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(Care Plan)
(Care Plan) ()
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/
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243(21)( )
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RAI
A RAI 1RAIRAI
(1)Minimum Data Set (MDS)
(2)Residential Assessment Protocols (RAPs)(RAPs)MDS
A RAI 2RAIRAI
Assessment (MDS)
Decision Making (RAPs)
Care Plan Development
Care Plan Implementation
Evaluation
A RAI 3Residential Assessment Instrument (Multi-Dimensional) (Multi Dimensional)
(f ti l) ( di l) (functional) (medical) (psychosocial) (cognitive status)
RAI 3 Minimum Data Set (MDS)
1. ()
10. 11.
2. 3.
12. /13. /
4. /5.
/14. 15.
6. /7.
16. 17.
8. 9. 14
18. 9. 14
RAI 4Residential Assessment Protocols (RAPs)
10 1.2./
10.11.
3.4
12.13 4.
5./(ADL)
13.14./15 6.
7.
15.16.
8.9
17. 18. 9. 18.
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75
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(Be better)
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A Better LifeWhat old people with high support need value needs (2011, www.jrf.org.uk)
Aspects of Theme headings Barriers &Aspects of well-being
Theme headings Barriers &Enablers
Social Meaningful relationships (personal and with paid carers) InformationSocial well-being
g p (p p )Social interactionMaking a contribution (including roles)Cultural activities (including religious activities)
Financial resources( g g )
SupportPsychological well-being
Self-determination (including involvement in decision-making,control, independence, autonomy)Continuity and adjusting to change
Other peoples Time
Continuity and adjusting to changeSense of self (including self-esteem)Humour and pleasureMental health (including existential balance, sense of purpose
Technology
Equipment
( g , f p pin life)
Physical ll b i
Safety and securityGood environment (including contact with nature)
Transportwell-being ( g )Getting out and about
Physical health (including living in an ageing body)Physical activities
A Better LifeWhat old people with high support need value needs (2011, www.jrf.org.uk)
(Social Well-being)()()
() () ()
A Better LifeWhat old people with high support need value needs (2011, www.jrf.org.uk)
(Psychological well-being)((
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A Better LifeWhat old people with high support need value needs (2011, www.jrf.org.uk)
(Physical well-being)
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Doing Trying Trying WaitingKeeping positiveCaringCaring Growing