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Tools

Use the search feature below to locate evidence-based tools you can use to advance home care clinical practice, build strong teams and improve quality.

Check back frequently! We will continuously introduce new Tools to this section.

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Verbal Descriptor Scale (VDS)

A pain intensity scale where patients are asked to rate the intensity of their pain using a scale of descriptive words. Scale descriptions range from "no pain" to "excruciating" pain.

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Urinary Incontinence Assessment in Older Adults: Part II - Persistent Urinary Incontinence

"Try This" issue that describes two evidence-based tools to assist nurses in assessing quality of life and symptom distress for chronic urinary incontinence. Published by the Hartford Institute for Geriatric Nursing.

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Urinary Incontinence Assessment in Older Adults: Part I - Transient Urinary Incontinence

"Try This" issue that describes two methods to assist nurses in assessing acute urinary incontinence and its treatable underlying causes. Includes a Bladder Diary. Published by the Hartford Institute for Geriatric Nursing.

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December 10, 2009
Urinary incontinence (UI) carries with it significant cost, both in health care dollars and physical and emotional well-being. Published studies have identified emotional repercussions such as depression, withdrawal from social contacts, and loss of intimacy; physical implications include higher incidences of urinary tract infection, skin breakdown, and falls. Identifying barriers to continence and initiating early rehabilitation can often improve patient outcomes. Home care nurses and therapists are well positioned to identify barriers, whether emotional or physical, and involve the health care team in developing a plan to properly assess and manage UI for older patients.
-Caryl Ann O'Reilly, Clinical Nurse Specialist, Visiting Nurse Service of NY

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Uncovering A "Silent" Problem: Sleep-Disordered Breathing In Homecare Patients

A quick guide for home care providers to identify patients with untreated sleep apnea. From the American Sleep Apnea Association.

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Transitional Care Model (TCM)

This site describes a model of transitional care designed to help improve post-discharge outcomes.

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To Your Health! Food Safety for Seniors

An easy-to-read booklet to help older persons learn more about “food poisoning” or food-borne illness. It provides guidance on safe food handling and storage at home. Published by the U.S. Food and Drug Administration.

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Tips for Preventing Problems When Taking Multiple Medications

A one page handout for patients or caregivers to help prevent medication-related problems in older persons taking multiple medications.

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Tips for Gaining Weight

A list of suggestions for eating high calorie foods that are healthy along with snack options and dessert options to help increase calorie intake.

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Timed Up and Go (TUG) Test Video

Demonstration of how to administer the Timed Up and Go (TUG) test (used to identify persons that are at risk of falling due to balance or gait problems).

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Timed Up and Go (TUG) Test

A simple home-based test that can be used to identify persons that are at risk of falling due to balance or gait problems.

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August 14, 2009
The TUG has sensativity/specificity limitations in ID fall risk in active community living older adults. A TUG time <10sec. does not r/o fall risk in this population. TUG times > 10 seconds (perhaps>8 sec.) should be examined closer for balance impairment/fall risk. Minimal clinical significant change should be 3 seconds.
-louis depasquale
June 10, 2009
The Timed Up and Go test (TUG) is a test of general mobility developed for use with older adults. Although not appropriate for every home care patient, it is a great tool for persons who can follow simple directions, rise from a chair, and walk about 20 feet. Its value to clinicians lies in its ease of administration, discipline neutrality, and ability to predict risk for falls and dependence in basic mobility. A well researched tool, the TUG demonstrates reliability, validity for multiple older adult populations, and sensitivity to change.
-Linda Krulish, PT, MHS, COS-C, President, Oasis Answers, Inc

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Disclaimer/Permissions: All resources posted on the CHAMP web site are provided free of charge for educational, non-profit use only. Necessary permissions have been obtained for any copyrighted materials. Links to resources outside of the CHAMP web site are subject to the host site's policies. Please note that not all resources are specific to home care and they are not intended to replace or substitute professional medical advice regarding the needs of individual patients.

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