident's condition.

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