Thanks for all of your input. I think Holly answered my question.
This e-mail and any attachments are confidential information intended for the sole use of the addressee listed. If you are not the intended recipient, please notify the sender immediately via return e-mail, or call our Management Information Systems Coordinator at (989)673-4117, and delete the e-mail. Unauthorized use, dissemination, distribution or copying of this e-mail or attachments, in whole or in part, is strictly prohibited and may be unlawful. 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] >>> [EMAIL PROTECTED] 02/25/04 7:34 AM >>> He is totally dependent for all bowel 'toileting' due to colostomy. He most of the time uses the urinal independently but is incontinent at times and needs assist with that. So if 4 is ruled out, do I go with 3 or 2. Is it an average of what he does for himself? This e-mail and any attachments are confidential information intended for the sole use of the addressee listed. If you are not the intended recipient, please notify the sender immediately via return e-mail, or call our Management Information Systems Coordinator at (989)673-4117, and delete the e-mail. Unauthorized use, dissemination, distribution or copying of this e-mail or attachments, in whole or in part, is strictly prohibited and may be unlawful. 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] >>> [EMAIL PROTECTED] 02/24/04 12:56 PM >>> 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. This e-mail and any attachments are confidential information intended for the sole use of the addressee listed. If you are not the intended recipient, please notify the sender immediately via return e-mail, or call our Management Information Systems Coordinator at (989)673-4117, and delete the e-mail. Unauthorized use, dissemination, distribution or copying of this e-mail or attachments, in whole or in part, is strictly prohibited and may be unlawful. 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] /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
