长期照护资源简介 - 中华民国护理师护士公会全国联合会.ppt

* * * * * * * * * * International Risk Assessment Instrument InterRAI is a collaborative network of researchers in over 20 countries committed to improving health care for persons who are elderly, frail, or disabled. The goal is to promote evidence-based clinical practice and policy decisions through the collection and interpretation of high quality data about the characteristics and outcomes of persons served across a variety of health and social services settings. * * An 85-year-old lady Past medical history of early dementia Wandering behavior Fell once in the LTCF 2 months ago Oral discomfort mentioned recently Progressive body weight loss * * * * * * * * * * * * * * * * * * * * * * * * Quality indicator Subject areas Accidents Incidence of new fractures Prevalence of falls Behavior/emotional patterns Residents become more depressed or anxious Prevalence of behavioral symptoms affecting others - Overall Prevalence of behavioral symptoms affecting others – High risk Prevalence of behavioral symptoms affecting others – Low risk Prevalence of symptoms of depression without antidepressant therapy Clinical management Use of 9 or more different medications Cognitive patterns Incidence of cognitive impairments Quality indicator Subject areas Elimination / incontinence Low-risk residents who lost control of their bowels or bladder Residents who have/had a catheter inserted and left in their bladder Prevalence of occasional or frequent bladder or bowel incontinence without a toileting plan Prevalence of fecal impaction Infection control Prevalence of urinary tract infections Nutrition / eating Resident who lose too much weight Prevalence of tube-feeding Prevalence of dehydration Pain management Residents who have moderate to severe pain Quality indicator Subject areas Physical functioning Residents whose need for help with daily activities has increased Residents who spend most of their time in a bed or in a chair Residents whose ability to move in and around their room