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The MDS Assessment Process

“When we care for a resident in long-term care, we are caring for them holistically.” – Jessie McGill, RN, RAC-MT

Long-term care is about caring for residents at their highest level possible. The MDS Assessment Process allows you to utilize your clinical assessment skills to understand the resident’s condition and history, and then make a plan to provide the best care.

The MDS Assessment Process is divided into three different segments – the MDS (Minimum Data Set), the Care Areas Assessments, and the Care Plan.

Filling out the MDS is an initial process of investigation, where you are gathering a core set of data about your resident. It’s a screening tool, helping you get to know the residents, their conditions, and why they behave the way that they do.

Once you have put together the minimum data required, you dig a little deeper into your investigation with the Care Area Assessments. It’s at this stage that you find out more about the history of your resident from the resident and the family, understanding the history of their condition, looking at medical records, and figuring out what is contributing to the condition.

And then finally, you develop the Care Plan. Once you understand your residents’ conditions and histories, you can start putting interventions in place to make sure they are safe and to help them meet their goals.

For a more in-depth explanation on this process, hear more from Jessie McGill, RN, RAC-MT in the video below:

Working in long-term care is truly a rewarding experience where you get to use your clinical assessment skills, really get to know the residents you take care of, and work each day to help make their daily lives better. If you are interested in a career in MDS, learn more about the life-changing opportunities available to you and find out how to get started.

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