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1987 National Medical activities of daily activity programs admission Alzheimer’s Association Alzheimer’s disease areas behavioral symptoms care of residents care unit residents Center chapter characteristics cluster unit cognitively impaired control group daily living dementia in nonspecialized Department of Health descriptive studies developed discussed evaluative studies existing special facilities family members Federal findings home staff members identified individual’s individuals with dementia innovation licensing Medicaid Medical Expenditure Survey Medicare ment National Medical Expenditure nondemented nursing home nondemented residents nonspecialized nursing home nonspecialized units nursing home residents nursing home staff nursing home units OTA’s particular features patient percent persons with dementia physical design features physical restraints policies positive outcomes problems psychotropic medications regulations for special reported requirements resi residential residents with dementia special care units staff training State’s statistically significant study found surveyors tions types U.S. Congress U.S. Department unit operators unit residents unit staff members
Page 33 - Each resident must receive and the facility must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care
Page 135 - Based on the comprehensive assessment of a resident, the facility must ensure that a resident whose assessment did not reveal a mental or psychosocial adjustment difficulty does not display a pattern of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless the resident's clinical condition demonstrates that such a pattern was unavoidable.
Page 48 - Medicaid regulations define an IMD as "an institution that is primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, including medical attention, nursing care, and related services
Page 135 - from any physical or chemical restraints imposed for purposes of discipline or convenience, and not required to treat the resident's medical symptoms.' • "Each resident's drug regimen must be free from unnecessary drugs.
Page 33 - The facility must conduct initially and periodically a comprehensive, accurate, standardized, reproducible assessment of each resident's functional capacity.' • "The facility must develop a comprehensive care plan for each resident that includes measurable objectives and timetables to meet a resident's medical, nursing,
Page 135 - Each resident's drug regimen must be free from unnecessary drugs. An unnecessary drug is any drug when used: 1. in excessive dose (including duplicate drug therapy); or 2. for excessive duration; or 3. without adequate monitoring; or 4. without adequate indications for its use; or 5. in the presence of adverse consequences
Page 135 - The facility must conduct initially and periodically a comprehensive, accurate, standardized, reproducible assessment of each resident's functional capacity.' • "The facility must develop a comprehensive care plan for each resident that includes measurable objectives and timetables to meet
Page 135 - Based on the comprehensive assessment of a resident, the facility must ensure that a resident's abilities in activities of daily living do not diminish unless circumstances of the individual's clinical condition demonstrate that diminution was unavoidable.
Page 135 - prepared by an interdisciplinary team, that includes the attending physician, a registered nurse with responsibility for the resident, and other appropriate staff in disciplines as determined by the resident's needs, and to the extent practicable, the participation of the resident, the resident's family or the resident's legal representative.