Re: coding feeding? Rena Please

[RRS2000]

Hands-on guidance of the utensil to the mouth is non-weight-bearing physical help, or limited assistance.  If the guidance includes the staff member "lifting" the utensil along with the resident, this is weight-bearing, physical help, or extensive assistance.  Thus, once you get into the limited assistance category or above, physical assistance is being provided and therefore support provided must be at least a 2 (one-person physical assist).

Rena

Subj: coding feeding? Rena Please
Date: 12/15/03 11:23:12 AM Pacific Standard Time
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How would we code a resident who requires food to be
chopped up and guidance with lifting utensils and
bringing food to the mouth?
The new August revision gave a similiar example and
coded it a 2/1. We are trying to figure the logic. If
he needed limited assist with feeding, it would still
seem it should be a 2/2? Is this a mistake or is it
really a 2/1. I must have clarification.

Rena, maybe you can help to verify if it really is a
mistake?

Thanx in advance

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators