Jennifer, This is one of the toughest sections on the MDS to code and one that has the most disagreement. So, I will give you my interpretation of the manual. I think that they want us to code for FUNCTIONAL range of motion, not the actual range that the joint can have. In other words, a resident who is quadriplegic might have full passive range of motion, but has NO FUNCTIONAL Range of motion so would be coded as limitation on both sides. The confusion comes because the manual discusses putting a cognitively impaired resident's joints through a range of motion if they cannot do it on command. I think that they are describing a demented resident who can pick up objects, walk, etc, but can't do it on command. Staff can observe the resident during the observation window and "catch" them completing the ROM activities. I do not think that it is appropriate for us to code NO limitation for residents who are functionally hemiplegics or functionally quadriplegics. It is difficult to know from your email whether your resident can do the ROM activities at times or never. Can your confused resident pick up a hairbrush or spoon, if so, their hand ROM is OK. Can he/she swing his hands over his head during an activity? If so, arm is OK. You get the idea.
-----Original Message----- From: Jennifer <[EMAIL PROTECTED]> Sent: Mar 11, 2004 7:40 AM To: [EMAIL PROTECTED] Subject: ROM SECTION G I know this has been discussed in the recent passed but we're still confused on how to code this section. If a resident moves some extremity at times but does not move on command, do we code limitation or do we code no limitation? Is there any source documentation. The book seems to indicate it should be coded limited if " the resident can't perform the required task" Does that mean on command or whenever? This particular resident is a "3" for cognition and can not follow any direction. All responses are greatly appreciated Thanx in advance P.S. I got no responses to my question I asked yesterday. Would neutrogena shampoo be considered a med? Thanx. __________________________________ Do you Yahoo!? Yahoo! Search - Find what you�re looking for faster http://search.yahoo.com /---------------------------------------------------------- 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 -----------------------------------------------------------/
