Which major domains are typically captured by the LTCF InterRAI assessment?

• A. Facility environmental factors and staffing ratios.
• B. Demographics/background, cognitive patterns, communication and sensory function, mood and behavior, physical functioning (ADLs/IADLs), health conditions, nutrition and oral health, skin and wound care, pain, continence, sleep, medications, psychosocial factors and goals of care.
• C. Only medical diagnoses and medications.
• D. Family history and genetic risk.

Answer: (B)

The question tests the idea that the LTCF InterRAI assessment collects a wide, resident-centered set of domains to guide comprehensive care planning. The listed domains cover not just health conditions, but how those conditions affect daily function, sensations, mood, behavior, nutrition, skin/wounds, pain, continence, sleep, medications, and the person’s goals and psychosocial context. This breadth is what enables clinicians to identify strengths and needs across the whole person, monitor changes over time, and tailor care plans accordingly.

Why this is the best fit: InterRAI LTCF is designed as a holistic, standardized tool that goes beyond diagnoses to capture functional status (ADLs/IADLs), cognitive and communication abilities, sensory function, mood and behavior, nutrition and oral health, skin and wound care, pain, sleep, medications, and psychosocial factors and goals of care. This enables person-centered care, quality monitoring, and outcome measurement across the resident’s entire experience.

Why the other options don’t fit: Focusing on facility environmental factors and staffing ratios shifts attention to the setting rather than the resident’s health and daily functioning. Limiting the scope to medical diagnoses and medications misses essential domains like cognition, mood, function, nutrition, skin care, and psychosocial aspects. Emphasizing family history and genetic risk omits the practical, day-to-day domains used for care planning and monitoring in long-term care.