RE: ADL coding

[carol maher]

Title: Message

There are different rules for ADL coding for "self-performance" and for "support provided".  For Self performance, you cannot code total dependence unless the resident was totally dependent the entire 7 day period--had no participation at all in the ADL. 

There is a different rule for support provided.  You code the maximum level of support provided , even if it only occurred once during the 7 day window.  So , if the resident required the assist of 2 only one time, you would code a "3" for support provided for that ADL.


-----Original Message-----
From: MDS <[EMAIL PROTECTED]>
Sent: Feb 24, 2004 10:46 AM
To: [EMAIL PROTECTED]
Subject: RE: ADL coding

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

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Holly Sox, RN, RAC-C
Sent: Tuesday, February 24, 2004 12:56 PM
To: [EMAIL PROTECTED]
Subject: Re: ADL coding

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

 

www.careplans.com   [EMAIL PROTECTED]

----- Original Message -----

From: MDS

To: [EMAIL PROTECTED]

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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/----------------------------------------------------------
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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/----------------------------------------------------------
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 -----------------------------------------------------------/