Restorative nursing

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    My facility is starting a restorative nursing program and I will be the supervising RN. I am curious if anyone has any good information that they would be willing to share with me, such as: care plan ideas, templates to use, ideas to incorporate to ensure the program is being completed, etc. Has anyone used any restorative textbooks to get their program up and running? We do not have restorative aides-it will be our CNAs completing the work along with their other daily functions. Any input would be greatly appreciated as we (the other nurse managers and myself) are really in the dark.
  2. 9 Comments so far...

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    sallyrnrrt likes this.
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    Esme thank you! I was trying to figure out how to pilot a restorative program and raise the CMI. These links helped a lot.
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    your stat DADS WEBSITE WILl HAVE SPECIFIC GUIDELINES! YOU WILL need to need to go by if you are counting on the restoeative to increase RUG rates....
    it was very helpful to me
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    Yes, thank you for the links. I have taken binders for each wing and given a section to each resident. In each section will be their therapy communication sheet which states the exercise/ambulation program. We have POC and the aides will be documenting the amount of minutes on there. From what I have been told, our restorative program is going to focus on those that have completed therapeutic services to maintain their functioning level. From what I have researched, anyone should and could benefit from a restorative program. This is where we are confused (or at least some of the confusion). Couldn't ALL of our residents benefit? Or is this just a financial thing? Couldn't we see a higher reimbursement for anybody that receives restorative services? Do you have your aides do any notes on the programs? I want to make this program as successful as I can but I also don't want to go overboard-I have a tendency to do that. @ DHawkinsrn: how are you starting your program?
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    Quote from momandstudent
    Yes, thank you for the links. I have taken binders for each wing and given a section to each resident. In each section will be their therapy communication sheet which states the exercise/ambulation program. We have POC and the aides will be documenting the amount of minutes on there. From what I have been told, our restorative program is going to focus on those that have completed therapeutic services to maintain their functioning level. From what I have researched, anyone should and could benefit from a restorative program. This is where we are confused (or at least some of the confusion). Couldn't ALL of our residents benefit? Or is this just a financial thing? Couldn't we see a higher reimbursement for anybody that receives restorative services? Do you have your aides do any notes on the programs? I want to make this program as successful as I can but I also don't want to go overboard-I have a tendency to do that. @ DHawkinsrn: how are you starting your program?
    I am going to capture the residents that have completed therapy and ask the staff to help me identify a few residents that could benefit from restorative that had no therapy. I am still doing research to see what will work.
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    Quote from momandstudent
    Yes, thank you for the links. I have taken binders for each wing and given a section to each resident. In each section will be their therapy communication sheet which states the exercise/ambulation program. We have POC and the aides will be documenting the amount of minutes on there. From what I have been told, our restorative program is going to focus on those that have completed therapeutic services to maintain their functioning level. From what I have researched, anyone should and could benefit from a restorative program. This is where we are confused (or at least some of the confusion). Couldn't ALL of our residents benefit? Or is this just a financial thing? Couldn't we see a higher reimbursement for anybody that receives restorative services? Do you have your aides do any notes on the programs? I want to make this program as successful as I can but I also don't want to go overboard-I have a tendency to do that. @ DHawkinsrn: how are you starting your program?
    Even on admit certain peoplel should be evaluated for restorative, even without therapy orders. As far as getting paid for it it's possible in certain situations, but not for the long term. Many restotaive activities are done by nursing staff day to day, without the documentation of a formal program. It helps everyone to keep LTC patients maintain their functionalty as long as possible, but many places make the restorative program too difficult to comply with, on paper, when it's really not rocket science. And many LTC patients just aren't candidates in many respects- dementia, inability to follow prompts, comatose, those that refuse to participate, etc. Best course is for a multidiscplinary approach to identify the relatively few, real candidates, and focus all the legwork and paperwork on them, in order to have a successful program.
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    Quote from LPNMary

    Even on admit certain peoplel should be evaluated for restorative, even without therapy orders. As far as getting paid for it it's possible in certain situations, but not for the long term. Many restotaive activities are done by nursing staff day to day, without the documentation of a formal program. It helps everyone to keep LTC patients maintain their functionalty as long as possible, but many places make the restorative program too difficult to comply with, on paper, when it's really not rocket science. And many LTC patients just aren't candidates in many respects- dementia, inability to follow prompts, comatose, those that refuse to participate, etc. Best course is for a multidiscplinary approach to identify the relatively few, real candidates, and focus all the legwork and paperwork on them, in order to have a successful program.
    Mary very good approach! Especially identifying some residents on admission for restorative.
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    Mary, so it sounds as if our current plan is the best for right now. We are actually going to start out with the focus on those coming out of therapies. We have our electronic documentation service where the aides will put enter the minutes and this will pull to the MDS. The binders have the residents' specific exercises listed. Thank you. @ DHawkinsrn: Good luck with your program and please keep me posted, if you would-what you have found to work and not.
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    Quote from momandstudent
    Mary, so it sounds as if our current plan is the best for right now. We are actually going to start out with the focus on those coming out of therapies. We have our electronic documentation service where the aides will put enter the minutes and this will pull to the MDS. The binders have the residents' specific exercises listed. Thank you. @ DHawkinsrn: Good luck with your program and please keep me posted, if you would-what you have found to work and not.
    @Momandstudent no problem I will keep you posted.


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