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You are correct, when accounting for staff support
provided. But unless 2 people are required to do the ileostomy care in
this instance, then support provided will always be 2 for this example.
Self performance codes typically capture the "most representative" level of
performance. The definition for extensive assistance reads, "Total staff
performance during part, but not all, of the last 7 days." Therefore, for the
example given, since staff are performing the ileostomy care, (which includes
emptying bag, cleansing, etc) but the resident can manage voiding independently
(most of the time) I still would code this a "3".
HS
----- Original Message -----
Sent: Tuesday, February 24, 2004 1:46
PM
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
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
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48723
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Email:
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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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