www.interrai.org

Population Profile

Adults with Disabilities

2018 Annual Conference

Mississauga Ontario

Micaela Janzti

Leslie Eckel

1

www.interrai.org

% 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

2

www.interrai.org

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

3

www.interrai.org

Female

4

www.interrai.org

Age Distribution

5

www.interrai.org

Marital Status

6

www.interrai.org

Diagnosis

7

www.interrai.org

Cognition: Cognitive Performance Scale Distribution

8

Score Description

0 Intact

1 Borderline intact

2 Mild impairment

3 Moderate impairment

4 Moderate/severe impairment

5 Severe impairment

6 Very severe impairment

www.interrai.org

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

www.interrai.org

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

www.interrai.org

Health Instability and Medical Complexity (CHESS)

11

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

www.interrai.org

Depression

12

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

www.interrai.org

Deaf Blind Severity Index

13

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

www.interrai.org

Help Needed with IADLs

14

www.interrai.org

Help Needed by Number of IADL

15

www.interrai.org

Health Conditions

16

www.interrai.org

Incontinence

17

www.interrai.org

Mental Health

18

www.interrai.org

Social and Economic Issues

19

www.interrai.org

Communication Impairment

20

www.interrai.org

Mobility

21

www.interrai.org

Special Treatments

22

0

10

20

30

40

50

60

Scheduled toilet Wound care Turning/repositioning Dialysis Oxygen therapy

Adults with Disabilities Home Care LTC

www.interrai.org

Special Treatments

23

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

www.interrai.org

24

0

5

10

15

20

25

Catheter Bowel Impaction Nutrition - modified Nutrition - tube/tpn

Adults with Disabilities Home Care LTC

www.interrai.org

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?

25