Page
3-112 of the RAI manual describes bedfast as " Resident is in bed or in a
recliner in own room for 22 hours or more per day...." "Code this item when it
occurs on at least 4 of the last 7 days." This applies whether the
resident chooses this or is physically incapacitated.
In my
last facility I had 2 residents who would be bedfast by definition on one
assessment and not on another. One only left her room for a shower and she would
only consent to that once a week. On rare occasions she would venture out into
the hall. The other resident was 105 years old and was almost blind. He would
only leave his room for a shower once a week as well. My DON at the time was
concerned about the QI report with bedfast residents, but I coded what happened
during the assessment lookback and care planned accordingly. I never had a
problem.
-----Original Message-----
From: Michelle Edwards [mailto:[EMAIL PROTECTED]
Sent: Thursday, April 15, 2004 2:55 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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