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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

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Published on: September 30, 2020

Identifying failure to thrive in the long term care setting.

Katherine Anderson¹, Carole Baraldi, Mark Supiano

¹University of Utah Division of Geriatrics, 30 N. 1900 East, Salt Lake City, UT 84132, USA. katherine.anderson@hsc.utah.edu

Journal of the American Medical Directors Association

|July 13, 2012

Summary

Geriatric failure to thrive (GFTT) in long-term care (LTC) can be identified using the Minimum Data Set (MDS) 3.0. This screening tool aids LTC providers in recognizing GFTT for timely intervention.

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Area of Science:

Gerontology
Clinical Medicine
Healthcare Informatics

Background:

Geriatric failure to thrive (GFTT) is a prevalent syndrome in long-term care (LTC) settings, characterized by unexplained functional decline.
Identifying GFTT early is crucial for effective management and improving resident outcomes.
The Minimum Data Set (MDS) 3.0 is a comprehensive assessment tool used in skilled nursing facilities.

Purpose of the Study:

To evaluate the utility of the MDS 3.0 as a screening tool for identifying Geriatric Failure to Thrive (GFTT) in long-term care (LTC) residents.
To determine if data within the MDS 3.0 can effectively identify residents exhibiting GFTT.
To explore the potential of a screening tool based on MDS 3.0 data for LTC providers.

Main Methods:

A comprehensive literature review was conducted to identify research on GFTT in LTC and existing identification tools.
Common clinical components of GFTT were systematically matched with data points collected in the MDS 3.0.
The study aimed to assess the feasibility and effectiveness of using MDS 3.0 data for GFTT screening.

Main Results:

The MDS 3.0 incorporates numerous assessment components frequently observed in patients with GFTT.
Clinically validated tools integrated within the MDS 3.0 show promise in recognizing LTC residents with or at risk for GFTT.
The MDS 3.0 data provides a foundation for developing a practical screening tool for GFTT in LTC.

Conclusions:

The MDS 3.0 holds significant potential as a screening instrument for identifying Geriatric Failure to Thrive (GFTT) in long-term care (LTC) residents.
Utilizing the MDS 3.0 can facilitate earlier recognition of GFTT, enabling timely interventions.
Early identification allows LTC interdisciplinary teams to address reversible causes and develop individualized care plans for residents with GFTT.