Population Profile Adults with Disabilities
Transcript of Population Profile Adults with Disabilities
![Page 1: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/1.jpg)
www.interrai.org
Population Profile
Adults with Disabilities
2018 Annual Conference
Mississauga Ontario
Micaela Janzti
Leslie Eckel
1
![Page 2: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/2.jpg)
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
![Page 3: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/3.jpg)
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
![Page 4: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/4.jpg)
www.interrai.org
Female
4
![Page 5: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/5.jpg)
www.interrai.org
Age Distribution
5
![Page 6: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/6.jpg)
www.interrai.org
Marital Status
6
![Page 7: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/7.jpg)
www.interrai.org
Diagnosis
7
![Page 8: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/8.jpg)
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
![Page 9: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/9.jpg)
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
![Page 10: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/10.jpg)
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
![Page 11: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/11.jpg)
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
![Page 12: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/12.jpg)
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
![Page 13: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/13.jpg)
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
![Page 14: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/14.jpg)
www.interrai.org
Help Needed with IADLs
14
![Page 15: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/15.jpg)
www.interrai.org
Help Needed by Number of IADL
15
![Page 16: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/16.jpg)
www.interrai.org
Health Conditions
16
![Page 17: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/17.jpg)
www.interrai.org
Incontinence
17
![Page 18: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/18.jpg)
www.interrai.org
Mental Health
18
![Page 19: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/19.jpg)
www.interrai.org
Social and Economic Issues
19
![Page 20: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/20.jpg)
www.interrai.org
Communication Impairment
20
![Page 21: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/21.jpg)
www.interrai.org
Mobility
21
![Page 22: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/22.jpg)
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
![Page 23: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/23.jpg)
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
![Page 24: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/24.jpg)
www.interrai.org
24
0
5
10
15
20
25
Catheter Bowel Impaction Nutrition - modified Nutrition - tube/tpn
Adults with Disabilities Home Care LTC
![Page 25: Population Profile Adults with Disabilities](https://reader034.fdocuments.net/reader034/viewer/2022052518/628c38620786546520782bb4/html5/thumbnails/25.jpg)
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