MDS Alert

Published on Sat Apr 19, 2008 PDF

Try your hand at coding various levels of assistance.

How would you code the following residents' self-performance (Column A) and support (Column B) for "walk in room" at G1c?

Example No. 1: A resident is able to walk in his room, but a staff member is available to cue and stand by the resident during ambulation because he has had a history of unsteady gait.

Example No. 2: Mr. K is able to walk in his room, but requires that a staff member place her arm around his waist when taking him to the bathroom due to his unsteady gait.

Example No. 3: Mr. A has a bone spur on his heel and has difficulty ambulating in his room. He requires a staff person to support him [and] help him select clothing from his closet.

Example No. 4: Mr. J is attending physical therapy for transfer and gait training. He does not ambulate on the unit or in his room at this time. He calls for assistance and utilizes a commode next to his bed.

Example No. 5: Mr. R is able to walk freely in his room (obtaining clothes from closet, turning on T.V.) without any cueing or physical assistance from staff.

Answers:

Example No. 1: Self-performance = 1 Support provided = 0. Coding rationale: Resident requires staff supervision, cueing and reminders.

Example No. 2: Self-performance = 2 Support provided = 2. Coding rationale: Resident requires non-weight bearing assistance for safe ambulation.

Example No. 3: Self-performance = 3 Support provided = 2. Coding rationale: Resident partially participates in the task. One staff member is required.

Example No. 4: Self- performance = 8 Support provided = 8. Coding rationale: Activity did not occur.

Example No. 5: Self-performance = 0 Support provided = 0. Coding rationale: Resident is independent.

Source: RAI user's manual.