If you are
actually feeding her, not merely guiding her hand to her mouth it would be
extensive. Remember that for limited assist, it is guiding or touching but
not doing. If you have to perform even part of the activity, you are
giving extensive assist, as @ that point she is no longer
assisting.
Pat Whitcomb,
RN
MDS
Coordinator
Madonna
Towers
507-288-3911,
Ext. 3050
This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by HIPAA you need to hold this information as privileged and confidential. If you have received this communication in error, please destroy all copies of this communication and any attachments.-----Original Message-----Thanks for all your input, but my question may not be completely understood. If you feed a resident part of the meal and the resident feeds herself part of the meal and you do not lift her arm, why is it coded as a 3/2? I need an answer right away for an inservice...thanks again.
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Thursday, April 08, 2004 5:36 PM
To: [EMAIL PROTECTED]
Subject: Re: ADL Self-Performance
In a message dated 4/8/04 5:58:23 PM Eastern Daylight Time, [EMAIL PROTECTED] writes:
Although we usuallly think of weight bearing in relation to ambulation, if you lift a resident's legs when helping her into bed, you are bearing part of her weight. Likewise, if you lift her arm to assist her to get her spoon to her mouth, you are bearing part of her weight. We use the following to help clarify the intent of the MDS to our staff:
Independent: staff action="" talk, no touch
Supervision: staff action="" no touch
Limited assist: staff action="" and touch
Extensive assist: staff action="" touch, and lift
Total assist=resident does nothing
Does this help?
Renie
