Re: How can an accurate MDS and RAPs help provide good care?

[Gail Neustadt]

Holly, In my opinion, this is exactly how to approach the care plan. In order to remember to address strengths forms need to say problems/strenghts, goals, approaches and not just problems. If strenghts are on the careplan form, perhaps this important aspect of care planning will be addressed. Often a strength can be used to offset a weakness, to compensate for weakness or used as a motivator to improve participation in care.   Gail Neustadt, NHA ----- Original Message ----- From: Holly Sox, RN, RAC-C To: [EMAIL PROTECTED] Sent: Wednesday, March 31, 2004 6:57 AM Subject: Re: How can an accurate MDS and RAPs help provide good care? One thing that I think is missed so often, but that I try to do really well, is to use the RAPs to identify strengths (example, the ADL Supplement in the manual, good cognitive function) and address them in the care plan.  It's so easy to focus on the weaknesses and problems, but I think it's at least as important to address maintaining and enhancing the strengths.   Also, I have worked with MDS Coordinators who felt that if the RAP triggered, you were required to have a care plan. Again, I feel that those folks are missing out on an important piece of the decision making process.  If I have a RAP triggered, I work through the guidelines, and make the decision whether to care plan.  If I decide against the care plan, then I write a brief but complete explanation.    Doing work on paper that has no benefit to the resident is a waste of resources and my time, both of which are in way too limited supply.  I like the idea on the survey of combining certain RAPs.  Feeding Tubes, Dehydration and Nutrition could certainly be worked together, and I often do this, referring to the one complete RAP with just minimal details on the other 2.   Is this what you were looking for, Carol? HS Holly F. Sox, RN, RAC-C  Clinical Editor, Careplans.com www.careplans.com [EMAIL PROTECTED] ----- Original Message ----- From: carol maher To: [EMAIL PROTECTED] Sent: Tuesday, March 30, 2004 10:48 PM Subject: How can an accurate MDS and RAPs help provide good care? OK gang.  I would like to hear from all of you.  How do you see the MDS process and RAPS, done well, helping with the care of your residents?  What makes you feel good about the job you are doing as MDS coordinators?     PS--get your RAP surveys in !!!