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Please
see the example on pg 3-94. Res is supervision & verbal cueing for bed
mobility except for 2 occasions , which were 2 assist -coded as 1/3. I was
always taught if it is even just once in the period (unless it was a charting
error, so you have to investigate) you have to go with the worst or more
dependent coding.
Dawn Freeman, LPN
MDS Coordinator
PG Tampa
But that's exactly what Debbie was saying with
the "everytime" statement. You cannot code "4" for self performance
unless s/he is totally dependent for all of the 7 day lookback. That
means every time the activity is performed. That's how the determination is
made for "least dependent" self-performance.
HS
Holly F. Sox, RN, RAC-C
Clinical Editor
----- Original Message -----
Sent: Tuesday, February 24, 2004 12:57
PM
Subject: RE: ADL coding
I disagree about the "everytime" statement. See page 3-82
"code for the
least dependent self performance. For adl support provided,
see 3-92
"For each category code the maximun amount of support the
resident
received over the last 7 days"
Dawn Freeman, LPN
MDS
Coordinator
PG Tampa
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of
Debbie Settle
Sent:
Tuesday, February 24, 2004 11:52 AM
To: [EMAIL PROTECTED]
Subject: RE: ADL
coding
You can't code a "4" unless he in a "4" EVERY time the
activity was
performed. Thus, a "3" is the most
appropriate.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of
Stacee Kunse
Sent: Tuesday,
February 24, 2004 11:15 AM
To: [EMAIL PROTECTED]
Subject: ADL
coding
If a resident is totally dependent for new ileostomy care,
but uses the
urinal for voiding most of the time(when continent)
independently, how
should I code toileting status?? 3 or
4.
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Stacee Kunse, RN
MDS Coordinator
Tuscola County
Medical Care Facility
1285 Cleaver Road
Caro, MI 48723
Phone:
(989)673-4117
Fax: (989)673-6665
Email: [EMAIL PROTECTED]
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The
Case Mix Discussion Group is a free service of the
American
Association of Nurse Assessment
Coordinators
"Committed to the Assessment
Professional"
Be sure to visit the AANAC website. Accurate answers to
your
questions posted to
NAC News and FAQs.
For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
/----------------------------------------------------------
The
Case Mix Discussion Group is a free service of the
American
Association of Nurse Assessment
Coordinators
"Committed to the Assessment
Professional"
Be sure to visit the AANAC website. Accurate answers to
your
questions posted to
NAC News and FAQs.
For more info visit us at http://www.aanac.org
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