Eli's Hospice Insider

Check Out the Personal Severity Index for Nursing Home Patients

• Age 90 or older

• Cognitive decision making:severely impaired

• Delirium: Periods of lethargy

• Ability to understand: sometimes or rarely

• Transfer (extensive assistance or total dependence or did not occur)

• Locomotion (extensive, total, did not occur)

• Eating (extensive, total, did not occur)

• Personal hygiene (total, did not occur)

• Sad mood (daily repetitive verbalizations and/or something terrible about to happen)

• Acute episode

• Unstable

• Change in care needs (has deteriorated)

• End stage disease

• Bowel (occasional, frequent incontinence)

• Weight loss

• Pressure or stasis ulcers

The above items are on the  quarterly and full MDS. Additional items on the full MDS:

• Shortness of breath

• Oxygen therapy

• Problem swallowing

• Time awake afternoon (zero)

• Cardiac dysrhythmia

• Congestive heart failure

• Skin tears or cuts

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