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Declining strength, cognition, balance and poor safety awareness related disease processes can negatively impact a resident’s ability to perform functional transfers, ambulate and independently perform routine tasks of daily living. Unlike eczema, which can also affect the hands, the threat of athlete’s foot is limited to only the lower extremities. Reddit gives you the best of the internet in one place. This is driven more and more often by a “patient centered care” model of service delivery. The QAPI plan will guide your organization’s performance improvement efforts and is intended to assist you in achieving what you have identified as the purpose, guiding principles and scope for QAPI. Author Beth Reigart. Clinicians and staff are attempting to use newly acquired skills or innovative products. 50% or more of elderly people are incontinent. 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