Search
minimum data set (MDS) for nursing home residents
A 4 page form consisting of 16 sections required by the Omnibus Budget Reconciliation Act (OBRA) for all nursing home residents within 14 days of admission, with selected sections to be updated quarterly.
The 16 sections include:
1) demographic & background information
- includes advance directives
2) cognitive patterns
a) delirium
b) dementia
3) communication/hearing patterns
4) vision patterns
5) physical functioning
a) activities of daily living (ADL)
b) functional rehabilitation potential
c) falls
6) continence
a) urinary incontinence
b) indwelling catheter
7) psychosocial well-being
- feelings about self & social relationships
8) mood & behavior
a) depression
b) anxiety
c) behavioral problems
1] wandering
2] verbal abuse
3] physical aggression
9) activity pursuit patterns
a) activity/inactivity
b) lack of participation
10) disease diagnoses
11) health conditions
12) oral/nutritional status
a) nutritional status
b) feeding tubes
c) dehydration/fluid maintenance
13) oral/dental status
-> dental care
14) skin condition
- pressure ulcers
15) medication use
-> psychotropic drug use
16) special treatments & procedures
a) dialysis
b) intravenous medications
c) physical restraints
Also see quality indicators in nursing homes
Related
Omnibus Budget Reconciliation Act (OBRA)
physician evaluation at nursing home admission
quality indicators in nursing homes (MDS-based)
General
comprehensive resident assessment instrument
References
- Ouslander JG, Osterweil D.
Physician evaluation and management of nursing home residents.
Ann Intern Med 120:584, 1994
PMID: 8116998