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picture1_Nursing Theories Ppt 66551 | Depressioncaremanagementfinal2


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File: Nursing Theories Ppt 66551 | Depressioncaremanagementfinal2
presentation outline 1 why minimum data set mds 2 0 mood section was changed to use the phq 9 2 homecare depression care management dcm protocol a a model for ...

icon picture PPTX Filetype Power Point PPTX | Posted on 27 Aug 2022 | 3 years ago
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         Presentation Outline
       1.   Why Minimum Data Set (MDS) 2.0 Mood Section was 
            Changed to use the PHQ 9?
       2.   Homecare Depression Care Management  (DCM) 
            Protocol
            a.    A Model for Nursing Home Social Work 
       3.   Role of the Social Worker in DCM
            DARE Criteria:                                                     
                  A Tool for Interdisciplinary Planning
                                                                                         2
         Why were MDS 2.0 Mood Items 
         Replaced in the MDS 3.0?
       Old mood item:
            Repeatedly shown to have poor correspondence 
             with independent mood assessment
                Does not comport with accepted standard of 
                self-report
                Requires time consuming systematic 
                observations of ALL residents across all shifts.  
                Difficult to achieve.
            Questionable utility for gauging response to 
             treatment, since appropriate approach is targeting 
             DSM-IV signs and symptoms
                                                                     3
         Why Mood Items Replaced (Cont’d)
       New cognitive item (PHQ-9) 
            Based on DSM-IV criteria
            Validity well established in other settings
            Increasing use and recognition by clinicians
            Allows threshold definition AND severity definition 
             that can track change over time
            Has been used in outpatient elders, hospital, 
             rehabilitation (post stroke) and home health 
             populations in addition to younger adult populations
                                                                     4
          Research and NH Validation Study Staffs 
          rated MDS 3.0 Section Improved 
         87% nurses and interdisciplinary facility staffs rated 
          the mood section as improved over 2.0 section
             Only 22% reported that 2.0 section was easy to 
              complete accurately
         88% felt PHQ-9 interview was better than 2.0 
          observation for capturing resident mood
         84% felt the items could inform care plans
         86% reported that items provided new insights into 
          mood
         77% felt that all residents who answered understood 
                                                                                 5
          items (6% disagreed)
         78% rated ability to calculate score helpful (4% 
          disagreed)
           Evidenced-Base for the Homecare Depression 
           Care Management  (DCM) Protocol
         Training in Assessment of Depression (TRIAD) trial found 
           that HHA nurses can be effectively trained in depression 
           assessment.   
                           - Martha Bruce, Journal of the American Geriatric Society, 2007
         Depression care management (DCM) protocol, called the 
           Depression CARE of PATients at Home (CAREPATH) 
           intervention, can be used as part of routine care and can 
           be integrated into HHA software. 
                                                - Bruce, Home Healthcare Nurse July 2011 
         Components and utility of DCM and CAREPATH, the PHQ 9 
           cut points and antidepressant are described in a follow-up 
           article.                           - Bruce, Home Healthcare Nurse Sept. 2011
           08/27/2022                                                                  6
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...Presentation outline why minimum data set mds mood section was changed to use the phq homecare depression care management dcm protocol a model for nursing home social work role of worker in dare criteria tool interdisciplinary planning were items replaced old item repeatedly shown have poor correspondence with independent assessment does not comport accepted standard self report requires time consuming systematic observations all residents across shifts difficult achieve questionable utility gauging response treatment since appropriate approach is targeting dsm iv signs and symptoms cont d new cognitive based on validity well established other settings increasing recognition by clinicians allows threshold definition severity that can track change over has been used outpatient elders hospital rehabilitation post stroke health populations addition younger adult research nh validation study staffs rated improved nurses facility as only reported easy complete accurately felt interview bett...

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