I asked this very question at a training seminar I went to when this MDS
came out and was told to code what I observed the residents ability to
be not what they could do on command.  They seemed to be very aware of
the "issue" involved.  

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
Stacee Kunse
Sent: Wednesday, February 25, 2004 9:20 AM
To: [EMAIL PROTECTED]
Subject: ROM and voluntary movement...

For section G4, ROM and voluntary movement...
We just switched therapy companies, and they are doing our section G4. 
We are seeing a major change.
For voluntary movement, what if the resident is not cognitively intact
enough to follow directions to move an upper or lower extremity, but we
do see the resident grab a teddy bear, hold a hand, ambulate with
assist, etc.  Should voluntary movement be coded as impaired?



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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"
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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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