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Decision Guide
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Educational Materials for Staff
Educational Materials for Staff
Best Practices
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Powerpoint Presentation
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Case Studies
1. Anxious Resident – Possible C. Difficile
An 89-year-old post acute patient feels they should go back to the hospital.
click here
2. Abdominal Tenderness
A resident with CHF, hypertension and anxiety suffers abdominal tenderness.
click here
3. Pneumonia
Resident admitted after hip surgery – family feels she would be better in hospital.
click here
4. Advance Directives
Resident with pancreatic cancer has change in condition.
click here
5. Advanced Dementia
Resident’s son insists his 99-year-old mother go to the hospital
click here
Videos
The Usefulness of the Guide
An Introduction from the
Project Director
A Testimonial from a Nursing
Home Resident
Dr Adrienne Mims shares her perspective as a gerontologist and the family member of a nursing home resident
Dr Ruth Tappen describes the development of the Decision Guide
Paul, a rehab center resident talks about how the Guide and better information could have helped avoid an unnecessary hospital transfer.
Introduction for a new Resident
and Family Member
Teaming with Resident to Prevent
Hospitalization
Engaging the Resident and
Family in the Plan of Care
A new resident and a family member are introduced to the Guide
A resident's change in condition that can be managed in the nursing home. (Pneumonia)
Resident and family learn how following the recommended diet can prevent another hospitalization. (Salty Fish)
Managing an upset resident
Decision Guide for Resident in
Palliative Care
Decision Guide for Resident in
Hospice Care
How not to do it and how to get it right. (Including a resident calling 911.)
Offering Options: Speaking to a resident on palliative care about the Guide
A Social Worker and Hospice Nurse explain issue of hospitalization when the resident is in hospice care
The Decision Guide in Printed
Form
The Decision Guide in Tablet
Form
When Hospitalization is
Recommended
A Social Worker gives the Guide to a short-term rehab resident in printed form
A Social Worker gives the Guide to a short-term rehab resident in tablet form
A resident experiences a change in condition that would best be managed in a hospital
Funding for development of original Guide provided by Patient-Centered Outcomes Research Institute (PCORI). Funding for this updated Guide provided by the Eight States of CMS Region IV (Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, and Tennessee) Copyright Florida Atlantic University
CMS Project Admin