Care Planning for Older Adults Flashcards

Under federal long-term care regulations, within what timeframe must a baseline care plan be developed after a resident's admission to a nursing facility?

Answer: 48 hours

CMS requires a baseline care plan within 48 hours of admission to address immediate needs, including dietary orders.

After the MDS comprehensive assessment is completed, the comprehensive care plan must be finalized within how many days?

Answer: 7 days

The comprehensive care plan must be completed within 7 days after the comprehensive assessment is completed.

Which MDS 3.0 section captures swallowing disorders, height, weight, and nutritional approaches such as mechanically altered diets?

Answer: Section K

Section K records swallowing/nutritional status, including weight change and nutritional approaches.

A resident's weight drops from 150 lb to 138 lb over 3 months. Using CMS F692 guidance, how should this weight change be classified?

Answer: Significant; exceeds 7.5% loss in 3 months

An 8% loss in 3 months exceeds the CMS significant threshold of 7.5%, warranting care plan reassessment.

Which component of a PES statement describes the cause or contributing risk factor of a nutrition diagnosis?

Answer: Etiology

Etiology, linked by 'related to,' identifies the cause of the nutrition problem.

Which goal is written in the most measurable, person-centered format for a care plan?

Answer: Resident will maintain weight within 3% of 132 lb over the next 90 days

A SMART goal specifies a measurable target and timeframe focused on the resident.

Which Care Area Assessment (CAA) is triggered specifically for residents at risk of fluid deficit?

Answer: Dehydration/Fluid Maintenance

The Dehydration/Fluid Maintenance CAA addresses risk of inadequate fluid intake or excess losses.