Re: ADL coding question

[Holly Sox, RN, RAC-C]

Hi, I am not sure which response you were replying to, but if it was mine, I want to ask, why "8/8's are considered as 4's"?  (Actually, I want to ask that regardless of who you were responding to.)   As I described in my earlier email about this question, there are certainly situations in which locomotion off the unit would only occur very infrequently, but that when it does occur, you have to code it according to the instructions.   I would definitely address in the care plan (and RAPs if this is a full assessment) why the resident goes off the unit so infrequently.  Maybe it's the resident's choice. Maybe s/he has been ill recently.  Maybe staff needs education and motivation to get these folks up and moving.  Maybe s/he is depressed.  You get my meaning.  I, too, would like to see some other responses, but if it were my resident, I would stand by my earlier response. Even if it only happened once in the week, if the resident required limited assistance for that one instance, then I would code it 2/2.   HS Holly F. Sox, RN, RAC-C  Clinical Editor, Careplans.com www.careplans.com [EMAIL PROTECTED] ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Wednesday, March 24, 2004 6:28 AM Subject: Re: ADL coding question This was my original thought but then I coded a 1/2 because physical assist only occurred once as in the definition of supervision. However are the 8/8's considered as 4's in which case a 3/2 would be appropriate. As you can see this is why I am confused & to top it off our UMR team said it should be 8/8 because the activity didn't occur 3 times. Thanks again. More opinions would be helpful. I think the current guidelines don't really address this situation clearly.