Description:
VIDEO 1:  Beyond KPS and PPS with Qualitative and Quantitative Documentation
Many hospices use the Karnofsky Performance Scale (KPS) and the Palliative Performance Scale (PPS) to describe the functional status of their hospice patients. While both the KPS and PPS address “function”, these scales alone are insufficient to fully meet the requirements of the new hospice COPs. The new CoPs require a comprehensive assessment that includes functional status, but also identifies the patient need for physical, psychosocial, emotional and spiritual care. The goal of this module is to introduce you to the International Classification of Functioning Disability and Health (ICF) and provide an example of how to apply it at the bedside.

VIDEO 2: Adult Failure to Thrive Syndrome
VIDEO 3: Example of Qualitative/Quantitative Documentation for AFTT
An overview of the clinical components associated with AFTT– namely unexplained weight loss, malnutrition, and disability. The literature on AFTT confirms that the vast majority of conditions leading to the AFTT syndrome are reversible, however, for those conditions that are not reversible, establishment of a core set of ICF categories help Hospice collect the information necessary to support its decisions to admit, recertify, or discharge patients with AFTT. It also focuses on elements needed to capture qualitative and quantitative documentation relevant to AFTT. This portion of the course takes the clinician through the clinical components, common underlying conditions, validating reversible conditions and noting patient refusal when appropriate. The ICF is utilized as the point of reference, providing a case scenario and clinical documentation example for the ICF category of appetite.
 

Objectives:

• The learner will be able to identify the four components of the ICF.
• The learner will be able to distinguish between qualitative and quantitative data.
• The learner will be able to give at least two examples of ICF categories that are critical to describing function in the population of individuals with cardiopulmonary conditions.
• The learner will be able to apply the ICF qualifiers to ICF body structures and body function.
• The learner will be able to identify the clinical components of the AFTT syndrome.
• The learner will be able to distinguish between clinical components and common underlying conditions associated with AFTTS.
• The learner will be able to give at least two examples of the role of the ICF in Adult Failure to Thrive Syndrome .
• The learner will apply the ICF concepts to the Clinical Components.
• The learner will be able to identify questions that assist with capturing qualitative and quantitative data on  appetite during patient/caregiver interview.
• The learner will interpret how to utilize the  ICF as a point of reference for appetite.
  

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 Hospice Education Network is an approved provider of continuing nursing education by the Massachusetts Association of Registered Nurses, Inc., an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.