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Last modified:
December 21 2011 15:07:34

Assessments

Initial, Quarterly, and Episodic

Admission Assessments

Click FOR sample screen.
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Use your desktop PC or a wireless, portable touch screen to capture Assessments captures a detailed record of resident conditions, on admission, periodically, or episodically. For each discipline, fixed and user-definable fields gather assessment information which imports to the MDS, Care Planning, Dietary, and Accident/Incident modules.

The Initial Assessment can immediately and automatically create an Initial Care Plan and Dietary Profile, and Assessment data can be displayed in the MDS, providing a helpful lookup of clinical condition on arrival.

Comprehensive Discipline Sections

Easily navigate discipline sections to enter assessment data that references nearly every aspect of the resident’s condition. Add user-defined fields if needed. Disciplines include Nursing, Rehab, Dietary (Nutrition), Social Services, and Activities.

Virtual Body Charting Tool

Click for sample screen.
Click to enlarge

The Virtual Body is an interactive, interdisciplinary tool to medical conditions and pain in front, back, and side views. The features can be accessed rom all other related Charting modules. A unique “Hide” feature allows you to hide, display all conditions or only the current conditions.

Education Assessment

The comprehensive Education Assessment section lets clinicians share notes regarding the teaching/training needs for the resident, including knowledge deficits, barriers to learning, frequency, etc.

Pain Assessment

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Click to enlarge

Standardized “happy/sad face” pictures and questionnaire checkboxes produce a comprehensive assessment of the resident’s pain, quickly and accurately. Assess location, intensity, quality, predisposing conditions, and ADL areas impacted. Like the Body Charting Tool, the Pain Assessment Tool is also available from within the MDS, Care Plan, and Accident/Incident programs.

* Assessments can be updated episodically or quarterly, and printed for Q/A purposes.

In addition, each discipline can also create User Defined assessments.

Key Features:

  • Point-of-Care data entry
  • Auto-create Care Plans
  • Multi-disciplinary
  • Conflict Checking
  • Body Charting Tools
  • Pain Charting Tools

Disciplines:

  • Activities
  • Nursing
  • Dietary
  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy
  • Social Service

Assessments:

  • Nursing: ADL Functional / Restorative, Current Resident Status, Falls Risk, Skin Risk, Bladder, Bowel
  • Rehab: PT, OT & ST
  • Nutrition Risk Screening
  • Social Services: History
  • Activities
  • Pain Assessment
  • Education: Interdisciplinary
  • Physical Therapy

Integrated with:

Accident / Incident
Care Planning
Pharmacy
MDS
Dietary
Notes
WorkFlow

Reporting Tools:

Crystal Reports
Impromptu
Contour Decision Cube


© 2003 ADL Data Systems, Inc. All rights reserved.