Interdisciplinary Resident/Family Teaching

Interdisciplinary Resident/Family Teaching 

Effective Date: [Original NPP Date] 
Revised Date: [Current Date] 

Goal: 

To maximize functional status and improve resident outcomes by promoting healthy behavior and involving the resident, and when appropriate, the family in care and care decisions. 

Policy: 

• The Interdisciplinary Patient/Family Teaching form will be utilized for each educational need identified. 

• The Interdisciplinary Team will determine the educational needs of each resident upon admission. 

• As part of the ongoing care planning process for residents, educational needs will be identified. An educational goal will be determined, and approaches to meeting that goal will be developed. 

• The Interdisciplinary Team will consider the learning needs of the individual resident and provide appropriate education to meet those needs. Printed materials, audio materials, and/or other types of educational materials may be used based on the individual resident’s needs. 

• The facility supports resident education and will commit resources as necessary to meet educational objectives. 

• All resident education will be documented by the discipline providing the education. 

Education Will Include the Following: 

• Explaining the resident and family’s responsibilities in the resident’s care. 

• How to safely and effectively use medication, when applicable, in accordance with the resident’s needs and legal requirements. 

• How to safely and effectively use medical equipment, when applicable. 

• Counseling on potential drug-food interactions, nutrition and hydration intervention, modified diets, and oral health, when applicable. 

• How to use rehabilitation techniques to adapt to the environment or improve functional independence. 

• Self-care activities, as appropriate. 

• How to access available community resources, if needed. 

• When and how to obtain further care or treatment after discharge. 

• Discharge instructions given to the resident and those responsible for the resident’s continuing care. 

Procedure: 

Patient Education Assessment: 

• Circle the appropriate answer to the following questions: 

• Existing knowledge of disease/problem 

• Cognitive barriers 

• Attention span/memory 

• Vision status 

• Hearing status 

• Communication 

• Religious considerations 

• Cultural considerations 

• Physical limitations 

• Learning style 

Educational Needs: 

• Circle the appropriate answer. 

• Anticipated date of discharge. 

• Enter the appropriate code on the form for the following areas: 

• Person taught 

• Ready to learn 

• Method of teaching 

• Evaluation 

Documentation: 

• The specific information taught and the signature and title of the discipline teaching will be documented. 

References: 

• Centers for Medicare & Medicaid Services. State Operations Manual, Appendix PP - Guidance to Surveyors for Long Term Care Facilities. [Link to current CMS SOM] 

• CMS Requirements of Participation for Long-Term Care Facilities. [Link to current guidelines]