PREFERENCES FOR CUSTOMARY ROUTINES

AND ACTIVITIES

SECTION F January 14, 2016 1-3PM

Objectives

Understand the importance of knowing the resident’s preferences for their daily routine and activities

Understand how to conduct the interview

Understand why this information is necessary to be on the care plan

Section F: Preferences for Customary Routine & Activities

Quality of life enhanced when respecting resident’s choice of what is important & establishes meaning in their life

If unable to conduct resident interviewinterview family, significant otherstaff interview

8 Daily Preferences 8 Activity preferences

Not Done on Discharge Assessments

F0300: Should Interview for Daily & Activity Preferences Be Conducted?Review

Is resident rarely or never understood? (B0700)Does resident want or need interpreter? (A1100)Is interpreter, family or significant other available?

Code 0. No. Interview should not be attemptedif resident rarely/never understood, or needs or wants

interpreter but one not available, and family member or significant other not available for interview.

SKIP to D0800: Staff Assessment of Daily and Activity Preferences

Code 1. Yes. Interview should be conductedIf resident understood, and if interpreter needed and one is

available or family member or significant other available for interview

F0400: Interview for Daily Preferences

F0500: Interview for Activity Preferences

Complete in 7 day look-back periodResident Interview - current preferences Family/Significant Other Interview - may

consider resident’s past preferencesQuiet, private settingBe sure resident can see and hear you

F0400 & F0500 - Interview GuideExplain interview purpose.Show and tell response choices on cue card“I am going to ask you how important various activities and routines are to you while you are in this home. I will ask you to answer using the choices you see on this card:

‘Not important at all,’ ‘Very Important,’ ‘Somewhat important,’‘Not very important,’ ‘Important, but can’t do or no choice.’”

F0400: Interview for Daily Preferences

• After 3 or more Nonsensical responses or No responses:• Code 9 for remainder of questions• Stop interview & SKIP to F0600

F0500: Interview for Activity Preferences

• After total of 3 or more Nonsensical responses or No responses to F0400 or F0500:• Code 9 for remainder questions• Stop interview & SKIP to F0600

F0400 & F0500 Coding

Code 5. Important, but can’t do or no choice. If resident, family, or significant other

indicates that topic “important,” but resident physically unable to participate, or has no choice about participating while staying in nursing home because of nursing home resources or scheduling.

F0600: Daily & Activity Preference Primary Respondent

Code 1. Resident Code 2. Family or significant other Code 9. Interview could not be

completed by resident, family member, or significant other

F0700: Should Staff Assessment of Daily and Activity Preferences Be

Conducted?• Code 0. No. F0400 & F0500 completed SKIP to Section G• Code 1. Yes. F0400 & F0500 not

completed due to 3 or more items Code 9. or “-” or resident, family or significant other was unable to answer 3 or more items.

F0800: Staff Assessment of Daily and Activity Preferences

7 day look-back periodCheck all that apply Observe resident when care, routines, and

activities specified in items made available Interview staff and others regarding

observationsDoes resident appear happy or content

(i.e., is involved, pays attention, smiles) during activity?

Does resident appear to resist or withdraw?

Care Plan Considerations

It’s very important to know the resident’s preferences and provide care the way they want it. This allows their voices to be reflected in the care plan

This should be very detailed and specific, i.e. time they get up, what type of bath and how often, daily routine, food likes and dislikes, activities they like, etc

Again, do a life story

Questions?

I’ll take the next few minutes to answer any questions you might have

Thank you!!

Please feel free to contact me

Shirley L. Boltz, RNRAI/Education Coordinator

785-296-1282shirley.boltz@kdads.ks.gov