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Thanks for input. I was trying to explain the
process to cna's and needed some back up help.
Thanks again.
Michelle
----- Original Message -----
Sent: Tuesday, December 30, 2003 10:16
AM
Subject: Re: section g-toileting
I agree with Holly. Also, if you look at page 3-77 under "toilet
use" you will see that it states "Do not limit assessment to bathroom use
only. Elimination occurs in many settings and inclused transferring
on/off the toilet, cleansing, changing pads, managing an ostomy or catheter,
and clothing adjustment."
I think that the resident's briefs would be in the same category as
changing pads. The manual was written before briefs were common in
nursing homes. This is one area that I have to reinforce to the CNAs
often. Toileting is one of the late loss ADLS and important in the ADL
score for reimbursement. I want to be sure that they are understanding
this ADL and they often are confused by the words "toilet use" thinking that
it only means the bathroom. I printed a brief definition on our ADL
sheet that states that it includes changing pad and briefs to help cut down on
the confusion.
-----Original Message-----
From: Michelle Witges
<[EMAIL PROTECTED]>
Sent: Dec 30, 2003 7:22 AM
To:
[EMAIL PROTECTED]
Subject: section g-toileting
There seems to be a conflict of information regarding the coding for
toileting. Some staff believe that if the resident is on the check and
change program that they did not use the toilet. In reading page 3-93 it
states in toileting that the coding is for whether or not elimination
occurred. It also gives example's of using commode, bathroom , urinal
and etc.. It does not however, give example of attends. They are
not toileted in the sense that they are put on toilet, commode or
bedpan. They are totally incontinent. So would it be appropriate
to code and 8 here? Thanks.
Michelle
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Thank You.
Michelle
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