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You are here > Home > Reading Lists & Books > Nursing Management > Big Book of Care Plans: Best Practices for Interdisciplinary Assessments and Care Planning Big Book of Care Plans: Best Practices for Interdisciplinary Assessments and Care Planning, 2nd Edition Rena R. Shephard, MHA, RN, FACDONA, RAC-C Spiral-bound: 380 pages + bonus CD-ROM Size: 11" x 9" ISBN 1601463243 978-1-60146-324-1 HCPro Inc. February 2009 (click button below for the very best currently available price for this guidebook)   This book and CD-ROM set contains more than 100 modifiable resident-centered care plans.   It breaks down the process and explains how the Minimum Data Set and Resident Assessment Protocols drive care planning. The tools and sample care plans inside encourage your team to write problems, goals, and interventions to promote a user-friendly plan of care and, ultimately, reflect the care given to the resident. The companion CD-ROM contains customizable forms.   Much more than a compilation of sample care plans, The Big Book of Care Plans provides a comprehensive system to streamline your care planning process. This quick-reference care planning encyclopedia illustrates how staff members can work together to develop a resident-centered care plan. It’s packed with indispensable advice and tools you’ll use every day. What’s new in this edition? Sections devoted to care planning for restorative care, pain, and medications Area-specific evaluation forms Insight into high risk areas for negative resident outcomes User-friendly, spiral-bound format The Table of Contents: The Practice of Care Planning Care Plans, Then and Now Medications and Care Planning Assessment Questions Regarding Psychoactive Medications and Behavior Treatment Principles for Behavior Management Critical Questions When Using Behavior and Psychoactive Medication Critical Questions When Using Depression and Psychoactive Medication Beers Criteria Pain and Care Planning What to Consider When Care Planning Assessment Questions for Personalized Care Planning and Pain Restorative Nursing Care Planning Restorative Nursing Care Plan Program Potential Restorative Nursing Programs Documentation Requirements and Recommendations Documentation Tools ADL RAP Decision Tree Range of Motion Decision Tree Combination Assessment and Care Plan Combination Bathing/Grooming Dressing Eating/Swallowing Range of Motion: All Areas Bed Mobility Transfer Walking Wheelchair Mobility Splint/Brace Area Specific Evaluation Forms Grooming Feeding Transfer/Ambulation Urinary Incontinence Urinary Incontinence Pattern Tracking Urinary Incontinence Care Plan Combination Care Plan, Delivery Record, Progress Note Delivery Records Progress Notes MDS Clinical Pathways Non-Medicare Admission Assessment Procedure Assessment Pathway: Admission Assessment and Care Plan Pathway: Quarterly and Significant Change Assessment and Care Plan Annual Assessment Procedure Medicare PPS Assessment Medicare PPS Policy and Procedure 14-Day Assessment: Open MDS on ARD 30-, 60-, 90-Day Open MDS on ARD MDS Admission Assessment Pathway: All Residents MDS Quarterly, Significant Change, and Annual Assessment Pathway MDS Medicare 14-, 30-, 60-, and 90-day assessment pathway MDS and Care Conference Schedule Understanding and Documenting RAPs, Clinical Assessments, and Care Conferences The RAPs Assignment Assessments Pre- and Post-Tests What is a Care Conference? Participation and Involvement in Care Planning Care Conference Proceedings Interdisciplinary Team Progress Report Federal Regulatory Requirement MDS Supporting Documentation Recommendations and Rationale for Use of Forms RAP Evaluation for Activities of Daily Living, Cognitive Loss/Dementia, Psychosocial Well Being, Mood, and Behavior Psychotropic Drug RAP Assessment Analysis, Decision-making, and Consent Regarding Psychoactive Medication RAP Evaluation for Delirium, Communication, Dental Care, Nutrition, Dehydration/Fluid Maintenance, Tube Feeding and Activities Physical Restraint Assessment Urinary Incontinence RAP RAP Review: Indwelling Catheters Fall Risk and Skin Assessment and RAP Review Activity Assessment and RAP Review Social Service Assessment and RAP Review: Cognition, Mood, Behavior, and Well Being Social Services Quarterly and Periodic Assessment Dietary Assessment and RAP Review: Nutrition, Hydration, and Tube Feeding Dietary Quarterly and Periodic Assessment Nursing Assessment and History Psychotropic Drug Side Effect Monitor Psychoactive Drug Use Progress Note Side Rail Safety Assessment Status Evaluation for use of Physical Restraints Physical Restraint Use Progress Note Nurse’s Notes: Skin Integrity Structured Nurse’s Note: Continence Management Programs Seven-day Core ADL Tracking Tool Seven-day Mood and Behavior Tracker ADL Directives Immediate Needs Care Plan Core Care Plan Comprehensive Nurse’s Summary Interdisciplinary Team Progress Report Quality Indicator Worksheets for Incontinence, Behavior Symptoms, Pressure Ulcers, Depression, Weight Loss, and ADL Decline Encyclopedia of Care Planning Steps to Effective Care Planning Critical Questions for Care Planning, Compliance, and Quality Outcomes General Care Planning Areas Federal Certification Requirements and Guidelines for Care Planning Essential Assessments for On-target Care Plans Resident Quality Measures/Quality Indicators Worksheet Suggested Best Practices for MDS Supporting Documentation Evaluating and Acting on Triggered Quality Indicators Putting the Care Plan Together Suggested Integrated Care Plan Format: Components of a Usable and Doable Care Plan ADL Directives Immediate-needs Care Plan and Problem List Core Care Plans Methods for Creating Immediate-need and Care RAP Plans Sample Free-form Care Plans Interdisciplinary Team Progress Report Status of Core Care Plan Goals and Modifications/Additions Structured Care Plans Abrasion / Bruise Abuse, Resident to Resident Abuse, Resident to Staff Accidents/falls injury, risk for Adjustment to Facility ADL decline Anticoagulant Therapy Bedfast Burns Catheter, Indwelling Chemotherapy Coma Congestive Heart Failure Constipation / Impaction Dehydration Diabetes Dialysis Discharge plan Edema Elopement Attempts, Poor Decision Maker Elopement, Decision Making Intact Falls Fever with vomiting Foot lesion with Infection Foot lesions with dressing Hemiplegia Hospice Hypertension / Hypotension Internal bleeding IV Intermittent Pneumonia with Suctioning IV Therapy, Continuous Little activity MRSA / VRE Multiple Sclerosis Open Lesions with treatment Oxygen use Pain Pneumonia Pneumonia, Trach, Suctioning Pressure ulcers Psychoactive Medication Quadriplegia Radiation Rashes Rehab therapy Respiratory Treatments Seizure disorder Septicemia Skin breakdown, risk for Skin tear Suicidal Surgical wounds with treatment Trach /Suctioning Transfusion Tube Feed 51% or more Tube feed with Aphasia Upper respiratory infection Urinary incontinence Urinary tract infection Vent/Trach/Suctioning Weight gain, unplanned Weight loss with Fever Weight loss, unplanned With more than 17 years of experience, HCPro, Inc. is a leading provider of integrated information, education, training, and consulting products and services in the vital areas of healthcare regulation and compliance. The company's mission is to meet the specialized informational, advisory, and educational needs of the healthcare industry. As an acknowledged industry authority in healthcare regulation and compliance, HCPro focuses on providing its clients assistance and expertise in the areas of accreditation, medical staff affairs, credentialing, privileging, medical record management, regulatory compliance, nursing, quality/patient safety, infection control, and workplace safety. 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