McNally Cards

McNally Cards

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This is a case study exercise about a resent, Mr. McNally, who came into a nursing home for short-term rehab after a stroke. He declined rapidly, and in ways that were avoidable.

Using the deck of cards, the group determines what caused his decline, and learns how quality of life and customary routines affect quality of care. The exercise helps participants identify the importance of a critical thinking, individualized care, and a team approach to the MDS.

Components of a team approach include consistent assignment, daily huddles, alignment of caregiver documentation with MDS, and interdisciplinary care planning, and performance improvement by staff closest to the resent.

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