Here
is the definition of bedfast for MDS purposes:
In bed or recliner in own
room for 22 hours or more per day, also includes residents who are
primarily bedfast but have bathroom privileges. Code this item when it was
true on at least 4 of the last 7 days.
Here
are the key words: bed, recliner, 'in own room", 22 hours or
more.
I
often times find confusion because as clinicians this is not what we consider a
'bedfast' resident. This item on the MDS is also looking for
potential isolation, depression and other cognitive and functional
issues.
Given
the information you provided below I would probably concur that this resident
would meeting the MDS definition of bedfast and should have been appropriately
marked.
Ron
-----Original Message-----
From: Michelle Edwards [mailto:[EMAIL PROTECTED]
Sent: Thursday, April 15, 2004 1:55 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: Bedfast resident??Ok Guys,This is what I was tagged on.Let's hash this one out. Need lots of input on this one.Resident: A&O X3.Cont. of B&B.Ambulates to and from the toilet several times throughout the day. Staff reports it takes aprox 15 for her to ambulate to and from each time.She occasionally ambulates in the hall. To the hairdresser 2-3 times a month and when she feels like it. Staff reports that she will let you know when she wants to walk.She prefers to stay in her room and in bed a lot of the time. When up she is usually in the w/c or recliner.She does not attend activities outside of her room. Receives lots of mail.She is no longer on a restorative ambulation program because she walks when she wants and only when she wants. She only needs assist of 1 when ambulating.She has areas on her spine, which is curved, that open and heal and open and heal, from not wanting to turn from side to side.State says she should have been coded as bedfast. I do not agree.Heeeeeeellllllllllllllpppppppp!!!!!!!!!!!!!!Michelle E.
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