In a message dated 4/27/2004 8:02:58 AM Eastern Daylight Time, "Faye Jones" <[EMAIL PROTECTED]> writes:
>When we had our survey they told us the resident had to be able to >remove the device when asked to do so (on command) as an indication that >the resident would be able to remove it with intent and purpose to have >freedom of movement, access to ones body. �At the time, we had several >Velcro lap trays assigned to moderately cognitively impaired residents >who could and did remove them multiple times a day however since they >could not when asked remove it and get up/adjust clothing etc. it was >felt that the "task" >was actually behavioral and not an indication of "ability to meets ones >own needs". �For it to not be a restraint they have to be able to remove >and perform independently of any assistance. For instance if someone is >in their room with a Velcro lap tray and can not remove it until someone >comes in to even give them verbal instructions it is still a restraint, >if someone is in a personal recliner in the reclined position and needs >someone to come in and tell them to move the lever, use their legs to go >upright, it is still a restraint. �I know we had difficulty wrapping our >minds around this one but last year there were no issues r/t devices so >I think we got it!!! > > Faye, Just a question. Was it the same surveyor(s) this year as last? > >-----Original Message----- >From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of >MDS >Sent: Tuesday, April 27, 2004 7:08 AM >To: [EMAIL PROTECTED] >Subject: RE: survey/restraint "remove on command"? > > > >Deb, > >Hi, I'm jumping in the middle of this thread with a question. I have >seen this response before & it always puzzles me. Where is it documented >"can or cannot remove on command"? The reason I ask is because a >moderately demented person may not be able to remove a restraint, >therefore it "is a restraint", but with cueing they can.. Does that make >less of a restraint, if someone has to tell them to remove it? Just one >of those questions that keep haunting me. Appreciate any other input. > >Thanks, Dawn > > > >-----Original Message----- >From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of >[EMAIL PROTECTED] >Sent: Monday, April 26, 2004 8:50 PM >To: [EMAIL PROTECTED] >Subject: Re: survey/restraint > > > >stacee, > >it he doesn't get up or stand then why are you using it. if the resdient >cannnot remove it on command then it is a restraint. > >deb d > > /---------------------------------------------------------- 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 -----------------------------------------------------------/
