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What metrics are used to measure the success of a restorative nursing care program in the United States?
Hello there! Thank you for your question on the metrics used to measure the success of a restorative nursing care program in the United States. The short answer is that the key metrics of a successful restorative care program are: the level of documentation, communication between employees, and evaluation schedule. The aspects monitored are the physical ability, mental health, and independence. Below you will find a deep dive of my findings.
METHODOLOGY
I began by familiarizing myself with restorative nursing care programs on a whole. Next, I conducted a comprehensive search through academic databases, corporate websites, industry reports, government reports, and regulatory filings for any relevant information. In order to provide a full scope of information, I looked at trusted media sites, user forums, and review sites to develop an understanding of the opinions and trends surrounding the industry. The most useful insights came from the sources PathwayHealth and EMedicine.
FINDINGS
Restorative nursing is defined as nursing that promotes the person's ability to adapt and adjust to life. This is intended to help the resident to live more independently and as safely as possible. The ultimate goal is to achieve maximum functionality in day to day tasks. In restorative nursing it is not only the physical aspects that are worked on, the mental health of the patient is also of high concern. Psychosocial skills and general mental well-being are actively worked on in an effort to improve the resident's life as a whole.
The exact goals of restorative nursing are defined:
"1. Restore or maintain an individual to their highest practicable physical, mental and psychological functional level and well-being.
2. Utilize the skills and expertise of each discipline to plan, implement and facilitate all pathways for the best individual outcome.
3. Maintain as much independence as possible and for some residents, successful discharge to home."
The need for a measured program is explained extensively. Communication of a patient's progress or failings in the program is essential to success. Documentation must be kept in order to fully optimize the use of restorative programs. Without these procedures in place, the success of such programs would be much more limited.
In an example, an in-depth explanation of a well-measured program can be seen here:
"• Documentation requirements cannot be taken lightly for evidence of program implementation, the number of minutes provided, assessed need for the program, MDS coding to substantiate the quality of care and quite certainly for reimbursement.
• A good understanding of the assessment process, restorative nursing programs and principles and accurate documentation for oversight is crucial.
• The nurse in charge of the Nursing programs will need to be well-educated in the Restorative Process in order to educate and mentor staff working with the residents.
• Accurate ADL tracking will lead to evidence for accurate MDS coding to determine resident function and the need for a program.
• Restorative Program implementation records, minutes monitoring/documentation, encouraging resident participation in the programs."
There is a definitive list of measures for rehabilitation and restorative care used as a guideline for care facilities. The UDSMR describes a refined strategy for success in restorative care, with large similarities to the case study described above. The UDSMR has published over 600 articles on the subject and describe restorative care as science. With this approach, the UDSMR endeavor to further improve and regulate how restorative care is given, as with all sciences review and analysis is the way forward. Their success can be seen by their growth over the years; in 1988 they had 57 facilities subscribed under the guidance, in 2007 this number has risen to a total of 1619 facilities. They have a global reach including but not limited to: Canada , Hong Kong, Israel, Mexico, New Zealand, Saudi Arabia, Singapore, South Africa, South Korea, North American, and a large part of Europe.
Another institute Sun Solutions Consulting detail their approach to restorative care. They focus on ensuring regular evaluations take place and that detailed documentation is recorded after each evaluation. This priority derives from the desire to accurately monitor mental health, as a few words or checklists cannot sufficiently track a patient's mental well-being. The need to fully document responses and emotions is essential in stopping the loss of information and understanding between evaluations. In the past, the limitation to helping a patient fully has been in the immediate understanding of the situation from the person evaluating.
Three key takeaways that all sources detail are essential in building a successful restorative care program:
• Teamwork and overall communication is vital in the approach to care.
CONCLUSION
To summarize, I have taken a deep look into the metrics surrounding restorative care programs. There are many success stories of well-formatted programs. All of the reputable programs are aimed at improving the individual's physical and mental health. The success of the program is measured through regular evaluations and general observations of the patient's independence and well-being.
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