ADL care plan

[nyteshade]

I'd like to know how other MDS nurses care plan the ADLs, especially the MCARE ones. How specific are you with the problems and goals? Usually our rehab pts go home, so a goal may be: will improve from mostly limited assist to supervision by next review date. Since I haven't worked MDS outside of this facility, I'd like to know what others are doing. Thank you all!

[rapkeygurl]

oh susan I could just hug you!!! I so understand I tried to just get the nurses to pull out preprinted cp's on antibiotic therapy. that was a nightmare then I am trying now this new form to notfy of changes of condition, I dont do the ordering any longer and they today told me oh have you ordered that form thing since it was part of the plan of correction?? and I just went up there to put a few admission/discharges in the computer since I am not there everyday due to RN school --- They did finally hire a new ADON but how much you want to bet I have to train her for the most part. lets see I have trained more than I can remember, and trained more than I care to say on our facility systems (DON's) not saying I am smarter, (I know I need education that is why I am in school) but as a general rule most LTC facilities have systems , QA, Infection control, Skin Integrity system, not to mention how to do a schedule, and general inservicing, when there is a problem. that is just part of it of course you know. My mom is a retired RN, DON/ nursing consultant- she told me today honey you focus on that school and your kids. She is so right I just hate to see the damage and have to clean up the damage when people that dont have a clue are running the show. and seems like everytime before when I would go away for vacation or a baby - I would come back with every stinking MDS left undone. they even called me because they had no clue how to even transmit them. why I continue to do it is I love the residents so much. The nurse aides I have trained and other coworkers that really care about the residents make me go and try to do a decent job. I love teaching the nurse aides but I get yelled at that I most not be teaching them right-- I just want to say well you can lead a horse to water you might make him thirsty but not always will he drink. (if they would pay our nurse aides more they might put forth more work and we not have such a shortage.) they can go to mcdonald's and get insurance we dont even have at our facility. And of course I have not said those things because that would be concidered insoborinate lol. Anyway thanks for letting me vent back to acid base balance good night!!

[amylpn24]

Shouldn't the rehab staff be the ones writing the specific goals for each resident? I usually write "will return to highest level of function. See rehab cp for details.' Never got tagged on this.

yes, that is correct. Never be too specific in a plan of care. If it changes, which it does frequently and no one gets to the CP to change it, you've got yourself an F tag.

[home4u]

I would like to download a written care plan for a client who is palliative, but can't seem to find one can someone please help me? In the chart i need Activties of daily living, and Instrumental Activties of daily living. Thank-you:redbeathe