Long-Term Care and Assisted Living Directory – Definitions of Indicators- Assisted Living
Definitions of Indicators-Long-Term Care
If you have questions about the data in the Long-Term Care Directory, contact our office at 1-877-952-3181.
The B.C. values for these indicators are calculated using only those residences included in the Long-Term Care and Assisted Living Directory.
Resident Profile
All measures are based on resident assessments performed within the time period included in the report, except the average length of stay which is based on residents discharged within this time period.
Average age of population – average resident age.
Percent female – the percent of residents that are female.
Percent 85 years or older – the percent of residents that are aged 85 years or older.
Percent younger than 65 years – the percent of residents younger than 65 years of age.
Average length of stay (days) – the average length of stay for residents discharged within the measurement time period.
Percent of residents diagnosed with depression symptoms – the percent of residents who have a potential or actual problem with depression. (e.g. indicators of depression, anxiety, sad mood).
Percent of residents dependent in activities of daily living –– the percent of residents that were somewhat or totally dependent in their activities of daily living (ADL) in the last three days prior to assessment. ADLs are assessed based on a person’s ability to perform four activities: locomotion in home, eating, toilet use and personal hygiene. (ADL self-performance score >=3)
Percent of residents dependent in instrumental activities of daily living– the percent of residents who have some or great difficulty with completing tasks for meal preparation, ordinary housework and phone use. (IADL score>=3).
Percent of residents in a wheelchair -the percent of residents whose primary mode of indoor locomotion is a wheelchair (includes electric wheelchair).
Percent of residents with dementia (mild to severe) – the percent of residents that have been clinically diagnosed with Alzheimer’s disease or other types of dementia.
Percent of residents with moderate to severe cognitive impairment – the percent of residents assessed at moderate, moderate/severe, severe or very severe cognitive impairment. Cognitive performance is based on four items: short-term memory, making self-understood (i.e., ability to communicate), cognitive skills for daily decision-making, and eating. (CPS score>=3)
Percent of residents with problem behaviours – the percent of residents that showed some problem behavioural symptoms (e.g. verbal abuse, physical abuse, socially inappropriate/disruptive behaviour, resists care).
Percent of residents with MAPLe score (MAPLe 4+) – the percent of residents who experienced more complex problems or have impairments in multiple areas of function that have a pronounced impact on their ability to remain independent in the community, such as physical disability, cognitive impairment, falls, challenging behavior and wandering, which indicates a high risk of long-term care placement and caregiver distress.
Percent of residents with special or extensive care (RUG 1-3) –the percent of residents categorized in special rehabilitation including occupational/physical/speech-language therapy; extensive services for residents with high Activities of Daily Living impairment, respirator for assistive breathing, all other respiratory treatments or tracheostomy care; special care for resident with stage 3 or 4 pressure ulcers, enteral feeding tube, multiple sclerosis, second- or third-degree burns, radiation therapy, IV infusion (peripheral or central), fever and insufficient fluid or pneumonia or vomiting or unintended weight loss.
Percent of residents at ease interacting with others –the percent of residents at ease interacting with family, friends, and health professionals.
Percent of residents saying or indicating that they feel lonely –the percent of residents who feel lonely. Resident “feels lonely” is the actual perception of the resident, which may seem to contradict the actual time the resident is alone. Indications of loneliness also reflect non-verbal behaviours such as crying, withdrawal.
Clinical Indicators
Percent of residents receiving depression medication – the percent of residents taking antidepressant drug that works on reducing signs of depression or eliminating a depression.
Percent of residents taking antipsychotics without a diagnosis of psychosis – the percent of residents taking an antipsychotic medication for a purpose other than for its approved use to manage psychosis. Antipsychotics drugs are sometimes used to manage symptoms in residents such as dementia, anxiety, agitation, or responsive behaviour arising from dementia. Some antipsychotic medications are also prescribed at low doses as a sleep aid.
Percent of residents taking antipsychotic medications with or without a diagnosis of psychosis – the percent of residents receiving antipsychotic/neuroleptic drug that affect psychic function, behaviours, or experience, acting on the nervous system.
Percent of residents taking nine or more medications – the percent of residents receiving nine or more different medications administered through all means. This item includes topical, ointments, creams used in wound care (e.g. Elase), eye drops, and vitamins.
Percent of residents with falls in the last 90 days – the percent of residents that fell in the 90 days leading up to the date of the assessment. Falls are the leading cause of injury for seniors and contribute to a significant burden on the health care system. Residents are at a higher risk of falling if they have a history of falls or are taking certain medications. Preventing falls increases the safety and quality of care of residents.
Percent of residents with four or more emergency room visits – the percent of residents who have four or more unscheduled emergency room visits in one year.
Percent of residents having a caregiver in distress –the percent of primary caregivers expressing distressed, angry, depressed, in conflict because of caring for the residents, or the caregivers unbale to continue in caring activities for some reason, such as lack of desire, geographically inaccessible, other competing requirements (child care, work requirements) or personal health issues.