1. PREFERENCES FOR CUSTOMARY ROUTINES AND ACTIVITIES SECTION F January 14, 2016 1-3PM

2. 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

3. 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 interview interview family, significant other staff interview 8 Daily Preferences 8 Activity preferences Not Done on Discharge Assessments

4. 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 attempted if 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 conducted If resident understood, and if interpreter needed and one is available or family member or significant other available for interview

5. F0400: Interview for Daily Preferences F0500: Interview for Activity Preferences Complete in 7 day look-back period Resident Interview - current preferences Family/Significant Other Interview - may consider resident’s past preferences Quiet, private setting Be sure resident can see and hear you

6. F0400 & F0500 - Interview Guide Explain 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.’”

7. 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

8. 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

9. 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.

10. 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

11. 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.

12. F0800: Staff Assessment of Daily and Activity Preferences 7 day look-back period Check all that apply Observe resident when care, routines, and activities specified in items made available Interview staff and others regarding observations Does resident appear happy or content (i.e., is involved, pays attention, smiles) during activity? Does resident appear to resist or withdraw?

14. 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

15. Questions? I’ll take the next few minutes to answer any questions you might have

16. Thank you!! Please feel free to contact me Shirley L. Boltz, RN RAI/Education Coordinator 785-296-1282 shirley.boltz@kdads.ks.gov