Post on 24-May-2022
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Population Profile
Adults with Disabilities
2018 Annual Conference
Mississauga Ontario
Micaela Janzti
Leslie Eckel
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% of Clients at High - Very High Risk of Adverse
Events*
* Using the MAPLe scale generated through the RAI-HC and interRAI CHA and Functional Supplement**2003 -2018.
0
10
20
30
40
50
60
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Home Care All CHA
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Population Profile
Adults with Disabilities
A BIG THANK-YOU
Valerie Bishop de Young VHA Health & Home Support Ottawa
Lori Holloway Bellwoods Centre Toronto
Philip Mills Independent Living Centre of Waterloo Region
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Female
4
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Age Distribution
5
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Marital Status
6
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Diagnosis
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Cognition: Cognitive Performance Scale Distribution
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Score Description
0 Intact
1 Borderline intact
2 Mild impairment
3 Moderate impairment
4 Moderate/severe impairment
5 Severe impairment
6 Very severe impairment
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Help Needed With ADL’s: ADL Self-Performance Hierarchy
9
ADL Self-Performance Hierarchy Scale
Scores range from 0 to 6 - The ADL Hierarchy Scale is
a measure of ADL performance. It is based on eating,
locomotion, toilet use and personal hygiene.
Score Description
0 Independent
1 Supervision required
2 Limited impairment
3 Extensive assistance required (I)
4 Extensive assistance required (II)
5 Dependent
6 Total Dependence
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Pain
10
Pain Scale
Scale ranges from 0 to 4 - based on two
pain questions: pain frequency and pain
intensity.
Score Description
0 No pain
1Less than daily pain
2 Daily pain but not severe
3 Daily severe pain
4 Daily excruciating pain
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Health Instability and Medical Complexity (CHESS)
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Changes in Health, End-stage disease and Signs and Symptoms
(CHESS)
Scores range from 0 to 5 - CHESS measures medical complexity and health
instability. It is based on: vomiting, dehydration, weight loss, shortness of
breath, edema, end-stage disease, decline in cognition and ADL, ate fewer
meals, decrease in fluid or food, and fluid output exceeds input. Higher scores
indicate higher levels of medical complexity.
Score Description
0 Stable
1 Low level of medical complexity and instability
2 Mild level of medical complexity and instability
3 Moderate level of medical complexity and instability
4 High level of medical complexity and instability
5 Very high level of complexity and instability
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Depression
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Depression Rating Scale (DRS)
Scores range from 0 to 14 - The DRS is based on
seven items: negative statements, persistent anger,
expressions of unrealistic fears, repetitive health
complaints, repetitive anxious complaints, sad or worried
facial expression, and tearfulness.
Score Description
0 No symptoms of depression
1-2 Some symptoms of depression –
intervention may be helpful.
3-5 Possible depression
>6 Possible severe depression
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Deaf Blind Severity Index
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Deafblind Severity Index Scale
DBSI Scale
Scores range from 0 to 5 - This scale is summary measure of impairment in
hearing and sight. Higher scores indicate greater impairment in both.
Score Description
0 Both senses intact
1 One sense intact and the other mild – moderately impaired
2 One sense intact and the other severely impaired
3 Both sense mild – moderately impaired
4One sense mild-moderately impaired and the other severely
impaired
5 Both senses severely impaired
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Help Needed with IADLs
14
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Help Needed by Number of IADL
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Health Conditions
16
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Incontinence
17
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Mental Health
18
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Social and Economic Issues
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Communication Impairment
20
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Mobility
21
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Special Treatments
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0
10
20
30
40
50
60
Scheduled toilet Wound care Turning/repositioning Dialysis Oxygen therapy
Adults with Disabilities Home Care LTC
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Special Treatments
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0
1
2
3
4
5
6
7
8
Infection control IV medications Suction Vent/Resp Tracheotomy Chemotherapy Transfusion Palliative care Radiation
Adults with Disabilities Home Care LTC
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0
5
10
15
20
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Catheter Bowel Impaction Nutrition - modified Nutrition - tube/tpn
Adults with Disabilities Home Care LTC
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Discussion
• Are we looking at the right information/ client characteristics?
• Diagnosis
• Medical treatments
• ADL’s
• ?
• What is helpful to this sector to know?
• Priorities?
• Is there interest in collaborating on a formal project?
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