Mental and Behavioural Diagnosis Description If the care recipient has a mental and behavioural disorder(s) that has an impact on their current care needs for support and assistance, a documented diagnosis is required. Requirements The diagnosis is to be recorded in the Checklist and a copy placed in the Answer Appraisal Pack. You may tick more than one diagnosis if required to support your claim. The diagnosis provided in the Answer Appraisal Pack must be dated and identify the name and profession of the health professional who has confirmed the diagnosis. Checklist must be completed There are two checklists for this component of the ACFI, the first is completed by indicating the Source Materials filed in the Answer Appraisal Pack. More than one source may be ticked. The second checklist is where the diagnoses are recorded. Mental and Behavioural Diagnosis Indicate which sources of evidence have been filed in the ACFI Appraisal Pack Tick if yes Aged Care Client Record (ACCR) / National Screening and Assessment Form (NSAF) D1.1 GP comprehensive medical assessment D1.2 General medical practitioner notes or letters D1.3 Geriatrician notes or letters D1.4 Psychogeriatrician notes or letters D1.5 Psychiatrist notes or letters D1.6 Other medical specialist notes or letters D1.7 Other–please describe D1.8 Gfh If the care recipient has no relevant disorder, place a tick in the first option on the checklist (no diagnosis) and proceed to Medical Diagnosis. Important information: To qualify for the highest level of funding in the Behaviour Domain, a dementia diagnosis, provisional dementia diagnosis, psychiatric diagnosis or behavioural diagnosis must be provided. In the case of diagnoses covering depression, psychotic and neurotic disorders (refer mental and behavioural diagnosis codes 540, 550A, 550B, 560) the diagnosis, provisional diagnosis or of the diagnosis must have been completed within the twelve months prior to the ACFI submission date.
pain management AND Ongoing treatment as required by the resident, at least 4 days per week, AND Involving at least 80 minutes of one on one staff time in total. You can only claim one item 4–either 4a or 4b. 2. Evidence based pain assessment AND on request: record 3 Complex skin integrity management for residents with compromised skin integrity who are usually confined to bed and/ or chair and cannot self-ambulate. The management plan must include repositioning at least 4 times per day. 1. Directive [registered nurse or medical practitioner or allied health professional] AND 2. Skin integrity assessment 5 3 Management of special feeding undertaken by an RN, on a one-to-one basis, for people with severe dysphagia, excluding tube feeding. Frequency at least daily. 1. Diagnosis AND 2. Directive [registered nurse or medical practitioner or allied health professional] AND 3. Swallowing assessment 6 1 Administration of suppositories or enemas for bowel management is a usual care need. The minimum required frequency is ‘at least weekly.’ 1. Directive [registered nurse or medical practitioner] AND on request: record 7 3 Catheter care program (ongoing); excludes temporary catheters e.g. short term post-surgery catheters. 1. Diagnosis AND 2. Directive [registered nurse or medical practitioner] 8 6 Management of chronic infectious conditions Antibiotic resistant bacterial infections Tuberculosis AIDS and other immune-deficiency conditions Infectious hepatitis 1. Diagnosis AND 2. Directive [registered nurse or medical practitioner] 9 6 Management of chronic wounds, including varicose and pressure ulcers, and diabetic foot ulcers. 1. Diagnosis AND 2. Directive [registered nurse or medical practitioner or allied health professional] AND 3. Wound assessment AND on request: record 10