ACTIVITIES OF DAILY LIVING (ADL) DECLINE Clinical Guidelines

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1 ACTIVITIES OF DAILY LIVING (ADL) DECLINE Guidelines Eating: Assisting the Adult Client with Oral Nutrition textbook with a chapter that reviews steps and rationale for assisting clients with self-feeding. Also reviews aspiration precautions and criteria for dysphagia referral. Self-Feeding Deficit Helping the Client Eat Feeding a Client textbook with a chapter that reviews categories and etiologies of self-feeding deficits. Provides recommendations for positioning, adaptive equipment, teaching, environmental modifications, supervision and assistance with self-feeding. Later chapter reviews restorative feeding programs and feeding techniques. and key points to remember when assisting a client with eating. Presents steps, rationale, potential problems and solutions for helping the adult client with eating. textbook with a chapter that reviews procedures and application of critical thinking concepts related to feeding a client. Skills & Techniques. Assisting the Adult Client with Oral Nutrition. Fifth Edition. Perry and Potter. Gerontological Nursing Concepts and. Self- Feeding Deficit. Matteson and McConnell Earnest V. Helping the Client Eat. Skills in Nursing. Skills, Basic to Advanced Skills. Feeding a Client. Fourth Edition. Smith & Duell. Mosby, Inc. A Harcourt Health Sciences Company Westline Industrial Drive St. Louis, MO W.B. Saunders Company Harcourt Brace Javanovich, Inc. The Curtis Center Independence Square West Philadelphia, PA J.B. Lippincott Company 227 East Washington Square Appleton & Lange A Simon and Schuster Company Four Stamford Plaza 107 Elm Street Stamford, CT Page 1 of 1

2 Post-Stroke Rehabilitation. Guideline Guideline. Quick reference guide for clinicians who have primary responsibility for patients in the acute care hospital, during subsequent rehabilitation, and after return to a community residence. Free Guide to Physical Therapist Guide developed by the American Physical Therapy Association for physical therapists, educators, researchers, students, policy makers, administrators, managed care providers, third-party payers, and other professionals, to describe physical therapy practice in general, using the disablement model as the basis, and to delineate preferred practice patterns. Quick Reference Guide for Clinicians, Number 16; Agency for Health Care Policy & Research (now known as Agency for Healthcare & Research & Quality) American Physical Therapy Association. Guide to Physical Therapist. 2nd ed. Phys Ther. 2001; 81: Director, Office of the Forum for Quality & Effectiveness in Health Care AHCPR Willco Building 6000 Executive Boulevard, Suite 310 Rockville, MD APTA 1111 North Fairfax Street Alexandria, VA $49.95 (members) [Publication order no. P-139] Page 2 of 2

3 Transfers: Using Safe and Effective Transfer Techniques textbook with a chapter that reviews steps and rationale for assisting clients with transfers from bed to chair, and to and from a wheelchair. Also reviews delegation considerations, equipment, and body positioning. Skills & Techniques. Fifth Edition. Perry and Potter. Mosby, Inc Westline Industrial Drive St. Louis, MO Positioning, Transferring the Client Turning Clients Post-Stroke Rehabilitation. Guideline and key points to remember when positioning, moving or transferring a client. Presents steps, rationale and equipment that may be useful for positioning, moving or transferring a client. textbook with a chapter that provides data for assessing, planning, implementing and evaluating outcomes of moving, turning, transferring clients. Reviews procedures and equipment that may be helpful for moving, turning, and transferring clients. Guideline. Quick reference guide for clinicians who have primary responsibility for patients in the acute care hospital, during subsequent rehabilitation, and after return to a community residence. Skills in Nursing.Vicki Earnest Skills, Basic to Advanced Skills. Fourth Edition. Smith & Duell Agency for Health Care Policy & Research (now known as Agency for Healthcare & Research & Quality). Quick Reference Guide for Clinicians, Number 16; J.B. Lippincott Company 227 East Washington Square Appleton & Lange Four Stamford Plaza 107 Elm Street Stamford, CT Director, Office of the Forum for Quality & Effectiveness in Health Care AHCPR Willco Building 6000 Executive Boulevard, Suite 310 Rockville, MD Free Page 3 of 3

4 Guide to Physical Therapist APTA 1111 North Fairfax Street Alexandria, VA Guide developed by the American Physical Therapy Association for physical therapists, educators, researchers, students, policy makers, administrators, managed care providers, third-party payers, and other professionals, to describe physical therapy practice in general, using the disablement model as the basis, and to delineate preferred practice patterns. Amer. Physical Therapy Assoc. Guide to Physical Therapist. 2nd ed. Physical Therapist 2001; 81: $49.95 (members) [Publication order no. P-139] Page 4 of 4

5 Toilet Use: Self-Toileting Deficit Guideline: Urinary Prompted Voiding for Persons with Urinary Protocol: Textbook with a chapter that reviews clinical considerations of clients with self-toileting deficits. Presents common interventions including toileting schedules, adaptive equipment, supervision and assistance with self-toileting. Tool provides a guide to care decisions related to urinary incontinence. Offers a starting place to guide the care team through a process for addressing urinary incontinence in the long term care facility resident. The document includes a narrative portion that covers definitions, recognition, diagnosis, treatment and monitoring of urinary incontinence. Provides an algorithm summarizing steps involved in addressing the condition. Includes tables with information on signs, symptoms, risk factors, contributing factors, assessment and treatment options. Algorithms are provided for behavioral management strategies for treatment of urinary incontinence, prompted voiding, three-day assessment and intervention trial, determining responsiveness to prompted voiding. Philadelphia Corporation for Aging provides protocols to guide you through all steps of the care-management process: assessment, care planning, implementation, follow-up and reassessment. Each training package includes: 82-page overview and trainer's guide and 12 videos with protocol booklets. Gerontological Nursing Concepts and. Matteson and McConnell The American Medical Directors Association. Guideline: Urinary Published 1996 Guideline Recommendations: Prompted Voiding for Persons with Urinary The American Society on Aging. Protocol: W.B. Saunders Company Harcourt Brace Javanovich, Inc. The Curtis Center Independence Square West AMDA Little Patuxent Parkway, Suite 760 Columbia, MD Ph: (800) Fax: (410) University of Iowa Gerontology Nursing Interventions Research Center Department of Nursing- RDDC 4118 Westlawn Iowa City, IA American Society on Aging 833 Market Street, Suite 511 San Francisco, CA Ph: (800) Fax: (415) $8.00 for AMDA members $12.00 for nonmembers Electronic copies not available at this time. Print copies available from the University of Iowa (see address provided) $45.00 (ASA members save $6.75) Page 5 of 5

6 Mobility: Positioning Clients in Bed Positioning, Transferring the Client Turning Clients Post-Stroke Rehabilitation needed for moving and positioning clients in bed. Reviews correct body alignment for comfort, injury prevention, and provision of motor, sensory and cognitive stimulation. and key points to remember when positioning, moving or transferring a client. Presents steps, rationale and equipment that may be useful for positioning, moving or transferring a client. textbook with a chapter that provides data for assessing, planning, implementing and evaluating outcomes of moving, turning, transferring clients. Reviews procedures and equipment that may be helpful for moving, turning, and transferring clients. Guideline. Quick reference guide for clinicians who have primary responsibility for patients in the acute care hospital, during subsequent rehabilitation, and after return to a community residence. Skills & Techniques. Fifth Edition. Perry and Potter. Skills in Nursing.Vicki Earnest Skills, Basic to Advanced Skills. Fourth Edition. Smith & Duell Agency for Health Care Policy & Research (now known as Agency for Healthcare & Research & Quality). Guideline. Quick Reference Guide for Clinicians, Number 16; Mosby, Inc Westline Industrial Drive St. Louis, MO J.B. Lippincott Company 227 East Washington Square Appleton & Lange Four Stamford Plaza 107 Elm Street Stamford, CT Director, Office of the Forum for Quality & Effectiveness in Health Care AHCPR Willco 6000 Executive Boulevard, Suite 310 Rockville, MD Free Page 6 of 6

7 Guide to Physical Therapist APTA 1111 North Fairfax Street Alexandria, VA Guide developed by the American Physical Therapy Association for physical therapists, educators, researchers, students, policy makers, administrators, managed care providers, third-party payers, and other professionals, to describe physical therapy practice in general, using the disablement model as the basis, and to delineate preferred practice patterns. Amer. Physical Therapy Assoc. Guide to Physical Therapist. 2nd ed. Phys Ther. 2001; 81:9-744 $49.95 (members) [Publication order no. P-139] MO NHAD December 2002 This material was prepared by Primaris under contract with the Centers for Medicare & Medicaid Services (CMS). The contents presented do not necessarily reflect CMS policy. Version 12/26/2002 Page 7 of 7

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