Louisiana Health Care Review
THE MEDICARE QUALITY IMPROVEMENT ORGANIZATION

Nursing Home Resources
Below are resources, such as process flow sheets, tools and reference materials, to help nursing home staff improve processes of care.
Depression Resources
CSI: Care Scene Investigation, Investigating Depression
AMDA Clinical Corner: Depression
Articles, Tools & Resources, Education & CME, Products & Publications
AMDA Ask the Experts
Frequently asked questions from Depression and Pharmacology Companion
Delirium, Dementia and Depression - At-a-glance reference comparing the clinical feature of delirium, dementia and depression.
Facility Depression Assessment Checklist - A facility systems assessment that serves as a starting point for depression quality improvement.
Depression Management Data Retrieval and Audit Worksheet - For use in reviewing the care of residents who exhibit signs of depression.
Recognizing Depression Crossword Puzzle - A fun way to test depression knowledge.
CSI: Clues and Action Plans for Depression Poster - Poster guides staff responses with plans of action for symptoms of depression.
Depression Monitoring Checklist - Tool for monitoring mood, behavior, physical manifestations, sleep and ideations.
Systems Investigative Audit - To aid in auditing depression symptoms, detection and treatment.
Geriatric Depression Scale - Short form of Geriatric Depression Assessment Tool
"Depression Information for You" - A Guide for Older Adults (.pdf)
Informational brochure - definition, causes, treatments
Algorithm for the Treatment of Geriatric Depression
Mini-Mental State Examination Purchasing Information
The MMSE is a brief, quantitative measure of cognitive status in adults. http://www.minimental.com
Cornell Scale for Depression in Dementia -
Now Available on MedQIC
  
Depression:  Clinical Practice Guideline
Published by the American Medical Directors Association

Geriatric Nursing Resources for Care of Older Adults:  Depression.
GeronurseOnline.org, 2003.
 

Elderly suicide: secondary prevention. Evidence-based protocol.   
Holkup, P.  University of Iowa Gerontological Nursing Interventions Research Center, Research Dissemination Core, 2002. 
 

Pain Management Resources

Pain Process Flow Sheets (.pdf)

Nursing Home Communication with Physician -
Pain Management
- Form to aid in physician assessment of medications and degree/type of patient pain

The Beers Criteria for Potentially Inappropriate Medication Use in Older Adults - Lists and rates severity of potentially inappropriate medications

Facility Checklist for Pain - A series of self-assessment checklists for nursing homes to use to assess systems related to pain management.
Pain Assessment and Management Data Tracking Tool
Pain Assessment in Advanced Dementia
Comparing Your Practice: Pain Management - Chronic Care Residents
Pain Rating Scale - Pain rating scale pocket tool
Nursing Home Pain Screening Form
Pain Management Barriers Questionnaire - Helps to identify attitudes toward the treatment of pain.
Pain Assessment Tool for Those with Advanced Dementia - PAINAD
Top Ten Ways to Improve Your Pain Quality Measure Score

MEDQIC - Clinical Resources - Pain
 

Physical Restraints Use Resources

Physical Restraints Process Flow Sheets (.pdf)

Physical Restraints Alternatives Flow Sheets (.pdf)

MEDQIC - Clinical Resources - Physical Restraints
 

Pressure Ulcer  Resources

"Skin Care Fair" - A power point presentation with related tools for training CNAs and other staff on proper skin care for the elderly.
     
l Skin Care Fair Power Point
    
l Skin Care Fair - Train the Trainer
             Power Point

    
l Instructions for Skin Care Fair Power Point
    
l Take Home Sheet
     l Braden Puzzle Pieces
Skin Care Fair logo

Pressure Ulcer Checklist (Word.doc)

A quick reference to help facilities apply a systematic approach to individualize care based on best practices. This checklist assists facilities in creating positive pressure ulcer outcomes and compliance with regulatory requirements. 
 
An easy-to-use educational reference that puts additional information at the user's fingertips.  By clicking  on the highlighted words, the user has access to detailed explanations of terms and interventions from within the document or on the Internet

Conference Call Materials - May 20, 2004
Pressure Ulcer Prevention and Treatment - A Collaborative Approach
Push Tool (.pdf)
Pressure Ulcer Risk Nutrition Interventions
(.xls)

RAI Update: Skin Tears (.pdf)

Pressure Ulcer Prevention Flow Sheets (.pdf)
Pressure Ulcer Process Flow Sheets (.pdf)

MEDQIC - Clinical Resources - Pressure Ulcers
 

Incontinence Resources

AJN, American Journal of Nursing - March 2003 Supplement
Volume 103   Number 3: State of the Science on Urinary Incontinence

 

Emergency Preparedness Resources

Nursing Home Emergency Preparedness Checklist (.pdf)
Family Member/Responsible Party Emergency Contact Form (.pdf)
Tips and Lessons Learned for Nursing Home Evacuations (.pdf)

 

 


For more Quality Improvement
resources, visit
www.medqic.org

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