Checklist for the registration and assessment phase of TIME | |||
---|---|---|---|
Activity | Target symptoms: | ||
Agree on the primary challenges for the patient using the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH) to define precise target symptoms for the assessment | |||
Observation of the target symptoms using a 24-h observation form | Staff | Responsible | |
NPI-NH to assess other neuropsychiatric symptoms | Staff | ||
aCornell Scale of Depression in Dementia (CSDD) or another scale to assess possible symptoms of depression | Staff | ||
Physical assessment | Nursing home physcian | ||
Review of medication | Nursing home physcian | ||
bMobilisation-Observation-Behaviour-Intensity-Dementia Scale (MOBID-2) to assess possible pain | Staff Nursing home physcian | ||
The Clinical Dementia Rating Scale (CDR) and/or the cMini-Mental State Examination (MMSE) to assess the dementia stage | Staff Nursing home physcian | ||
dThe Physical Self-Maintenance Scale (PSMS) to assess activities in daily life | Staff | ||
Collection of resident life history, including preferences and resources, using an optional questionnaire | Staff interview the resident (if possible) and/or the next of kin | ||
Make an appointment, i.e., set the date, time and place for the case conference | Staff/TIME administrator |